[editing/bolding below is mine]
7 SEPTEMBER 2013 - WHO has been informed of four (4) additional
laboratory-confirmed cases of Middle East respiratory syndrome
coronavirus (MERS-CoV) infection in Saudi Arabia.
The first case is a 41 year-old female healthcare worker from Riyadh
with no known underlying medical conditions and who became ill on 15
August, 2013. Her condition deteriorated and she passed away at the end
of August. No known exposure to animals, or to a confirmed MERS-CoV
case, has been identified and investigations into the source of
infection are on-going.
The second case is a 30 year-old Saudi male healthcare worker from
Riyadh, working in the same hospital as the above confirmed case. He
developed severe pneumonia on 1 September, 2013, and is currently in
critical condition.
The third case is a 79 year-old woman from Hafar al-Batin province
who developed a respiratory illness on 21 August, 2013. She is a contact
of a confirmed MERS-CoV case in a family cluster. Her condition
deteriorated and she passed away on 2 September, 2013.
The fourth case is a 47 year-old Saudi man from Hafar al-Batin
province with a chronic heart condition and who became ill on 23 August,
2013. He is a contact of a confirmed MERS-CoV case in a family cluster.
He is currently in critical condition.
Globally, from September 2012 to date, WHO has been informed of a
total of 114 laboratory-confirmed cases of infection with MERS-CoV,
including 54 deaths.
Based on the current situation and available information, WHO
encourages all Member States to continue their surveillance for severe
acute respiratory infections (SARI) and to carefully review any unusual
patterns.
Health care providers are advised to maintain vigilance. Recent
travellers returning from the Middle East who develop SARI should be
tested for MERS-CoV as advised in the current surveillance
recommendations.
Specimens from patients’ lower respiratory tracts should be obtained
for diagnosis where possible. Clinicians are reminded that MERS-CoV
infection should be considered even with atypical signs and symptoms,
such as diarrhoea, in patients who are immunocompromised.
Health care facilities are reminded of the importance of systematic
implementation of infection prevention and control (IPC). Health care
facilities that provide care for patients suspected or confirmed with
MERS-CoV infection should take appropriate measures to decrease the risk
of transmission of the virus to other patients, health care workers and
visitors.
All Member States are reminded to promptly assess and notify WHO of
any new case of infection with MERS-CoV, along with information about
potential exposures that may have resulted in infection and a
description of the clinical course. Investigation into the source of
exposure should promptly be initiated to identify the mode of exposure,
so that further transmission of the virus can be prevented.
WHO does not advise special screening at points of entry with regard
to this event nor does it currently recommend the application of any
travel or trade restrictions.
WHO has convened an Emergency Committee under the International
Health Regulations (IHR) to advise the Director-General on the status of
the current situation. The Emergency Committee, which comprises
international experts from all WHO Regions, unanimously advised that,
with the information now available, and using a risk-assessment
approach, the conditions for a Public Health Emergency of International
Concern (PHEIC) have not at present been met.
http://www.who.int/csr/don/don_updates/en/index.html
Saturday, September 7, 2013
#MERS #Coronavirus Saudi Arabia Ministry Of Heath (MOH) Update 9/7/13
September 7, 2013
Translation
A continuation of the work of Investigation epidemiological and follow-up carried out by the Ministry of Health for HIV (Corona) new strain of AIDS Middle East respiratory (MERS-CoV), announced the Ministry of Health for the registration of cases of HIV infection first citizen at the age of 18 years old, and the other for a girl aged 3 years, Mkhaltin case certain area Batin did not show them any symptoms and their condition in good health the praise of God.as Ministry announces the registration of two deaths virus, the first resident in Medina at the age of 56 years, and works in the health sector, and the second of a citizen in Riyadh at the age of 53 years infected with disease chronic multiple, Tgmdahma the God rest in peace.
http://www.moh.gov.sa/CoronaNew/PressReleases/Pages/Mediastatement-2013-09-07-001.aspx
Translation
A continuation of the work of Investigation epidemiological and follow-up carried out by the Ministry of Health for HIV (Corona) new strain of AIDS Middle East respiratory (MERS-CoV), announced the Ministry of Health for the registration of cases of HIV infection first citizen at the age of 18 years old, and the other for a girl aged 3 years, Mkhaltin case certain area Batin did not show them any symptoms and their condition in good health the praise of God.as Ministry announces the registration of two deaths virus, the first resident in Medina at the age of 56 years, and works in the health sector, and the second of a citizen in Riyadh at the age of 53 years infected with disease chronic multiple, Tgmdahma the God rest in peace.
http://www.moh.gov.sa/CoronaNew/PressReleases/Pages/Mediastatement-2013-09-07-001.aspx
#MERS Turkey Suspected Case Died and 3 Others Transferred to Riyadh KSA
September 7, 2013
Translation
in Turkey Adel Merdad for the death of lady a Saudi in the mid-Age in a hospital in Trabzon suspected of in the being infected with infected with Coruna.
He said in a a statement to the source if There are five cases of was hit by illnesses and entered the the hospital, among them diseased heart-was the work of organizer her and I came out, as has been transfer of three other cases eviction medical to the Kingdom of, in addition to case of death.
