#H7N7 Italy - Bird flu outbreak in New Portoverrara

hat-tip Flu Trackers http://www.flutrackers.com/

August 23, 2013
Translation

New case of bird flu infection in a turkey farm to farm Portoverrara Nicoletti. Take safety measures. Will begin shortly slaughter of animals. Associations of the poultry industry full share of the measures taken to isolate outbreaks and fighting the virus.

And 'the third outbreak detected in three weeks in Emilia Romagna. The safety net stretched by health authorities to prevent the spread of avian influenza virus has shown a new outbreak of bird flu infection.It is a herd of 18,000 turkeys in Portsmouth, near Ferrara, in which there had been an abnormal mortality of birds. The farm is located not far from the site of Osterley, the first to be hit dall'aviaria.

The tests conducted by the specialist section of Forlì IPA A., confirmed by the National Reference Centre for avian influenza in Padua, on samples taken at the farm, have confirmed the presence of the virus H7 type.

To cope with the new case, the Region has already issued an order for the implementation of extraordinary measures provided for in these cases by the European and national public health legislation. The measure includes, among others, killing of animals present on the farm, which will begin as soon as possible.

With regard to food security, health authorities confirm that there is no risk to humans through consumption of turkey meat.

To take stock of the situation took place in the early afternoon, in the region, the presence of the Secretary to the Prime Alfredo Bertelli and councilor for Agriculture Tiberio Rabboni, a meeting with the representatives of the associations of the poultry sector. Along with a strong concern for the economic and employment impact of the epidemic, the present, however, have fully supported the choice of the competent authorities to take stringent measures to isolate outbreaks and to ensure in this way, in addition to health security, even the most rapid recovery of production. Yesterday started killing more than half a million chickens in Bologna.

A Osterley, Wednesday, ended after a week. Met yesterday in Bologna the Crisis on bird flu, in the aftermath of the discovery, which took place yesterday, a new outbreak of the virus in Mordano (Bo).

The evolution of the situation was discussed in the presence of Chief Veterinary Officers of the Ministry of Health, the Region, the companies Health Office, Institute zoo prophylactic and national reference center for avian influenza, also in preparation of the meeting held in Brussels next Monday, in which Italy will provide European partners picture of the situation.

Among the decisions taken, some constraints on the movement of live birds from today are in place special restrictions on the movement of hens from the region, in addition, it was determined that the slaughter of animals must be done preferably in Emilia-Romagna, as well as the management of personnel and equipment must take place within the regional borders. All this is, say the health, to prevent the spread of the phenomenon. Emphasized, also, the absence of any risk to humans for the consumption of meat or eggs.

Eurovo Srl meanwhile confirmed in a statement that "both companies where there have been outbreaks of avian influenza are part of the supply chain Eurovo" and that there is no 'no' food alert on farms. "

Avian influenza does not represent a public health problem, but exclusively on animal health; therefore it was not issued by the competent authorities, no provision of food alert.

"The assessment of these damages - says the statement of Eurovo - is still in progress and in any case, we will work to contain as much as possible the effects on employment and the local economy."

The company owns the farm then notes that "the first report of 13 August of the presence of avian influenza virus subtype H7N7 occurred as a result of the usual self-analysis carried out by company personnel" outdoor Osterley, property Agricultural Society of San Paolo Srl 
The company St. Paul, Eurovo continues, "has taken steps to autodenunciarsi to the competent authorities in order to start immediately with the implementation of all the extraordinary measures' to contain the infection."

At this time you are trying to shed light on the virus of avian influenza.

