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PostPosted: Fri Apr 11, 2014 9:42 am 
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10 April 2014 - The Ministries of Health of Saudi Arabia and the United Arab Emirates (UAE) recently announced additional laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV).


The 4 additional laboratory-confirmed cases reported to WHO by the Ministry of Health of Saudi Arabia on 28 March and 2 April 2014 include:
A 26 year-old man from Jeddah. He became ill on 22 March, was hospitalised on 23 March, and died on 6 April.
A 26 year-old man from Jeddah. He became ill on 16 March and has been hospitalised since 25 March.
A 77 year-old woman from Riyadh region. She became ill on 25 March and is currently in a stable condition. She is not known to have a history of exposure to animals.
A 59 year-old man from Riyadh region who became ill on 22 March, 2014. He is not known to have contact with animals or a known case.

The additional laboratory-confirmed case reported to WHO by the Ministry of Health of the UAE on 30 March includes:
A 64 year-old man from Abu Dhabi with underlying medical conditions. He became ill on 21 March, was hospitalised on 25 March and died on 30 March. He had underlying medical conditions. He did not have contact with a previously laboratory-confirmed case, but has had exposure to animals. The patient visited a camel farm in Harb city in Saudi Arabia on 10 March and visited Nezwa city in Oman for a day on 20 March. He owned an animal farm in the UAE with poultry and sheep, but had no recent visit to the farm. Investigation into the family and health care contacts is ongoing.



Globally, from September 2012 to date, WHO has been informed of a total of 211 laboratory-confirmed cases of infection with MERS-CoV, including 88 deaths.

WHO advice

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.

Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in health care facilities. Health-care facilities that provide for patients suspected or confirmed to be infected with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus from an infected patient to other patients, health-care workers and visitors. Health care workers should be educated, trained and refreshed with skills on infection prevention and control.

It is not always possible to identify patients with MERS-CoV early because some have mild or unusual symptoms. For this reason, it is important that health-care workers apply standard precautions consistently with all patients – regardless of their diagnosis – in all work practices all the time.

Droplet precautions should be added to the standard precautions when providing care to all 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.

Patients should be managed as potentially infected when the clinical and epidemiological clues strongly suggest MERS-CoV, even if an initial test on a nasopharyngeal swab is negative. Repeat testing should be done when the initial testing is negative, preferably on specimens from the lower respiratory tract.

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. 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.

People at high risk of severe disease due to MERS-CoV should avoid close contact with animals when visiting farms or barn areas where the virus is known to be potentially circulating. For the general public, when visiting a farm or a barn, general hygiene measures, such as regular hand washing before and after touching animals, avoiding contact with sick animals, and following food hygiene practices, should be adhered to.

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.

http://www.who.int/csr/don/2014_04_10_mers/en/

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PostPosted: Fri Apr 11, 2014 9:43 am 
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Published Date: 2014-04-10 18:19:07
Subject: PRO/AH/EDR> MERS-CoV - Eastern Mediterranean (27): Saudi Arabia, UAE, WHO, screening
Archive Number: 20140410.2395733

MERS-COV - EASTERN MEDITERRANEAN (27): SAUDI ARABIA, UAE, WHO, MALAYSIA SCREENING
*********************************************************************************
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, 4 cases (1 death), UAE, 1 case (1 death)
[2] Saudi Arabia (Jeddah), 3 new cases: MOH 10 Apr 2014
[3] Saudi Arabia (Jeddah), total 21 cases: media report
[4] Malaysia: medical screening pre-Hajj

******
[1] Saudi Arabia, 4 cases (1 death), UAE, 1 case (1 death)
Date: Thu 10 Apr 2014
Source: WHO Global Alert and Response (GAR), Disease Outbreak News [edited]
http://who.int/csr/don/2014_04_10_mers/en/


Middle East respiratory syndrome coronavirus (MERS-CoV) -- update
-----------------------------------------------------------------
The Ministries of Health of Saudi Arabia and the United Arab Emirates (UAE) recently announced additional laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV).

The 4 additional laboratory-confirmed cases reported to WHO by the Ministry of Health of Saudi Arabia on [28 Mar 2014] and [2 Apr 2014] include:
- a 26 year old man from Jeddah. He became ill on [22 Mar 2014], was hospitalised on [23 Mar 2014], and died on [6 Apr 2014].
- a 26 year old man from Jeddah. He became ill on [16 Mar 2014] and has been hospitalised since [25 Mar 2014].
- a 77 year old woman from Riyadh region. She became ill on [25 Mar 2014] and is currently in a stable condition. She is not known to have a history of exposure to animals.
- a 59 year old man from Riyadh region who became ill on [22 Mar 2014]. He is not known to have contact with animals or a known case.

The additional laboratory-confirmed case reported to WHO by the Ministry of Health of the UAE on [30 Mar 2014] was:
- a 64 year old man from Abu Dhabi with underlying medical conditions. He became ill on [21 Mar 2014], was hospitalised on [25 Mar 2014] and died on [30 Mar 2014]. He had underlying medical conditions. He did not have contact with a previously laboratory-confirmed case, but has had exposure to animals. The patient visited a camel farm in Harb city in Saudi Arabia on [10 Mar 2014] and visited Nezwa city in Oman for a day on [20 Mar 2014]. He owned an animal farm in the UAE with poultry and sheep, but had no recent visit to the farm. Investigation into the family and healthcare contacts is ongoing.

Globally, from September 2012 to date, WHO has been informed of a total of 211 laboratory-confirmed cases of infection with MERS-CoV, including 88 deaths.

WHO advice
----------
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.

Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in healthcare facilities. Healthcare facilities that provide for patients suspected or confirmed to be infected with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus from an infected patient to other patients, healthcare workers, and visitors. Healthcare workers should be educated, trained, and refreshed with skills on infection prevention and control.

It is not always possible to identify patients with MERS-CoV early because some have mild or unusual symptoms. For this reason, it is important that healthcare workers apply standard precautions consistently with all patients -- regardless of their diagnosis -- in all work practices all the time.