He explained that the four cases and اجهتهن the problems of in communicating with the crew medical the existing in the hospital by virtue of they do not speak English or Turkish, as that the crew hospital does not speaks Arabic or English, what called on the embassy to intervene ; as it sent a the President of the Consular Section and one of the Compilers assets in the embassy to the Trabzon and do the process of On-line translator and other of procedures that helped them to communicate.
He explained that the case of the death was the for a lady in the mid-Age and was accompanied by her son and daughter did not writes of God her healing to ill-and their health status, and has the embassy the transfer of her body to Istanbul at the, and provided the embassy to her two children is the duty of solace, and revealed to are two the state it which was in and their mother and an understanding of all the details. Has also been their help in travel procedures have been book with are two It is and then they went to the Riyadh.
and between the that the there is a state she was suffering sicker in the heart and put her organizer for heartbeat and exited from the hospital.
and between the Merdad that the there is a suspicion in a disease Coruna did not be confirmed, pointing to the interesting and Ministry of Health Turkish SUBJECT after the continues to the embassy with her.
He explained that the responsible Turkey a high-level in the and Ministry of Health expressed a keen interest in Situations, and spoke to the Hospital Trabzon manner directly and they sent a team medically take samples for cases of, pointing out that the sources with the Ministry Turkish Health tipped of suspicion in the incidence of Pkorona.
and Aban that the nature of the city high from the surface of the sea b 1350 meters affect on the health of of human rights, negatively a private of animate the of vulnerable structure.
Source: are the major news
Translation
in Turkey Adel Merdad for the death of lady a Saudi in the mid-Age in a hospital in Trabzon suspected of in the being infected with infected with Coruna.
He said in a a statement to the source if There are five cases of was hit by illnesses and entered the the hospital, among them diseased heart-was the work of organizer her and I came out, as has been transfer of three other cases eviction medical to the Kingdom of, in addition to case of death.
He explained that the four cases and اجهتهن the problems of in communicating with the crew medical the existing in the hospital by virtue of they do not speak English or Turkish, as that the crew hospital does not speaks Arabic or English, what called on the embassy to intervene ; as it sent a the President of the Consular Section and one of the Compilers assets in the embassy to the Trabzon and do the process of On-line translator and other of procedures that helped them to communicate.
He explained that the case of the death was the for a lady in the mid-Age and was accompanied by her son and daughter did not writes of God her healing to ill-and their health status, and has the embassy the transfer of her body to Istanbul at the, and provided the embassy to her two children is the duty of solace, and revealed to are two the state it which was in and their mother and an understanding of all the details. Has also been their help in travel procedures have been book with are two It is and then they went to the Riyadh.
and between the that the there is a state she was suffering sicker in the heart and put her organizer for heartbeat and exited from the hospital.
and between the Merdad that the there is a suspicion in a disease Coruna did not be confirmed, pointing to the interesting and Ministry of Health Turkish SUBJECT after the continues to the embassy with her.
He explained that the responsible Turkey a high-level in the and Ministry of Health expressed a keen interest in Situations, and spoke to the Hospital Trabzon manner directly and they sent a team medically take samples for cases of, pointing out that the sources with the Ministry Turkish Health tipped of suspicion in the incidence of Pkorona.
and Aban that the nature of the city high from the surface of the sea b 1350 meters affect on the health of of human rights, negatively a private of animate the of vulnerable structure.
Source: are the major news
Bahrain Dir. of Public Health: We Are Ready #Coronavirus - No Registered Cases Yet
Translation
Manama on September 7 / us / confirmed Dr Mariam Al Hajri Director of Public Health Department in the Ministry of Health that it did not register until the moment any cases Pfyrus Coruna in the Kingdom of Bahrain, adding that the Ministry of Health is ready to deal with any suspected case of it. "We are at the highest level of readiness full and ready and we have an integrated system linking health centers Bmkhbr public health to pursue any case Ashbtah Pfyrus Corona." "the virus did not turn into a pandemic, and there is no reason yet to take precautionary measures additional in Bahrain, such as censoring health strict outlets or the like. " In a related context confirmed Dr. Al-Hajri, the Ministry of Health has taken all measures of health and education necessary before the Hajj season, and invited all the pilgrims to the initiative to take the vaccine allocated and available in all health centers in the Kingdom . this belongs virus Corona, who knew Health Organization as the "syndrome Middle East respiratory" (Myers), the faction virus that led to the severe acute respiratory syndrome (SARS), which claimed so far about 800 people around the world in 2003.
http://www.bna.bh/portal/news/578391
Manama on September 7 / us / confirmed Dr Mariam Al Hajri Director of Public Health Department in the Ministry of Health that it did not register until the moment any cases Pfyrus Coruna in the Kingdom of Bahrain, adding that the Ministry of Health is ready to deal with any suspected case of it. "We are at the highest level of readiness full and ready and we have an integrated system linking health centers Bmkhbr public health to pursue any case Ashbtah Pfyrus Corona." "the virus did not turn into a pandemic, and there is no reason yet to take precautionary measures additional in Bahrain, such as censoring health strict outlets or the like. " In a related context confirmed Dr. Al-Hajri, the Ministry of Health has taken all measures of health and education necessary before the Hajj season, and invited all the pilgrims to the initiative to take the vaccine allocated and available in all health centers in the Kingdom . this belongs virus Corona, who knew Health Organization as the "syndrome Middle East respiratory" (Myers), the faction virus that led to the severe acute respiratory syndrome (SARS), which claimed so far about 800 people around the world in 2003.
http://www.bna.bh/portal/news/578391
#MERS #Coronavirus Hafr Al-Batin Cluster of 10
Saudi Arabia Ministry of Health Website:
I am not able to find the updates on the last 4 cases reported today at that site.
