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In the severe acute respiratory syndrome (SARS) outbreak, the first cases of the newly emerged SARS coronavirus were reported in November 2002 from the Chinese Guangdong province. The virus soon spread across Asia, with China, Hong Kong, Taiwan and Singapore being the worst affected countries; a secondary outbreak occurred in Canada. The rapid initial spread of the outbreak has been in part attributed to China's slow response to the early cases. Over 8,000 people were infected, with a case fatality rate of 11%. Those over 65 years had a much higher mortality rate, greater than 55%. The outbreak was contained by July 2003, and no cases have been reported since 2004.
At the time of the outbreak, the immediate source of SARS coronavirus was thought to have been the masked palm civet (Paguma larvata; pictured), which was sold as food in Guangdong markets. The virus was also found in raccoon dogs, ferret badgers and domestic cats. More recent research has suggested that the natural reservoir could be horseshoe bats.