Published Date: 2013-11-12 13:01:10
Archive Number: 20131112.2051424
Date: Tue 12 Nov 2013
From: Ziad Memish <zmemish@yahoo.com> [edited]
The
Saudi Ministry of Health [MoH] continues to follow carefully all new
cases of MERS-CoV diagnosed in KSA [Kingdom of Saudi Arabia] with
routine contact tracing of all contacts inclusive of family contacts and
HCWs [healthcare workers] who cared for the patient. On 7 Nov 2013 the
Saudi MoH reported a new case: a 43-year-old male from Jeddah, who
developed symptoms on 27 Oct 2013. He sought medical treatment on 3 Nov
2013. He is currently in an intensive care unit. The patient does not
have any underlying chronic disease. He has no recent travel history
outside of Jeddah. He had significant contact with animals but no
contact with a known positive human case. To complete the investigation
extensive environmental/animal contact sources were pursued. Camels
owned by the patient which were symptomatic with fever and rhinorrhea
were tested for MERS-CoV and tested positive.
This is the 1st
time that a camel related to a case tests positive for MERS-CoV by PCR.
Further testing is ongoing to sequence the patient and the camel virus
and compare genetic similarity level to conclude causality.
The
Saudi MoH will continue to follow the situation carefully with the
Ministry of Agriculture and keep the public health community informed of
any new developments.
--
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>
[ProMED-mail
is very grateful to Prof Ziad Memish for the firsthand, authoritative
information above. It also adds data on the clinical signs observed in
the camels owned by the human patient, as earlier requested by us.
'Rhinorrhea' is a medical term for 'runny nose' (from the Greek words
"rhinos" meaning "of the nose" and "rhoia" meaning "a flowing"). The
term commonly applied in veterinary medicine for such condition in
animals is 'rhinitis' (in some instances, 'catarrh').
From
previous, media-derived information, it appears that the tissue sampled
was mucous or saliva; confirmation will help. In case the saliva
includes the virus, the unpleasant habitude of camels to spit may add
effectiveness and actual range to their potential role as virus
disseminators.
Some perspective can be found at http://www.cidrap.umn.edu/news-perspective/2013/11/reports-mers-cov-found-saudi-patients-camel. - Mod.AS]
[If
the virus isolates are shown to be genetic matches, this will serve as
the 1st confirmation of the previously suspected possibility of
transmission from camels to humans.
As a reminder, the role of
the camel in transmission of the MERS-CoV to humans was raised as a
possibility early on in the history of this emerging disease. A Qatari
national was treated in Germany for severe illness associated with
MERS-CoV infection beginning in late October 2012. Investigations at
that time noted that the case owned a camel and goat farm, with a number
of the goats at that time noted to be ill as well as the animal
caretaker (see ProMED-mail Novel coronavirus - East. Med. (07): Saudi
Arabia, UK, Germany 20130221.1554109). In April 2013 there was a report
of a UAE national with severe illness associated with MERS-CoV
infection. This individual was the owner of racing camels. The
possibility of transmission from the camels was raised at the time (see
ProMED-mail Novel coronavirus - Eastern Mediterranean (15): camel
exposure 20130405.1623188). We await the results of the genetic
sequencing. - Mod.MPP
http://www.promedmail.org/direct.php?id=2051424
Wednesday, November 13, 2013
Tuesday, November 12, 2013
#MERS #Coronavirus Kuwait Suspected Case Recently Returned From KSA
hat-tip fluboard.rhizalabs.com
November 12, 2013
Translation
Medical sources confirmed the presence of high - level almost certainly the case on suspicion of a citizen in the fifth decade of age infected with « Corona » Enter to Adan hospital last Friday and into intensive care.
Sources told the « news » Kuwaiti that the patient recently returned from Saudi Arabia, pointing out that it was converted to a hospital communicable diseases to receive the necessary attention there in the intensive care unit new fully equipped for such cases , and under the supervision of team doctors specialized consultants had issued their health agent earlier decision to deal with such cases.
The sources indicated that he was taking the necessary tests of the patient and sent to the laboratory viruses and Faculty of Medicine for authenticity , which will show results within two days to make sure that HIV infection or not, noting that the patient is suffering from high blood pressure , and developed symptoms of the virus , and was transferred on the track Adan Hospital , and then to communicable diseases.
http://www.anaween.com/Content/SectionNews.aspx?NewsID=60556
November 12, 2013
Translation
Medical sources confirmed the presence of high - level almost certainly the case on suspicion of a citizen in the fifth decade of age infected with « Corona » Enter to Adan hospital last Friday and into intensive care.
Sources told the « news » Kuwaiti that the patient recently returned from Saudi Arabia, pointing out that it was converted to a hospital communicable diseases to receive the necessary attention there in the intensive care unit new fully equipped for such cases , and under the supervision of team doctors specialized consultants had issued their health agent earlier decision to deal with such cases.
The sources indicated that he was taking the necessary tests of the patient and sent to the laboratory viruses and Faculty of Medicine for authenticity , which will show results within two days to make sure that HIV infection or not, noting that the patient is suffering from high blood pressure , and developed symptoms of the virus , and was transferred on the track Adan Hospital , and then to communicable diseases.
http://www.anaween.com/Content/SectionNews.aspx?NewsID=60556
Kuwait 2 Cases Suspected #Coronavirus Patient and Doctor #MERS
" Rai " : the appearance of the first cases of HIV " Corona " in Kuwait
Wednesday 13 November 2013, last updated 00:13
Healthy sources revealed the newspaper " Al Rai " Kuwaiti appearance of the first cases of HIV " Corona " in Kuwait citizen lay in intensive care at Al-Adan Hospital , doctors described his condition as "serious".
The sources said he was also suspected of infecting the doctor supervising the patient , where she developed symptoms of high temperature .
