Global & Disaster Medicine

Archive for the ‘MERS-CoV’ Category

Saudi MOH: ‘2 New Confirmed Corona Cases Recorded’

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‘2 New Confirmed Corona Cases Recorded’ in Saudi Arabia

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Qatar’s first MERS-CoV case since June 2016

WHO

Middle East respiratory syndrome coronavirus (MERS-CoV) – Qatar

Disease outbreak news
4 April 2017

On 21 March 2017 the national IHR focal point of Qatar reported one additional case of Middle East Respiratory Syndrome Coronavirus (MERS-CoV).

Details of the case

A 62-year-old living in Doha city, Qatar developed symptoms on 15 March 2017. The patient who has comorbidities was seen in a private clinic on 15 March 2017. He was admitted to hospital on 20 March 2017 and was tested positive for MERS-CoV using real-time PCR (upE and ORF1b and N). He is currently in stable condition and admitted to a negative pressure isolation room on a ward.

The patient did not travel outside of Qatar in the last seven months and has not reported a history of contact with camels or individuals with symptoms. An investigation of risk factors in the 14 days prior to the onset of symptoms is ongoing but has not identified the source of his infection.

To date, Qatar has reported 19 laboratory confirmed cases of MERS. The last case was reported in June 2016.

Disease Outbreak News published on 29 June 2016.
Globally, since September 2012, WHO has been notified of 1936 laboratory confirmed cases of infection with MERS-CoV including at least 690 related deaths.

Public health response

The Department of Health Protection and Communicable Disease Control in the Ministry of Public Health has immediately carried out case investigation and contact tracing activities. All 23 contacts and health care workers were tested negative for MERS-CoV. All contacts will be followed up until the end of the 14-day monitoring period.


Saudi Arabia: An outbreak of MERS occurred in a hemodialysis unit in a hospital in Riyadh. Contact tracing revealed that 8 symptomatic and 2 asymptomatic cases are associated with this outbreak.

WHO

Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia

Disease outbreak news
3 April 2017

Between 23 February and 16 March 2017 the national IHR focal point of Saudi Arabia reported 18 additional cases of Middle East Respiratory Syndrome (MERS) including two fatal cases. Four deaths among previously reported MERS cases were also reported (case numbers 1, 4, 5 and 7 in the Disease Outbreak News published on 10 March 2017).

An outbreak of MERS occurred in a haemodialysis unit in a hospital in Riyadh. Contact tracing revealed that eight symptomatic and two asymptomatic cases are associated with this outbreak.

Detailed information concerning the cases reported between 23 February and 16 March 2017 can be found in a separate document (see link below).

Globally, since September 2012, 1935 laboratory-confirmed cases of infection with MERS-CoV including at least 690 related deaths have been reported to WHO.

Public health response

In response to this outbreak, the rapid response team was dispatched from the Ministry of Health, and regional health directorate and this was followed by the activation of the outbreak management team.

The following measures were implemented:

  • Intensive infection control training was given to all the hospital staff including the strict monitoring of infection control measures in the dialysis unit.
  • Active triage of all haemodialysis patients prior to initiation of dialysis was enforced. Those with symptoms were directed to designated areas and managed as suspected cases.
  • The haemodialysis unit was cleaned using hospital grade disinfectants and hydrogen peroxide fumigation.
  • Asymptomatic patients served by the unit (or their caregivers) were contacted daily by phone to ensure they do not attend another haemodialysis unit or seek healthcare services elsewhere without coordination.

WHO risk assessment

MERS-CoV causes severe human infections resulting in high mortality and has demonstrated the ability to transmit between humans. So far, the observed human-to-human transmission has occurred mainly in health care settings.

The notification of additional cases does not change the overall risk assessment. WHO expects that additional cases of MERS-CoV infection will be reported from the Middle East, and that cases will continue to be exported to other countries by individuals who might acquire the infection after exposure to animals or animal products (for example, following contact with dromedaries) or human source (for example, in a health care setting). WHO continues to monitor the epidemiological situation and conducts risk assessment based on the latest available information.

WHO advice

Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for acute respiratory infections and to carefully review any unusual patterns.

Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in health care facilities. It is not always possible to identify patients with MERS-CoV early because like other respiratory infections, the early symptoms of MERS-CoV are non-specific. Therefore, health-care workers should always apply standard precautions consistently with all patients, regardless of their diagnosis. Droplet precautions should be added to the standard precautions when providing care to patients with symptoms of acute respiratory infection; contact precautions and eye protection should be added when caring for probable or confirmed cases of MERS-CoV infection; airborne precautions should be applied when performing aerosol generating procedures.

