SARS (SEVERE ACUTE RESPIRATORY SYNDROME)

SIZIVI BCYPI VIS^GVBPAVW SWM@VAEI (SBVS' SIFBOBG IEIVOGMO @GSIBSI WBMO SBMOBP GMJIDSGYS

DILAEÂD G SIPGB_BM ^YPVB SWBH IMMW SBS_GWBMPG GEBS SVG MYVHBWBPG

SIDALBH ^BSCBSBVKBMB GMSPGPYP ÎVPBMGBM FAOAV 6>22

2

SIZIVI BCYPI VIS^GVBPAVW SWM@VAEI (SBVS' SWM@VAEI (SBVS' SIFBOBG IEIVOGMO @GSIBSI WBMO @GSIBSI WBMO SBMOBP GMJIDSGYS Sipgbwbm ^ypvb Sbh, Imm Sbswgbmpg, Gebs Svg Myvhbbpg ^S Disihbpbm Ebsbvbdbp Zipivgmiv Sidalbh ^bscbsbvkbmb Gmspgpyp îvpbmgbm Faoav

G-

îm`bhylybm Sizivi Bcypi Vis~gvbpav Sm`vaei (SBVS' bpby sgm`vaeb ~ivmbjbsbm bdyp

fivbp b`blbh sybpy gmjidsg sblyvbm ~ivmbjbsbm fbwbh bmo `gpbm`bg ìmobm dye~ylbm oikblb dlgmgs ìebe `g bpbs 38 aC ìmobm sbpy bpby lifgh obmooybm ~ivmbjbsbm fivy~b fbpyd divgmo `bm sisbd mbjbs- @gebmb 2> hbvg pivbdhgv ~imìvgpb eie~ymbg vgwbbp dampbd ivbp ìmobm sisiavbmo bmo pilbh `g`gbomasgs sifbobg ~imìvgpb SBVS bpby eilbdydbm ~ivkblbmbm di pie~bp bmo `glb~avdbm sifbobg `bivbh jadys ~imylbvbm SBVS bpby pgmoobl `g `bivbh pivkbmodgp (bjjicpi` bvib' SBVS- Fiv`bsbvdbm lb~avbm _HA, 3>) dbsys ~imbdgp SBVS pivkb`g ~b`b ~ipyobs disihbpbm `bm bmooapb dilybvob bmo pgmoobl sbpy vyebh bpby bmo eimkbob ~imìvgpb (_HA 6>>3f'Sikbd fylbm Jifvybvg 6>>3, `blbe wbdpy sgmodbp ~imbdgp gmg pilbh eimifbv `bvg Cgmb `bvbpbm di Hamodamo diey`gbm di pie~bp lbgm `g `ymgb `bm eimgefyldbm di~bmgdbm `g fivfbobg pie~bp- Sikbd ~ivpbebdblg `glb~avdbm sbe~bg pbmoobl 6 Kylg 6>>3, _HA pilbh eimcbpbp 8006 dbsys `g 3> miobvb ìmobm diebpgbm sifbmbd 826 dbsys (_HA 6>>3i'- _HA eilb~avdbm miobvb%miobvb miobvb%miobvb pivkbmodgp SBVS bgpy Byspvblgb, Filogb, Fvb{gl, Chgmb, Hamodamo, Pbgwbm, îvbmcgs, Kivebm, Gpblgb, Gvlbm`gb, Vyebmgb, S~bmal, Swgp{ivlbm`, Ymgpi` Dgmoàe, Beivgdb Sivgdbp, Phbglbm`, Sgmob~avi, Eblbsgb, Zgipmbe `bm lbm%lbgm- @blbe y~bb

eimbmooylbmog eimbmooylbmo g `bm eimciobh

~imifbvbm SBVS lifgh lybs, divkb sbeb bmpbv lbfavbpavgye bmpbv miobvb pivsifyp `blbe wbdpy bmo vilbpgj sgmodbp pilbh fivhbsgl eimi`gbdbm sikyelbh ykg lbfavbpavgye ympyd eimoimblg zgvys fbvy bmo fivbsbl `bvg jbeglg cavambzgvys- Sipilbh ~iefydpgbm âspylbp Dach ~b`b eamip, sicbvb viseg _HA eimoyeyedbm fbhwb ~imifbf SBVS b`blbh zgvys cavamb-

Mbeb si~ivpg Yvfbmg%SBVS bssacgbpi` cavambzgvys,

Jvbmhjyvp be Ebgm gmìx cbsi (JJEgc', cavambzgvys pilbh `gysyldbm ympyd zgvys cavamb ~imifbf SBVS, `bm _HA sicbvb viseg eimimpydbm zgvys SBVS%CaZ sifbobg mbeb ~imifbf SBVS-

[aamasgs Disihbpbm Ebsbvbdbp Zipivgmiv Sidalbh ^bscbsbvkbmb Gmspgpypi îvpbmgbm Faoav 6>22

6

GG-

@ijgmgsg Sizivi Bcypi Vis~gvbpav Sm`vaei (SBVS' b`blbh sgm`vae ~ivmbjbsbm bdyp

fivbp bmo eivy~bdbm ~imbdgp gmjidsg ~b`b kbvgmobm ~bvy ebmysgb bmo sbe~bg sbbp gmg filye `gdipbhyg ~bspg ~imifbfmb (@i~Dis 6>>3'- Eimyvyp Chim * Vyeimì (6>>:'4 âypbmim ip bl- (6>>3' SBVS eivy~bdbm ~imbdgp gmjidsg sblyvbm mbjbs bdyp fivbp ~b`b kbvgmobm ~bvy%~bvy bmo `gsifbfdbm alih zgvys cavamb (Cavambzgvys ( Cavambzgvys ' ìmobm sidye~ylbm oikblb dlgmgs bmo sbmobp fivbp- @blbe lgpivbpyvi lbgm `gsifypdbm ~ylb fbhwb SBVS b`blbh sidye~ylbm oikblb sbdgp ~ivmb~bsbm bmo eim`b`bd `bm fivbp bpby `gsifyp kyob ~imbdgp gmjidsg sblyvbm ~ivmbjbsbm bmo `gsifbfdbm alih zgvys Cavamb Jbegl ^bvbexazgvys ([hbmo ip bl - 6>>:'Sicbvb ~va~avsgambl b`b `yb ìjgmgsg dbsys SBVS, wbgpy “ sys~icp ― `bm “~vafbfli ― sisybg dvgp ivgb _HA- Piv`b~bp `yb ~imoivpgbm `bvg sys~icp SBVS bmo

~ivpbeb b`blbh sisiavbmo bmo eimìvgpb sbdgp ìmobm oikblb; ìebe pgmoog (=38AC', ìmobm sbpy bpby lifgh obmooybm ~ivmbjbsbm, bgpy4 fbpyd, mbjbs ~imìd `bm disylgpbm fivmbjbs, sivpb sbpy bpby lifgh dib`bbm fivgdyp; b'- `blbe 2> hbvg pivbdhgv sifilye sbdgp, eie~ymbg vgwbbp dampbd ivbp ìmobm sisiavbmo bmo pilbh `g`gbomasgs sifbobg ~imìvgpb SBVS, f'- `blbe 2> hbvg pivbdhgv sifilye sbdgp, eilbdydbm ~ivkblbmbm di pie~bp pivkbmodgp SBVS, `bm

c'- ~im`y`yd `bvg

`bivbh pivkbmodgp- Di`yb, sys~icp SBVS b`blbh sisiavbmo bmo eimgmoobl `ymgb sisy`bh pbmoobl 2 Ma~iefiv 6>>6 dbvimb eimoblbeg obobl mbjbs bdyp bmo pg`bd `gdipbhyg ~imifbfmb `bm pg`bd `glbdydbm apa~sg ympyd eimoipbhyg ~imifbfmb^b`b 2> hbvg sifilye eimgmoobl, avbmo pivsifyp eimoblbeg sblbh sbpy bpby lifgh dam`gsg `gfbwbh gmg, bgpy; b'- Dampbd ivbp ìmobm sisiavbmo bmo pilbh `g`gbomasb sys~icp bpby ~vafbfli SBVS, pivdimb wbfbh SBVS,

f'- Vgwbbp fivdymkymo di pie~bp!miobvb pie~bp!mio bvb bmo c'- Fivpie~bp pgmoobl !~ivmbh pgmoobl `g pie~bp!miobvb pie~bp!m iobvb

bmo pivkbmodgp wbfbh SBVS (_HA 6>>3b'^vafbfli SBVS b`blbh dbsys sys~icp `gpbefbh ìmobm obefbvbm japa pavbds bmo eimymkyddbm pbm`b%pbm`b ~miyeamgb bpby vis~gvbpav `gspviss sm`vaei , bpby sisiavbmo bmo eimgmoobl dbvimb ~imbdgp sblyvbm ~ivmbjbsbm bmo pg`bd kilbs ~imifbfmb `bm `gpieydbm pbm`b ~bpalaogs vis~gvbpav `gspviss sm`vaei ~b`b sbbp apa~sg (_HA 6>>3b'-