Droplet precautions should be added to the standard precautions when providing care to all 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.

Patients should be managed as potentially infected when the clinical and epidemiological clues strongly suggest MERS-CoV, even if an initial test on a nasopharyngeal swab is negative. Repeat testing should be done when the initial testing is negative, preferably on specimens from the lower respiratory tract.

Healthcare 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. 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.

People at high risk of severe disease due to MERS-CoV should avoid close contact with animals when visiting farms or barn areas where the virus is known to be potentially circulating. For the general public, when visiting a farm or a barn, general hygiene measures, such as regular hand washing before and after touching animals, avoiding contact with sick animals, and following food hygiene practices, should be adhered to.

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.

--
communicated by:
ProMED-mail rapporteurs Mary Marshall and Marianne Hopp

******
[2] Saudi Arabia (Jeddah), 3 new cases: MOH 10 Apr 2014
Date: Thu 10 Apr 2014
Source: Saudi Arabia Ministry of Health [in Arabic, machine trans., edited]
http://www.moh.gov.sa/CoronaNew/PressRe ... 0-001.aspx


MOH: 3 new cases of MERS-CoV infection in Jeddah
------------------------------------------------
In the context of the work of epidemiological investigation and ongoing follow-up carried out by the Ministry of Health for the MERS-CoV the Ministry of Health announces the registration of 3 cases of laboratory confirmed infection with the MERS-CoV in Jeddah.

The 1st case is a 70 year old male citizen who is in intensive care.

The 2nd case is a 34 year old male citizen who is in a stable condition.

The 3rd case is a 29 year old male citizen and his condition is stable.

Note that 220 samples have been examined during the last period [time not specified, presumed since the last update], and tests showed all were negative except for the 3 cases mentioned above.

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

******
[3] Saudi Arabia (Jeddah), total 21 cases: media report
Date: Thu 10 Apr 2014
Source: Okaz Al Youm [machine trans., edited]
http://bit.ly/1kOD7bD


MERS-CoV cases [in Jeddah] reach 21, distributed over 4 hospitals
-----------------------------------------------------------------
A medical source who declined to be named told "Okaz Today" that the number of people infected with the [MERS-CoV] at the university hospital [the King Abdul Aziz hospital] is now 9, while the number at the King Fahed Hospital is 7 cases. There are 3 cases in Al Mahjar, and 2 cases in the Armed Forces Hospital for a total of 21 cases of MERS-CoV until this moment. The source added that critical cases are being transported to ICU in the National Guard hospital.

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

******
[4] Malaysia: medical screening pre-Hajj
Date: Thu 10 Apr 2014
Source: New Straits Times, Malaysian National News Agency (Bernama) report [edited]
http://www.nst.com.my/latest/health-scr ... n-1.560534


Would-be pilgrims, who failed health screenings by Tabung Haji (TH) [Malaysian hajj pilgrims fund board] will not be allowed to perform the hajj to prevent them from being infected by the Middle East respiratory syndrome coronavirus (MERS-CoV), which took 2 lives in Saudi Arabia to date [there have been 3 deaths reported this month, April 2014].

TH chairman Datuk Abdul Azeez Abdul Rahim said TH would take precautionary measures to combat the disease, including stationing Malaysian medical specialists to assist pilgrims there. Pilgrims found not feeling well while performing hajj would be given medical assistance, he told reporters after meeting children of a Permata Insan programme to Saudi Arabia at Seri Perdana [in Putrajaya] today [10 Apr 2014].

Also present were the prime minister's wife, Datin Seri Rosmah Mansor, who is also the patron of Permata programme, TH group managing director and board chief executive officer Datuk Paduka Ismee Ismail, Universiti Sains Islam Malaysia (USIM) vice-chancellor Prof Datuk Dr Asma Ismail, and Permata Insan director Prof Datuk Dr Mizan Adiliah Ahmad Ibrahim.

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

[According to the WHO report above, it appears as though the earlier reports on cases of laboratory confirmed MERS-CoV infection in two 26 year old males in Jeddah, Saudi Arabia were in fact, 2 separate cases and not duplicate reports as suggested in prior ProMED-mail posts (MERS-CoV - Eastern Mediterranean (21): Saudi Arabia 20140328.2364957 and MERS-CoV - Eastern Mediterranean (23): Saudi Arabia 20140404.2378035). We apologize for any confusion caused by this error.

The global tally maintained by WHO for total number of laboratory confirmed cases of MERS-CoV infection as of 10 Apr 2014 is 211 including 88 deaths. According to reports on the Saudi MOH website, since 2 Apr 2014 there have been an additional 12 cases in Jeddah including 1 death (and including the 3 newly reported cases mentioned in item [2] above), and an additional 4 cases in Riyadh including 1 death. In addition there has been a media report of an announcement on the part of the UAE Ministry of Health of an additional case in Abu Dhabi (see MERS-CoV - Eastern Mediterranean (26): Saudi Arabia 20140409.2392763, MERS-CoV - Eastern Mediterranean (25): Saudi Arabia, UAE, RFI 20140408.2390003, and MERS-CoV - Eastern Mediterranean (24): Saudi Arabia, RFI 20140406.2385665 for details of these cases).

If the media report in item [3] above is correct, there are an additional 7 cases of MERS-CoV in Jeddah than previously reported, as the most recent Saudi MOH reports, dated 9 Apr 2014 and 10 Apr 2014, give the total number of laboratory confirmed cases in Jeddah as 14, and the total number of laboratory confirmed cases in Saudi Arabia is listed as 182 including 67 deaths (see MERS-CoV - Eastern Mediterranean (26): Saudi Arabia 20140409.2392763 for details). We await further information as to the validity of this media report.

The media report from Malaysia contained in item [4] above, is the 1st report this moderator has seen where a country will be screening the health of prospective Hajjis prior to approval for attending the Hajj in an attempt to screen out identified high risk individuals with pre-existing comorbidities recognized to be risk factors for the development of severe disease with MERS-CoV infection. As a reminder, prior to the 2013 Hajj, the Saudi Arabian MOH and Hajj ministries requested that Hajj attendees self-screen and those with risk factors for severe disease with MERS-CoV were requested not to make the Hajj (see MERS-CoV - Eastern Mediterranean (43): UAE, WHO, Saudi Haj recs. 20130714.1823927).

