Carlo Urbani
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Carlo Urbani (; 19 October 1956 – 29 March 2003) was an Italian physician and
microbiologist A microbiologist (from Ancient Greek, Greek ) is a scientist who studies microscopic life forms and processes. This includes study of the growth, interactions and characteristics of Microorganism, microscopic organisms such as bacteria, algae, f ...
and the first to identify
severe acute respiratory syndrome Severe acute respiratory syndrome (SARS) is a viral respiratory disease of zoonotic origin caused by the severe acute respiratory syndrome coronavirus (SARS-CoV or SARS-CoV-1), the first identified strain of the SARS coronavirus species, ''seve ...
(SARS) as probably a new and dangerously contagious
viral disease A viral disease (or viral infection) occurs when an organism's body is invaded by pathogenic viruses, and infectious virus particles (virions) attach to and enter susceptible cells. Structural Characteristics Basic structural characteristics, s ...
, and his early warning to the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
(WHO) triggered a swift and global response credited with saving numerous lives. Shortly afterwards, he himself became infected and died.


Medical career

Urbani graduated with a
medical degree A medical degree is a professional degree admitted to those who have passed coursework in the fields of medicine and/or surgery from an accredited medical school. Obtaining a degree in medicine allows for the recipient to continue on into special ...
in 1981 from the
University of Ancona Marche Polytechnic University or Polytechnic University of the Marches (Italian ''Università Politecnica delle Marche'') is a public university in Ancona, Italy. It offers undergraduate and graduate degrees in Agriculture, Engineering, Economics, ...
and specialized in infectious and
tropical diseases Tropical diseases are diseases that are prevalent in or unique to tropical and subtropical regions. The diseases are less prevalent in temperate climates, due in part to the occurrence of a cold season, which controls the insect population by forci ...
from the
University of Messina The University of Messina ( it, Università degli Studi di Messina; Latin: ''Studiorum Universitas Messanae''), known colloquially as UniME, is a state university located in Messina, Sicily, Italy. Founded in 1548 by Pope Paul III, it was the world ...
. He subsequently earned a postgraduate degree in tropical
parasitology Parasitology is the study of parasites, their hosts, and the relationship between them. As a biological discipline, the scope of parasitology is not determined by the organism or environment in question but by their way of life. This means it fo ...
. Urbani started volunteering for the African endemic disease cause since young joining the
Italian Italian(s) may refer to: * Anything of, from, or related to the people of Italy over the centuries ** Italians, an ethnic group or simply a citizen of the Italian Republic or Italian Kingdom ** Italian language, a Romance language *** Regional Ita ...
Catholic The Catholic Church, also known as the Roman Catholic Church, is the largest Christian church, with 1.3 billion baptized Catholics worldwide . It is among the world's oldest and largest international institutions, and has played a ...
NGO A non-governmental organization (NGO) or non-governmental organisation (see spelling differences) is an organization that generally is formed independent from government. They are typically nonprofit entities, and many of them are active in h ...
Mani Tese. In 1987 Urbani went to Ethiopia for one month. In 1989 he was primary aide in the infectious diseases department of Macerata, Italy. After years working in the epidemic medicine field, in 1993 he became an external consultant of the World Health Organization. In 1996, he joined
Médecins Sans Frontières (MSF; pronounced ), also known as Doctors Without Borders, is a humanitarian medical non-governmental organisation (NGO) or charity of French origin known for its projects in conflict zones and in countries affected by endemic diseases. M ...
(MSF) and moved with his family to
Phnom Penh Phnom Penh (; km, ភ្នំពេញ, ) is the capital and most populous city of Cambodia. It has been the national capital since the French protectorate of Cambodia and has grown to become the nation's primate city and its economic, indus ...
,
Cambodia Cambodia (; also Kampuchea ; km, កម្ពុជា, UNGEGN: ), officially the Kingdom of Cambodia, is a country located in the southern portion of the Indochinese Peninsula in Southeast Asia, spanning an area of , bordered by Thailand t ...
for a year. Upon his return to his workplace in Macerata, he became president of the Italian section of MSF. He also helped launch a campaign against multinational pharmaceutical companies that keep up the price of indispensable medicines against
AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual m ...
,
malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
and
tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, in ...
. In 1999 he was part of the delegation that received the
Nobel Peace Prize The Nobel Peace Prize is one of the five Nobel Prizes established by the will of Swedish industrialist, inventor and armaments (military weapons and equipment) manufacturer Alfred Nobel, along with the prizes in Nobel Prize in Chemistry, Chemi ...
awarded to MSF. With the prize money, Urbani decided to create a fund to promote an international campaign for access to essential medicines for the world's poorest populations.