My notes say Saudi Arabia now has 93 cases with 47 deaths.
Hafr Al-Batin Cluster of 10
I am not able to find the updates on the last 4 cases reported today at that site.
My notes say Saudi Arabia now has 93 cases with 47 deaths.
Hafr Al-Batin Cluster of 10
#MERS #Coronavirus Saudi Arabia: New Cases in Batin & 2 Deaths Medina & Riyadh
September 7, 2013 Translation
The Ministry of Health for the registration of cases infected with Corona Batin area, the first of a citizen at the age of 18 years old, and the other for 3-year-old girl.
The Ministry of Health for the registration of cases infected with Corona Batin area, the first of a citizen at the age of 18 years old, and the other for 3-year-old girl.
The ministry explained that these cases Mkhalttan the confirmed case, they did not show any symptoms, stressing that a good health condition.
And announced two deaths registration with the virus, the first resident in Medina at the age of 56 years, and works in the health sector, and the second of a citizen in Riyadh at the age of 53 years suffering from multiple chronic illnesses.
http://akhbaar24.argaam.com/article/detail/147529/
http://akhbaar24.argaam.com/article/detail/147529/
#MERS Death of a Sudanese doctor "Corona" in the city & examination of 45 his colleagues
Translations are tough. Below, "hospital Hinakiyah" is Al-Hasso Hospital in Hinakiyah, Saudi Arabia. It is in Mekkah Province
Translation
September 7, 2013
physician Sudanese died at the age of 67 years yesterday evening Pfyrus wounds 'Corona'. And the transfer of a doctor from the hospital Hinakiyah which works out to the intensive care unit in a hospital in a Medina, reported the initial diagnosis to him that he suffers from a syndrome acute respiratory, and his ill during his intensive care, until he died recently, and found that the causes of death due to his infection Vairose pneumonia (Corona) in addition to suffering from diabetes. while subjected «Health City» 45 doctors from his colleagues work to analyzes doctor, which confirmed the safety of all of «virus». mention that the doctor Sudanese longer injury the second record in the city area Medina, as previously announced by the Ministry of Health injury resident Balvyrus. The bedroom was evacuated at King Fahd Hospital in the city.
http://samafaifapress.com/news-action-show-id-5659.htm
Translation
September 7, 2013
physician Sudanese died at the age of 67 years yesterday evening Pfyrus wounds 'Corona'. And the transfer of a doctor from the hospital Hinakiyah which works out to the intensive care unit in a hospital in a Medina, reported the initial diagnosis to him that he suffers from a syndrome acute respiratory, and his ill during his intensive care, until he died recently, and found that the causes of death due to his infection Vairose pneumonia (Corona) in addition to suffering from diabetes. while subjected «Health City» 45 doctors from his colleagues work to analyzes doctor, which confirmed the safety of all of «virus». mention that the doctor Sudanese longer injury the second record in the city area Medina, as previously announced by the Ministry of Health injury resident Balvyrus. The bedroom was evacuated at King Fahd Hospital in the city.
http://samafaifapress.com/news-action-show-id-5659.htm
#MERS #Coronavirus Suspected Corona Death in Turkey
Translation-
September 7, 2013
Ambassador of the Kingdom revealed in Turkey just Mirdad for the death of Saudi woman in the fourth decade of life, while receiving treatment at a hospital there, pointing to the suspected cause of death to be infected with HIV, "Corona."
Ambassador of the Kingdom revealed in Turkey just Mirdad for the death of Saudi woman in the fourth decade of life, while receiving treatment at a hospital there, pointing to the suspected cause of death to be infected with HIV, "Corona."
The Mirdad according to "the East." That the deceased was receiving treatment at a hospital, "Trabzon" in Turkey, and a team from the Ministry of Health Turkish He took samples from the case, and most likely infected with HIV Corona, pointing out that the embassy ended Procedures transport her body to Riyadh,
In a related context, died Doctor Arabic yesterday after تنويمه the night in a hospital in Medina, on suspicion of wound infection "Corona", according to the "city", while there was no statement from the Ministry of Health to clarify the circumstances around his death.
The hospital has had to take all preventive measures, as well as to conduct tests for a family doctor and his contacts to make sure that contracting the virus.
Saudi Ambassador in Turkey: the death of a Saudi suspected of being infected with Pkorona
 |
| Trabzon, Turkey http://tinyurl.com/m36eosn |
Translation
September 7, 2013
Explicitly - rebounds : detecting the Saudi ambassador in Turkey just Mirdad for the death of Saudi woman in middle age in Trabzon Hospital suspected of being infected with HIV Coruna.
