Deadly Effect A former Michigan student watches SARS change life in Shanghai. JOANNA BRODER Special to the Jewish News L ast summer, Jeff Lieberman, now 33, had just graduated from the University of Michigan Business School in Ann Arbor and had a two-month fellowship to study the Mandarin language in Shanghai, China. Early into his fellowship, he landed a permanent job in- Shanghai at a company that develops and measures customer satisfaction. Lieberman, a Toronto native, had no idea that the first severe and readily transmissible new disease of the 21st century, severe acute respiratory syndrome (SARS), was about to hit his new home country. As of mid-June, 8,460 SARS cases have been reported in 29 countries since last November. Some 5,326 have been in mainland China, according to the World Health Organization. There is no vaccine and no treatment for the disease. There have been 800 deaths from SARS. The epidemic first emerged in Guangdong Province, China. It soon spread to Hong Kong, Vietnam, Singapore and around the world, includ- ing Toronto. Twice in April and once in early May, WHO issued the toughest travel advisories in its 55-year history when it recommended postponement of all but essential travel to high-risk areas. In Shanghai, there have only been eight SARS cases according to WHO. This compares to 2,521 cases in Beijing, 800 miles away. This hasn't stopped SARS from "having a huge impact on everyone's lives and society in general," said Lieberman. "There is a lot of panic among people here." He started noticing changes in Shanghai a couple of months ago. McDonald's has been passing out a mask with every meal ("Mcmasks" he calls them), and cartoon-like posters urging good hygiene fill the streets. The government has handed out 20,000 spit bags in Shanghai and implemented fines to stem public spitting, "a horrible habit," Lieberman said, that comes from the belief that it is unhealthy to swallow one's spit. • In recent months, Lieberman has noticed more hand washing. "People have become obsessed with hygiene," he said. Social Changes c 6/20 2003 86 Lieberman's tai-chi classes, held at a local university, were cancelled, as were the English classes he was teaching for middle school students "Students at universities have practically been made prisoners in their dormitories, not allowed to leave campus for any but the most serious reasons," Lieberman said. "People are scared and panicky."' He read on Cable News Network that the Shanghai government was threatening death sentences for anyone who knowingly spread SARS by violating quarantine or refusing to admit the symptoms. Lieberman remains remarkably unphased. He rarely wears a mask, has not stopped traveling — despite government warnings — and compares his chances of getting SARS to those of getting eaten by a shark. He may not have deliberately 'altered his lifestyle, but life has inevitably changed. Many of Lieberman's friends refuse to meet in public places. With more people staying home, the streets are less crowded. Probably a fifth of the population wears a mask, Lieberman estimated. When he goes out to eat with friends and colleagues, they are less likely to share dishes than they were before SARS. Recently, scientists identified the SARS virus in some exotic animals sold as food in China. While cats and dogs are commonly eaten in Hong Kong and some Chinese provinces, neither are common in Shanghai, Lieberman said. At most Shanghai buildings, someone will Jeff Lieberman could only wear a mask for 45 minutes. take your temperature at the door, he said. Even in Lieberman's own apartment build- Nanjing and no reported cases of people catching ing, life is different. He must show an identification SARS from a bus," he said. card, the elevators are sprayed four times daily with In a rare move, he donned a mask while waiting at vinegar, and the stench of acetic acid is overwhelm- the bus station, but removed it after 45 minutes ing. after feeling suffocated. "Oddly, I do feel safer here than I might at home" There is mistrust about how the Chinese govern- in Toronto, Lieberman said. ment reports SARS. "Everyone thinks the number of With 218 SARS cases to date, Canada has the actual cases is much higher than what is reported," most cases outside Asia. Lieberman said. Friends have heard rumors that SARS was manu- factured and spread by a joint U.S.-Taiwanese con- Businesses Hit spiracy. Shanghai businesses have been negatively affected, Obviously, fears of SARS have not displaced every according to Lieberman. His company, Claes Fornell friendly connection. When Lieberman's mother sent International (CFI), was on the verge of signing sev- him a box of matzah for Passover, he shared it with eral contracts in Beijing and Hong Kong in late his office-mates while trying to explain Judaism to February, but they have been postponed. Earnings them. Most of their Jewish knowledge has come for most Chinese businesses have been hit hard, and from Western films such as The Pianist and companies tend to cut spending in subsequent quar- 1 Schindler's List. 1- ters on market research programs, CFI's bread and butter. . Business etiquette has changed, too. Nodding heads have replaced hand shakes. Although many have succumbed to panic and Editor's note: This interview took place via e- fear, Lieberman is "not even the slightest bit wor- mail on May 30. In a followup e-mail ried." But, "It really bothers me how panicked Lieberman wrote that "fear and paranoia levels everyone has become over SARS, especially in in Shanghai seem to have lessened and there Shanghai when there are so few cases." are fewer masks on the street." The school where He recently traveled to Nanjing, three hours away he teaches English was set to re-open mid-June. by bus. Everyone was telling him that he shouldn't travel, that it was very dangerous. "This is despite the fact that there were zero cases of SARS in