For a map of the region showing Saudi Arabia and the UAE, see http://healthmap.org/promed/p/131. - Mod.MPP]


See Also
MERS-CoV - Eastern Mediterranean (26): Saudi Arabia 20140409.2392763
MERS-CoV - Eastern Mediterranean (25): Saudi Arabia, UAE, RFI 20140408.2390003
MERS-CoV - Eastern Mediterranean (24): Saudi Arabia, RFI 20140406.2385665
MERS-CoV - Eastern Mediterranean (23): Saudi Arabia 20140404.2378035
MERS-CoV - Eastern Mediterranean (22): UAE, WHO 20140401.2373381
MERS-CoV - Eastern Mediterranean (18): Saudi Arabia 20140321.2347610
MERS-CoV - Eastern Mediterranean (17): Kuwait, UAE, Saudi Arabia, WHO, RFI 20140320.2345849
MERS-CoV - Eastern Mediterranean (16): Saudi Arabia, WHO 20140318.2340740
MERS-CoV - Eastern Mediterranean (15): Saudi Arabia, WHO, RFI 20140317.2338519
MERS-CoV - Eastern Mediterranean (14): Saudi Arabia, RFI 20140314.2333773
MERS-CoV - Eastern Mediterranean (13): Saudi Arabia, UAE, WHO 20140313.2330878
MERS-CoV - Eastern Mediterranean (12): Saudi Arabia 20140306.2317828
MERS-CoV - Eastern Mediterranean (11): Saudi Arabia, WHO 20140301.2308415
MERS-CoV - Eastern Mediterranean (08): Saudi Arabia 20140220.2289977
MERS-CoV - Eastern Mediterranean (07): Saudi Arabia 20140215.2280653
MERS-CoV - Eastern Mediterranean (06): UAE (Abu Dhabi) 20140208.2264161
MERS-CoV - Eastern Mediterranean (05): Saudi Arabia, WHO 20140203.2252192
MERS-CoV - Eastern Mediterranean (04): Saudi Arabia, Jordan, WHO 20140128.2235722
MERS-CoV - Eastern Mediterranean (03): Oman, WHO 20140109.2162284
MERS-CoV - Eastern Mediterranean (02): animal reservoir, camel, UAE, serology 20140104.2151807
MERS-CoV - Eastern Mediterranean (01): Saudi Arabia, UAE, Oman, WHO 20140103.2150717
2013
---
MERS-CoV - Eastern Mediterranean (106): animal reservoir, camel, Qatar, OIE 20131231.2145606
MERS-CoV - Eastern Mediterranean (102): Dubai, fatal 20131221.2128612
MERS-CoV - Eastern Mediterranean (101): animal reservoir, camel, goat 20131219.2126531
MERS-CoV - Eastern Mediterranean (100): Saudi Arabia, WHO 20131219.2126258
MERS-CoV - Eastern Mediterranean (99): animal reservoir, camel, Qatar 20131217.2120936
MERS-CoV - Eastern Mediterranean (98): animal reserv/camel, Jordan, Saudi Arabia 20131213.2114362
MERS-CoV - Eastern Mediterranean (95): animal reservoir, camel, Qatar 20131129.2082942
MERS-CoV - Eastern Mediterranean (94): UAE (Abu Dhabi), Qatar 20131129.2082330
MERS-CoV - Eastern Mediterranean (93): animal res., camel conf, Qatar (RY) OIE 20131129.2082115
MERS-CoV - Eastern Mediterranean (91): Saudi Arabia, WHO 20131127.2078860
MERS-CoV - Eastern Mediterranean (90): Saudi Arabia, Qatar fatal 20131120.2064667
MERS-CoV - Eastern Mediterranean (88): Kuwait, WHO, Spain 20131119.2062587
MERS-CoV Eastern Mediterranean (87): animal res. camel susp. precautions 20131113.2053932
MERS-CoV - Eastern Mediterranean (86): Kuwait, 1st rep, susp, RFI 20131113.2052320
MERS-CoV - Eastern Mediterranean (85): animal reservoir, camel, susp, official 20131112.2051424
MERS-CoV - Eastern Mediterranean (84): Saudi Arabia, Oman, deaths, WHO, RFI 20131112.2049026
MERS-CoV - Eastern Mediterranean (82): Qatar, RFI 20131110.2047575
MERS-CoV - Eastern Mediterranean (81): Saudi Arabia, UAE ex Oman, RFI 20131108.2044846
MERS-CoV - Eastern Mediterranean (70): Saudi Arabia, WHO 20130913.1936342
MERS-CoV - Eastern Mediterranean (60): Qatar, new case, RFI 20130827.1904425
MERS-CoV - Eastern Mediterranean (51): Saudi Arabia, WHO, RFI 20130801.1857286
MERS-CoV - Eastern Mediterranean (40): Saudi Arabia, WHO 20130709.1813691
MERS-CoV - Eastern Mediterranean (15): Saudi Arabia, Italy ex Jordan, WHO, RFI 20130601.1749096
MERS-CoV - Eastern Mediterranean (12): Saudi Arabia, France 20130528.1741836
MERS-CoV - Eastern Mediterranean (05): Tunisia ex Saudi Arabia/Qatar, fatal, RFI 20130520.1725864
Novel coronavirus - Eastern Mediterranean (24): France, 2nd case 20130512.1707305
Novel coronavirus - Eastern Mediterranean (20): France ex UAE, WHO, Saudi Arabia 20130508.1700034
Novel coronavirus - Eastern Mediterranean (14): Germany ex UAE, WHO, fatal 20130326.1604564
Novel coronavirus - Eastern Mediterranean (12): KSA, UK fatality, RFI 20130323.1600113
Novel coronavirus - Eastern Mediterranean (11): UK, pers to pers transm 20130316.1588808
Novel coronavirus - East. Med. (07): Saudi Arabia, UK, Germany 20130221.155410
Novel coronavirus - Eastern Med. (04): UK, pers to pers trans susp 20130213.1541531
Novel coronavirus - Eastern Med. (02): UK ex Saudi Arabia, Pakistan 20130212.1539086
2012
---
Novel coronavirus - Eastern Mediterranean: WHO, Jordan, conf., RFI 20121130.1432498
Novel coronavirus - Saudi Arabia (18): WHO, new cases, cluster 20121123.1421664
Novel coronavirus - Saudi Arabia (14): KSA MOH 20121022.1358297
Novel coronavirus - Saudi Arabia (12): RFI 20121019.1353615
Novel coronavirus - Saudi Arabia (04): RFI, Jordan, April 2012 20120925.1308001
Novel coronavirus - Saudi Arabia (03): UK HPA, WHO, Qatar 20120923.1305982
Novel coronavirus - Saudi Arabia (02): additional cases, RFI 20120923.1305931
Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733
.................................................mpp/mj/sh