He said there were five cases suffered ill and was hospitalized , including diseased heart was the work of entrepreneur has emerged , as has been the transfer of three other cases , medical evacuation to the Kingdom, in addition to the case of death .
He explained that the four cases and اجهتهن problems in communicating with the medical staff in the hospital by virtue of that they do not speak English or Turkish , and the hospital staff does not speak Arabic or English, called the embassy to intervene ; since sent the President of the Consular Section and one of the translators of assets at the embassy to Trabzon and a process of translation and other actions that helped them communicate.
He explained that if the death was of a woman in middle age and was accompanied by her son and daughter did not write God a cure for the ill and their health status , and the Embassy to transfer her body to Istanbul , and provided the embassy for her two children and condolences , and revealed to them the situation they were in their mother and understanding all the details. As has been their help in booking travel arrangements were for them and then they went to Riyadh.
And that there is a state was suffering a disease of the heart and put her pacemaker and discharged from the hospital .
He said there were five cases suffered ill and was hospitalized , including diseased heart was the work of entrepreneur has emerged , as has been the transfer of three other cases , medical evacuation to the Kingdom, in addition to the case of death .
He explained that the four cases and اجهتهن problems in communicating with the medical staff in the hospital by virtue of that they do not speak English or Turkish , and the hospital staff does not speak Arabic or English, called the embassy to intervene ; since sent the President of the Consular Section and one of the translators of assets at the embassy to Trabzon and a process of translation and other actions that helped them communicate.
He explained that if the death was of a woman in middle age and was accompanied by her son and daughter did not write God a cure for the ill and their health status , and the Embassy to transfer her body to Istanbul , and provided the embassy for her two children and condolences , and revealed to them the situation they were in their mother and understanding all the details. As has been their help in booking travel arrangements were for them and then they went to Riyadh.
And that there is a state was suffering a disease of the heart and put her pacemaker and discharged from the hospital .
Between Mirdad that there is suspicion of Corona 's disease is not confirmed, pointing to the attention of the Turkish Ministry of Health SUBJECT after communication with the embassy .
He explained that a senior Turkish official in the Ministry of Health showed a keen interest in the cases, and spoke to the hospital directly Trabzon and sent a medical team to take samples of the cases , pointing out that the Turkish Health Ministry sources suggested suspicion of injury Pkorona .
Has shown that the nature of the city high above sea level to 1350 meters affect human health , negatively especially those with weak infrastructure . ( Middle )
He explained that a senior Turkish official in the Ministry of Health showed a keen interest in the cases, and spoke to the hospital directly Trabzon and sent a medical team to take samples of the cases , pointing out that the Turkish Health Ministry sources suggested suspicion of injury Pkorona .
Has shown that the nature of the city high above sea level to 1350 meters affect human health , negatively especially those with weak infrastructure . ( Middle )
death of a citizen in Turkey and a doctor in Medina because of the #Coronavirus
[This is put here for future reference. I'll look into it. Speculation only]
40 minutes ago 10:31 AM
detecting the Saudi ambassador in Turkey just Mirdad for the death of Saudi woman in the fourth decade of life, while receiving treatment at a hospital there, pointing to the suspicion that the cause of death being infected with HIV, "Corona." explained Mirdad that the deceased was receiving treatment in Hospital "Trabzon" in Turkey, and a team from the Ministry of Health Turkish He took samples from the case, and most likely infected with HIV Corona, pointing out that the embassy ended Procedures transport her body to Riyadh, according to "The Middle." In the same context, died doctor Arabic yesterday evening after تنويمه Hospital in a Medina, on suspicion of wound infection, "Corona", according to the "city", while not issued a statement from the Ministry of Health to clarify the circumstances around his death. , and the hospital had had to take all preventive measures, as well as to conduct tests for a family doctor and contacts him to make sure no contracting the virus.
http://www.kn19.com/news.php?action=show&id=27357
40 minutes ago 10:31 AM
detecting the Saudi ambassador in Turkey just Mirdad for the death of Saudi woman in the fourth decade of life, while receiving treatment at a hospital there, pointing to the suspicion that the cause of death being infected with HIV, "Corona." explained Mirdad that the deceased was receiving treatment in Hospital "Trabzon" in Turkey, and a team from the Ministry of Health Turkish He took samples from the case, and most likely infected with HIV Corona, pointing out that the embassy ended Procedures transport her body to Riyadh, according to "The Middle." In the same context, died doctor Arabic yesterday evening after تنويمه Hospital in a Medina, on suspicion of wound infection, "Corona", according to the "city", while not issued a statement from the Ministry of Health to clarify the circumstances around his death. , and the hospital had had to take all preventive measures, as well as to conduct tests for a family doctor and contacts him to make sure no contracting the virus.
http://www.kn19.com/news.php?action=show&id=27357
#MERS #Coronavirus Qatar - One patient recovered, another died in MERS coronavirus
[The article below is speaking of the death of the 29 yo in this statement from Supreme Council of Health on Sept. 3rd]:
September 7, 2013
DOHA, Sept 7 (KUNA) -- The Supreme Council of Health (SCH) in Qatar has announced the recovery of a patient inflected with MERS coronavirus and another passed away from the same deadly illness.