The sources pointed out that Doctors Hospital of communicable diseases were not able to transfer the patient to the hospital due to his poor health , pointing to lift the state of emergency " in force " in anticipation of receiving infected cases , and joins Kuwait to the rest of the Gulf states, which appeared " Corona " with the exception of Bahrain.
http://www.elnashra.com/news/show/682383/%D8%A7%D9%84%D8%B1%D8%A7%D9%8A-%D8%B8%D9%87%D9%88%D8%B1-%D8%A3%D9%88%D9%84-%D8%AD%D8%A7%D9%84%D8%A9-%D8%A7%D8%B5%D8%A7%D8%A8%D8%A9-%D8%A8%D9%81%D9%8A%D8%B1%D9%88%D8%B3-%D9%83%D9%88%D8%B1%D9%88%D9%86%D8%A7-%D8%A7%D9%84%D9%83%D9%88%D9%8A%D8%AA
Wednesday 13 November 2013, last updated 00:13
Healthy sources revealed the newspaper " Al Rai " Kuwaiti appearance of the first cases of HIV " Corona " in Kuwait citizen lay in intensive care at Al-Adan Hospital , doctors described his condition as "serious".
The sources said he was also suspected of infecting the doctor supervising the patient , where she developed symptoms of high temperature .
The sources pointed out that Doctors Hospital of communicable diseases were not able to transfer the patient to the hospital due to his poor health , pointing to lift the state of emergency " in force " in anticipation of receiving infected cases , and joins Kuwait to the rest of the Gulf states, which appeared " Corona " with the exception of Bahrain.
http://www.elnashra.com/news/show/682383/%D8%A7%D9%84%D8%B1%D8%A7%D9%8A-%D8%B8%D9%87%D9%88%D8%B1-%D8%A3%D9%88%D9%84-%D8%AD%D8%A7%D9%84%D8%A9-%D8%A7%D8%B5%D8%A7%D8%A8%D8%A9-%D8%A8%D9%81%D9%8A%D8%B1%D9%88%D8%B3-%D9%83%D9%88%D8%B1%D9%88%D9%86%D8%A7-%D8%A7%D9%84%D9%83%D9%88%D9%8A%D8%AA
#MERS #Coronavirus Kuwait Doctor Suspected Case Critical
November 13, 2013
Translation
I learned the " Gazette " informed sources that Adan Hospital yesterday saw the emergence of the first infected " Corona " in the country, a citizen in the fifth end of his contract , indicating that he was in serious condition and is very critical , and now lying in the isolation room , Department of Internal Medicine at the hospital said .
The sources said that the emergence of the first cases of " Corona " mobilized the Ministry of Health, which rushed Kiedyoha an urgent meeting yesterday afternoon to discuss the measures to be taken by the ministry, in fear of the increasing number of patients because of the advent of winter , which may help to increase HIV infection due to move to people across the breathing .
She explained that " preventive health " in the ministry will examine the contacts of the case , as well as a comprehensive survey of the patient's home and his family , noting that the Department of Public Health will awareness campaigns during the coming period to raise awareness of the disease and its modes of transmission and ways to combat and prevent it.
The sources said that the ministry will be equipped laboratories additional to examine samples of patients who may be suspected of having a future with the virus , as well as send some samples to laboratories reliable world to see results quickly, calling for coordination with the World Health Organization and invite some experts to stay in Kuwait period to deal with this virus and training medical staff to deal with him .
It is worth mentioning that the World Health Organization ( WHO ) launched a virus " Corona " Middle East virus , also known as the " new Corona virus " or " Nofal Corona " , a coronary virus was discovered on September 24, 2012. And he was at the beginning of a number of different names , such as SARS or SARS - like Saudi Arabia in some foreign
http://www.aljarida.com/news/index/2012632082/%D8%A3%D9%88%D9%84-%D8%A5%D8%B5%D8%A7%D8%A8%D8%A9-%D8%A8%D9%80-%EF%BF%BD%D9%83%D9%88%D8%B1%D9%88%D9%86%D8%A7%EF%BF%BD-%D9%81%D9%8A-%D8%A7%D9%84%D9%83%D9%88%D9%8A%D8%AA-%D9%84%D9%85%D9%88%D8%A7%D8%B7%D9%86-%D9%81%D9%8A-%EF%BF%BD%D8%A7%D9%84%D8%B9%D8%AF%D8%A7%D9%86%EF%BF%BD-%D8%AD%D8%A7%D9%84%D8%AA%D9%87-%D8%AE%D8%B7%D9%8A%D8%B1%D8%A9
Translation
I learned the " Gazette " informed sources that Adan Hospital yesterday saw the emergence of the first infected " Corona " in the country, a citizen in the fifth end of his contract , indicating that he was in serious condition and is very critical , and now lying in the isolation room , Department of Internal Medicine at the hospital said .
The sources said that the emergence of the first cases of " Corona " mobilized the Ministry of Health, which rushed Kiedyoha an urgent meeting yesterday afternoon to discuss the measures to be taken by the ministry, in fear of the increasing number of patients because of the advent of winter , which may help to increase HIV infection due to move to people across the breathing .
She explained that " preventive health " in the ministry will examine the contacts of the case , as well as a comprehensive survey of the patient's home and his family , noting that the Department of Public Health will awareness campaigns during the coming period to raise awareness of the disease and its modes of transmission and ways to combat and prevent it.
The sources said that the ministry will be equipped laboratories additional to examine samples of patients who may be suspected of having a future with the virus , as well as send some samples to laboratories reliable world to see results quickly, calling for coordination with the World Health Organization and invite some experts to stay in Kuwait period to deal with this virus and training medical staff to deal with him .