"When the European Commission speaks of 'highly pathogenic' - says Giovanni Rezza, an epidemiologist Institute of Health - refers to the chickens get sick and die, but the man is not the H7N7 strain of highly pathogenic, gave only an outbreak in the Netherlands and the symptoms did not go beyond the conjunctivitis. "

"The virus then" says the doctor, "very difficult to pass from human to human."

http://www.telestense.it/aviaria-nuovo-focolaio-a-portomaggiore-0823.html 

#MERS #Coronavirus Qatari Confirmed Case Was in Saudi Arabia Previously

Hat-tip Flu Trackers  http://www.flutrackers.com/forum/index.php
[This article states he was "most likely" doing Umrah in Saudi Arabia.  If he is in "stable condition", why not ask him? ]
Translation
2013-08-22
Informed sources revealed the that the Qatari national, who proved his HIV Corona virus syndrome Middle East respiratory feet from Saudi Arabia, where most likely he was doing Umrah, and is currently in the room isolate Hospital Hamad General, where receives follow closely, in parallel with make statements and medical monitoring of the health status of his family and those close to him, who he met after his return to the homeland.

after confirming his بالكورونا. assured the same sources that the patient has in a stable condition, which is under the follow-minute, parallel with the launch doctors Hamad Hospital to take all medical procedures provided in such emergency situations, including medical examinations «routine» to the relatives of the patient and Khalthm since returning from Saudi Arabia to ensure that contracting the virus. Sources said that Qatari national, aged 59 years, which yesterday announced the first of his disease Koruna returned from Saudi Arabia, has been introduced Hamad General Hospital since the beginning of the week current, where he was put in a room «isolate» to follow his health and to provide remedies necessary

-snip-
Earlier, Dr Yusuf Maslamani medical director of the Hamad General Hospital to provide 18 rooms isolate healthy is converted to any patient suspected wound infection Koruna need to while making sure not to illness through medical tests, alluding to the possibility convert a large number of rooms in the hospital to areas isolate healthy if the increased incidence of any infectious diseases. also stressed that Hamad Hospital take strict action, referring to the alert to all medical personnel in the hospital and emergency departments of the need to deal with the rapid all cases of suspected incidence of the virus. He pointed to the emphasis on the medical staff working at the hospital on the need to redouble sterilization procedures when dealing with any suspected cases infected with Corona. explained Dr. Maslamani that protocols dealing with infectious diseases had been prepared since the emergence of bird flu several years ago; therefore it has become a hospital equipped to face any cases The epidemic of infectious diseases, pointing out that the World Health Organization reports proved that the virus Corona became transmitted infection, but on a limited scale and not at rates as wide as it was in the incidence of Pfirose avian and swine.

Continued: http://www.alarab.qa/details.php?issueId=2082&artid=257380

Global MERS count tops 100 with latest from Saudi Arabia

Robert Roos | News Editor | CIDRAP News

In a brief statement, Saudi Arabia's Ministry of Health (MOH) has reported three more cases of Middle East respiratory syndrome coronavirus (MERS-CoV), apparently pushing the global case count over 100.

The agency said two of the cases involve a 31-year-old male citizen who has several chronic diseases and is in stable condition in intensive care, and a 55-year-old male citizen who has no symptoms. The older man had contact with a confirmed case-patient. Both cases are in the Asir province in the country's southwest.

Continued:  http://www.cidrap.umn.edu/news-perspective/2013/08/global-mers-count-tops-100-latest-saudi-arabia

ProMED: Avian influenza (85): Italy (BO) poultry, HPAI H7N7, 2nd outbreak

[This is a 2nd outbreak in Emilia-Romagna, Bologna Province Italy.  The bolding below is mine]
 
Published Date: 2013-08-23
Archive Number: 20130823.1898473

Date: Thu 22 Aug 2013
Source: The Poultry Site [edited]
http://www.thepoultrysite.com/poultrynews/29850/oie-reports-another-hpai-outbreak-in-italy


The Italian veterinary authorities have reported another outbreak of highly pathogenic avian influenza (HPAI) at another commercial layer farm located in Emilia-Romagna.

The World Organisation for Animal Health (OIE) received follow-up report no. 1 on Wednesday, 21 Aug 2013.

According to the report, out of 584 900 susceptible birds, one case was identified. No deaths were reported, and no birds were destroyed.

On the basis of the monitoring activities implemented after the detection of the primary outbreak in Ostellato, Ferrara province, notified on 15 Aug 2013, a secondary outbreak has been confirmed in Mordano, Bologna province, affecting a commercial farm of layer hens belonging to the same company.

According to the OIE, in the secondary outbreak HPAI subtype H7 has been detected at RT-PCR and no clinical signs have been identified.

