The public’s response to severe acute respiratory syndrome in Toronto and the United States
Abstract
Using data from 13 surveys of the public, this article compares the public's response to severe acute respiratory syndrome (SARS) in Ontario (specifically, Toronto), the other Canadian provinces, and the United States, which had substantial differences in the number of SARS cases. Findings suggest that, even at a relatively low level of spread among the population, the SARS outbreak had a significant psychological and economic impact. They also suggest that the success of efforts to educate the public about the risk of SARS and appropriate precautions was mixed. Some of the community-wide problems with SARS might have been avoided with better communication by public health officials and clinicians.
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Eleven articles highlighted the psychological implications of mass quarantine as emotional distress and symptoms of mental illness.
“Eleven articles from various geographical and disease contexts highlighted the psychological implications of mass quarantine as emotional distress and symptoms of mental illness.22–25,27–32,35”
From Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response (2020) · cites this paper as [22]
A Canadian study noted that around one-fifth of survey respondents avoided going to businesses or meeting people with a potential travel history to Asia during the SARS outbreak in Toronto.
“A Canadian study noted that around one-fifth of survey respondents avoided going to businesses or meeting people with a potential travel history to Asia during the SARS outbreak in Toronto.22”
From Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response (2020) · cites this paper as [22]
Mass quarantine-induced mobility restrictions impacted every step of the food supply chain, including production, transportation, access and storage.
“Mass quarantine-induced mobility restrictions impacted every step of the food supply chain, including production,29 transportation,24,29,30 access22–24,27,29,31,34 and storage.23,29”
From Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response (2020) · cites this paper as [22]
In two studies of the SARS outbreak in Toronto, Canada, 10.0-25.7% of surveyed respondents experienced reduced or no payment due to missing work.
“In two studies of the SARS outbreak in Toronto, Canada, 10.0–25.7% of surveyed respondents experienced reduced or no payment due to missing work.22,32”
From Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response (2020) · cites this paper as [22]
Levels of food inaccessibility were reported at 4% (n=501) in one study of the SARS outbreak in Canada and at 50% (n=16) in another study of the EVD outbreak in Liberia.
“Levels of food inaccessibility were reported at 4% (n = 501) in one study of the SARS outbreak in Canada22 and at 50% (n = 16) in another study of the EVD outbreak in Liberia.34”
From Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response (2020) · cites this paper as [22]
In a study of Canadians' responses to the 2003 SARS outbreak, 22% of surveyed respondents (n=355) in Ontario closed restaurants and cancelled social activities.
“In a study of Canadians’ responses to the 2003 SARS outbreak, 22% of surveyed respondents (n = 355) in Ontario closed restaurants and cancelled social activities.22”
From Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response (2020) · cites this paper as [22]
Three studies reported that travel bans during mass quarantine might impact agricultural production, leisure business and tourism.
“Three studies reported that travel bans during mass quarantine might impact agricultural production, leisure business and tourism.22,26,29”
From Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response (2020) · cites this paper as [22]
Two studies noted that some people under quarantine in the SARS and COVID-19 epidemics lacked access to regular prescriptions and health care services.
“Two studies noted that some people under quarantine in the SARS and COVID-19 epidemics lacked access to regular prescriptions and health care services.22,28”
From Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response (2020) · cites this paper as [22]
The authors argued that these precautions, intersecting with SARS-related stigma against Asian businesses, could potentially harm the local economy.
“The authors argued that these precautions, intersecting with SARS-related stigma against Asian businesses, could potentially harm the local economy.”
From Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response (2020) · cites this paper as [22]
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- Authors
- Blendon, R. J., Benson, J. M., DesRoches, C. M., Raleigh, E., & Taylor‐Clark, K.
- Affiliations
- Harvard University (US)
- Corresponding author
- Blendon, Robert J.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-04
- Volume
- 38
- Issue
- 7
- Pages
- 925-931
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2150483277
- Cited by
- 393
- References
- 19
- Citations by year
- 2025: 6 · 2024: 17 · 2023: 26 · 2022: 51 · 2021: 84 · 2020: 101 · 2018: 2 · 2017: 5 · 2016: 5 · 2015: 7 · 2013: 6 · 2012: 6
- FWCI
- 44.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Risk Perception and Management
- Social Sciences › Communication › Public Relations and Crisis Communication
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- SARS, public perception, psychological impact, economic impact, public health communication, risk communication, public education, precautionary behavior, SARS epidemic, Toronto, Ontario, United States
- MeSH terms
- Canada, Communication, Data Collection, Disease Outbreaks, Humans, Quarantine, United States, Infection Control, Severe Acute Respiratory Syndrome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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