The first patient started to show signs of the virus on August 15 before he came back from a trip outside the country. Once he was in the country, he was admitted to hospital to receive proper treatment. After a course of treatment, he recovered, the SCH statement read Saturday.
The second patient, meanwhile, was battling several health issues. On August 17, he started showing signs of the deadly respiratory disease. He died after he was admitted to the intensive care unit.
Middle East Respiratory Syndrome (MERS) is viral respiratory illness first reported in Saudi Arabia in 2012. It is caused by a coronavirus called MERS-CoV. Most people who have been confirmed to have MERS-CoV infection developed severe acute respiratory illness. They had fever, cough, and shortness of breath. About half of these people died.
So far, all the cases have been linked to four countries in or near the Arabian Peninsula. No cases have been identified in the US. This virus has spread from ill people to others through close contact. However, the virus has not shown to spread in a sustained way in communities. (end) nnd.nfm KUNA 071001 Sep 13NNNN
http://www.kuna.net.kw/ArticleDetails.aspx?id=2332232&language=en
Doha - Tuesday, 3 Sep 2013The Supreme Council of Health (SCH) reported Tuesday a new confirmed Middle East Respiratory Syndrome coronavirus case, bringing the total cases to three.The new case is for 56-year-old Qatari citizen who suffers from several chronic diseases and risk factors. She was admitted to intensive care unit at a hospital on 23 August and died on 31 August.The second case is a 59-year-old Qatari citizen who felt the symptoms while abroad. Upon his arrival on 15 August he was checked up and diagnosed with the disease, but he recovered.The third is a 29-year-old Qatari citizen who suffers from one chronic disease and several risk factors. He felt the symptoms on 17 August. He is in a critical condition and is receiving treatment in the intensive care unit...http://tinyurl.com/lm9jlee
September 7, 2013
DOHA, Sept 7 (KUNA) -- The Supreme Council of Health (SCH) in Qatar has announced the recovery of a patient inflected with MERS coronavirus and another passed away from the same deadly illness.
The first patient started to show signs of the virus on August 15 before he came back from a trip outside the country. Once he was in the country, he was admitted to hospital to receive proper treatment. After a course of treatment, he recovered, the SCH statement read Saturday.
The second patient, meanwhile, was battling several health issues. On August 17, he started showing signs of the deadly respiratory disease. He died after he was admitted to the intensive care unit.
Middle East Respiratory Syndrome (MERS) is viral respiratory illness first reported in Saudi Arabia in 2012. It is caused by a coronavirus called MERS-CoV. Most people who have been confirmed to have MERS-CoV infection developed severe acute respiratory illness. They had fever, cough, and shortness of breath. About half of these people died.
So far, all the cases have been linked to four countries in or near the Arabian Peninsula. No cases have been identified in the US. This virus has spread from ill people to others through close contact. However, the virus has not shown to spread in a sustained way in communities. (end) nnd.nfm KUNA 071001 Sep 13NNNN
http://www.kuna.net.kw/ArticleDetails.aspx?id=2332232&language=en
ProMED MERS-CoV - Eastern Mediterranean (67): Saudi Arabia, WHO
Published Date: 2013-09-06 23:12:03
Subject: PRO/AH/EDR> MERS-CoV - Eastern Mediterranean (67): Saudi Arabia, WHO
Archive Number: 20130906.1928088
MERS-COV - EASTERN MEDITERRANEAN (67): SAUDI ARABIA, WHO
********************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
In this update:
[1] Saudi Arabia, new cases, deaths - MOH
[2] Global update - WHO
******
[1] Saudi Arabia, new cases, deaths - MOH
Date: Fri 6 Sep 2013
From: Ziad M. Memish, M.D. <zmemish@yahoo.com> [edited]
As an update on cases of MERS-COV in KSA [Kingdom of Saudi Arabia], the MOH [Ministry of Health] released the report on 4 new cases yesterday [5 Sep 2013]:
- A 41-year-old female health care worker from Riyadh with no comorbidities with onset of symptoms on [15 Aug 2013] with cough and fever. Developed severe pneumonia requiring intubation and ventilation in critical care unit. There was no history of contacts with animals or a positive case. Patient condition deteriorated and she passed away. Investigation of source is still ongoing.
- A 30-year-old Saudi male health care worker from Riyadh who is a contact of a positive case, and who developed severe pneumonia and intubated [4 Sep 2013]. The patient is currently in critical condition.
- A 79-year-old Saudi female from Hafr Albatin province, a contact of a positive case from [21 Aug 2013]. Presented with respiratory symptoms and her condition deteriorated and passed away [2 Sep 2013].
- A 47-year-old Saudi male from Hafr Albatin province, a contact of a positive case, with onset of symptoms [23 Aug 2013]. Patient condition deteriorated, requiring critical care, and he is still under treatment in critical condition.
Detailed investigation of all cases is ongoing.