It is worth mentioning that the World Health Organization ( WHO ) launched a virus " Corona " Middle East virus , also known as the " new Corona virus " or " Nofal Corona " , a coronary virus was discovered on September 24, 2012. And he was at the beginning of a number of different names , such as SARS or SARS - like Saudi Arabia in some foreign
http://www.aljarida.com/news/index/2012632082/%D8%A3%D9%88%D9%84-%D8%A5%D8%B5%D8%A7%D8%A8%D8%A9-%D8%A8%D9%80-%EF%BF%BD%D9%83%D9%88%D8%B1%D9%88%D9%86%D8%A7%EF%BF%BD-%D9%81%D9%8A-%D8%A7%D9%84%D9%83%D9%88%D9%8A%D8%AA-%D9%84%D9%85%D9%88%D8%A7%D8%B7%D9%86-%D9%81%D9%8A-%EF%BF%BD%D8%A7%D9%84%D8%B9%D8%AF%D8%A7%D9%86%EF%BF%BD-%D8%AD%D8%A7%D9%84%D8%AA%D9%87-%D8%AE%D8%B7%D9%8A%D8%B1%D8%A9
The first injury 'Corona' in Kuwait - Suspected Doctor with #MERS #Coronavirus
November 13, 2013
Translation
Alert in the 'force' after suspected transmission of the infection to the doctor
Informed sources revealed healthy for 'opinion' about the appearance of the first cases of HIV «Corona» citizen lying in the intensive care unit at Adan Hospital, doctors described his condition as 'serious'.
The sources said he was also suspected of infecting the doctor supervising the patient, where she developed symptoms of high temperature.
The sources pointed out that Doctors Hospital of communicable diseases were not able to transfer the patient to the hospital due to his poor health, referring to the lifting of the state of emergency in the «force» in anticipation of receiving infected cases, and joins Kuwait to the rest of the Gulf states, which appeared «Corona» the exception of Bahrain.
http://www.alraimedia.com/alrai/Article.aspx?id=477286&date=13112013
Translation
Alert in the 'force' after suspected transmission of the infection to the doctor
Informed sources revealed healthy for 'opinion' about the appearance of the first cases of HIV «Corona» citizen lying in the intensive care unit at Adan Hospital, doctors described his condition as 'serious'.
The sources said he was also suspected of infecting the doctor supervising the patient, where she developed symptoms of high temperature.
The sources pointed out that Doctors Hospital of communicable diseases were not able to transfer the patient to the hospital due to his poor health, referring to the lifting of the state of emergency in the «force» in anticipation of receiving infected cases, and joins Kuwait to the rest of the Gulf states, which appeared «Corona» the exception of Bahrain.
http://www.alraimedia.com/alrai/Article.aspx?id=477286&date=13112013
Isolation of 7 More Camel in Jeddah for #MERS #Coronavirus
November 12, 2013
Translation
Translation
After confirming the injury a beauty virus Corona the day before yesterday, the Ministry of Agriculture for isolating 7 Ebel again after suspected bird flu in order to while making sure her through the necessary tests.
said Undersecretary of the Ministry of Agriculture for Research and Agricultural Development, a spokesman for the ministry Eng Jaber Monthly that the Ministry of Health is The first injury was discovered by a beauty in one barn containing 8 camels, located south of Jeddah neighborhood winery. The monthly that has been treated with such beauty isolating infected animal first, and then isolate the camel suspected bird flu and so ensure safety of the virus, indicating that a team from the ministries of agriculture, health, the daily and periodically withdraw blood samples for Ebel eight and avoided them, isolate, isolation, completely humans and animals and control.
and conduct revealed randomly on camels in the coming period, said Monthly: I do not anticipate events, We will make sure first that the camels are the main source of transmission of the virus and then there will be action taken by the ministry in coordination with the other parties to the camels.
his part, said Assistant Undersecretary for livestock in the Ministry of Agriculture Engineer Sami Ben Solomon Alnhat's "home" The Ministry of Health is primarily responsible for this, because it relates to human beings, so they must make sure the virus and make necessary analysis, while The role of the Ministry of Agriculture in the development of camel suspected bird flu in an isolated place and follow veterinarians have sampling and make sure the owner and procedures pending completion of the procedures and Ministry of Health.
, the Ministry of Health had announced the day before yesterday they discovered were newly infected with "Corona" However, the situation is not between humans, but for "camel", and this was considered by the ministry groundbreaking to find out the source of the virus that causes respiratory syndrome Middle East that resulted in the death of 53 cases in the Kingdom so far, while did not know the true source of the virus and the studies have been conducted on bats and camels, which numbers in the Kingdom with 900 thousand.
said Undersecretary of the Ministry of Agriculture for Research and Agricultural Development, a spokesman for the ministry Eng Jaber Monthly that the Ministry of Health is The first injury was discovered by a beauty in one barn containing 8 camels, located south of Jeddah neighborhood winery. The monthly that has been treated with such beauty isolating infected animal first, and then isolate the camel suspected bird flu and so ensure safety of the virus, indicating that a team from the ministries of agriculture, health, the daily and periodically withdraw blood samples for Ebel eight and avoided them, isolate, isolation, completely humans and animals and control.
and conduct revealed randomly on camels in the coming period, said Monthly: I do not anticipate events, We will make sure first that the camels are the main source of transmission of the virus and then there will be action taken by the ministry in coordination with the other parties to the camels.
his part, said Assistant Undersecretary for livestock in the Ministry of Agriculture Engineer Sami Ben Solomon Alnhat's "home" The Ministry of Health is primarily responsible for this, because it relates to human beings, so they must make sure the virus and make necessary analysis, while The role of the Ministry of Agriculture in the development of camel suspected bird flu in an isolated place and follow veterinarians have sampling and make sure the owner and procedures pending completion of the procedures and Ministry of Health.
, the Ministry of Health had announced the day before yesterday they discovered were newly infected with "Corona" However, the situation is not between humans, but for "camel", and this was considered by the ministry groundbreaking to find out the source of the virus that causes respiratory syndrome Middle East that resulted in the death of 53 cases in the Kingdom so far, while did not know the true source of the virus and the studies have been conducted on bats and camels, which numbers in the Kingdom with 900 thousand.
Viet Nam works to prevent H7N9 spread
November 12, 2013
HA NOI (VNS)— After another two people in China were found infected with H7N9, the flu virus strain that spreads via poultry, the General Department of Preventive Medicine on Sunday issued an urgent request to health departments nation-wide to prevent the spread of the virus.
The departments were asked to tighten surveillance on all passengers, vehicles and goods travelling through border gates, report any severe acute respiratory cases and increase patrolling for infected poultry.