3

GGG-

Ipgalaog _HA pilbh eimymkyd 22 lbfavbpavgye `g fivfbobg miobvb, pivebsyd Mbpgambl

Gmspgpypi aj Gmjicpgays @gsibsis (MGG@'%Pada `bm Phi Cimpiv jav @gsibsi Campval bm` ^vizimpgam (C@C'%Bplbmpb, ympyd eimilgpg zgvys ~imifbf SBVS- Sbbp gmg ~imifbf ~imbdgp SBVS sy`bh `b~bp `gdipbhyg, bgpy fivy~b gmjidsg zgvys bmo pivoalamo `blbe oimys cavambzgvys (CaZ'- SBVS%CaZ fgbsbmb pg`bd spbfgl fglb fivb`b `blbe lgmodymobm- Mbeym zgvys gmg `b~bp fivpbhbm fivhbvg%hbvg ~b`b syhy dbebv- Zgvys gmg kyob ebe~y eie~ivpbhbmdbm zgbfglgpbsmb ìmobm fbgd fglb ebsgh fivb`b `g `blbe jicis (Chim * Vyeimì 6>>:'@bpb bmo pilbh `gdye~yldbm alih _HA eimoimbg spbfglgpbs zgvys SBVS pivhb`b~ jbdpav lgmodymobm `bm ìsgmjidpbm eie~ivlghbpdbm fbhwb zgvys SBVS spbfgl `blbe jisis `bm yvgm ~b`b syhy vybmo silbeb 2%6 hbvg- Mglbg ~H jisis ~imìvgpb lifgh pgmoog `bvg ~H jisis mavebl, `bm zgvys bmo `gdbm`ymomb lifgh spbfgl sivpb `b~bp fivpbhbm sbe~bg 0 hbvg- Zgvys SBVS ~b`b ~H :%? `b~bp fivpbhbm sbe~bg 3 kbe, `bm ~b`b ~H bmo lifgh pgmoog zgvys `b~bp fivpbhbm lifgh lbeb, : kbe ~b`b ~H 8 `bm 0 hbvg ~b`b ~H 7- ^b`b syhy 0 AC `bm %8>AC zgvys `b~bp fivpbhbm sbe~bg 62 hbvg- ^b`b syhy pivsifyp damsimpbvsg zgvys `blbe dylpyv sil hbe~gv pg`bd eimyvym- Damsimpvbsg zgvys eimyvym sbe~bg sbpy lao ~b`b syhy vybmo sipilbh `yb hbvg- Alih dbvimb gpy zgvys SBVS%CaZ lifgh spbfgl `gfbm`gmodbm ìmobm zgvys cavamb ebmysgb bmo pilbh `gdimblZgvys SBVS ~b`b ~iebmbsbm 9: AC bdbm eimyvym ci~bp, bgpy 2> vgfy gmjicpgays zgvys ymgp ~iv 29 eimgp- Ijidpgzgpbs zgvys `b~bp `ghglbmodbm ìmobm ìsgmjidpbm si~ivpg bsipam 2>), javeblìhg` `bm ~bvbjaveblìhg`, ~bvbjaveblìhg`, dlavads 2>), ipbmal ?9), `bm jimal 6) ~b`b syhy vybmo `b~bp eimogmbdpgjdbm zgvys `blbe wbdpy 9 eimgp (_HA 6>>3, `blbe Gfvbhge `bm Sy`gva 6>>3'SBVS%CaZ pivsifyp eivy~bdbm pg~i fbvy `bvg cavambzgvys pilbh `ggìmpgjgdbsg sifbobg ~imifbf SBVS (Sizivi ( Sizivi Bcypi Vis~gvbpav Sm`vaei ''- SBVS cavambzgvys (SBVS%CaZ' sicbvb viseg pilbh `gìdlbvbsgdbm alih _HA sifbobg boim cbysbpgzi ~imifbf SBVS- SBVS%CaZ eie~ymbg ~bpaoimisgs bmo ymgd sifbf eividb eimifbfdbm gmjidsg ~ivmbjbsbm ~b`b fbogbm bpbs `bm fbwbh sidblgoys sivpb `b~bp eimifbfdbm obspvaimpivgpgs (_HA 6>>3f' Cavambzgvys sim`gvg fivbsbl `bvg fbhbsb Wymbmg λαςύε bmo fivbvpg ebhdapb (cavamb'- Ebhdapb zgvys pivsysym `bvg dae~amim S olgda~vapigm, bmo `b~bp eimie~il ~b`b sil gmbmo `bm mbmpgmb `b~bp eimifbfdbm zgvys ebsyd di `blbe sil gmbmo (Kbwip{ ip bl-277:'bl-277:'-


0

Cavambzgvys b`blbh bmooapb `bvg jbeglg Cavambzgvg`bi, sybpy zgvys fisbv, `bm eie~ymbg silyfymo (imzila~i ( imzila~i ''- Silyfymo zgvys gmg `g~imyhg ìmobm pamkalbm%pamkalbm bmo ~bmkbmo fivfimpyd `bym fymob ( ~ipbl ' (Syvkbwg`kbkb 6>>3'- ^bvpgdil zgvys SBVS eie~ymbg `gbeipiv 8>%20> me, sbeb si~ivpg zgvys cavamb bmo lbgm, eie~ymbg dae~amim pamkalbm bpby olgda~vapigm ~b`b ~iveydbbm bpby silyfymo zgvys- ^b`b zgvys SBVS, olgda~vapigm HI pg`bd `gpieydbm- Oimae limodb~ fifivb~b gsalbp zgvys SBVS pilbh fivhbsgl `gsidyims (Gfvbhge `bm Sy`gva 6>>3'- Oimae VMB cavambzgvys gmg eie~ymbg ydyvbm 6?%36 df `bm eivy~bdbm oimae bmo pivfisbv `g bmpbvb sieyb zgvys bmo b`b- Oimae zgvys gmg fivympbg pymoobl (sgmoli%spvbmì` ( sgmoli%spvbmì` ' `bm eiefimpyd sybpy mydliadb~sg` hilgdbl bmo jlidsgfil `bm ~bmkbmo- Mydliadb~sg` gmg pivlipbd `g `blbe sybpy silyfymo lg~a~vapigm bmo pivfimpyd `bvg ~imooiefymobm eiefvbm gmpvbsilyliv (@vaspim ip bl - 6>>3'B`b~ym dlbsgjgdbsg `bvg cavambzgvys eimyvyp Syvkbwg`kbkb (6>>3' b`blbh sifbobg fivgdyp; Avà Jbeglgb Oimys

; Mgàzgvblis ; Cavambzgvg`bi ; Cavambzgvys

Obefbv 2- Cavambzgvys (Syvkbwg`kbkb (Syvkbwg`kbkb 6>>3' B`b 3 dilae~ad sivalaogs cavambzgvys bmo pilbh `gdimblg sipgb~ sivaovy~, zgvys `ggìmpgjgdbsg sisybg ìmobm ~ikbey blbegbhmb, ìmobm cbvb yvypbm (sidyims' mydliapg`bmb `bm hyfymobmmb ebsgmo%ebsgmo sicbvb sivalaogs- Si~ivpg hblmb ìmobm difbmbdbm zgvys%zgvys VMB, cavambzgvys eieglgdg jvidyimsg eypbsg bmo sbmobp

fisbv-

@imobm

eilghbp

~bmkbmomb

oimae

`bm

jvidyimsg

disblbhbm

~aleivbsi VMB `bvg zgvys%zgvys lbgm, oimae VMB cavambzgvys bobdmb eieglgdg dye~ylbm pgpgd eypbsg ~b`b sipgb~ vi~lgdbsg VMB%mb (@vaspim ip bl - 6>>3'-


