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overview xix New, deadly and- initially -poorly understood, SARS incited a degree of public anxiety that virtually halted travel to affected areas and drained billions of dollars from economies across entire regions. It challenged public and political perceptions of the risks associated with emerging and epidemic-prone diseases and raised the profile of public health to new heights. Not every country felt threatened by the prospect of bioterrorism, but every country was concerned by the arrival of a disease like SARS It showed that the danger arising from emerging diseases is universal. No country rich or poor, is adequately protected from either the arrival of a new disease on its territory or the subsequent disruption this can cause. The spread of SARS was halted less than four months after it was first recognized as an intemational threat-an unprecedented achievement for public health on a global scale. If SARS had become permanently established as yet another indigenous epidemic threat, it is not difficult to imagine the consequences for global public health security in a world still struggling to cope with HIV/AIDS As well as the international mobility of people the global movement of products can have serious health consequences. The potentially deadly risks of the international movement and disposal of hazardous wastes as an element of global trade were vividly illustrated in Cote d'lvoire in august 2006. Over 500 tons of chemical waste were unloaded from a cargo ship and illegally dumped by trucks at different sites in and around abidjan. As a result, almost 90 000 people sought medical treatment in the following days and weeks. Although less than 100 people were hospitalized and far fewer deaths could be attributed to the event, it was a public health crisis of both national and international dimensions One of the main international concerns was that the cargo ship had sailed from northern Europe and had called at a number of ports, including some others in western Africa, on its way to Cote d' lvoire. It was unclear in the aftermath of the incident whether it had taken on, or discharged, chemical waste at any of those ports of callNew, deadly and – initially – poorly understood, SARS incited a degree of public anxiety that virtually halted travel to affected areas and drained billions of dollars from economies across entire regions. It challenged public and political perceptions of the risks associated with emerging and epidemic-prone diseases and raised the profile of public health to new heights. Not every country felt threatened by the prospect of bioterrorism, but every country was concerned by the arrival of a disease like SARS. It showed that the danger arising from emerging diseases is universal. No country, rich or poor, is adequately protected from either the arrival of a new disease on its territory or the subsequent disruption this can cause. The spread of SARS was halted less than four months after it was first recognized as an international threat – an unprecedented achievement for public health on a global scale. If SARS had become permanently established as yet another indigenous epidemic threat, it is not difficult to imagine the consequences for global public health security in a world still struggling to cope with HIV/AIDS. As well as the international mobility of people, the global movement of products can have serious health consequences. The potentially deadly risks of the international movement and disposal of hazardous wastes as an element of global trade were vividly illustrated in Côte d’Ivoire in August 2006. Over 500 tons of chemical waste were unloaded from a cargo ship and illegally dumped by trucks at different sites in and around Abidjan. As a result, almost 90 000 people sought medical treatment in the following days and weeks. Although less than 100 people were hospitalized and far fewer deaths could be attributed to the event, it was a public health crisis of both national and international dimensions. One of the main international concerns was that the cargo ship had sailed from northern Europe and had called at a number of ports, including some others in western Africa, on its way to Côte d’Ivoire. It was unclear in the aftermath of the incident whether it had taken on, or discharged, chemical waste at any of those ports of call. overview xix
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