--
Ziad A Memish, MD, FRCP(Can), FRCP(Edin), FRCP(Lond), FACP
Deputy Minister for Public Health
Director WHO Collaborating Center for Mass Gathering Medicine
Ministry of Health
Professor, College of Medicine
Alfaisal University
Riyadh 11176
Kingdom of Saudi Arabia
<zmemish@yahoo.com>
******
[2] Global update - WHO
Date: Fri 6 Sep 2013
Source: WHO Global Alert and Response [edited]
http://www.who.int/csr/don/don_updates/en/index.html
Middle East respiratory syndrome coronavirus (MERS-CoV) - update 6 Sep 2013
---------------------------------------------------------------------------
[4 Sep 2013] - WHO has been informed of an additional 2 laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV).
The 1st case was notified by the Ministry of Health in Tunisia. The patient was a 66-year-old man who became ill on 1 May 2013 and died on 10 May 2013. The patient was earlier announced as a probable case while his daughter and son were laboratory-confirmed with MERS-CoV (DON [disease outbreak news] published on 22 May 2013). Laboratory confirmation on the case was recently conducted by the US Centers for Disease Control and Prevention.
The 2nd case was notified by the Ministry of Health in Qatar. The patient was a 56-year-old woman with underlying medical conditions who became ill on [18 Aug 2013] and died on [31 Aug 2013]. Laboratory confirmation was recently conducted by Public Health England, UK.
Globally, from September 2012 to date, WHO has been informed of a total of 110 laboratory-confirmed cases of infection with MERS-CoV, including 52 deaths.
Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns.
Health care providers are advised to maintain vigilance. Recent travellers returning from the Middle East who develop SARI should be tested for MERS-CoV as advised in the current surveillance recommendations.
Specimens from patients' lower respiratory tracts should be obtained for diagnosis where possible. Clinicians are reminded that MERS-CoV infection should be considered even with atypical signs and symptoms, such as diarrhoea, in patients who are immunocompromised.
Health care facilities are reminded of the importance of systematic implementation of infection prevention and control (IPC). Health care facilities that provide care for patients suspected or confirmed with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus to other patients, health care workers and visitors.
All Member States are reminded to promptly assess and notify WHO of any new case of infection with MERS-CoV, along with information about potential exposures that may have resulted in infection and a description of the clinical course. Investigation into the source of exposure should promptly be initiated to identify the mode of exposure, so that further transmission of the virus can be prevented.
WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend the application of any travel or trade restrictions.
WHO has convened an Emergency Committee under the International Health Regulations (IHR) to advise the Director-General on the status of the current situation. The Emergency Committee, which comprises international experts from all WHO Regions, unanimously advised that, with the information now available, and using a risk-assessment approach, the conditions for a Public Health Emergency of International Concern (PHEIC) have not at present been met.
--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp
[With the inclusion of the 5 newly confirmed cases of MERS-CoV infection, including 2 deaths in Saudi Arabia, and the one retrospectively confirmed fatal MERS-CoV infection in Tunisia, the new global total of laboratory-confirmed cases of MERS-CoV infection will be 116, including 55 deaths. The 4 newly confirmed cases in Saudi Arabia are a bit disconcerting, as all 4 have had serious disease (including 2 deaths and 2 currently in critical condition), and none of the 4 are reported to have co-morbidities, a finding that predisposed to more serious disease. We await further information on investigations surrounding these cases, including information on the virus(es) identified in these cases.
As a reminder, the retrospectively confirmed case in Tunisia had a history of travel to Saudi Arabia and Qatar prior to the onset of illness and had been considered a "probable case" (while the original laboratory testing was negative for the MERS-CoV, 2 close contacts of him did test positive for the MERS-CoV; see MERS-CoV - Eastern Mediterranean (05): Tunisia ex Saudi Arabia/Qatar, fatal, RFI 20130520.1725864).
For a map of the Middle East, see http://healthmap.org/r/1HAJ. - Mod.MPP]
http://beta.promedmail.org/direct.php?id=20130906.1928088
Subject: PRO/AH/EDR> MERS-CoV - Eastern Mediterranean (67): Saudi Arabia, WHO
Archive Number: 20130906.1928088
MERS-COV - EASTERN MEDITERRANEAN (67): SAUDI ARABIA, WHO
********************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
In this update:
[1] Saudi Arabia, new cases, deaths - MOH
[2] Global update - WHO
******
[1] Saudi Arabia, new cases, deaths - MOH
Date: Fri 6 Sep 2013
From: Ziad M. Memish, M.D. <zmemish@yahoo.com> [edited]
As an update on cases of MERS-COV in KSA [Kingdom of Saudi Arabia], the MOH [Ministry of Health] released the report on 4 new cases yesterday [5 Sep 2013]:
- A 41-year-old female health care worker from Riyadh with no comorbidities with onset of symptoms on [15 Aug 2013] with cough and fever. Developed severe pneumonia requiring intubation and ventilation in critical care unit. There was no history of contacts with animals or a positive case. Patient condition deteriorated and she passed away. Investigation of source is still ongoing.
- A 30-year-old Saudi male health care worker from Riyadh who is a contact of a positive case, and who developed severe pneumonia and intubated [4 Sep 2013]. The patient is currently in critical condition.
- A 79-year-old Saudi female from Hafr Albatin province, a contact of a positive case from [21 Aug 2013]. Presented with respiratory symptoms and her condition deteriorated and passed away [2 Sep 2013].