Until more is understood about MERS-CoV, people with diabetes, renal failure, chronic lung disease, and immunocompromised persons are considered to be at high risk of severe disease from MERS-CoV infection. Therefore, these people should avoid close contact with animals, particularly camels, when visiting farms, markets, or barn areas where the virus is known to be potentially circulating. General hygiene measures, such as regular hand washing before and after touching animals and avoiding contact with sick animals, should be adhered to.

Food hygiene practices should be observed. People should avoid drinking raw camel milk or camel urine, or eating meat that has not been properly cooked.

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.


The latest case lifts Saudi Arabia’s total to 1,582 MERS-CoV cases, 659 of them fatal, since the virus was first detected in humans in 2012.

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Trump & Deadly Disease

NY Times

  • “…..President Trump’s budget would cut funding for the National Institutes of Health by 18 percent.
  • It would cut the State Department and the United States Agency for International Development, a key vehicle for preventing and responding to outbreaks before they reach our shores, by 28 percent.
  • And the repeal of the Affordable Care Act would kill the billion-dollar Prevention and Public Health Fund, which provides funding for the Centers for Disease Control and Prevention to fight outbreaks of infectious disease.
  • (While the budget also calls for the creation of an emergency fund to respond to outbreaks, there is no indication that it would offset the other cuts, or where the money would come from.)
  • We are already witnessing an outbreak of influenza in birds — the H7N9 strain, in China — that could be the source for the next human pandemic. Since October, over 500 people have been infected; more than 34 percent have died. Most victims had contact with infected poultry, yet three recent clusters appear to be from person-to-person transmission. Will H7N9 mutate to become easily transmitted between humans? We don’t know. But without sufficient supplies of a vaccine, we are not prepared to stop it…….”

Saudi MOH: ‘1 New Confirmed Corona Cases Recorded’

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Over the past few days Saudi Arabia reported seven new MERS-CoV infections, including six that appear to be linked to a hospital outbreak in Wadi ad-Dawasir in the south central part of the country.

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Globally, since September 2012, 1917 laboratory-confirmed cases of infection with MERS-CoV including at least 684 related deaths have been reported to WHO.

 

Information on newly reported cases (6 cases)
Date: 11 Mar 2017 (2 cases)
<http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-11-001.aspx>

1 – a 39 year old expat male, non-healthcare worker from Wadi
Aldawasir [Riyadh region], noted to be asymptomatic at time of
confirmation report. Classified as a secondary healthcare acquired
case in a healthcare worker.

2 – a 79 year old Saudi male, non-healthcare worker from Al Qunfudhah
[Makkah region], currently in a stable condition. Classified as a
primary case with a history of direct contact with camels in the 14
days preceding onset of illness.

Date: 10 Mar 2017 (4 cases)
<http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-10-001.aspx>

3 – a 39 year old Saudi female, non-healthcare worker from Wadi
Aldawasir [Riyadh region], currently in a stable condition. Classified
as a secondary healthcare acquired case in a patient.

4 – a 52 year old Saudi female, non-healthcare worker from Wadi
Aldawasir [Riyadh region], currently in a stable condition. Classified
as a secondary case in a household contact.

5 – a 56 year old Saudi female, non-healthcare worker from Wadi
Aldawasir [Riyadh region], noted to be in a stable condition.
Classified as a secondary healthcare acquired case in a patient.

6 – a 72 year old Saudi male, non-healthcare worker from Wadi
Aldawasire [Riyadh region], noted to be in a critical condition.
Classified as a secondary healthcare acquired case in a patient.

Information on newly reported fatalities (1 fatality)
Date: 9 Mar 2017
<http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-09-001.aspx>

– a 76 year old Saudi male, non-healthcare worker, from Hail with a
history of pre-existing co-morbidities [reported as a newly confirmed
case on 27 Feb 2017, at which time he was noted to be in critical
condition. Classified as a primary case with high risk exposure
history in the 14 days preceding onset of illness still under
investigation. – Mod.MPP].


MOH: ‘1 New Confirmed Corona Cases Recorded’ (The new cases bring Saudi Arabia’s total since the outbreak began in 2012 to 1,572 MERS cases, including 652 deaths. Fifteen patients are still recovering from the disease.)

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