Restriction zone has been established, depopulation will be carried out and epidemiological investigation is ongoing.

The depopulation operation in the primary outbreak, in Ostellato, Ferrara province, was completed yesterday, 21 Aug 2013, followed by cleaning and disinfection.

The National Reference Laboratory in Padova confirmed that the virus isolated is an HPAI H7N7 showing an IVPI [intravenous pathogenicity index] of 3.0 [see comment].

Genome sequencing as well as the epidemiological investigation are ongoing.

Preliminary information would suggest that an LPAI virus entered the farm (possibly via wild birds) where it mutated to an HPAI strain.

The source of the outbreaks remains inconclusive.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[The OIE follow-up report, with map, is available at http://www.oie.int/wahis_2/public/wahid.php/Reviewreport/Review?page_refer=MapFullEventReport&reportid=13955. It indicates a single infected bird and includes the following additional information:
1. Affected population
"On the basis of the monitoring activities implemented after the detection of the primary outbreak in Ostellato, Ferrara province, notified on [15 Aug 2013], a secondary outbreak has been confirmed in Mordano, Bologna province, affecting a commercial farm of layer hens belonging to the same company."

2. Epidemiological comments
"In the secondary outbreak HPAI subtype H7 has been detected at RT-PCR and no clinical signs have been identified. Restriction zone has been established, depopulation will be carried out and epidemiological investigation is ongoing. The depopulation operation in the primary outbreak, in Ostellato, Ferrara province, will be completed today [21 Aug 2013], followed by cleaning and disinfection. The National Reference Laboratory in Padova confirmed that the virus isolated is an HPAI H7N7 showing an IVPI of 3.0. Genome sequencing as well as the epidemiological investigation are ongoing. Preliminary information would suggest that a LPAI virus entered the farm (possibly via wild birds) where it mutated to a HPAI strain."

HPAI is characterised by an intravenous pathogenicity index (IVPI) greater than 1.2. Technical details on this test are available at http://www.oie.int/fileadmin/Home/eng/Health_standards/tahm/2.03.04_AI.pdf.

It would be interesting to obtain details on the background leading to the suggestion that an LPAI H7N7 virus mutated in the 1st farm, becoming HPAI. - Mod.AS

http://www.promedmail.org/direct.php?id=20130823.1898473

Censorship Doesn’t Just Stifle Speech — It Can Spread Disease

Wired - by Maryn McKenna
Excerpt:
In October, Saudi Arabia will host millions of travelers on the hajj, the annual pilgrimage to Islam’s holy sites. The hajj carries deep meaning for those observant Muslims who undertake it, but it also carries risks that make epidemiologists blanch. Pilgrims sleep in shared tents and approach the crowded sites on foot, in debilitating heat. They come from all over the world, and whatever pathogens they encounter on the hajj will travel back with them to their home countries. In past seasons, the hajj has been shown to foster disease, from stomach flus to tuberculosis or meningitis.
The Saudi Arabian government has traditionally taken this threat quite seriously. Each year it builds a vast network of field hospitals to give aid to pilgrims. It refuses visas to travelers who have not had required vaccinations and makes public the outbreaks it learns about. This year, though, the Saudis have been strangely opaque about one particular risk—and it’s a risk that has disease experts and public-health agencies looking to October with a great deal of concern. They wonder if this year’s hajj might actually breed the next pandemic.
-snip-
Continued:  http://www.wired.com/opinion/2013/08/ap_mers/

Scientists discover new bird flu virus ‘worse than H7N9’

Hong Kong team finds new H7 flu strain in chickens in southeast China
August 22, 2013

Excerpt:

"The continuing prevalence of H7 viruses in poultry could lead to the generation of highly pathogenic variants and further sporadic human infections," they wrote in the journalNature .

"If (we) let this H7N7 continue circulating in chickens, I am sure that human infection cases will occur," study co-author Guan Yi from the University of Hong Kong said.