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PostPosted: Fri Apr 11, 2014 3:11 pm 
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Six medics infected by Mers-Cov
One of six has died, five remain quarantined in isolation ward

By Samihah Zaman, Staff Reporter
Published: 21:30 April 11, 2014

Gulf News
Abu Dhabi: Six paramedics have been infected by the Middle East Respiratory coronavirus (Mers-CoV) and one of them has died, the UAE Ministry of Interior (MoI) confirmed in a statement on Friday.

The five other patients have been quarantined for observation and treatment, the ministry confirmed.

The patients are all from the Philippines and are aged below 40.

They work with the MoI in Al Ain and were diagnosed after a routine medical check up.


Authorities still do not know how the paramedics got infected, but it is likely they were exposed while dealing with elderly patients, a source at the UAE Ministry of Health’s (MoH) Infection Control Committee told Gulf News. The majority of Mers infections in the UAE have occurred among elderly, chronically-ill people.

The announcement was made in order to ensure transparency and keep residents informed, the MoI announced on its Twitter page.

It added that people who have recently been in contact with the paramedics have also been reached to ensure that they are healthy.

The World Health Organisation (WHO), as well as the Embassy of Philippines, has been informed about the latest cases, the MoH source said.

As of the latest update released by the WHO on Thursday, 211 people worldwide have been infected by Mers-CoV since September 2012, and 88 patients have succumbed to the disease.

This count does not include the Filipino paramedics in the UAE.

Health experts have said that the transmission of the virus, which has a 40 to 50 per cent mortality rate, is still limited.

Precaution urged

But the WHO urges healthcare workers to take strict precautions.

“Health-care workers should be educated, trained and refreshed with skills on infection prevention and control. It is not always possible to identify patients with Mers-CoV easily because some have mild or unusual symptoms.

"For this reason, it is important that workers apply standards [and] precautions consistently with all patients — regardless of their diagnosis — in all work practices all the time,” the WHO’s disease outbreak report states.

The entity recommends that medical professionals guard against droplets when caring for all patients displaying symptoms of acute respiratory infection, and wear contact and eye protection when treating a probable or confirmed case of Mers-CoV infection.

“Patients should be managed as potentially infected when the clinical and epidemiological clues strongly suggest MERS-CoV, even if an initial test is negative,” the WHO report adds.

In July last year, four medical professionals from two hospitals in Abu Dhabi were also infected by Mers after they had taken care of another patient with the disease.

They were all aged less than 40 years, and two of them did not develop symptoms of the illness. The other two patients had mild respiratory symptoms and were soon declared to be in stable condition.

Saudi Mers cases

The Mers death and quarantine in the UAE comes four days after the emergency unit at King Fahad Hospital in the Saudi Red Sea city of Jeddah was shuttered as a precautionary measure amid reports that several people fell ill with Mers coronavirus.

Earlier this week, Saudi health authorities reported the deaths of another two men and four new cases of Mers, bringing the death toll from the respiratory disease in the worst-hit country to 66.

At least 11 medical staff have been reported to have contracted the virus, a spokesperson at the King Fahad hospital said.

http://gulfnews.com/news/gulf/uae/healt ... -1.1318149

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PostPosted: Fri Apr 11, 2014 9:15 pm 
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Location: Pittsburgh, PA USA
The United Arab Emirates (UAE) today announced a cluster of Middle East respiratory syndrome coronavirus (MERS-CoV) cases in six Filipino paramedics, killing one of them, while the World Health Organization (WHO) announced an infection in a Jordanian man who had recently traveled to Saudi Arabia.

Also, late today Saudi Arabia's health ministry reported three more MERS-CoV cases from Jeddah, one of them fatal. The two survivors are both healthcare workers, according to a machine-translated statement that originally appeared in Arabic.

The paramedics worked for the same ambulance section in the city of Al Ain, according to a statement today from the UAE's interior ministry. It said the infections were detected during periodic medical exams.

The ministry said the surviving paramedics have been placed in isolation and that health officials are tracing patients transported to hospitals by the ambulance company to see if there are any other MERS-CoV infections.

UAE's six new infections boost its number of MERS-CoV cases to 27.

News of more health workers sickened by the virus stokes more concerns about their safety and questions about how the virus is spreading in medical settings. The infections in the paramedics occurred as Saudi Arabia battles a cluster of MERS-CoV infections in Jeddah, which led one of the hospitals to temporarily shutter its emergency department this week.

Jordanian case

Jordan's health ministry notified the WHO of its latest case on Apr 9, which involves a 52-year-old man with underlying medical conditions who visited Saudi Arabia between Mar 20 and Mar 29, according to a WHO statement today.

He got sick on Mar 25 and visited a hospital in Jeddah, then returned to Jordan on Mar 29, where he visited a hospital in Amman the same day and returned on Apr 2. He is listed in stable condition.

The patient is Jordan's fifth MERS case-patient.