9

Dip ;

M5 E5 S5 HI 5

~vapigm mydliadb~sg mydliadb~sg` ` olgda~vapigm eiefvbm olgda~vapigm pamkalbm olgda~vapigm olgda~vapi gm (hbmb ~b`b fifivb~b cavambzgvys ovy~ GG'

Obefbv 6- Eaìl spvydpyv cavambzgvys (Syvkbwg`kbkb ( Syvkbwg`kbkb 6>>3' Bmblgsgs

yvypbm

(sidyims'

mydliapg`b

`bvg

fivfbobg

gsalbp

cavambzgvys

eimymkyddbm sybpy zbvgbfglgpbs sidyims bmo `b~bp eie~imobvyhg vi~lgdbsg zgvys `bm ~bpaoimisgsmb- B`b bmoob~bm fbhwb ~imbdgp SBVS bmo `gsifbfdbm alih cavambzgvys `bm eimivbmo ebmysgb eivy~bdbm dib`bbm `g ebmb cavambzgvys bmo gmjidpgj pivhb`b~ fifivb~b hiwbm eimoblbeg eypbsg `bm fivizalysg ympyd diey`gbm eimkb`g ~bpaoim pivhb`b~ fifivb~b dilae~ad hiwbm lbgmmb `bm kyob ~b`b ebmysgb (âypbmim ip bl- 6>>3'-

GZ-

I~gìegalaog SBVS `g`yob fivbsbl `bvg ^va~gmsg Oybmoàmo `g Cgmb `bvbpbm, eymcyl `bm

eimivbmo ebmysgb sidgpbv fylbm Maziefiv 6>>6- ^b`b fylbm Kylg 6>>3 `glb~avdbm b`bmb ~imìvgpb bmo eimoblbeg vb`bmo ~bvy bmo bpg~gdbl `bm sbmobp obwbp sivpb pgmodbp ~imylbvbmmb pgmoog- @glb~avdbm kyob ~imbdgp gmg pilbh eimkbmodgpg sidgpbv 3>9 avbmo `bm eimifbfdbm 9 `gbmpbvbmb piwbs- _HA eilb~avdbm fbhwb 3>) dbsys SBVS pivkb`g ~b`b ~ipyobs disihbpbm, bmo pivkb`g dbvimb dampbd ~b`b sbbp eivbwbp ~imìvgpb- @g sbe~gmo gpy vgsgda ~imylbvbm `b~bp pivkb`g ~b`b ~imìvgpb lbgm bmo si`bmo `gvbwbp `g vyebh sbdgp, bmooapb dilybvob bmo pgmoobl sbpy vyebh, avbmo bmo eimkbob ~imìvgpb eby~ym pbey ~imìvgpb (@i~Dis VG 6>>3f'SBVS pivfbwb dilybv `bvg Oybmoàmo di Hamodamo ~b`b pbmoobl 62 jifvybvg 6>>3 alih siavbmo àdpiv bmo pilbh eivbwbp ~bsgim ìmobm oikblb egvg~ jly `g pie~bp divkbmb- Sipilbh sbbp gpy gmjidsg siebdgm eilybs di ~imkyvy Cgmb `bm Hamodamo bmo ~b`b bdhgvmb eilybs hgmoob di Zgipmbe `bm Cbmb`b- îmylbvbm SBVS ~b`b pbmoobl 26 Ebvip 6>>3, Fb`bm Disihbpbm @ymgb (_avl` ( _avl` Hiblph Avobmg{bpgam !_HA' eimoilybvdbm sybpy ~ivgmobpbm di silyvyh `ymgb b`bmb sybpy ~imbdgp bmo `gsifypmb sifbobg sgm`vae ~ivmb~bsbm bdyp ~bvbh (sizivi ( sizivi bcypi vis~gvbpav sm`vaei !SBVS' (_HA 6>>3c'- îmbdgp gmg `gobefbvdbm sifbobg vb`bmo ~bvy [aamasgs Disihbpbm Ebsbvbdbp Zipivgmiv Sidalbh ^bscbsbvkbmb Gmspgpypi îvpbmgbm Faoav 6>22

:

(~miyeamgb' bmo fivdiefbmo sicbvb ci~bp, ~vaovisgj `bm sivgmodblg fivsgjbp jbpbl, `bm `g`yob fivbwbl `bvg sybpy ~va~gmsg `g Cgmb Ypbvb bgpy ~va~gmsg Oybmoàmo- ^b`b sbbp ~imoyeyebm _HA gmg `gdilybvdbm, dbsys%dbsys SBVS `gdipbhyg pilbh eimivbmo fifivb~b miobvb si~ivpg Cgmb, Hamodamo, Zgipmbe, Sgmob~yvb `bm Cbmb`b (âypbmim ip bl - 6>>3'- Dikb`gbm Lybv Fgbsb (DLF' pivkb`g `g : wglbbh bgpy; Cbmb`b, Cgmb `bvbpbm (bmo fivbsbl `bvg Oybmoàmo diey`gbm eimifbv di fifivb~b dapb fisbv, Pbgwbm `bm Hamodamo', Sgmob~yvb `bm Zgipmbe- Sipilbh gpy SBVS `gdipbhyg eimifbv di lifgh `bvg 6> pie~bp lbgm `g `ymgb eimogdypg vypi ~imivfbmobm (_HA 6>>3c'-

Obefbv 3- Kyelbh Dbsys Diebpgbm bdgfbp SBVS `g Silyvyh @ymgb Sbe~bg ìmobm pbmoobl 3 Eig 6>>3 pilbh `gpieydbm sifbmbd :-630 dbsys (~vafbfli cbsis ' `bm 039 (:,7?)' diebpgbm `g pgob~ylyh miobvb- Sylgp sidblg ympyd eimimpydbm ìmobm ~bspg, fivb~b kyelbh dbsys, fivb~b miobvb bmo pivdimb wbfbh SBVS `bm fivb~b bmodb diebpgbm, alih dbvimb obefbvbm ~imbdgp gmg sipgb~ sbbp fivyfbh ìmobm ci~bp (_HA 6>>3c'- Dikb`gbm SBVS silbeb ~ivgaì Maziefiv –7 B~vgl 6>>3 pivkb`g `g fivfbobg Miobvb bgpy Byspvblgb, Filogb, Fvb{gl, Chgmb, Hamodamo, Pbgwbm, îvbmcgs, Kivebm, Gpblgb, Gvlbm`gb, Vyebmgb, S~bmal, Swgp{ivlbm`, Ymgpi` Dgmoàe, Beivgdb Sivgdbp, Phbglbm`, Sgmob~avi, Eblbsgb, Zgipmbe `bm lbm%lbgm- Papbl ~imìvgpb 6-:?2 ìmobm 2>3 diebpgbm (CJV 5 3,7)'- _HA eividaeim`bsgdbm sipgb~ avbmo bmo eimìvgpb ìebe ~bmbs eim`b`bd ympyd eimym`b ~ivkblbmbmmb sbe~bg sihbp diefblg `bvg Miobvb pivkbmodgp “ bjjicpgz bvib “ si~ivpg Cbmb`b (Pavampa',


?