"This virus could cause more severe infection than ... H7N9, based on our animal experiment," he said.

http://www.scmp.com/news/china/article/1298516/hong-kong-researchers-find-new-h7-strain-bird-flu 

CDC EID: Protection by Face Masks against Influenza A(H1N1)pdm09 Virus on Trans-Pacific Passenger Aircraft, 2009

Volume 19, Number 9—September 2013 

Abstract

In response to several influenza A(H1N1)pdm09 infections that developed in passengers after they traveled on the same 2 flights from New York, New York, USA, to Hong Kong, China, to Fuzhou, China, we assessed transmission of influenza A(H1N1)pdm09 virus on these flights. We defined a case of infection as onset of fever and respiratory symptoms and detection of virus by PCR in a passenger or crew member of either flight. Illness developed only in passengers who traveled on the New York to Hong Kong flight. We compared exposures of 9 case-passengers with those of 32 asymptomatic control-passengers. None of the 9 case-passengers, compared with 47% (15/32) of control-passengers, wore a face mask for the entire flight (odds ratio 0, 95% CI 0–0.71). The source case-passenger was not identified. Wearing a face mask was a protective factor against influenza infection. We recommend a more comprehensive intervention study to accurately estimate this effect.

Excerpts:

Case–Control Study

To assess risk factors for transmission of influenza A(H1N1)pdm09 on the New York to Hong Kong flight, we conducted a case–control study. We compared exposure history and other risk factors of 9 confirmed case-passengers with those of 32 control-passengers in the economy-class cabin. We attempted to contact 55 noninfected passengers who disembarked in Fuzhou and 18 noninfected passengers who disembarked in Hong Kong, and we interviewed all persons >5 years of age who agreed to be interviewed. Crew members and business-class passengers were excluded. A total of 32 noninfected passengers provided complete information and served as controls. Of these 32 control-passengers, 28 boarded in New York; 27 disembarked in Fuzhou and 1 disembarked in Hong Kong; and 4 boarded in Vancouver and disembarked in Hong Kong.
We conducted face-to-face interviews with case- and control-passengers bound for Fuzhou at hospitals or hotel rooms where they were quarantined. For passengers quarantined at home or who disembarked in Hong Kong (including 1 case-passenger in Hong Kong), interviews were conducted by telephone. Using a standard questionnaire, we interviewed case- and control-passengers on factors potentially affecting the likelihood of influenza A(H1N1)pdm09 virus infection during the 7 days before and during the flight. These factors included contact with ILI patients ≤1 week before the flight, moving around the airplane during the flight, lavatory use, handwashing, face mask use (wearing a face mask, for how long, and when they wore it and did not wear it), and talking with other passengers.
 

-snip-

 

http://wwwnc.cdc.gov/eid/article/19/9/12-1765_article.htm?s_cid=eid-gDev-email&utm_medium=email&utm_source=govdelivery 

 

CDC EID: Antigenic & Molecular Characterization of Avian Influenza A(H9N2) Viruses, Bangladesh

Volume 19, Number 9—September 2013

Excerpt:
We reviewed surveillance data and conducted molecular and genetic analyses of influenza A(H9N2) viruses circulating among poultry in Bangladesh. Our study had 3 primary goals: 1) characterize the antigenic and molecular properties of subtype H9N2 isolates; 2) define genetic and phylogenetic relationships between the genes identified in these viruses and those of other AIVs; and 3) determine whether these viruses have acquired genomic changes that could facilitate transmission from avian to mammalian hosts.

http://wwwnc.cdc.gov/eid/article/19/9/13-0336_article.htm?s_cid=eid-gDev-email&utm_medium=email&utm_source=govdelivery

#H7N7 Avian Flu Virus Prompts Thai Authorities to Act

August 22, 2013
The discovery of a new strain of avian-flu virus, H7N7, in China has prompted Thailand's environment-watch agency to tighten its measures on emerging-disease surveillance and closely monitor suspicious bird illnesses and deaths nationwide. The discovery of a new strain of avian-flu virus, H7N7, in China has prompted Thailand's environment-watch agency to tighten its measures on emerging-disease surveillance and closely monitor suspicious bird illnesses and deaths nationwide.
-snip-
"Hundreds of officials nationwide are now preparing to monitor any suspicious bird behaviour that might cause the spread of emerging diseases - especially this new strain of bird-flu virus," said Theerapat Prayurasiddhi, director-general of the National Parks, Wildlife and Plant Conservation Department. 
 