According to Doctor Tran Duc Phu, Director of the General Department, China saw 139 H7N9 cases, killing 45 people, since the end of March this year. — VNS
http://vietnamnews.vn/society/247527/viet-nam-works-to-prevent-h7n9-spread.html
HA NOI (VNS)— After another two people in China were found infected with H7N9, the flu virus strain that spreads via poultry, the General Department of Preventive Medicine on Sunday issued an urgent request to health departments nation-wide to prevent the spread of the virus.
The departments were asked to tighten surveillance on all passengers, vehicles and goods travelling through border gates, report any severe acute respiratory cases and increase patrolling for infected poultry.
According to Doctor Tran Duc Phu, Director of the General Department, China saw 139 H7N9 cases, killing 45 people, since the end of March this year. — VNS
http://vietnamnews.vn/society/247527/viet-nam-works-to-prevent-h7n9-spread.html
Monday, November 11, 2013
Saudi says camel tests positive for MERS Virus
November 12, 2013
Riyadh: The Saudi government says a camel has tested positive for MERS, in the first case of an animal infected with the coronavirus that has killed 64 people worldwide.
A camel owned by a person diagnosed with the disease had "tested positive in preliminary laboratory checks", the health ministry said in a statement carried by SPA state news agency on Monday. The ministry said it was working with the ministry of agriculture and laboratories to "isolate the virus and compare its genetic structure with that of the patient's".
If the virus carried by the camel and that of the patient "prove to be identical, this would be a first scientific discovery worldwide, and a door to identify the source of the virus," it added.
In August, researchers pointed to Arabian camels as possible hosts of the SARS-like virus, which has hit hardest in the desert kingdom, where 53 people have died from the disease. Like SARS, MERS appears to cause a lung infection, with patients suffering from a temperature, cough and breathing difficulty. But it differs in that it also causes rapid kidney failure and the extremely high death rate has caused serious concern.
http://www.smh.com.au/world/saudi-says-camel-tests-positive-for-mers-virus-20131112-2xcv2.html#ixzz2kMzofykg
Riyadh: The Saudi government says a camel has tested positive for MERS, in the first case of an animal infected with the coronavirus that has killed 64 people worldwide.
A camel owned by a person diagnosed with the disease had "tested positive in preliminary laboratory checks", the health ministry said in a statement carried by SPA state news agency on Monday. The ministry said it was working with the ministry of agriculture and laboratories to "isolate the virus and compare its genetic structure with that of the patient's".
If the virus carried by the camel and that of the patient "prove to be identical, this would be a first scientific discovery worldwide, and a door to identify the source of the virus," it added.
In August, researchers pointed to Arabian camels as possible hosts of the SARS-like virus, which has hit hardest in the desert kingdom, where 53 people have died from the disease. Like SARS, MERS appears to cause a lung infection, with patients suffering from a temperature, cough and breathing difficulty. But it differs in that it also causes rapid kidney failure and the extremely high death rate has caused serious concern.
http://www.smh.com.au/world/saudi-says-camel-tests-positive-for-mers-virus-20131112-2xcv2.html#ixzz2kMzofykg
#MERS #Coronavirus MOH Saudi Arabia Acknowledges Confirms Camel Might Be Source of Infection
Translation
November 11, 2013
Order from the Ministry of Health on the lookout for everyone on the latest developments of the virus Corona virus that causes AIDS Middle East respiratory MERS-CoV and reference to the statement of the Ministry of Health, the former regarding recording cases of HIV Coruna in Jeddah, a citizen at the age of 43 years and who is still receiving treatment at a hospital the province, and within the work of Investigation epidemiological played by the ministry in a scientific and systematic lost ministry has examined contacts of infected according to scientific standards followed, as the ministry in its quest to find out and investigate the source of infection to take samples from the environment surrounding the patient including a range of beauty in a barn belonging to the patient, has shown a positive beauty to the initial laboratory tests for the virus.
November 11, 2013
Order from the Ministry of Health on the lookout for everyone on the latest developments of the virus Corona virus that causes AIDS Middle East respiratory MERS-CoV and reference to the statement of the Ministry of Health, the former regarding recording cases of HIV Coruna in Jeddah, a citizen at the age of 43 years and who is still receiving treatment at a hospital the province, and within the work of Investigation epidemiological played by the ministry in a scientific and systematic lost ministry has examined contacts of infected according to scientific standards followed, as the ministry in its quest to find out and investigate the source of infection to take samples from the environment surrounding the patient including a range of beauty in a barn belonging to the patient, has shown a positive beauty to the initial laboratory tests for the virus.
The Ministry is currently in coordination with the Ministry of Agriculture and the scientific to confirm tests and virus isolation and compared in terms of genetic makeup with HIV patient, and, if proven match the virus infected the patient and phrases it discovers for the first time in the world and is open to know the source of this virus and will, God willing, in the knowledge of the world of epidemiological disease and its modes of transmission.
http://www.moh.gov.sa/CoronaNew/PressReleases/Pages/mediastatemenet-2013-11-11-001.aspx
http://www.moh.gov.sa/CoronaNew/PressReleases/Pages/mediastatemenet-2013-11-11-001.aspx
#MERS #Coronavirus Case List & Map November 2013
Spain
11/6/13
Name: 61(F)
From: Madrid,
Moroccan Citizen
Onset: 10/15
Adm: 11/1 Spain
ER: Mecca on
Oct 28, 29
Status: Stable
Notes: Attended
Haj. Went to ER twice, diag
w/pneumonia. Refused adm. Needed oxygen on flight back to Spain.
Oman
11/7/13
Name: 68(M)
From: Al
Dahkliya
Onset: 10/26
Adm: Hospital
in Nizwa
Status: DOD 11/10
Confirmed:
10/29
Notes: Contact
with 2 son in-laws that attended the Haj.
United Arab
Emirates (UAE)
11/7/13
Name: 75(M)
From:
Oman. Visiting Abu Dhabi
Adm: ? Oct.