Sgmob~yvb, Cgmb (Figkgmo, Oybmoàmo, Hamodamo, Shbxg `bm Pbgwbm' sivpb Zgipmbe (@i~Dis VG 6>>3b'-

Obefbv 0- Kyelbh Dbsys SBVS `g Gmàmisgb @g Gmàmisgb sbe~bg ìmobm 2: Kymg 6>>3

kyelbh avbmo bmo fivafbp `g

Gmàmisgb dbvimb dhbwbpgv `gvgmb eimìvgpb SBVS bpby `g`yob SBVS sifbmbd 226 avbmo- Sipilbh `g~ivgdsb, `bvg kyelbh gmg b`b 2>3 avbmo `g~bspgdbm fydbm eimìvgpb SBVS- @bvg 7 avbmo pivsifyp `g~ivalih ? Dbsys sys~icp SBVS sys~icp SBVS piv`gvg `bvg 3 wbmgpb `bm 0 ~vgb bmo fivysgb bmpbvb 6> % 9? pbhym `bm 6 dbsys ~vafbfli SBVS- Sifbmbd 9 avbmo dbsys sys~icp `gbmpbvbmb sys~icp `gbmpbvbmb ~ivmbh fivdymkymo di Sgmob~yvb `bm 6 avbmo ~ivmbh fivdymkymo di VVC- Eividb fivàegsglg `g Kbdbvpb, @i~ad `bm Pbmoivbmo- Si`bmodbm 6 dbsys ~vafbfli SBVS piv`gvg `bvg 6 ~vgb ebsgmo%ebsgmo fivysgb 0? pbhym (_MB' fivàegsglg `g Pbmoivbmo `bm pilbh diefblg di Hamodamo `bm fivysgb :9 pbhym (_MG' fivàegsglg `g Ei`bm, di`ybmb fbvy diefblg `bvg Sgmob~yvb sbbp eimìvgpb SBVSSifbmbd : dbsys sys~icp SBVS sys~icp SBVS `gvbwbp `g VS^G ^vaj- @v- Sylgbmpg Sbvasa Kbdbvpb `bm 2 dbsys `g VSY^ B`be Eblgd- @bvg 6 dbsys ~vafbfli SBVS siavbmo `gvbwbp `g VS^G ^vaj- @v- Sylgbmpg Sbvasa `bm siavbmo `gvbwbp `g VSY^ B`be Eblgd Ei`bm (@i~dis VG 6>>3f'Sbe~il `bvbh `bm ysb~bm pimooavad `bvg ~bsgim sys~icp SBVS sys~icp SBVS `bm ~vafbfli SBVS, `gdgvge `bm `g~ivgdsb `g lbfavbpavgye C@C Bplbmpb `bm sieybmb eimymkyddbm hbsgl miobpgj ympyd zgvys Cavamb- Silbgm `glbdydbm ykg damjgvebsg eilblyg ~ieivgdsbbm lbfavbpavgye, `glbdydbm ~ylb gmzispgobsg bpby ~ilbcbdbm dampbd pivhb`b~ p ivhb`b~ dbsys sys~icp `bm ~vafbfli SBVS sivpb dbsys bmo `g`yob SBVS `bm `glbdydbm ebmbkieim dampbd fivy~b ~imylyhbm `bm syvziglbms (@i~Dis VG 6>>3f'-


8

Z-

Pvbmsegsg Cbvb ~imylbvbm SBVS%CaZ bmo ypbeb b`blbh eilblyg dampbd ìdbp egsblmb

~b`b wbdpy eivbwbp ~imìvgpb, pgmoobl sbpy vyebh ìmobm ~imìvgpb bpby dampbd lbmosymo ìmobm sidvipb!cbgvbm pyfyh (ebpb, hg`ymo, eylyp ' `bvg ~imìvgpb sys~icp bpby ~vafbfli- îmifbvbm ypbebmb `g`yob eilblyg ~ivcgdbm (`va~lips' `bm dieymodgmbm kyob eilblyg ~bdbgbm `bm blbp%blbp bmo pivdampbegmbsg bpby sicbvb jbicbl%avbl (Gfvbhge `bm Sy`gva 6>>3'- Silbgm gpy, fivfbobg ~vasi`yv bivasalgsbsg `g vyebh sbdgp (mifylgsbsg, gmpyfbsg, sycpgam , `bm zimpglbsg' `b~bp eimgmodbpdbm visgda ~imylbvbm SBVS alih dbvimb dampbd sicbvb pg`bd lbmosymo eilblyg dampbegmbsg blbp bmo `goymbdbm, fbgd `va~lip eby~ym ebpivg gmjidsgys lbgm si~ivpg ~bvpgdil jisis `bm yvgm (Chim * Vyeimì 6>>:'^b`b ~imilgpgbmmb, Gombpgys ip bl- (6>>0' eimieydbm fbhwb ~imifbvbm zgvys SBVS pivmbpb fgsb `g~ivbmpbvbg alih y`bvb (bgvfavmi ( bgvfavmi pvbmsegssgam ', ', hbl gmglbh bmo eimifbfdbm caeeymgp aypfvibd ~b`b SBVS `g Hamodamo `bm Pavampa (Cbmb`b'Eisdg~ym ìegdgbm, fypyh dampbd gmpims bobv zgvys gpy fgsb eimifbv- Egsblmb sbkb fivb`b `blbe sbpy vybmobm pivpypy~ `blbe wbdpy lbeb- Siavbmo gfy (~imìvgpb SBVS' bmo eilbhgvdbm fbg pg`bd bdbm eimylbvdbm SBVS di~b`b fbgmb sbbp eilbhgvdbm (@iwg 6>22'- îvgaì bebm `bvg sidilae~ad ebsbvbdbp bmo pivkbmodgp SBVS b`blbh 20 hbvg sipilbh dbsys pivbdhgv `gmbpbdbm siefyh (@i~Dis VG 6>>3b'Sbe~bg sbbp gmg visivzabv zgvys SBVS filye `gdipbhyg ìmobm kilbs- îmilgpgbm bmo sivgmo `glbdydbm `g ^vazgmsg Oybmoàmo, Cgmb, eimieydbm cavambzgvys bmo sbeb `gpieydbm ~b`b s~isgis fgmbpbmo pivpimpy bmo `gkybl `g~bsbv- îmg`gdbm pivys `glbdydbm ympyd eimcbvg pbhy b~bdbh SBVS bmo `gsifbfdbm alih zgvys cavamb pivsifyp fivsyefiv `bvg fgmbpbmo- Vaiìv (6>>3' Eimbpbdbm fbhwb pg`bd b`b fydpg bsbl zgvys cavamb `bvg hiwbm pivmbd (sb~g, fbfg, ymoobs, `ll' `bm pbe~bdmb pg`bd eymodgm fivbsbl `bvg hiwbm pivmbd, fbhdbm kgdb bsbl zgvys gmg ebsgh filye `gdbpbhygAlih Dbvimb pg`bd b`bmb fydpg fbhwb zgvys SBVS eimogmjidsg hiwbm pivmbd, ìmobm ìegdgbm, dihb`gvbmmb ~b`b hiwbm `bm ~va`yd ebdbmbm sbmobp kbvbmo- Fbhdbm kgdb b`b, zgvys bdbm sbmobp eymodgm fimbv%fimbv ebpg alih ~iebsbdbm `bm ~imoalbhbm^b`b bdhgvmb Fb`bm Disihbpbm @ymgb (_HA' fivsbeb%sbeb ìmobm @i~bvpieim Disihbpbm Chgmb pilbh eimieydbm fydpg bmo dybp fbhwb zgvys SBVS eieglgdg dbgpbm sbmobp dybp ìmobm eysbmo, sipilbh eilbdydbm ~imilysyvbm di ~bsbv% ~bsbv hiwbm `bm vispbyvbm sipie~bp bmo eimkybl ebdbmbm hbsgl lbyp `bm fivfbobg sbpwb lgbv- Hbsgl syvziglbms `g Cgmb eimymkydbm fbhwb zgvys SBVS fivhbsgl `ggsalbsg


7

`bvg jisis `bm yvgm eysbmo bmo `g~ilghbvb `bm `g~ivkyblfilgdbm `g ~bsbv – ~bsbv hiwbm (C@C 6>>0'- Silbgm gpy kyob piv`b~bp dieymodgmbm b`bmb zgvys ~b`b dililbwbv `bm bmkgmo- Dililbwbv eivy~bdbm gmbmo bmo gìbl fbog zgvys, dieymodgmbm ebmysgb eilbdydbm

dampbd

ìmobm

zgvysmb

eilblyg

dapavbm

dililbwbv

bpby

eividb

eimodamsyesg fgmbpbmo bmo ebdbmbm ypbebmb dililbwbv- Liwbp cbvb gmglbh dieymodgmbm zgvys SBVS `g Bsgb eilbdydbm lae~bpbm di~b`b gmbmo fbvymb, bdmg ebmysgb (@avspim 6>22'-

ZG-

^bpaoimisgs `bm ^bpajgsgalaog SBVS sicbvb dlgmgs lifgh eilgfbpdbm sblyvbm mbjbs fbogbm fbwbh `gfbm`gmodbm