- A 47-year-old Saudi male from Hafr Albatin province, a contact of a positive case, with onset of symptoms [23 Aug 2013]. Patient condition deteriorated, requiring critical care, and he is still under treatment in critical condition.
Detailed investigation of all cases is ongoing.
--
Ziad A Memish, MD, FRCP(Can), FRCP(Edin), FRCP(Lond), FACP
Deputy Minister for Public Health
Director WHO Collaborating Center for Mass Gathering Medicine
Ministry of Health
Professor, College of Medicine
Alfaisal University
Riyadh 11176
Kingdom of Saudi Arabia
<zmemish@yahoo.com>
******
[2] Global update - WHO
Date: Fri 6 Sep 2013
Source: WHO Global Alert and Response [edited]
http://www.who.int/csr/don/don_updates/en/index.html
Middle East respiratory syndrome coronavirus (MERS-CoV) - update 6 Sep 2013
---------------------------------------------------------------------------
[4 Sep 2013] - WHO has been informed of an additional 2 laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV).
The 1st case was notified by the Ministry of Health in Tunisia. The patient was a 66-year-old man who became ill on 1 May 2013 and died on 10 May 2013. The patient was earlier announced as a probable case while his daughter and son were laboratory-confirmed with MERS-CoV (DON [disease outbreak news] published on 22 May 2013). Laboratory confirmation on the case was recently conducted by the US Centers for Disease Control and Prevention.
The 2nd case was notified by the Ministry of Health in Qatar. The patient was a 56-year-old woman with underlying medical conditions who became ill on [18 Aug 2013] and died on [31 Aug 2013]. Laboratory confirmation was recently conducted by Public Health England, UK.
Globally, from September 2012 to date, WHO has been informed of a total of 110 laboratory-confirmed cases of infection with MERS-CoV, including 52 deaths.
Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns.
Health care providers are advised to maintain vigilance. Recent travellers returning from the Middle East who develop SARI should be tested for MERS-CoV as advised in the current surveillance recommendations.
Specimens from patients' lower respiratory tracts should be obtained for diagnosis where possible. Clinicians are reminded that MERS-CoV infection should be considered even with atypical signs and symptoms, such as diarrhoea, in patients who are immunocompromised.
Health care facilities are reminded of the importance of systematic implementation of infection prevention and control (IPC). Health care facilities that provide care for patients suspected or confirmed with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus to other patients, health care workers and visitors.
All Member States are reminded to promptly assess and notify WHO of any new case of infection with MERS-CoV, along with information about potential exposures that may have resulted in infection and a description of the clinical course. Investigation into the source of exposure should promptly be initiated to identify the mode of exposure, so that further transmission of the virus can be prevented.
WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend the application of any travel or trade restrictions.
WHO has convened an Emergency Committee under the International Health Regulations (IHR) to advise the Director-General on the status of the current situation. The Emergency Committee, which comprises international experts from all WHO Regions, unanimously advised that, with the information now available, and using a risk-assessment approach, the conditions for a Public Health Emergency of International Concern (PHEIC) have not at present been met.
--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp
[With the inclusion of the 5 newly confirmed cases of MERS-CoV infection, including 2 deaths in Saudi Arabia, and the one retrospectively confirmed fatal MERS-CoV infection in Tunisia, the new global total of laboratory-confirmed cases of MERS-CoV infection will be 116, including 55 deaths. The 4 newly confirmed cases in Saudi Arabia are a bit disconcerting, as all 4 have had serious disease (including 2 deaths and 2 currently in critical condition), and none of the 4 are reported to have co-morbidities, a finding that predisposed to more serious disease. We await further information on investigations surrounding these cases, including information on the virus(es) identified in these cases.
As a reminder, the retrospectively confirmed case in Tunisia had a history of travel to Saudi Arabia and Qatar prior to the onset of illness and had been considered a "probable case" (while the original laboratory testing was negative for the MERS-CoV, 2 close contacts of him did test positive for the MERS-CoV; see MERS-CoV - Eastern Mediterranean (05): Tunisia ex Saudi Arabia/Qatar, fatal, RFI 20130520.1725864).
For a map of the Middle East, see http://healthmap.org/r/1HAJ. - Mod.MPP]
http://beta.promedmail.org/direct.php?id=20130906.1928088
Friday, September 6, 2013
#MERS Tunisia Victim Confirmed Positive Thru CDC - WHO Update
From our latest WHO Update:
4 September 2013 – WHO has been informed of an additional two laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV).
The first case was notified by the Ministry of Health in Tunisia. The patient was a 66-year-old man who became ill on 1 May 2013 and died on 10 May 2013. The patient was earlier announced as a probable case while his daughter and son were laboratory-confirmed with MERS-CoV (DON published on 22 May 2013). Laboratory-confirmation on the case was recently conducted by the US Centers for Disease Control and Prevention.
Here's the case from my list:
Date of Report:
5/20/13
Name: 66(M)**
From: Monastir,
Tunisia
Onset: 4/30
Adm: Fatima
Bourguiba Hospital in Monastir
Sym’s on Adm: acute respiratory insufficiency
Confirmed: Negative
(initial test) Positive thru
CDC 9/5/13 (link: http://www.who.int/csr/don/don_updates/en/index.html)
Note: Ministry
of Health communique issued 5/20/13.