Status: DOD 11/8
Notes:
Saudi Arabia
11/7/13
Name: 72(M)
From: Riyadh
Onset: 10/23
Adm: 10/31
Status: ICU
Notes: No
history of travel outside KSA.
http://tinyurl.com/p6r64kc http://tinyurl.com/lbjku8n
Saudi Arabia
11/7/13
Name: 43(M)
From: Jeddah
Onset: 10/27
Adm: 11/3
Status: ICU
Notes: No
history of travel outside KSA.
http://tinyurl.com/p6r64kc http://tinyurl.com/lbjku8n
Qatar
11/8/13
Name: 48(M)
From: Doha
Onset: 10/25
Adm: 10/31
Status: ICU
Notes: Visited
animal barns. No travel. No contact with previous confirmed
people.
#MERS #Coronavirus Omani Visitor in Abu Dhabi Dies
11 November 2013
Abu Dhabi: An Omani man diagnosed with the Middle East Respiratory Syndrome (Mers) coronavirus died in Abu Dhabi on Friday, an Abu Dhabi Government official said on Sunday.
Abu Dhabi: An Omani man diagnosed with the Middle East Respiratory Syndrome (Mers) coronavirus died in Abu Dhabi on Friday, an Abu Dhabi Government official said on Sunday.
The victim, 75, had been visiting Abu Dhabi in October when he was
diagnosed with the virus. He was admitted to a public hospital for
treatment but succumbed to the disease, the source told Gulf News.
Following his death, the patient’s body was repatriated to Oman.
The patient’s diagnosis with Mers was earlier confirmed to the World
Health Organisation (WHO) by the Health Authority Abu Dhabi, the source
added.
As reported by Gulf News, another Omani patient, who
represents the first known case of the virus diagnosed in Oman, also
died in the country’s northwest region on Sunday. He was 68 years old,
and had been running a persistent fever before being diagnosed with Mers
12 days ago.
Continued: http://gulfnews.com/news/gulf/uae/health/omani-visitor-dies-from-mers-virus-in-abu-dhabi-emirate-1.1253742
Continued: http://gulfnews.com/news/gulf/uae/health/omani-visitor-dies-from-mers-virus-in-abu-dhabi-emirate-1.1253742
WHO Middle East respiratory syndrome coronavirus (MERS-CoV) - update 11 November 2013
11 November 2013 -
WHO has been informed of two additional laboratory-confirmed
cases of infection with Middle East respiratory syndrome coronavirus
(MERS-CoV) in Saudi Arabia.
The first patient is a 72-year-old man from Riyadh with underlying medical conditions. He became ill on 23 October 2013, and has been hospitalised since 31 October 2013. The second patient is a 43-year-old man from Jeddah. He became ill on 27 October 2013 and has been hospitalised since 3 November 2013.
Globally, from September 2012 to date, WHO has been informed of a total of 153 laboratory-confirmed cases of infection with MERS-CoV, including 64 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.
Continued: http://www.who.int/csr/don/2013_11_11_coronavirus/en/index.html
The first patient is a 72-year-old man from Riyadh with underlying medical conditions. He became ill on 23 October 2013, and has been hospitalised since 31 October 2013. The second patient is a 43-year-old man from Jeddah. He became ill on 27 October 2013 and has been hospitalised since 3 November 2013.
Globally, from September 2012 to date, WHO has been informed of a total of 153 laboratory-confirmed cases of infection with MERS-CoV, including 64 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.
Continued: http://www.who.int/csr/don/2013_11_11_coronavirus/en/index.html
Oman widens health checks after country's first death linked to #MERS virus
BY THE ASSOCIATED PRESS --NOVEMBER 11, 2013 1:03 AM
Excerpt, editing below is mine:
Excerpt, editing below is mine:
MUSCAT, Oman - Oman says officials are widening health checks following the country's first death blamed on a SARS-like virus that has been centred in neighbouring Saudi Arabia.
Oman's Health Ministry said on Monday that teams would conduct investigations, including checking for signs of the virus in people who came in contact with the deceased 68-year-old man. His death was reported on Sunday by the official Oman News Agency.
#MERS #Coronavirus Confirmed Oman Case Contact With 2 Returnees From Haj
November 11, 2013
Translation
Muscat: The Ministry of Health has announced the first death in Oman on account of the Middle East Respiratory account of Syndrome Coronavirus (MERS-CoV).
A 68-year-old Omani citizen suffering from several chronic diseases including diabetes, blood pressure and heart failure, died at a hospital in Nizwa on Saturday morning. His health had also deteriorated due to lung failure.
"The person had no history of travel but was in contact with his two sons-in-law who had returned from Haj. On October 29, he was suspected of suffering from viral pneumonia and tested positive for MERS-CoV," a senior official at the health ministry said.
Meanwhile, the tests carried out on all those who had contacted the victim showed negative results.
Precautions
The Ministry of Health said it has taken all precautionary measures in accordance with the recommendations and standards of the World Health Organisation (WHO), including the epidemiological investigation of contacts.
Also, as part of the screening effort, authorities are working to track down healthcare workers who may have first attended to the 68-year-old patient at a local health centre before he was transferred to the Nizwa Hospital.
The objective, according to the officials, was to make sure that none of these contacts have been exposed to the deadly virus.
With inputs from ONA
http://www.timesofoman.com/News/Article-25446.aspx
Translation
Muscat: The Ministry of Health has announced the first death in Oman on account of the Middle East Respiratory account of Syndrome Coronavirus (MERS-CoV).
A 68-year-old Omani citizen suffering from several chronic diseases including diabetes, blood pressure and heart failure, died at a hospital in Nizwa on Saturday morning. His health had also deteriorated due to lung failure.
"The person had no history of travel but was in contact with his two sons-in-law who had returned from Haj. On October 29, he was suspected of suffering from viral pneumonia and tested positive for MERS-CoV," a senior official at the health ministry said.
Meanwhile, the tests carried out on all those who had contacted the victim showed negative results.
Precautions
The Ministry of Health said it has taken all precautionary measures in accordance with the recommendations and standards of the World Health Organisation (WHO), including the epidemiological investigation of contacts.
Also, as part of the screening effort, authorities are working to track down healthcare workers who may have first attended to the 68-year-old patient at a local health centre before he was transferred to the Nizwa Hospital.