Continued:   http://www.asianewsnet.net/New-avian-flu-virus-prompts-Thai-authorities-to-ac-50682.html

#H7N7 Italy - EU Approves Measures to Lock Down Infected Areas of Ostellato

August 22, 2013

EU approves Italy measures to lock down birdflu-ridden area

Stringent sanitary controls will be in place until Sept 23

 

(ANSA) - Brussels, August 22 - The European Union Commission has approved Italy's decision to create zones of protection and surveillance around the chicken farm in Ostellato, the Northern Italian province of Ferrara, where a strain of H7N7 bird flu has been identified.

The local municipality of Ostellato as such will be submitted to strict sanitary controls until September 23, together with the nearby towns of Argenta, Comacchio, Migliarino, Migliaro, Portomaggiore and Tresigallo.

The objective will be to avoid any shipments from there to the EU and non-EU zones of live poultry, poultry ready for the laying of eggs, young chicks or eggs bearing chicks.

The EU Commission explained its decision to approve the stringent measures due to the "very contagious disease".
 

http://www.ansa.it/web/notizie/rubriche/english/2013/08/22/EU-approves-Italy-measures-lock-down-birdflu-ridden-area_9187810.html 

#MERS virus found in Saudi Arabia bat

Excerpt:

Washington, Aug 23 (IANS) The deadly Middle East Respiratory Syndrome (MERS) virus has been found in an insect-eating bat in Saudi Arabia, researchers from the United States and Saudi Arabia said.

The discovery, described in the journal ‘Emerging Infectious Diseases’, points to a likely animal origin for the disease but an intermediary animal is likely also involved, researchers from the Columbia University, EcoHealth Alliance, and the Ministry of Health of Saudi Arabia said, Xinhua reported.

The researchers collected more than 1,000 samples from seven bat species in regions where cases of MERS were identified in Bisha, Unaizah, and Riyadh between October 2012 and April 2013.

Continued:  http://www.vancouverdesi.com/lifestyle/mers-virus-found-in-saudi-arabia-bat/612772/

#MERS #Coronavirus Saudi Arabia MOH Reports 2 New Cases - Asir Region

hat-tip ProMED

Date: Thu 22 Aug 2013
Source: Saudi Arabia Ministry of Health [in Arabic, machine trans., edited]

Within the framework of the epidemiological surveillance of the novel coronavirus (MERS-CoV), the Ministry of Health (MOH) has announced 2 confirmed cases in Asir region. The 1st case is a 31-year-old Saudi male with chronic illnesses who is currently in the intensive care unit but in stable condition. The 2nd case is a 55-year-old Saudi male, who is a contact of a confirmed case but is asymptomatic. The MOH is also announcing the death of a previously reported case, a 51-year-old Saudi male in Riyadh, who was also suffering from cancer and other chronic illnesses.

http://www.moh.gov.sa/CoronaNew/PressReleases/Pages/mediastatement-2013-08-22-001.aspx

#MERS #Coronavirus Saudi Arabia 2 New Cases, 1 Death Previous Reported Case

hat-tip Avian Flu Diary
August 21, 2013

Within the framework of the epidemiological surveillance of the novel Coronavirus (MERS-CoV), the Ministry of Health (MOH) has announced that two confirmed cases of this virus have been recorded in Riyadh. The first infected case is a 50-year- old female citizen with cancer and other chronic diseases. She is currently at the ICU receiving the proper treatment.

 

As for second case, he is a 70-year-old resident with several chronic diseases. He is currently at the ICU receiving the proper treatment.

 

Moreover, the Ministry of Health has announced the death of a 54 year-old citizen with chronic diseases; who had been previously announced to be infected with this virus- May Allah have mercy upon him.