ìmobm sblyvbm mbjbs `gfbogbm bpbs- ^b`b sblyvbm mbjbs fbogbm fbwbh, sil%sil bsgmys b`blbh sbsbvbm bmo lifgh fbmbd pivdimb `gfbm`gmodbm pvbdib eby~ym fvamdysEimyvyp Chim * Vyeimì (6>>:', ~bpaoimisgs SBVS piv`gvg `bvg 6 ebcbe jbsi; 2- Jbsi îvpbeb Pivkb`g silbeb 2> hbvg ~ivpbeb ~imbdgp, ~b`b jbsi gmg eilgfbpdbm ~vasis bdyp bmo eimobdgfbpdbm `gjjysi blzialbv `beboi (@B@' bmo idsy`bpgj- Jbsi gmg `gcgvgdbm ìmobm b`bmb gmjglpvbsg `bvg sil%sil gmjlbebsg sivpb aiìeb `bm ~iefimpydbm eiefvbm hgblgmEiefvbm hgblgm gmg pivfimpyd `bvg im`b~bm ~vapigm ~lbseb sivpb ìfvgs mycliys `bm sgpa~lbseb sil%sil i~gpil ~bvy (~miyeasgp' bmo vysbd- @imobm b`bmb midvasgs sil%sil i~gpil ~bvy ebdb fbvvgiv bmpbvb fbvvgiv bmpbvb sgvdylbsg `bvbh `bm kblbm y`bvb eimkb`g hglbmo sihgmoob cbgvbm bmo fivbsbl `bvg ~iefylyh `bvbh `b~bp ebsyd di `blbe vybmo blzialys (ijysg'- Mbeym ebsgh filye `b~bp `gfydpgdbm b~bdbh divysbdbm sil%sil ~bvy pivsifyp `gbdgfbpdbm dbvimb ijid padsgd `bvg zgvys pivsifyp sicbvb lbmosymo bpby divysbdbm pivsifyp pivkb`g dbvimb ~ivbmpbvb sgspie geym- ^b`b sbbp jbsi idsy`bpgj gmg `b~bp `gbebpg `bm `ggìmpgjgdbsg VMB `bm bmpgoim zgvys bmo piv`b~bp ~b`b ebdvajbo blzialbv6- Jbsi di`yb Jbsi gmg `geylbg pi~bp sipilbh jbsi ~ivpbeb silisbg (sipilbh 2> hbvg'- Jbsi gmg `gpbm`bg ìmobm ~ivyfbhbm ~b`b @B@ idsy`bpgj eimkb`g @B@ bmo pivavobmgsgv- ^b`b ~ivgaì gmg `g`b~bpg eipb~lbsgb sil i~gpil sdybeasb fvamchgbl, fivpbefbhmb vbobe sil `bm jgfvasgs ~b`b `gm`gmo lyeim blzialys- ^b`b jbsi gmg kyob pbe~bd àegmbsg ~miyeasgp pg~i 6 ìmobm ~ivfisbvbm mycliys `bm myclialg bmo iasgmajglgd- Silbmkypmb


2>

kyob `gpieydbm b`bmb sil vbdsbsb ìmobm fbmbd mycliys (eylpgmyclibpi` (eylpgmyclibpi` ogbmp cill' `blbe vamoob blzialg- Sil vbdsbsb pivsifyp `g`yob eivy~bdbm bdgfbp lbmosymo `bvg SBVS%CaZ, mbeym syefiv lbgm eimobpbdbm fbhwb hbl pivsifyp fydbm dbvimb SBVS% CaZ mbeym `gsifbfdbm dbvimb ~vasis gmjlbebsg bmo fivbp ~b`b pbhb~ @B@ idsy`bpgj-

ZGG-

Oikblb Dlgmgs Oikblb dlgmgs bmo eymcyl ~b`b yeyemb `gpieydbm ~b`b ebmysgb- Oikblb

dlgmgs ~b`b hiwbm eimivy~bg ìmobm oikblb ~b`b ebmysgb, si~ivpg ~b`b ~imilgpgbm bmo `glbdydbm alih _HA eilblyg gmjidsg fybpbm SBVS%CaZ pivhb`b~ eamip bmo eimymkyddbm oikblb bmo sbeb ìmobm ebmysgb- Oikblb dlgmgs ~b`b ebmysgb b`blbh sifbobg fivgdyp;

b- Oikblb ~vaàvebl Ebsb gmdyfbsg SBVS sicbvb pg~gdbl b`blbh 6%? hbvg, eisdg~ym ìegdgbm, fifivb~b lb~avbm eimymkyddbm fbhwb ebsb gmdyfbsg gmg fgsb lifgh ~bmkbmo sbe~bg 2> hbvg (Syvkbwg`kbkb 6>>3'- Oikblb ~vaàvebl bmo pgefyl `geylbg ìmobm b`bmb oikblb% oikblb sgspiegd bmo mam s~isgjgd, si~ivpg;

%

@iebe = 38>C

%

Eblogb

%

Eimoogogl

%

Vbsb dbdy `gpyfyh

%

Fbpyd mam ~va`ydpgj

%

Mivg di~blb `bm ~ysgmo

%

Eblbgsi Oikblb%oikblb pivsifyp eivy~bdbm oikblb pg~gdbl bmo sivgmo pgefyl ~b`b

~imìvgpb SBVS, mbeym pg`bd sieyb oikblb pivsifyp pgefyl ~b`b sipgb~ ~bsgim- ^b`b fifivb~b dbsys, ìebe eymcyl `bm eimohglbmo ìmobm sim`gvgmb ~b`b hbvg di 0 hgmoob di ?, mbeym pivdb`bmo ìebe eymcyl diefblg ~b`b egmooy di 6 (Chim * Vyeimì 6>>:'f- Ebmgjispbsg Yeye Eisdg~ym SBVS eivy~bdbm zgvys bmo eimivbmo sgspie ~ivmbjbsbm mbeym fifivb~b dbsys `gpieydbm ~imìvgpb ìmobm oikblb eylpgavobm-


22



Ebmgjispbsg îvmbjbsbm îmbdgp ~bvy b`blbh oikblb dlgmgs ypbeb `bvg ~imìvgpb SBVS, oikblb%

oikblb ypbeb bmo pgefyl bmpbvb lbgm ;

%

Fbpyd divgmo

%

Sisbd mbjbs

^b`b pbhb~ bwbl gmjidsg, oikblb pivsifyp si~ivpg ~b`b gmjidsg sblyvbm ~ivmbjbsbm ~b`b yeyemb- Mbeym oikblb sisbd ebdgm lbeb bdbm siebdgm fivbp `bm eylbg eiefbpbsg bdpgjgpbs jgsgd ~bsgim- Sifbmbd 6>%69) ~bsgim eimoblbeg ~vaovisg fyvyd di bvbh bcypi vis~gvbpav `gspviss sm`vaei (BV@S' bdgfbp divysbdbm ~b`b ~miyeasgp pg~i 6 bmo eie~va`ydsg syvjbdpbmOikblb

lbgm

bmo

eymodgm

pgefyl

b`blbh

~miyeapavbds

`bm

~imyeaei`gspgmye, bmo `gbdgfbpdbm dbvimb y`bvb bmo pivkifbd `blbe vamoob `b`b, hbl gmg `glb~avdbm sifbmbd 26) pivkb`g sicbvb s~ampbm `bm 6>) pgefyl sipilbh ~imoymbbm zimpglbpav `g GCY (Chim * Vyeimì 6>>:'-

Obefbv 9- Hgspalaog ^bvy%~bvy îmìvgpb SBVS îmifbf diebpgbm pivsivgmo ~b`b SBVS b`blbh `gdbvimbdbm alih BV@S fivbp, dioboblbm eylpgavobm, gmjidsg sidymìv, si~pgciegb, sivpb dae~lgdbsg pvaefaiefalgd

Ebmgjispbsg îmcivmbbm îmcivmbbm Oikblb bmo pgefyl ~b`b sgspie ~imcivmbbm `g`yob `gsifbfdbm dbvimb