The objective, according to the officials, was to make sure that none of these contacts have been exposed to the deadly virus.
With inputs from ONA
http://www.timesofoman.com/News/Article-25446.aspx
Sunday, November 10, 2013
WHO Middle East respiratory syndrome coronavirus (MERS-CoV) - update 10 November 2013
[hat-tip Avian Flu Diary]
10/11/2013
WHO has been informed of an additional laboratory-confirmed case of infection with Middle East respiratory syndrome coronavirus (MERS-CoV in Qatar.
The patient is a 48-year-old man with underlying medical conditions. He became ill on 25 October 2013 and was admitted to a hospital on 31 October 2013. He is in currently in a critical condition. Preliminary investigations reveal that he frequently visited animal barns. The patient did not recently travel and has had no contact with a previously laboratory-confirmed case with MERS-CoV.
Globally, from September 2012 to date, WHO has been informed of a total of 151 laboratory-confirmed cases of infection with MERS-CoV, including 64 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.
Patients diagnosed and reported to date have had respiratory disease as their primary illness. Diarrhoea is commonly reported among the patients and severe complications include renal failure and acute respiratory distress syndrome (ARDS) with shock. It is possible that severely immunocompromised patients can present with atypical signs and symptoms.
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.
10/11/2013
WHO has been informed of an additional laboratory-confirmed case of infection with Middle East respiratory syndrome coronavirus (MERS-CoV in Qatar.
The patient is a 48-year-old man with underlying medical conditions. He became ill on 25 October 2013 and was admitted to a hospital on 31 October 2013. He is in currently in a critical condition. Preliminary investigations reveal that he frequently visited animal barns. The patient did not recently travel and has had no contact with a previously laboratory-confirmed case with MERS-CoV.
Globally, from September 2012 to date, WHO has been informed of a total of 151 laboratory-confirmed cases of infection with MERS-CoV, including 64 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.
Patients diagnosed and reported to date have had respiratory disease as their primary illness. Diarrhoea is commonly reported among the patients and severe complications include renal failure and acute respiratory distress syndrome (ARDS) with shock. It is possible that severely immunocompromised patients can present with atypical signs and symptoms.
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.
Cambodia Human Case List 2013
Report
Date/Province/District/ Con. Date /Name/DOD
Jan 27/Kampong Speu/Kong Pisei/1-23/35(M)/DOD 1-21
Jan 27/Takeo/Prey Kabass/1-22/15(F)/DOD 1/21
Jan 27/Phnom Penh/Porsenchey/1-22/8(mos)/Recovered
Jan 28/Kampong Speu/Kong Pisei/1-26/17(mos)/DOD 1-28
Jan 29/Kampot/Teouk
Chhou/1-28/9(F)/DOD 1-28
Feb 8/Takeo/Prey Kabass/1-22/5(F)/DOD 2-7
Feb 13/Kampot/Angkor Chey/2-11/3 (F)/DOD 2-13
Feb 21/Kampot/Angkor Chey/2-19/2 (M)/DOD 2-19
Feb 26/Kampong Cham/Trung Trang/2-23/35(M)/DOD 2-25
Apr 3/Kampot/Phnom Penh/4-2/5(M)/
May 24/Kampong Speu/Thpong/5-2/5(F)/Recovered
Jul 2/Phnom Penh/Khan Roeusey
Keo/6-21/58(M)/Recovered Co-infected
Jul 2/Kampot/Bantheay Meas/6-28/6(F)/DOD
6-28
Jul 12/Prey Veng/Kampong
Trabek/7-10/3(M)/Stable
Aug
13/Battambang/8-9/9(M)/DOD-8-19
Aug
13/Kandal/8-10/5(F)/Critical Condition-8/22 Recovered
Aug
22/Kandal/Stung/8-17/6(M)/Recovered
Sept 4/Phnom Penh/Russei
Keo/8-30/15mos (M)/Stable
Sept 19/Takeo/5(F)/Serious
Sept 19/Kampot/2(F)/DOD 9-18
Oct 11/Kampong
Thom/Baray/8(F)/Stable
Oct 19/Battambang/Phnom
Preuk/6(F)/Stable
Oct 17/Pursat/Bakane/2(F)/DOD
10-25
Nov 8/Kampot/Dang
Tong/11-7/10(M)-DOD 11-9
Nov 9/Kampot/Samrong
Tang/11-9/3(M)/Critical
Nov
14/Pailin/Salakrao/11-9/29(M)/11-6
Kampong
Speu
Date
1/27/13
Name: 35(M)
From: Trapeang Sla village, Preah Nipean commune, Kong Pisey district, Kampong Speu
Onset: 1/13
Adm: Treated by private practioner
Adm: 1/21
Hospital: Khmer-Soviet Friendship Hosp. Phnom Penh, sym's fever, dyspnea
DOD: 1/21
Notes: Prepared sick chicken for food prior to being sick.
Confirmation: 1/23/13 - Positive
From: Trapeang Sla village, Preah Nipean commune, Kong Pisey district, Kampong Speu
Onset: 1/13
Adm: Treated by private practioner
Adm: 1/21
Hospital: Khmer-Soviet Friendship Hosp. Phnom Penh, sym's fever, dyspnea
DOD: 1/21
Notes: Prepared sick chicken for food prior to being sick.
Confirmation: 1/23/13 - Positive
Takeo
Date:
1/27/13
Name: 15(F)
From: Snao village, Prey Kabass district, Takeo Province
Onset: 1/11/13
Adm: Treated by private practioner.
Hospital: Kantha Bopha
Adm: 1/17/13 sym's fever & shortness of breath.
DOD: 1/21/13
Notes: Previous dead poultry in village. Prepared sick chicken for food prior to being sick.
Confirmed: 1/22/13 - Positive
From: Snao village, Prey Kabass district, Takeo Province
Onset: 1/11/13
Adm: Treated by private practioner.
Hospital: Kantha Bopha
Adm: 1/17/13 sym's fever & shortness of breath.