 

http://www.moh.gov.sa/en/CoronaNew/PressReleases/Pages/mediastatement-2013-08-21-001.aspx

Emergence of H7N9 avian flu hints at broader threat

Nature - by Beth Mole
August 21, 2013
The H7N9 influenza virus did not emerge alone. Researchers have traced the evolution of the deadly avian flu currently spreading in China, and have found evidence that it developed in parallel with a similar bird flu, H7N7, which can infect mammals¹.
Although there is no evidence that this H7N7 strain will infect humans, the authors of a study published today in Nature¹ say that their finding reinforces the idea that H7 avian viruses are constantly mixing and exchanging genetic material — a process known as reassortment — in Asian poultry markets. This raises the threat that H7N7 will reassort and become able to spread to humans.

"H7 is out there in China and not just in the form of this H7N9," says Richard Webby, a co-author of the study and an influenza specialist at St. Jude Children’s Research Hospital in Memphis, Tennessee.
-snip-
Tracking changes
Guan's team sampled wild birds and poultry markets around Shanghai in April, weeks after the H7N9 outbreak began there. The researchers collected throat and intestinal swabs from 1,341 birds, including chickens, ducks, geese, pigeons, partridges and quails, plus 1,006 water and faecal samples from bird markets. About 10% of samples tested positive for an influenza virus; of those, 15% were an H7 virus.
When the team sequenced the two viruses’ genomes and compared them to other bird-flu strains, they found H7N9 and H7N7 to be hybrids of wild Eurasian waterfowl strains, such as H7N3 and H11N9. The scientists think that those viruses swapped genes in domestic ducks before spreading to chickens, where they traded genes with a common chicken virus, H9N2. That improved the viruses' ability to spread in chickens, which live in close contact with humans.
So far, the latest H7N7 strain has not infected a human. But Guan and his team found that ferrets could become infected with the virus, suggesting that a spread to humans is possible.
"It really shows that the emergence of these types of viruses can happen at any time," says Camille Lebarbenchon, a viral ecologist at the University of Reunion Island in St Denis, France, who has also studied the evolution of H7N9 using archived viral sequences².
David Morens, an influenza researcher and senior adviser at the US National Institutes of Health in Bethesda, Maryland, says that the evolutionary pathway that the viruses followed suggests that more surveillance and better sanitation practices at poultry markets are crucial to monitoring risks to human health.
But Ian Lipkin, an epidemiologist at Columbia University in New York City, says that surveillance is not a foolproof solution. "It’s inevitable that something is going to slip through the cracks."

Nature

doi:10.1038/nature.2013.13584

http://www.nature.com/news/emergence-of-h7n9-avian-flu-hints-at-broader-threat-1.13584 

#MERS #Coronavirus Study: MERS Virus Match Seen in Saudi Arabian Bat

August 21, 2013
By MIKE STOBBE AP Medical Writer

Scientists have found the mysterious MERS virus in a bat in Saudi Arabia.

An international research team said the bat virus is an exact match to the first known human case of Middle East respiratory syndrome. The sample was collected from within a few miles of that patient's home.

The discovery reported Wednesday is considered an important development in the search for the origin of MERS, a deadly respiratory illness that is worrying health officials around the world.

But it's likely that something else — perhaps another animal — is spreading the virus directly to humans, said Dr. Ziad Memish, Saudi Arabia's Deputy Minister of Health and lead author of the report.

Continued:  http://abcnews.go.com/Health/wireStory/study-mers-virus-match-saudi-arabian-bat-20025646#.UhUEMBhclDI.twitter

#H5N1 Cambodia - 17th case of H5N1 makes full recovery

Thu, 22 August 2013

Amelia Woodside

A six-year-old boy from Kandal’s Kandal Stung district who was confirmed positive for human H5N1 avian influenza on Saturday after coming into contact with sick poultry has recovered, a joint statement from the Ministry of Health and the World Health Organization (WHO) said.

The boy – the 17th confirmed case this year – was quickly enrolled in an Acute Febrile Illness Surveillance (FSS) study in Kandal after developing a fever on June 21, Sonny Krishnan, communications officer at the WHO in Cambodia, said.

“Once enrolled in the surveillance study, the boy initially tested positive for influenza A [seasonal influenza],” he said, with the H5N1 diagnosis confirmed after samples were sent to the Institut Pasteur du Cambodge on August 16.