Cluster in Jeddah

Saudi Arabia's new cases include a 45-year-old resident of Jeddah who died of his or her illness, a 28-year-old health worker, and a 25-year-old health worker, according to the health ministry statement. The new cases bring the Saudi MERS-CoV count to 185, including 68 deaths.

The new cases add to a rash of Saudi Arabian MERS-CoV infections reported over the past week, and, like the ones announced today, some of the patients have been health workers in Jeddah. The cluster of infections in Jeddah prompted King Fahd Hospital to close its emergency department for 24 hours so that it could be disinfected, according to earlier reports.

Earlier translated health ministry statements said 11 cases had recently been confirmed in Jeddah, while media reports said as many as 15 illnesses could be linked to King Fahd Hospital, including infections in three doctors and four nurses.

The WHO said since September 2012 it has received reports of 212 lab-confirmed MERS-CoV infections, 88 of them fatal. It repeated its advice to health facilities, urging them to take appropriate measures to the spread of the virus. Because it's not always possible to identify MERS-CoV patients early, health workers should apply standard precautions at all times with all patients, the WHO added.

Dispute over camels

In other developments, Saudi Arabia's agriculture minister is disputing the possible role of camels in the spread of MERS-CoV, according to Arabic media reports translated and posted by Avian Flu Diary, an infectious disease and preparedness news blog.

In a Mar 27 summary of cases and scientific reports, the WHO said camels appear to be the main source of the virus, but it's not clear how the virus is jumping from animals to people.

In addition, two genetic sequencing studies of viruses from camels found high similarity to MERS-CoV viruses that have infected people. Another study in camels and other livestock in Saudi Arabia found evidence of the virus in camels, but not goats and sheep.

A spokesman from the agriculture ministry Jaber Al-Shehri was quoted in two media sources as saying the transmission of the virus from camels to people has not been documented and that the treatment and eradication of MERS-CoV is the responsibility of the country's health ministry.

See also:

Apr 11 UAE interior ministry statement

Apr 11 WHO statement on Jordan case

Apr 11 Saudi Arabia health ministry statement

Apr 8 CIDRAP News story "Saudi hospital MERS cases prompt temporary ER closure"

Apr 11 Avian Flu Diary post

Mar 28 CIDRAP News story "WHO sees camels as MERS source, but route uncertain"

http://www.cidrap.umn.edu/news-perspect ... ore-saudis

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PostPosted: Sat Apr 12, 2014 9:46 am 
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Reports from Saudi Arabia this week to confirm the death of two people and the transmission of the nine people there, including hospital staff.Abu Dhabi - The Emirates News Agency on Friday that foreign workers in the health sector died due to respiratory syndrome virus, the Middle East (Mears) known Pkorona injured while five others with the virus in the UAE.


The cases following reports from Saudi Arabia this week, the death of two people and the transmission of the nine people there, including hospital staff. , according to the Emirates News Agency that the six Filipinos and they were working in the field of first aid at the Ministry of the Interior in the eye. , the ministry said in a statement that cases discovered during tests Medical Journal. agency quoted a ministry statement that it "has taken health procedures and the necessary preventive placing them in quarantine and continued ministry with people who are first aid from members of the community in the last period to check on them precaution." dependent Gulf states firmly on the expatriates who work in almost all sectors. Earlier this week, Saudi Arabia announced that two people died in the port city of Jeddah on the Red Sea after they got sick. It quoted the Saudi Press Agency (SPA) from the Directorate of Health Affairs in Jeddah as saying that six others have recovered from the virus while undergoing three others for treatment. closed King Fahd Hospital in Jeddah in time to purify it after tests proved the injury of one working there HIV transmission to others. The dawn of the fears of a pandemic but Saudi Health Minister Abdullah bin Abdul-Aziz Al-Rabiah said that the number of cases in Jeddah does not differ from the number of cases that have appeared in other parts of the Kingdom. said Al-Rabiah said in a statement on the website of the Ministry of Health-mail, "the number of cases is still low and do not represents, B, and thankfully according to World Health Organization standards and scientific committees. " and the virus appears Mears in the Middle East in 2012 ‭ ‭ ‭ It is from the same family of viruses ‬ ‬ which belongs ‭ ‭ virus, Severe Acute Respiratory Syndrome (SARS ‬ ‬ ‬). And may cause coughing, fever and pneumonia. Although the number of people living with HIV in the world is still relatively small, the deaths of more than forty percent of the confirmed cases and the spread of the virus outside the Middle East, alarming scientists and Msoala health. were reported injuries in Saudi Arabia, Qatar, Kuwait, Jordan The United Arab Emirates, Oman and Tunisia in addition to a number of European countries and the increasing concentration of scientists to find a link between human infections and between camel "as an animal," a possible virus.

http://www.eremnews.com/?id=35791

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PostPosted: Mon Apr 14, 2014 8:07 am 
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Published Date: 2014-04-13 21:10:54
Subject: PRO/AH/EDR> MERS-CoV - Eastern Mediterranean (29): Saudi Arabia, Yemen, UAE, RFI
Archive Number: 20140413.2401723

MERS-COV - EASTERN MEDITERRANEAN (29): SAUDI ARABIA, YEMEN, UAE, REQUEST FOR INFORMATION
****************************************************************************************
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 (Jeddah), 4 new cases: 12 Apr 2014
[2], [3] Yemen: 1st reported case, media reports
[4] UAE: details on MERS case(s), media report

******
[1] Saudi Arabia (Jeddah), 4 new cases: 12 Apr 2014
Date: Sat 12 Apr 2014
Source: Saudi Arabia Ministry of Health [edited]
http://www.moh.gov.sa/en/CoronaNew/Pres ... 2-001.aspx


MOH: 4 new cases of [MERS-CoV infection] in Jeddah
--------------------------------------------------
Within the framework of the constant monitoring and epidemic surveillance of the novel coronavirus (MERS-CoV), the Ministry of Health (MOH) has announced that 4 new cases have been recorded in Jeddah.

The 1st case is a 26-year-old female citizen who has no symptoms.

The 2nd case is a 58-year-old male citizen working in the health sector whose condition is stable.