DOD: 1/21/13
Notes: Previous dead poultry in village. Prepared sick chicken for food prior to being sick.
Confirmed: 1/22/13 - Positive
Phnom Penh
Date:
1/27/13
Name: 8 month male
From: Chrey Korng Village, Sangkat Chorm Chao, Khan Porsenchey district, Phnom Penh
Onset: 1/8/13Hospital: National Pediatric Hosp.
Adm: 1/9 sym's fever, cough, runny nose, vomiting.
Notes: Samples sent on 1/11. History of contact with poultry.
DOD: survived and recovered
Confirmed: 1/22/13 - positive
From: Chrey Korng Village, Sangkat Chorm Chao, Khan Porsenchey district, Phnom Penh
Onset: 1/8/13Hospital: National Pediatric Hosp.
Adm: 1/9 sym's fever, cough, runny nose, vomiting.
Notes: Samples sent on 1/11. History of contact with poultry.
DOD: survived and recovered
Confirmed: 1/22/13 - positive
Kampong
Speu
Date 1/28/13
Name: 17 month girl
From: Kong Pisei district, Prey Nhat commune, Kampong Speu
Onset: 1/13, fever, runny nose, vomiting
Adm: private practitioner
Adm: 1/17 fever, cough, somnolence & dyspnoea
Hospital: Kantha Bopha Phnom PenhNotes: Recent poultry death in village. Contact with poultry.
DOD: 1/28
Confirmed: Positive 1/26
Name: 17 month girl
From: Kong Pisei district, Prey Nhat commune, Kampong Speu
Onset: 1/13, fever, runny nose, vomiting
Adm: private practitioner
Adm: 1/17 fever, cough, somnolence & dyspnoea
Hospital: Kantha Bopha Phnom PenhNotes: Recent poultry death in village. Contact with poultry.
DOD: 1/28
Confirmed: Positive 1/26
Kampot
Province
Date
1/29/13
Name:
9 yo girl
From: Thmei village, Thmei commune, Toeuk Chhou district, Kampot Province
Onset: 1/19, fever, cough
Adm: Initially treated by a private practitioner
Adm: 1/27
Hospital: Kantha Bopha with fever, cough, somnolence and dyspnoea
DOD: 1/28
Notes: Poultry dead around village.
Confirmed: Positive - 1/28
From: Thmei village, Thmei commune, Toeuk Chhou district, Kampot Province
Onset: 1/19, fever, cough
Adm: Initially treated by a private practitioner
Adm: 1/27
Hospital: Kantha Bopha with fever, cough, somnolence and dyspnoea
DOD: 1/28
Notes: Poultry dead around village.
Confirmed: Positive - 1/28
Takeo
Province
Date 2/8/13
Name:
5 yo female
From: Angk Krasang Village, Prey Lvea commune, Prey Kabass district, Takeo Province.
Onset: 1/25
Adm: local private practitioner
Adm: 1/31 with fever, cough & dyspnoea
Hospital: Kantha Bopha Hospital
Confirmed: Positive, diagnosed on 2/7
DOD: 2/7
Notes: recent deaths of poultry in village. Touched & ate dead chicken.
From: Angk Krasang Village, Prey Lvea commune, Prey Kabass district, Takeo Province.
Onset: 1/25
Adm: local private practitioner
Adm: 1/31 with fever, cough & dyspnoea
Hospital: Kantha Bopha Hospital
Confirmed: Positive, diagnosed on 2/7
DOD: 2/7
Notes: recent deaths of poultry in village. Touched & ate dead chicken.
Kampot
Province
Date: 2/13/13
Name: 3 yo female
From: Trapeang Kamphleanh village, Ang Phnom
Toch commune, Angkor Chey District, Kampot Province
Adm: 2/6
Hospital: Kantha Bopha Hospital, fever, abdominal
pain, drowsiness
Onset: 2/3 red rash, initially treated by private
practioner
Notes: Recent death of poultry in village,
history of contact. Critical
Condition w/severe breathing problems.
Confirmation: 2/11/13
DOD: 2/13/13
Kampot
Province
Date: 2/21/13
Name: 20 month old male
From: Ang Romduol Village, Angkor Chey
commune, Angkor Chey district, Kampot Province
Onset: 2/6, runny nose & fever. Treated by local private practioner.
Adm: 2/18 Kantha Bopha Hospital, Phnom Penh with
fever, cough, dyspnea
Confirmation: 2/19/13
DOD: 2/19/13 (18 hours after admission)
Note: Poultry death in Village. Eighth death this year. 29th person to become
infected. 26th to
die. Of the 29 confirmed Cases, 20
were children under 14. 19 of the
29 were Female.
Kampong Cham Province
Date: February
26, 2013
Name: Thoeun
Doeun (35) (Male)
From: Kbl Ou
Village, Me Sar Chrey commune, Stueng Trang, Kampong Cham Province
Onset: 2/8 fever; worsened on 2/10 w/frequent
cough, dypsnea
Adm: Local
practitioner
Adm: 2/13
Kampong Cham Hosp. Treated with Tamiflu
Adm: 2/19,
Hospital Benh Calmete, Phnom Penh
(MOH Statement says 2/21)
Developed pneumonia
Notes: Contact
with dead Ducks and eating.
Confirmation:
Positive on 2/23/19
Phnom Penh site:
Onset: 2/6; Health Clinic
2/13; & adm to Provincial Hosp. immediately, adm Calmette Hosp 2/22.
DOD: 2/25
Kampot Province
Date: 4/3/13
Name: 5(M)
From: Boeung
Tapream vill., Sangkat Treuy Kors, Kampong Bay dist., Kampot Province
Onset: 3/27 Fever,
convulstions, shortness of breath
Adm: 3/29 Treuy
Kors Health Centre
Adm: 3/29
Kampot Prov. Hospital
Adm: 3/31
Kantha Bopha Hospital, Phnom Penh, treated w/Tamiflu
Confirmation:
4/2/13
Note: Critical
condition. Not known if contact
with poultry.
WHO: http://tinyurl.com/d7gfjmr
Update: Improved,
out of ICU 4/8/13.