Returned from trip to Saudi Arabia & Qatar late
March. Became ill 5 days
later. 1 Son traveled to
Qatar. 1 lives in Tunisia & had not traveled. Both adult children confirmed. Case had diabetes.
WHO Update: http://www.who.int/csr/don/2013_05_22_ncov/en/index.html
WHO Update: http://www.who.int/csr/disease/coronavirus_infections/update_20130531/en/index.html
DOD: 5/10/13
WHO Middle East respiratory syndrome coronavirus (MERS-CoV) - update - 6 September, 2013
06/09/2013
Disease Outbreak News
4 September 2013 – WHO has been informed of an additional two laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV).
The first case was notified by the Ministry of Health in Tunisia. The patient was a 66-year-old man who became ill on 1 May 2013 and died on 10 May 2013. The patient was earlier announced as a probable case while his daughter and son were laboratory-confirmed with MERS-CoV (DON published on 22 May 2013). Laboratory-confirmation on the case was recently conducted by the US Centers for Disease Control and Prevention.
The second case was notified by the Ministry of Health in Qatar. The patient was a 56-year-old woman with underlying medical conditions who became ill on 18 August 2013 and died on 31 August 2013. Laboratory-confirmation was recently conducted by Public Health England, UK.
Globally, from September 2012 to date, WHO has been informed of a total of 110 laboratory-confirmed cases of infection with MERS-CoV, including 52 deaths.
Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns.
Health care providers are advised to maintain vigilance. Recent travellers returning from the Middle East who develop SARI should be tested for MERS-CoV as advised in the current surveillance recommendations.
Specimens from patients’ lower respiratory tracts should be obtained for diagnosis where possible. Clinicians are reminded that MERS-CoV infection should be considered even with atypical signs and symptoms, such as diarrhoea, in patients who are immunocompromised.
Health care facilities are reminded of the importance of systematic implementation of infection prevention and control (IPC). Health care facilities that provide care for patients suspected or confirmed with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus to other patients, health care workers and visitors.
All Member States are reminded to promptly assess and notify WHO of any new case of infection with MERS-CoV, along with information about potential exposures that may have resulted in infection and a description of the clinical course. Investigation into the source of exposure should promptly be initiated to identify the mode of exposure, so that further transmission of the virus can be prevented.
WHO does not advise special screening at points of entry with regard to this event nor does it currently recommend the application of any travel or trade restrictions.
WHO has convened an Emergency Committee under the International Health Regulations (IHR) to advise the Director-General on the status of the current situation. The Emergency Committee, which comprises international experts from all WHO Regions, unanimously advised that, with the information now available, and using a risk-assessment approach, the conditions for a Public Health Emergency of International Concern (PHEIC) have not at present been met.
http://www.who.int/csr/don/don_updates/en/index.html
Disease Outbreak News
4 September 2013 – WHO has been informed of an additional two laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV).
The first case was notified by the Ministry of Health in Tunisia. The patient was a 66-year-old man who became ill on 1 May 2013 and died on 10 May 2013. The patient was earlier announced as a probable case while his daughter and son were laboratory-confirmed with MERS-CoV (DON published on 22 May 2013). Laboratory-confirmation on the case was recently conducted by the US Centers for Disease Control and Prevention.
The second case was notified by the Ministry of Health in Qatar. The patient was a 56-year-old woman with underlying medical conditions who became ill on 18 August 2013 and died on 31 August 2013. Laboratory-confirmation was recently conducted by Public Health England, UK.
Globally, from September 2012 to date, WHO has been informed of a total of 110 laboratory-confirmed cases of infection with MERS-CoV, including 52 deaths.
Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns.
Health care providers are advised to maintain vigilance. Recent travellers returning from the Middle East who develop SARI should be tested for MERS-CoV as advised in the current surveillance recommendations.
Specimens from patients’ lower respiratory tracts should be obtained for diagnosis where possible. Clinicians are reminded that MERS-CoV infection should be considered even with atypical signs and symptoms, such as diarrhoea, in patients who are immunocompromised.
Health care facilities are reminded of the importance of systematic implementation of infection prevention and control (IPC). Health care facilities that provide care for patients suspected or confirmed with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus to other patients, health care workers and visitors.
All Member States are reminded to promptly assess and notify WHO of any new case of infection with MERS-CoV, along with information about potential exposures that may have resulted in infection and a description of the clinical course. Investigation into the source of exposure should promptly be initiated to identify the mode of exposure, so that further transmission of the virus can be prevented.
WHO does not advise special screening at points of entry with regard to this event nor does it currently recommend the application of any travel or trade restrictions.
WHO has convened an Emergency Committee under the International Health Regulations (IHR) to advise the Director-General on the status of the current situation. The Emergency Committee, which comprises international experts from all WHO Regions, unanimously advised that, with the information now available, and using a risk-assessment approach, the conditions for a Public Health Emergency of International Concern (PHEIC) have not at present been met.
http://www.who.int/csr/don/don_updates/en/index.html
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