The 3rd case is a 71-year-old male citizen whose condition is stable.

The 4th case is a 39-year-old male resident working in the health sector who has no symptoms.

It is worth mentioning that 200 samples have been examined during the past period. All were negative except for those mentioned above.

Upon the recorded cases so far, the death rates have decreased from 42 percent to 35.9 percent. The global death rate hits 38 percent..
[Based on the total number of [laboratory confirmed] cases recorded so far, the mortality rate has dropped from 42 percent to 35.9 percent in Saudi Arabia (189 cases including 68 deaths), and it should be noted that the proportion of deaths worldwide is now 38 percent. [In the last official global tally provided by WHO on 11 Apr 2014, there have been a total of 212 laboratory confirmed cases of MERS-CoV infection including 88 deaths representing a case fatality rate of 41.5 percent. This tally does not include the majority of the reported infections in Jeddah, or the recently reported infections in the UAE, many of whom were reported to have been asymptomatic, which will impact on the globally reported case fatality rate for MERS-CoV infection. - Mod.MPP]

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

[According to the Saudi MOH website, there have been a total of 189 laboratory confirmed cases of MERS-CoV in Saudi Arabia including 68 deaths, representing a case fatality rate of 36 percent.

In the ProMED-mail post on 10 Apr 2014, there was a newswire stating that there were a total of 21 cases of MERS-CoV identified in Jeddah during this current identified presumed nosocomial outbreak (see ProMED-mail post MERS-CoV - Eastern Mediterranean (27): Saudi Arabia, UAE, WHO, screening 20140410.2395733). As of yesterday, 12 Apr 2014, there have been a total of 23 cases of laboratory confirmed MERS-CoV infections in Jeddah reported on the Saudi MOH website since 27 Mar 2014. Of these 23 laboratory confirmed infections, 3 have died, 4 were reported to be in intensive care (with presumably serious illness), 5 are reported as in "stable" condition, 11 were reported asymptomatic (presumably known contacts identified through contact screening), Of these 23 cases, 7 have been identified as working in the health sector.

On 6 Apr 2014 there is mention that 356 samples were tested for MERS-CoV infection in the previous week, on 10 Apr 2014 there is mention that an additional 200 samples were tested since the last period mentioned, and in the above report dated 12 Apr 2014 there is mention that 200 samples were tested "in the last period" (unclear if this refers to the same 200 samples mentioned on 10 Apr 2014, or an additional 200 samples were tested in the 2 day period. Hence, either 556 or 756 samples taken from clinically ill individuals and known contacts of laboratory confirmed MERS-CoV have been tested for MERS-CoV infection in Jeddah since the identification of the outbreak in early April 2014.

We await further information on the results of epidemiologic investigations surrounding this outbreak in Jeddah, Saudi Arabia.

For a map of Saudi Arabia, see http://healthmap.org/promed/p/131. - Mod.MPP]

******
[2] Yemen: 1st reported case, media report
Date: Sun 13 Apr 2014
Source: Al Jazeera [edited]
http://m.aljazeera.com/story/201441384752905748


A foreigner has died from the deadly MERS coronavirus in Saudi Arabia, while Yemen has reported its 1st case of the disease.

The foreign man, whose nationality has not been disclosed, died from the coronavirus as 8 others in the kingdom, including 5 health workers in the city of Jeddah, were infected.

The death brings the nationwide toll in the world's most-affected country to 68, with 189 people infected.

The Saudi health ministry, which announced the death, said 5 health workers -- 2 women and 3 men -- and 3 other people had been infected by MERS-CoV in Jeddah.

The announcement came days after panic over the spread of the virus among medical staff led to the closure of the emergency room at the city's main public hospital.

Saudi health minister Abdullah al-Rabiah visited hospitals in Jeddah on Saturday [12 Apr 2014] in a bid to calm residents.

Meanwhile, in neighbouring Yemen, a Yemeni man became the 1st victim of the disease, which had 1st appeared in Saudi Arabia in September 2012.

"Medical personnel have recorded one case of the coronavirus in Sanaa and the victim is a Yemeni man who works as an aeronautics engineer," the semi-official al-Thawra newspaper quoted Public Health Minister Ahmed al-Ansi as saying.

"The ministry is working in effective cooperation with the World Health Organisation to confront this virus and is in direct and constant communication with all hospitals to receive information on any other suspected cases," Ansi said.

The World Health Organisation (WHO) on Friday [11 Apr 2014] said that it had been told of 212 laboratory-confirmed cases of MERS-CoV infection worldwide, of which 88 were fatal.

MERS-CoV is considered a deadlier but less-transmissible cousin of the SARS virus that erupted in Asia in 2003 and infected 8273 people, 9 percent of whom died.

Experts are still struggling to understand MERS, for which there is no known vaccine.

A study has said the virus has been "extraordinarily common" in camels for at least 20 years, and may have been passed directly from the animals to humans.

The UAE news agency WAM said on Friday [11 Apr 2014] an expatriate health worker had died from the virus and 5 others had been infected in the Gulf state. This followed Saudi reports last week of 2 deaths and 9 other cases of infection in the kingdom, including among hospital staff.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

******
[3] Yemen: 1st reported case, media report
Date: Sun 13 Apr 2014
Source: Reuters Edition [edited]
http://www.reuters.com/article/2014/04/ ... 5M20140413


Yemen reported its 1st case of the deadly MERS coronavirus on Sunday [13 Mar 2014] in a further spread of the deadly strain in the Middle East 2 years after its outbreak in neighboring Saudi Arabia.

"Medical personnel have recorded one case of the coronavirus in Sanaa and the victim is a Yemeni man who works as an aeronautics engineer," the semi-official al-Thawra newspaper quoted Public Health Minister Ahmed al-Ansi as saying.

"The ministry is working in effective cooperation with the World Health Organisation to confront this virus and is in direct and constant communication with all hospitals to receive information on any other suspected cases," Ansi said.

MERS, which emerged in the Middle East in 2012, is from the same family as the SARS virus and can cause coughing, fever and pneumonia.