The nation’s 16th case of H5N1, a five-year-old girl also from Kandal province who was in critical condition at Phnom Penh’s Kantha Bopha Hospital last week, has also recovered, the hospital’s Dr Denis Laurent told the Post.

On Sunday, a nine-year-old boy died.

http://www.phnompenhpost.com/national/17th-case-h5n1-makes-full-recovery 

 

#Coronavirus #MERS France - Coronavirus: the second patient northerner still hospitalized in serious condition

hat-tip @makoto_au_japon
August 21, 2013

The second French patient who had been hit by the coronavirus MERS but no longer carries the virus is still in hospital in Lille in serious condition, officials said Wednesday at the CHR Lille. "He remains hospitalized in intensive care without isolation procedure with a medical condition that is serious," he told AFP a spokesman for the CHR.

 For over three months the patient was hospitalized Lille,  where he was placed in a first time in quarantine before emerging to mid-July. The patient had been infected in late April when he shared in the Valenciennes hospital room the first patient in France, fell ill after returning from a trip to Dubai. The first patient died on May 28, when he was hospitalized in intensive care in Lille since May 9. Both patients were placed under extracorporeal support to take over their lung function.

http://nord-pas-de-calais.france3.fr/2013/08/21/coronavirus-le-2e-patient-nordiste-toujours-hospitalise-dans-un-etat-serieux-304991.html 

Authorities say that the second case is responding to treatment - so exactly what is the treatment?

[3rd case?  2nd case?  What is the appropriate treatment?]
In English

Qatar reports third Mers case

August 21, 2013

Dubai: A 59-year-old Qatari man has been diagnosed with the Middle East Respiratory Syndrome Coronavirus (Mers-CoV), Qatar’s Supreme Council of Health (SCH) has said.

The case brings to three the number of people affected by the virus in Qatar.

In June, a 49-year-old Qatari man, who was the first to be diagnosed with the virus, died at a London hospital following his admission in September.

SCH said that the second case was responding to treatment and was doing well.

The newly infected man was reported to have felt the symptoms while abroad, but underwent a check-up upon his arrival in Qatar.

He was diagnosed with the disease following tests conducted at the National Influenza Laboratory, the SCH said in a statement reported in the local media on Wednesday.

The council said that the patient was receiving “appropriate” medical treatment and that “he is now in a stable condition”.

Surveillance and monitoring procedures are being strictly followed and prompt measures taken for the infection control of all cases of acute respiratory infections, especially those coming back from abroad, the statement said.

“All samples of suspected Mers-CoV cases are being examined at the National Influenza Laboratory in co-ordination with Hamad Medical Corporation.”

http://gulfnews.com/news/gulf/qatar/qatar-reports-third-mers-case-1.1222542 

#MERS #Coronavirus: 2 Cases of "Corona" in Saudi Arabia and one in Qatar

August 21, 2013
Translation

Dubai, United Arab Emirates (CNN) - witnessed the Gulf region recording three additional cases of the virus, "Corona - Mirs . " he declared Supreme Council of Health in Qatar recording new cases of the virus known as a former Pkorona and currently  Pkorona that causes AIDS Middle East respiratory - Mirs -  a diagonal patient at the age of 59 years .

The council said in a press statement that the patient was out of the country and felt symptoms before coming to the state, and upon arrival it was detected and diagnosed with the disease in the National Influenza Laboratory, stressing that "the patient Atqly treatment right now and is in stable condition."

Also read .. Puzzle origin "Mirs" .. bat .. Camel or dates?

For its part, the Ministry of Health  Saudi Arabia  Tuesday, registered cases of HIV infection in the Riyadh region, bringing the number of those who were injured in the UK with the virus to  76 cases of whom 39 died .

According to the ministry, the المريضتين aged 50 and 59 years old and suffer from multiple chronic diseases, and shall receive the necessary medical care now.

http://www.q8medix.com/?12107&newsReq=1 

#MERS #Coronavirus Qatar Case List

This list goes back to 2012.  One Death, One discharged, recovered, and the most recent, today, stable condition.