~imylbvbm SBVS%CaZ eilblyg avbl- Oikblb ypbebmb b`blbh `gbvi- ^b`b dbsys gmg `g`b~bpg sifbmbd 6>) ~bsgim SBVS eimoblbeg `gbvi ~b`b di`bpbmobm ~ivpbeb `bm ?>) `bvg kyelbh pivsifyp pipb~ eimoblbeg oikblb gmg silbeb ebsb ~ivkblbmbm ~imbdgpmb@gbvi bmo `gpgefyldbm fgbsbmb cbgv ìmobm zalyei bmo fbmbd pbm~b `gsivpbg

`bvbh

eby~ym

lim`gv-

^b`b

dbsys

fivbp

fgbsbmb


`gkye~bg

26

dipg`bdsigefbmobm ilidpvalgp `bm ìhg`vbsg dbvimb ~imyvymbm cbgvbm pyfyh bdgfbp `gbvi (Chim * Vyeimì 6>>:'^b`b fifivb~b dbsys bmo pg`bd `gsivpbg ~miyeamgb, oikblb `gbvi gmg b`blbh sbpy%sbpymb oikblb bmo pbe~bd, mbeym ~b`b fifivb~b dbsys lbgm ìmobm ~miyeamgb, `gbvi eylbg pbe~bd ~b`b egmooy di `yb fivsbebbm ìmobm pgefylmb ìebe `bm ~ivfyvydbm ~b`b ~bvy

Ebmgjispbsg Lbgm

%

Sifbmbd 69) ~bsgim SBVS eimoblbeg ~imgmodbpbm SO^P ~b`b di`bpbmobm ~ivpbeb- Filye fgsb `g~bspgdbm ~imifbf ~imgmodbpbm im{ge gmg mbeym `g`yob ~imgmodbpbm im{ge gmg `gsifbfdbm dbvimb vis~am pyfyh pivhb`b~ gmjidsg SBVS%CaZ ~b`b pyfyh ebmysgb fydbm dbvimb gmjidsg s~isgsjgd CaZ ~b`b hi~bv-

%

@bvg sivg dbsys `g Hamodamo, sidgpbv 9>) ~bsgim eimoblbeg hg~apimsg silbeb ebsb ~ivbwbpbm `g vyebh sbdgp- Hg~apimsg gmg eimifbfdbm vbsb ~ysgmo ~b`b ~bsgim SBVS

%

@bvg sivg dbsys `g Hamodamo `g`b~bpg sidgpbv 0>) ~bsgim eimoblbeg pbdgdbv`g- Mbeym ebmgjispbsg dbv`gazbsdyliv ~b`b SBVS gmg ~b`b yeyemb pg`bd eieivlydbm pivb~g s~isgjgd-

%

Fifivb~b dbsys `glb~avdbm b`bmb oikblb i~gli~s `bm `gsavgimpbsg ~b`b ~bsgim SBVS, mbeym ìjgcgp miyvalaog jadbl pg`bd ~ivmbh `gpieydbmEisdg~ym ìegdgbm pipb~ hbvys `gwbs~b`bg pivhb`b~ dieymodgmbm ebmgjispbsg SBVS ~b`b sgspie sbvbj eimogmobp b`bmb lb~avbm dbsys bmo eimymkyddbm b`bmb spbpys i~gli~pgdys ~b`b ~bsgim ìmobm `gsivpbg ~imieybm SBVS%CaZ ~b`b CSS ìmobm kyelbh bmo cydy~ sgomgjgdbmEimyvyp

Chim

*

Vyeimì

(6>>:',

SBVS%CaZ

gmg

kyob

`b~bp

eimobdgfbpdbm ìeilgmgsbsg ~b`b sbvbj apbd-

ZGGG-

@gbomasgs îmbdgp ^bvb ~imilgpg bmo pivobfymo `blbe kikbvgmo divkb sbeb lbfavbpavgye _HA

fivysbhb divbs ympyd eimoiefbmodbm pis%pis bmo `b~bp `goymbdbm ympyd `gbomasgs SBVS- ^b`b sbbp gmg, b`b 3 pis bmo yeyemb `goymbdbm `g lbfavbpavgye ympyd eimìpidsg SBVS, bgpy; b'- Ykg sivalaog bgpy ìmobm4 im{ei lgdi` geeymasavfimp bssb (ILGSB' `bm geeymajlyaviscimci bssb (GJB', f'- Ykg Ealidyliv bgpy ìmobm pidmgd VP%^CV, `bm c'- Fgbdbm kbvgmobm (Gfvbhge `bm Sy`gva 6>>34 Syvkbwg`kbkb Syvkbwg`kbkb 6>>3'-


23

Pis ILGSB b`blbh pis bmo eimoykg b`bmb bmpgfa`g pivhb`b~ SBVS- Pis gmg `glb~avdbm fbvy ~b`b hbvg di%6> sipilbh pgefylmb oikblb dlgmgs eiefivg hbsgl ~asgpgj, ~b`b fifivb~b ~imìvgpb SBVS bmpgfa`g fbvy `b~bp `gpieydbm sipilbh hbvg di%20 sbe~bg di%6, alih dbvimb gpy pis gmg pg`bd `b~bp `goymbdbm ympyd eimìpidsg dbsys% dbsys

~b`b

spb`gye

`gmg

sifilye

eividb

eie~ymbg

disie~bpbm

ympyd

eimifbvdbm ~imbdgp SBVS di~b`b avbmo lbgm (Syvkbwg`kbkb 6>>3'- Pis GJB kyob eivy~bdbm pis bmo eimìpidsg b`bmb bmpgfa`g ~b`b sivye 2> hbvg sipilbh pgefylmb oikblb, sihgmoob pis gmg kyob vilbpgj lbefbp- Sicbvb pidmgs GJB lifgh sylgp dbvimb eieivlydbm fgbdbm kbvgmobm `bm egdvasda~ Jlayviscimci (Gfvbhge Jlayviscimci (Gfvbhge `bm Sy`gva 6>>3'Pidmgd VP%^CV eivy~bdbm ykg ealidyliv ympyd eimìpidsg ebpivg oimipgd `bvg zgvys SBVS- Pidmgd gmg sbmobp fivebmjbbp `blbe eimìpidsg gmjidsg spb`gye `gmgEipaì VP%^CV pilbh fivhbsgl eimìpidsg ebpivg oimipgdb zgvys `bvg fivfbobg s~icgeim, bgpy4 sidvipb ~ivmbjbsbm, s~ypye, `bvbh, jisis, `bm kbvgmobm fga~sg- ^vgeiv ympyd ykg VP%^CV pilbh `gdiefbmodbm `g lbfavbpavgye `g Beivgdb Sivgdbp, Hamodamo, Cbmb`b, `bm Hbefyvo- Sbe~bg sbbp gmg simsgpgzgpbs ykg gmg ebsgh vilbpgj vim`bh- Pis gmg ebsgh fbmbd eiefivgdbm hbsgl miobpgj ~blsy sihgmoob `b~bp eiefivgdbm ~ivbsbbm bebm bmo dilgvy dbvimb ìmobm hbsgl miobpgj gpy- B`b bmoob~bm fbhwb gm`gzg`y bpby ~imìvgpb bmo fivsbmodypbm pg`bd eimìvgpb SBVS sihgmoob pivkb`g ~imifbvbm ~imbdgp pbm~b `b~bp `gdim`blgdbm- Sbe~bg sbbp gmg pis VP%^CV ebsgh pivys `gdiefbmodbm, ~bvb ~imilgpg `g lbfavbpavgye bmo fidivkb sbeb ìmobm _HA eivbsb a~pgegs `b~bp eimoiefbmodbm pis gmg eimkb`g pis bmo lifgh `b~bp `gbm`bldbm `bm `g~ivcbb- @g bmpbvbmb b`blbh lbfavbpavgye lbfavbpavgye `bvg Fivmhbv`%Machp jav Pva~gcbl jav Pva~gcbl Ei`gcgmi `g Hbefyvo bmo eiefybp sybpy ~ivbmodbp pis (dgp' ìmobm sgspie ykg eypy (ryblgp ( ryblgp campval ' bmo pivdbm`ymo `g `blbe ~ivbmodbp pivsifyp (Gfvbhge `bm Sy`gva 6>>34 Syvkbwg`kbkb 6>>3'Ykg ìmobm fgbdbm kbvgmobm bgpy gsalbsg zgvys ìmobm ~iefgbdbm ~b`b sil ZivaYkg gmg eivy~bdbm eipaì bmo ~blgmo simsgpgzi `bm ~bspg ympyd eimìpidsg zgvys SBVS, mbeym ykg gmg hbmb `b~bp `glbdydbm `g lbfavbpavgye ìmobm dibebmbm lbfavbpavgye pgmodbp 3 (Gfvbhge `bm Sy`gva 6>>3'-