Although the worldwide number of MERS infections is fairly small, the more than 40 percent death rate among confirmed cases and the spread of the virus beyond the Middle East is keeping scientists and public health officials on alert [in the last official global tally provided by WHO on 11 Apr 2014, there have been a total of 212 cases including 88 deaths representing a case fatality rate of 41.5 percent. - Mod.MPP]

Cases have been reported in Saudi Arabia, Qatar, Kuwait, Jordan, the United Arab Emirates (UAE), Oman, and Tunisia as well as in several countries in Europe. Scientists are increasingly focused on a link between human infections and camels as a possible "animal reservoir" of the virus.

The UAE news agency WAM said on Friday [11 Apr 2014] an expatriate health worker had died from the virus and 5 others had been infected in the Gulf state. This followed Saudi reports last week of 2 deaths and 9 other cases of infection in the kingdom, including among hospital staff.

[Byline: Mohamed Ghobari, Yara Bayoumy, Sami Aboudi]

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

[According to the media reports, Yemen has identified a case of MERS-CoV infection in a male Yemeni (age not mentioned) who works as an aeronautical engineer. No further information on possible risk exposures such as travel to a known area of MERS-CoV transmission, or contact with known MERS-CoV infected individual, or possible exposure to camels (postulated to be a potential source of MERS-CoV transmission to humans with a growing body of scientific circumstantial evidence pointing in that direction). More information on this case would be greatly appreciated.

Two separate media reports announcing the 1st reported case of MERS-CoV case in Yemen were included by this moderator as an example of how difficult it is and has been to maintain accurate up-to-date global tallies of MERS-CoV cases using a variety of sources. This moderator has developed a line listing of laboratory confirmed MERS-CoV cases, trying to reconcile the various reports available and is still very challenged in coming forth with up to date tallies of the global situation.

Yemen borders with Saudi Arabia to its north. For a map showing the location of Yemen, see http://healthmap.org/promed/p/38513. - Mod.MPP]

******
[4] UAE: details on MERS case(s), media report
Date: Sun 13 Apr 2014
Source: The National [edited]
http://www.thenational.ae/uae/health/al ... mers-virus


Al Ain's Filipino community is mourning one of its members, a 45-year-old male, who died last Thursday [10 Apr 2014] after contracting MERS-coronavirus.

Ronnie Balilo, president of the non-profit Filipino Association for Computer Excellence (Face), said the unexpected death of this paramedic, was a "big loss" to the Filipino community in Al Ain, where he had served as a volunteer trainer with Face for many years. "He selflessly shared his time and knowledge," Mr Balilo said. "He was very helpful and truly had a golden heart."

[He] worked for Al Ain Rescue and Ambulance Section, part of the Ministry of Interior. 5 paramedics are currently battling the virus. [It is unclear if the other 5 paramedics were asymptomatic or symptomatic.]

Mr Balilo said his compatriot went from healthy to ill in a short space of time. "I was told that [he] was very joyful and even performed at the graduation," said Mr Balilo, referring to a ceremony organised by Face, on [4 Apr 2014], at the Rotana Hotel in Al Ain. "The function was held at 7 pm and ended at midnight. The next day, he suffered from respiratory symptoms."

Taken to Al Ain Hospital less than 2 days later, on Sunday [6 Apr 2014], the paramedic was told he had bronchitis, Mr Balilo said.

Later that evening, pneumonia was diagnosed, and by the following morning, [his] kidneys had started to fail. MERS was diagnosed on [8 Apr 2014].

"He was declared clinically dead on Tuesday [8 Apr 2014]," Mr Balilo said. "He was pronounced dead officially early Thursday morning [10 Apr 2014]."

[A friend] who works at a private school in Al Ain and had known the victim since 2010, said [he] had not been his usual self at a friend's birthday party on [3 Apr 2014].

"His face was pale and he was unusually quiet that evening," she said. "But, he still attended the graduation ceremony the next day. He's really nice and was like a big brother to me. I can't believe he's gone."

[An engineer in Al Ain, said the 5 paramedics have been kept in quarantine. 4 were admitted to Al Ain Hospital, while one man, from Abu Dhabi, is being treated at Mafraq Hospital. "They are doing well but I'm sad to have lost a friend," [he said].

Face will offer financial assistance to the paramedic's family in Palompon, Leyte, one of areas in the Philippines worst hit by Typhoon Haiyan last year [2013].

Of the 5000 active members of the group, about 1000 are based in Al Ain. Of those, 100 are regular volunteers.

"[He] once served as our Al Ain coordinator about 2 or 3 years ago," Mr Balilo said. "He will really be missed. We are honoured and grateful to have known him as a friend and a dedicated volunteer."

[Byline: Ramona Ruiz]

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[The media report above provides some details on the fatal case of MERS-CoV reported in the UAE on Fri 11 Apr 2014 (see ProMED-ail posting MERS-CoV - Eastern Mediterranean (28): Jordan, UAE, Saudi Arabia 20140412.2398280). The age, date of onset, and date of death were provided as well as information that the individual had renal failure, a clinical picture consistent with the earliest reports of disease associated with MERS-CoV infection (see Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733, and Novel coronavirus - Saudi Arabia (11): clin. lab. & epi. investigations 20121004.1324712). Information on possible exposures such as contact with confirmed or suspected cases of MERS-CoV infected individuals, or possible exposure to camels would be greatly appreciated.