Qatar

#1—49(M)—Qatar—9/3/12—6/28/13

#2—45(M)—Doha—10/5/12—Discharged late Nov. 2012

#3—59—Qatar—Rptd 8/21—Stable Condition

Date Report:  9/22/12

Name:  Male (49)

From:  Qatar

Notes:  Travelled to Mecca, Saudi Arabia

Onset:  9/3 respiratory sym’s

Adm:  9/11 Guys & St Thomas’ Hosp-Transferred to UK via air ambulance

Adm:  9/7 ICU, in Doha, Qatar

Notes:  developed renal failure.  Still hospitalized as of 2/13/13.

Confirmation:  9/21

DOD:  6/28/13

Date Report:  11/23/12

Name:  Male (45)

From:  Doha, Qatar

Onset:  10/05

Adm:  Qatar, transferred to Germany on 10/24

Sym’s @ Adm in Germany: Sev. Resp. Dis. Syn. & renal failure.

Confirmation:  November 20, 2012.  made from Samples sent from Qatar

Currently discharged late November, recovering.  No epidemiological link to previous cases.

Notes:  WHO provided info.   Alive.   Owned a camel and goat farm.  Goats were will with fevers before man became ill.  He had no direct contact with the goats but had eaten goat meat.  His caretaker was hospitalized with severe cough and he had contact with the caretaker.

Date of Report:  8/21/13

Name:  59

From:  Qatar

Adm:  Stable Condition

Note:  Traveled outside of Country.  Detected upon admission to Qatar.

#MERS #Coronavirus Qatar - Announces New Injury of Corona

August 21, 2013
Translation
The Supreme Council of Health in Qatar recording new cases of HIV Corona "that causes AIDS Middle East respiratory" to a patient diagonal at the age of 59 years. 

explained the Council said in a statement carried by the Qatar News Agency said Tuesday that the patient was out of the country and felt symptoms before coming to the state, and as soon as arrival it was detected and diagnosed with the disease in the National Influenza Laboratory ..Stressing "that the patient Atqly appropriate treatment currently is in stable condition." 
The statement emphasized the continued tightening of control procedures and monitoring and infection control for all cases of acute respiratory infections, especially for those coming from traveling pointing out that he is checked all the samples in the laboratory the National Influenza in coordination with HMC.

 

http://alwatannews.net/NewsViewer.aspx?ID=z9qdabNjpqV1CMtQHQf9Bw933339933339 

#MERS #Coronavirus Doha Qatar - "Top of health," announces the cases of "Corona"

Translation:

August 20, 2013

The Supreme Council of Health registered new cases of Corona virus that causes 

respiratory syndrome Middle East for a patient diagonal at the age of 59 years.

The Council in a press statement today, Tuesday, that the patient was out of the country and felt symptoms before coming to the state, and upon arrival were detected upon diagnosis of the disease in the National Laboratory for avian influenza, asserting that "the patient Atqly appropriate treatment currently is in stable condition."

The statement emphasized the continued tightening of surveillance and monitoring procedures and infection control for all cases of acute respiratory infections, especially for those coming from the travel, pointing out that all the samples are examined at the National Influenza Laboratory in coordination with the Hamad MedicalCorporation .

The Supreme Council is keen to inform the health of citizens and residents to new information or health and epidemiology of infectious diseases and provide them with the latest developments and to provide appropriate support when needed.

The Council has recently launched an electronic page awareness about HIV Corona, through his website, a hotline devoted to inquire about the virus or any other infectious disease around the clock at (66,740,948).

http://www.al-sharq.com//Detail/news/64/%D8%A3%D8%AE%D8%A8%D8%A7%D8%B1/297352/-%D8%A7%D9%84%D8%A3%D8%B9%D9%84%D9%89-%D9%84%D9%84%D8%B5%D8%AD%D8%A9--%D9%8A%D8%B9%D9%84%D9%86-%D8%B9%D9%86-%D8%AD%D8%A7%D9%84%D8%A9-%D8%A5%D8%B5%D8%A7%D8%A8%D8%A9-%D8%A8%D9%80-%D9%83%D9%88%D8%B1%D9%88%D9%86%D8%A7-