In March 2003, a series of cases of sudden respiratory disease syndrome (SARS) has been reported to be spreading in Toronto. With limited knowledge of the causative agent, an immediate strategy that would help contain and prevent the dissemination of the disease especially among our immunosuppressed hemodialysis patients was required. Objective: To share the precautionary measures implemented in our unit in containing or preventing the spread of the virus among our hemodialysis patients. Methods: Retrospective analysis of the impact of the implementation of strict measure of disease control and education of all staff. Other data were gathered through interviews of some Microbiologists in Toronto, St. Michael's Hospital Infection Control Department and Health, Canada. Result: The precautionary measure implemented has been successful. None of our dialysis patients or health care workers were affected. Conclusion: The measures implemented has not been proven 100% effective in protecting our dialysis patients and our staff, but we hope that the data will help prepare other health care professionals and other dialysis institutions in the event of another outbreak.