SARS outbreak

Back in Asia, Urbani was called into The French Hospital of Hanoi,
Vietnam Vietnam or Viet Nam ( vi, Việt Nam, ), officially the Socialist Republic of Vietnam,., group="n" is a country in Southeast Asia, at the eastern edge of mainland Southeast Asia, with an area of and population of 96 million, making i ...
, in late February 2003 to look at an American patient, businessman Johnny Chen, who had fallen ill with what doctors thought was a bad case of
influenza Influenza, commonly known as "the flu", is an infectious disease caused by influenza viruses. Symptoms range from mild to severe and often include fever, runny nose, sore throat, muscle pain, headache, coughing, and fatigue. These symptoms ...
. Urbani realized that Chen's ailment was probably a new and highly contagious disease. He immediately notified the WHO, triggering a response to the epidemic (principally isolation and
quarantine A quarantine is a restriction on the movement of people, animals and goods which is intended to prevent the spread of disease or pests. It is often used in connection to disease and illness, preventing the movement of those who may have been ...
measures) that would end it within five months. He also persuaded the Vietnamese Health Ministry to begin isolating patients and screening travelers, thus slowing the early pace of the epidemic. On 11 March 2003, as he flew from
Hanoi Hanoi or Ha Noi ( or ; vi, Hà Nội ) is the capital and second-largest city of Vietnam. It covers an area of . It consists of 12 urban districts, one district-leveled town and 17 rural districts. Located within the Red River Delta, Hanoi is ...
to a conference in
Bangkok Bangkok, officially known in Thai language, Thai as Krung Thep Maha Nakhon and colloquially as Krung Thep, is the capital and most populous city of Thailand. The city occupies in the Chao Phraya River delta in central Thailand and has an estima ...
,
Thailand Thailand ( ), historically known as Siam () and officially the Kingdom of Thailand, is a country in Southeast Asia, located at the centre of the Indochinese Peninsula, spanning , with a population of almost 70 million. The country is bo ...
, where he was to talk on the subject of childhood parasites, Urbani started feeling
fever Fever, also referred to as pyrexia, is defined as having a body temperature, temperature above the human body temperature, normal range due to an increase in the body's temperature Human body temperature#Fever, set point. There is not a single ...
ish on the plane. A colleague who met him at the airport called an ambulance. Urbani had contracted SARS while treating infected patients in Hanoi. His Bangkok hospital room became an improvised
isolation ward In hospitals and other medical facilities, an isolation ward is a separate ward used to isolate patients with infectious diseases. Several wards for individual patients are usually placed together in an isolation unit. Design In an isolation uni ...
, and communication occurred via an
intercom An intercom, also called an intercommunication device, intercommunicator, or interphone, is a stand-alone voice communications system for use within a building or small collection of buildings which functions independently of the public telephon ...
. As his lungs weakened, he was put on a
ventilator A ventilator is a piece of medical technology that provides mechanical ventilation by moving breathable air into and out of the lungs, to deliver breaths to a patient who is physically unable to breathe, or breathing insufficiently. Ventilators ...
. During a moment of consciousness, Urbani asked for a
priest A priest is a religious leader authorized to perform the sacred rituals of a religion, especially as a mediatory agent between humans and one or more deities. They also have the authority or power to administer religious rites; in particu ...
to give him
last rites The last rites, also known as the Commendation of the Dying, are the last prayers and ministrations given to an individual of Christian faith, when possible, shortly before death. They may be administered to those awaiting execution, mortall ...
and asked for his lung tissue to be donated for scientific research. Urbani died on 29 March 2003, after 18 days of
intensive care Intensive care medicine, also called critical care medicine, is a medical specialty that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. It includes pro ...
. SARS-CoV Urbani strain later became the reference variant of this outbreak.


Personal life

Urbani married Giuliana Chiorrini in 1983, and in 1987 their first child, Tommaso, was born. He had two more children.


Honours


National honours

: 3rd Class / Knight: '' Cavaliere dell'Ordine della Stella d'Italia'': 28 May 2020 : '' Medaglia d'oro per i benemeriti della Sanità Pubblica'': 7 April 2003


Foreign honours

*
Friendship Order The Friendship Order ( vi, Huân chương Hữu nghị) is a service award conferred by the Government of Vietnam for "foreigners and on collectives of foreigners that have made great contributions to building, consolidating and developing the fri ...
: 7 April 2003


See also

*
Li Wenliang Li Wenliang (; 12 October 1986 – 7 February 2020) was a Chinese ophthalmologist who warned his colleagues about early COVID-19 infections in Wuhan. On 30 December 2019, Wuhan CDC issued emergency warnings to local hospitals about a number ...
, was reprimanded for warning colleagues about the
COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identif ...
and later died from the virus. * Liu Jianlun, Chinese doctor who died from the virus
SARS-CoV-1 Severe acute respiratory syndrome coronavirus 1 (SARS-CoV-1; or Severe acute respiratory syndrome coronavirus, SARS-CoV) is a strain of coronavirus that causes severe acute respiratory syndrome (SARS), the respiratory illness responsible for ...
, is believed to have been a super-spreader during an event in Hong Kong.


References

* On behalf of the Italian association named "Testimoni del tempo". Bibliographic note in


External links


Urbani International

Associazione Italiana Carlo Urbani
* Lucia Bellaspiga:
Carlo Urbani. Il primo medico contro la SARS
', 2004
carlo-urbani-center.org
{{DEFAULTSORT:Urbani, Carlo 1956 births 2003 deaths World Health Organization officials Italian public health doctors Italian Roman Catholics 20th-century Roman Catholics 21st-century Roman Catholics 2002–2004 SARS outbreak Deaths from the 2002–2004 SARS outbreak People from the Province of Ancona Infectious disease deaths in Thailand University of Messina alumni Italian officials of the United Nations