20

GX-

îmoafbpbm îmbdgp Hbl bmo fiv~ivbm `blbe ~imbmobmbm ~b`b ~imìvgpb SBVS b`blbh spbpys

~imìvgpb- ^b`b dbsys ~bsgim sys~icp `bm ~vafbfli pgm`bdbm bmo `glbdydbm b`blbh (_HA 6>>3`' ; b'

Gsalbsg ~imìvgpb `g Vyebh Sbdgp-

f'

îmobefglbm sbe~il (s~ypye, `bvbh, sivye, yvgm' `bm japa pavbds ympyd eimgmodgvdbm ~miyeamgb bmo bpg~gdbl-

c'

îeivgdsbbm liydasgp, pvaefasgp, dvibpgmgm jasjadgmbsi, pis jymosg jymosg hbpg, yviye `bm ilidpvalgp, C vibdpgj ~vapigm `bm sivye ~bsbmobm (~bgvi` (~bgvi` sivb ''-

`'

îefivgbm bmpgfgapgdb bmpgfgapgd b silbeb ~ivbwbpbm ympyd ~imoafbpbm ~miyeamgb bdgfbp lgmodymobm (caeeymgp%brygvi` ~miyeamgb' pivebsyd ~imyeamgb bpg~gdbl-

i'

^b`b SBVS fivfbobg kimgs bmpgfgapgdb bmpgfgapgd b sy`bh `goymbdbm mbeym sbe~bg sbbp gmg hbsglmb pg`bd eieybsdbm, `b~bp `gfivgdbm vgfbzgvgm ìmobm bpby pbm~b spivag`-

j'

îvhbpgbm dhysys hbvys `gfivgdbm ~b`b pgm`bdbm bmo `b~bp eimifbfdbm eimifbfdbm pivkb`gmb bivalg{bpgam si~ivpg mifylgsiv ìmobm fvamda`glbpav, fvamdasda~g, obspvasda~g bmo `b~bp eimoobmooy sgspie ~ivmb~bsbm-

îmoafbpbm `bm zbdsgm ~imbdgp gmg filye `gpieydbm- Alih dbvimb gpy ~imbmobmbm ~imìvgpb SBVS bmo `gbmoob~ ~blgmo ~impgmo b`blbh pivb~g sy~avpgj, bgpy eimoy~bbdbm bobv ~imìvgpb pg`bd eimoblbeg ìhg`vbsg `bm gmjidsg sidymìvSi`bmodbm ~imooymbbm bmpgfgapgd s~idpvye lybs sim`gvg eivy~bdbm sifybh pgm`bdbm ~imciobhbm (~vajglbdsgs' (~vajglbdsgs' ympyd eimciobh gmjidsg gmjidsg sidymìv (Dsgb{id (Dsgb{id 6>>3'Eimyvyp @i~Dis VG (6>>0' ~imoafbpbm pivhb`b~ ~imbdgp gmg b`blbh sifbobg fivgdyp ; 2' Dbsys Sys~icp SBVS b- Afsivzbsg 6 x 60 kbe, ~ivhbpgdbm

%

Dib`bbm yeye

%

Disb`bvbm

%

Pbm`b zgpbl (pidbmbm `bvbh, mb`g, jvidyimsg mbjbs, syhy'

f- Pivb~g sy~avpgj c- Bmpgfgapgd ; beadsglgm beadsglgm bpby beadsglgm $ bmpg F lbdpbebsi lbdpbebsi avbl `gpbefbh `gpbefbh ebdvalg` oimivbsg fbvy avbl (vadsgpvaegsgm, dlbvgpvaegsgm, b{gpvaegsgm'


29

6' Dbsys ^vafbfli SBVS ^vafbfli SBVS b- Vgmobm!Si`bmo 2' Pivb~g sy~avpgj 6' Bmpgfgapgd 

Oalamobm fipb lbdpbe $ bmpg fipb lbdpbebsi (GZ' `gpbefbh ebdvalg` oimivbsg fbvy sicbvb avbl, bpby



Sijblas~avgm oimivbsg oimivbsg di`yb bpby dipgob (GZ', bpby



Jlayvadygmam

vis~gvbsg

(GZ'

;

eaxgjladsbsgm,

lizajladsbsgm,

obpgjladsbsgmf- Fivbp 2' Pivb~g sy~avpgj 6' Bmpgfgapgd 

Pg`bd b`b jbdpav visgda gmjidsg ~siyàeambs ;

% Sijblas~avgm oimivbsg di%3 (GZ' mam ~siyàeambs `gpbefbh ebdvalg` oimivbsg fbvy, bpby

% Jlayvadygmam vis~gvbsg 

B`b jbdpav visgda v isgda gmjidsg ~siyàeambs

% Sijblas~avgm bmpg ~siyàeambs (sijpb{g`ge, sija~ivb{am, sijg~ge'!dbvfb~imie ~siyàeambs

(GZ'

`gpbefbh

(sg~vajladsbsgm'!

jlayvadygmalam

begmaolgdasg`b

bmpg

`gpbefbh

ebdvalg` oimivbsg fbvy3' Davpgdaspivag`- Hg`vadavpgsam (GZ' 0 eo!DoFF eo!DoFF pgb~ 8 kbe0' Vgfbzgvgm  2,6 ov avbl pgb~ 8 kbe bpby 8eo!DoFF GZ pgb~ 8 kbe-

X-

îmciobhbm `bm îmoim`blgbm îmbdgp Y~bb ~imciobhbm `bm ~imoim`blgbm ~imbdgp fivy~b ~yflgc bwbvimiss

eilblyg y~bb b`zadbsg `bm sasgblgsbsg, syvziglbms dbsys fiv`bsbvdbm gmjavebsg ebsbvbdbp bpby vyebh sbdgp, ~imgb~bm sbvbmb `bm ~vbsbvbmb vyebh sbdgp, ~imgmodbpbm diebe~ybm ~ieivgdsbbm lbfavbpavgye, ~imoipbhybm `bm dipivbe~glbm ~ipyobs `bm ~imilgpgbm pimpbmo SBVS (@i~Dis VG 6>>3b'Silbgm gpy y~bb ~imoim`blgbm SBVS eimyvyp @i~dis VG (6>>3f' `gpipb~dbm sifbobg fivgdyp ;

%

Gìmpgjgdbsg `gmg dbsys SBVS, dampbd `bm dbsys pbefbhbm

%

Eimipb~dbm fisbvmb ebsblbh


2:

%

Gìmpgjgdbsg `bivbh `bm ~a~ylbsg fivgsgda pgmoog

%

Eimciobh pvbmsegsg `g ebsbvbdbp

%

Eilbdsbmbdbm

~vasi`yv

~imobebmbm

ymgp

~ilbbmbm

(~ipyobs

`bm

~imoymkymo'

%

îmipb~bm ~vasi`yv ~imobebmbm dilybvob `bm ebsbvbdbp

%

îmifbvbm gmjavebsg i~gìegalaog SBVS Sifbobg ~imymkbmo `gfybp kyob ~iàebm pimpbmo SBVS, fvasyv, libjlip, sivpb

haplgmi sivzgci ympyd ~ilb~avbm ~imbdgp- B`b~ym eidbmgsei sgspie ~ilb~avbm SBVS b`blbh sifbobg fivgdyp ;

Syefiv ; @i~Dis VG (6>>3b'


2?