Kapong Speu
Date: 5/24/13
Name: 5(F)
From: Tep
Phirom village, Veal Pon Commune, Thpong District, Kampong Speu
Onset: 1/28/13
Note: Patient
was enrolled in a fever surveillance study of the US Naval Medical Research
Unit. She is alive and exposure to
poultry is being investigated.
Link: http://www.wpro.who.int/emerging_diseases/AvianInfluenza/en/index.html
Phnom Penh
Date: 7/2/13
Name: 58(M)
From: Sangkat
Chroy Chorng Va, Khan Roeusey Keo, Phnom Penh
Adm: Khmer-Soviet
Friendship Hospital
Confirmed: 6/21
Tested Positive for Influenza on 1/9
Note:
Recovered. 12th
case. Confirmed after routine
testing of samples.
Kampot Province
Date: 7/2/13
Name: 6(F)
From: Preyleu
Village, Meas Commune, Bantheay Meas District, Kampot Province
Adm: 6/28
Kantha Bopha Hospital, fever, dyspnea & cough
Reconciled: 6/26
Private Clinic, cough & dyspnea
Onset: 6/24
fever, headache
Confirmed: 6/28
DOD: 6/28/13
Note: 13th
Case this year. 9th
death this year.
Prey Veng Province
Date: 7/12/13
Name: 3(M)
From: Kampong Trabek district, Prey Veng
Province
Adm: 7/8 Kantha Bopha Hospital in Phnom Penh
Sym’s
on adm: fever, cough, dyspnea
Confirmed: 7/10
Note: 14th case this year. Recent poultry deaths in village.
Battambang
Province
Date: 8/13/13
Name: 9(M)
From: Damnak Dangkor Village, Battambang
Province
Adm: 8/4 Jayavarman VII Hospital
Confirmation: 8/9
Note: Stable condition. 15th Case for 2013. Boy carried dead & sick chickens
& ducks from cage for food preparation. Fever, abdominal pain & dyspnea. Stable condition treatment w/Tamiflu.
DOD: 8/19
Kandal
Province
Date: 8/13/13
Name: 5(F)
From: Knong Prek Village, Kandal Province
Adm: 8/9 Kantha Bopha Hospital
Confirmation:
8/10
Note: Critical condition. 16th Case for 2013. Recent deaths of poultry in her
village. Fever, abdominal pain,
diarrhea & dyspnea.
Kandal
Province
Date: 8/22/13
Name: 6(M)
From: Stung District, Kandal Province
Onset: 6/21
Note: Quickly enrolled in Acute Febrile
Illness Surveillance (FSS) Study in Kandal
Confirmation: 8/16
17th
Case. Contact w/sick poultry.
Phnom Penh
Date: 9/4/13
Name: 15mos (M)
From: Russei Keo district, Phnom Penh
Onset:
Adm: Kantha Bopha Hospital, fever, cough,
diarrhea, lethargy & dyspnea
Note: Stable condition
Confirmed: 8/30/13
Takeo
Date: 9/19/13
Name: 5(F)
From: Takeo province
Adm: Serious condition
Note: 19th case this year
Kampot
Date: 9/19/13
Name: 2(F)
From: Kampot
Adm: Kantha Bopha Children’s Hospital
Note: 20th case this year
DOD: 9/18/13
Kampong
Thom
Date: 10/11/13
Name: 8(F)
From: O-Raing Village, Pung Ror Commune,
Baray Dist.
Adm: 10/11
Onset: 10/8
Note:
Stable Condition.
Battambang
Date: 10/19
Name: 6(F)
From: Romdoul Village, O Romdoul Commune,
Phnom Preuk Dist.
Adm: 10/19
Onset: 1014
Notes: Stable Condition
Pursat
Date: 10/25
Name: 2(F)
From: Svay Chrum Village, Borng Bort Kandal
commune, Bakane Dist.
Adm: 10/25
Onset: 10/17
DOD: 10/26
Note: 23 Cases ; 12 Deaths 2013
Kampot
11/8/13
Name: 10(M)
From: Sdok Thlok Village, To Tung Comm., Dang
Tong Dist., Kampot Prov.
Onset: 10/28
Adm: 10/29 Private Practioner
Adm: 10/7 Kantha Bopha Hospital, Phnom Penh
Sym’s
on Adm: fever, cough, sore throat, distended abdomen & dyspnea.
Conf: 11/7, & Tamiflu given.
Notes: 24th case 2013. 30 chickens died about 1 month prior to
onset. Helped carry dead poultry
to mother for cooking.
MOH
Link: http://www.cdcmoh.gov.kh/PressRelease/45-pressreleaseEng.pdf
DOD: 11/9/13
Kampong
Speu
Date: 11/9/13
Name: 3(M)
From: Veal Vong Fillage, Sendey Commune,
Samrong Tang district, Kampong Speu Province
Onset: 11/5
Adm: 11/6 Local Private Practioner
Adm: 11/8 Kantha Bopha Hospital, Phnom Penh
Syms
on Adm: fever, cough, sore throat, distended abdomen, dyspnea. Tamiflu given.
DOD:
Confirmed: 11/9/13
Note: 1 month before, about 30 chickens died
in his village. Victim was in
contact w/dead chicken, brought to brother who cooked them.
25th
case for 2013 13 deaths for 2013
Link: MOH Update 11/14/13 http://www.cdcmoh.gov.kh/PressRelease/46-47-PressRelease.Eng.pdf
Pailin
Date: 11/14/13
Name: 29(M)
From: Kaun Demrei Village, Steung Trang
Commune, Salakrao District, Pailin Province
Onset: 10/26
Adm: 10/26 Local Health Center
Sym’s
on Adm: fever, chills & headache
Adm: 11/1 Private Clinic
Adm: 11/3 Battambang Provincial Hospital
Sym’s:
fever, chills, headache, cough, chest pain
Note: Tamiflu given 11/6. Direct contact with sick/dead poultry 1
week prior to onset. Multiple ILI
cases detected in village, diag:
H1N1
DOD: 11/6
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