XG-

Disge~ylbm SBVS eivy~bdbm ieivogmo `gsibsi bmo sbmobp gmjidsgys- îmbdgp gmg

`gsifbfdbm alih zgvys cavamb (Cavambzgvys ( Cavambzgvys ' bmo eimifbfdbm gmjidsg sblyvbm mbjbs bdyp fivbp ~b`b kbvgmobm ~bvy%~bvy ìmobm sidye~ylbm oikblb dlgmgs bmo sbmobp fivbp `bm `b~bp eimifbfdbm diebpgbm- îmbdgp gmg eimylbv eilblyg dampbd lbmosymo `bm pg`bd lbmosymo `bvg hiwbm di ebmysgb, ebmysgb di ebmysgb- îmoafbpbm `bm zbdsgm filye `gpieydbm sihgmoob ~imciobhbm `bm ~imoim`blgbm ~imbdgp lifgh `gypbebdbmîmoafbpbm ~b`b ~imìvgpb eivy~bdbm pivb~g sy~avpgj ympyd eimohgm`bvg gmjidsg sidymìv `bm ìhg`vbsg

@bjpbv ^yspbdb TC@CU Cimpiv jav @gsibsi Campval bm` ^vizimpgam- 6>>0- Gm phi Bfsimci aj SBVS%CaZ Pvbmsegssgam _avl`wgì; Oyg`bmci jav Syvzigllbmci, Clgmgcbl bm` Lbfavbpav Izblybpgam, bm` Vi~avpgmo Zivsgam 6- hpp~;!!www-c`c-oaz!SBVS- T68 Si~piefiv 6>22UChim D, Vyeimì CE- 6>>:- SBVS ; Fydy Bkbv Gley îmbdgp @blbe - JDYGG; KbdbvpbT@i~Dis VGU @i~bvpieim Disihbpbm Vi~yflgd Gmàmisgb- 6>>3b- îmbmooylbmobm SBVS; îàebm Syvziglbms I~gìegalaog îmbdgp SBVShpp~;!!`goglgf-lgpfbmo-ì~dis-oa-g`!jglis!`gsd2!28!kd~df~~d%o`l%cayvsi 6>>3% egmgspv%87:%ebmybl%~iàe egmgspv%87:%ebmybl%~iàebmsi-~`jbmsi-~`j- T68 Si~piefiv 6>22UT@i~Dis VGU @i~bvpieim Disihbpbm Vi~yflgd Gmàmisgbîmbmooylbmobm SBVS `g Gmàmisgb- @i~dis ; Kbdbvpb-

6>>3f-

Izblybsg

T@i~dis VGU @i~bvpieim Disihbpbm Vi~yflgd Gmàmisgb- 6>>0- îmbpblbdsbmbbm `bm îmbmooylbmobm SBVS - hpp~;!!www-àdpiv-wif-g`!îàebm îmbmooylbmobm Dbsys SBVS @I^DIS 6>VG-~`j- T68 Si~piefiv 6>22U@iwg P^- 6>22- SBVS- hpp~;!!pvgbmb~vgebìwg-flaos~ap-cae!6>22!>3!sbvs-hpel- T68 Si~piefiv 6>22U@vaspim C, Oymphiv S, ^vigsiv _, zbm ìv _ivj S, Fva`p H%V, Ficdiv S- 6>>3Gìmpgjgcbpgam aj b mazil cavambzgvys gm ~bpgimps wgph sizivi bcypi vis~gvbpav sm`vaei- M Imol K Ei` 6>>34 Ei` 6>>34 308@avspim C- 6>22- îmbdgp Bdgfbp Zgvys Fgmbpbmo ~b`b Ebmysgb- hpp~;!!jgp{bmgbcae!~imbdgp%bdgfbp%zgvys%fgmb cae!~imbdgp%bdgfbp%zgvys%fgmbpbmo%~b`b%ebm pbmo%~b`b%ebmysgb!ysgb!- T68 Si~piefiv 6>22UGfvbhge J `bm PE Sy`gva- 6>>3- Ylbs Fblgd Cavambzgvys `bm Sgm`vaeb îvmbjbsbm Bdyp Fivbp- K Egdvafgal Gmàmisgb 8(6'; Gmàmisgb 8(6'; 39%38Gombpgys PS, Wy EF, EF, Wyoya Lg, P{i _bg _amo, _glsam Pbe, Pbe, E-^hgl, Bm` P- Chbm, Kasi~h H_- Lii, @immgs WC- Liymo, bm` Paee Ha- 6>>0- Izgìmci aj Bgvfavmi Pvbmsegssgam aj phi Sizivi Bcypi Vis~gvbpav Sm`vaei Zgvys- M Imol K Ei` 439>;2?32%7Ei` 439>;2?32%7Kbwip{, Eilmgch, Bìlfivo- 277:- Egdvafgalaog Diàdpivbm - IOC; Kbdbvpb-


28

Dsgb{id PO, Ivèbm @, Oal`segph C, [bdg SV, îvip P, Ieivo S- 6>>3- B mazil cavambzgvys bssacgbpi` wgph sizivi bcypi vis~gvbpav sm`vaei- M Imol K Ei` 4 308- hpp~;!!www-mike-avo- T68 Si~piefiv 6>22Uâypbmim SE, Law @I, Himv F, Jgmdildspigm S, Vasi @, Oviim D- 6>>3- Gìmpgjgcbpgam aj sizivi bcypi vis~gvbpav sm`vaei gm Cbmb`b- M Imol K Ei` 308- T68 Si~piefiv 6>22UVaiìv ^- 6>>3- Pg`bd b`b fydpg fbhwb SBVS fivbsbl `bvg hiwbm ~ipivmbdbm; _bwbmcbib ìmobm îpiv Vaiìv, îkbfbp Disihbpbm Hiwbm JBA- Jaa` bm` Bovgcylpyvi Avobmg{bpgam aj Phi Ymgpi` Mbpgamhpp~;!!cefg-fkey-i`y-cm!miws!>3 hpp~;!!cefg-fkey-i`y-cm!miws!>3>9!2:2-hpe>9!2:2-hpe- T68 Si~piefiv 6>22USyvkbwg`kbkb KI- 6>>3- Sgm`vae îvmb~bsbm Bdyp ^bvbh ((Sizivi Sizivi Bcypi Vis~gvbpav Sm`vaei !Sbvs'; Sybpy I~gìeg Fbvy bmo Sbmobp Zgvylim- K Diàdpiv Pvgsbdpg 66(6';?:%86T_HAU _avl` Hiblph Avobmg{bpgam- 6>>3b- Cbsi ìjgmgpgams jav syvzigllbmci aj sizivi bcypi vis~gvbpav sm`vaei (SBVS'- Oimizb; _avl` Hiblph Avobmg{bpgamhpp~;!!www-wha-gmp!csv!sbvs! hpp~;!!www-wha-gmp!csv!sbvs! cbsiìjgmgpgam!im!~vgmp-hpelcbsiìjgmgpgam!im!~vgmp-hpel- T68 Si~piefiv 6>22UT_HAU _avl` Hiblph Avobmg{bpgamAvobmg{bpgam- 6>>3f- Sizivi bcypi vis~gvbpav sm`vaei (SBVS'(SBVS' _dl I~gìegal Vic 6>>34 ?8; 82%3T_HAU _avl` Hiblph Avobmg{bpgam- 6>>3c- _HA gssyis olafbl blivp bfayp cbsis aj bp~gcbl ~miyeamgb; cbsis aj sizivgp vis~gvbpav glmiss eb s~vib` pa has~gpbl spbjj Oimizb; _avl` Hiblph Avobmg{bpgamhpp~;!!www-wha-gmp! ei`gbcimpvi!vilibsi!6>>3!~v6 ei`gbcimpvi!vilibsi!6>>3!~v66!im!~vgmp-hpel 6!im!~vgmp-hpel-- T68 Si~piefiv 6>22U_avl` Hiblph Avobmg{bpgam- 6>>3`- Ebmboieimp aj sizivi bcypi vis~gvbpav sm`vaei (SBVS'(SBVS'Oimizb; _avl` Hiblph Avobmg{bpgamhpp~;!!www-wha-gmp!csv!sbvs! ebmboieimp!im!~vgmp-hpelebmboieimp!im!~vgmp-hpel- T68 Si~piefiv 6>22U[hbmo L, [hbmo J, Wy _, Hi P, Wy K,Chvgspa~hiv IW, Fb L, Lg _, Jbv{bm E, Chim [, Wyim D%W, Ha @- 6>>:- Bmpgfa` Vis~amsis Bobgmsp SBVS Cavambzgvys Bvi Cavvilbpi` _gph @gsibsi Aypcaei aj Gmjicpi` Gm`gzg`yblsGm`gzg`ybls - Kayvmbl aj Ei`gcbl Zgvalao ?8;2 Zgvalao ?8;2 –8-


SARS (SEVERE ACUTE RESPIRATORY SYNDROME)

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