For a map of the United Arab Emirates, see http://healthmap.org/promed/p/8367. - Mod.MPP]

[Of note there was a twitter report from @WHO earlier today stating that "Globally, from Sept 2012 to date, WHO has been informed of 228 lab-confirmed cases of Middle East respiratory syndrome, incl 92 deaths #MERS.". This represents an increase of 16 laboratory confirmed cases including 4 deaths since the last WHO Global Alert and Response update on 11 Apr 2014. We await further details on the epidemiologic investigations of these cases. - Mod.MPP]


See Also
MERS-CoV - Eastern Mediterranean (28): Jordan, UAE, Saudi Arabia 20140412.2398280
MERS-CoV - Eastern Mediterranean (27): Saudi Arabia, UAE, WHO, screening 20140410.2395733
MERS-CoV - Eastern Mediterranean (26): Saudi Arabia 20140409.2392763
MERS-CoV - Eastern Mediterranean (25): Saudi Arabia, UAE, RFI 20140408.2390003
MERS-CoV - Eastern Mediterranean (24): Saudi Arabia, RFI 20140406.2385665
MERS-CoV - Eastern Mediterranean (23): Saudi Arabia 20140404.2378035
MERS-CoV - Eastern Mediterranean (22): UAE, WHO 20140401.2373381
MERS-CoV - Eastern Mediterranean (18): Saudi Arabia 20140321.2347610
MERS-CoV - Eastern Mediterranean (17): Kuwait, UAE, Saudi Arabia, WHO, RFI 20140320.2345849
MERS-CoV - Eastern Mediterranean (16): Saudi Arabia, WHO 20140318.2340740
MERS-CoV - Eastern Mediterranean (15): Saudi Arabia, WHO, RFI 20140317.2338519
MERS-CoV - Eastern Mediterranean (14): Saudi Arabia, RFI 20140314.2333773
MERS-CoV - Eastern Mediterranean (13): Saudi Arabia, UAE, WHO 20140313.2330878
MERS-CoV - Eastern Mediterranean (12): Saudi Arabia 20140306.2317828
MERS-CoV - Eastern Mediterranean (11): Saudi Arabia, WHO 20140301.2308415
MERS-CoV - Eastern Mediterranean (08): Saudi Arabia 20140220.2289977
MERS-CoV - Eastern Mediterranean (07): Saudi Arabia 20140215.2280653
MERS-CoV - Eastern Mediterranean (06): UAE (Abu Dhabi) 20140208.2264161
MERS-CoV - Eastern Mediterranean (05): Saudi Arabia, WHO 20140203.2252192
MERS-CoV - Eastern Mediterranean (04): Saudi Arabia, Jordan, WHO 20140128.2235722
MERS-CoV - Eastern Mediterranean (03): Oman, WHO 20140109.2162284
MERS-CoV - Eastern Mediterranean (02): animal reservoir, camel, UAE, serology 20140104.2151807
MERS-CoV - Eastern Mediterranean (01): Saudi Arabia, UAE, Oman, WHO 20140103.2150717
2013
----
MERS-CoV - Eastern Mediterranean (106): animal reservoir, camel, Qatar, OIE 20131231.2145606
MERS-CoV - Eastern Mediterranean (102): Dubai, fatal 20131221.2128612
MERS-CoV - Eastern Mediterranean (101): animal reservoir, camel, goat 20131219.2126531
MERS-CoV - Eastern Mediterranean (100): Saudi Arabia, WHO 20131219.2126258
MERS-CoV - Eastern Mediterranean (99): animal reservoir, camel, Qatar 20131217.2120936
MERS-CoV - Eastern Mediterranean (98): animal reserv/camel, Jordan, Saudi Arabia 20131213.2114362
MERS-CoV - Eastern Mediterranean (95): animal reservoir, camel, Qatar 20131129.2082942
MERS-CoV - Eastern Mediterranean (94): UAE (Abu Dhabi), Qatar 20131129.2082330
MERS-CoV - Eastern Mediterranean (93): animal res., camel conf, Qatar (RY) OIE 20131129.2082115
MERS-CoV - Eastern Mediterranean (91): Saudi Arabia, WHO 20131127.2078860
MERS-CoV - Eastern Mediterranean (90): Saudi Arabia, Qatar fatal 20131120.2064667
MERS-CoV - Eastern Mediterranean (88): Kuwait, WHO, Spain 20131119.2062587
MERS-CoV Eastern Mediterranean (87): animal res. camel susp. precautions 20131113.2053932
MERS-CoV - Eastern Mediterranean (86): Kuwait, 1st rep, susp, RFI 20131113.2052320
MERS-CoV - Eastern Mediterranean (85): animal reservoir, camel, susp, official 20131112.2051424
MERS-CoV - Eastern Mediterranean (84): Saudi Arabia, Oman, deaths, WHO, RFI 20131112.2049026
MERS-CoV - Eastern Mediterranean (82): Qatar, RFI 20131110.2047575
MERS-CoV - Eastern Mediterranean (81): Saudi Arabia, UAE ex Oman, RFI 20131108.2044846
MERS-CoV - Eastern Mediterranean (70): Saudi Arabia, WHO 20130913.1936342
MERS-CoV - Eastern Mediterranean (60): Qatar, new case, RFI 20130827.1904425
MERS-CoV - Eastern Mediterranean (51): Saudi Arabia, WHO, RFI 20130801.1857286
MERS-CoV - Eastern Mediterranean (40): Saudi Arabia, WHO 20130709.1813691
MERS-CoV - Eastern Mediterranean (15): Saudi Arabia, Italy ex Jordan, WHO, RFI 20130601.1749096
MERS-CoV - Eastern Mediterranean (12): Saudi Arabia, France 20130528.1741836
MERS-CoV - Eastern Mediterranean (05): Tunisia ex Saudi Arabia/Qatar, fatal, RFI 20130520.1725864
Novel coronavirus - Eastern Mediterranean (24): France, 2nd case 20130512.1707305
Novel coronavirus - Eastern Mediterranean (20): France ex UAE, WHO, Saudi Arabia 20130508.1700034
Novel coronavirus - Eastern Mediterranean (14): Germany ex UAE, WHO, fatal 20130326.1604564
Novel coronavirus - Eastern Mediterranean (12): KSA, UK fatality, RFI 20130323.1600113
Novel coronavirus - Eastern Mediterranean (11): UK, pers to pers transm 20130316.1588808
Novel coronavirus - East. Med. (07): Saudi Arabia, UK, Germany 20130221.155410
Novel coronavirus - Eastern Med. (04): UK, pers to pers trans susp 20130213.1541531
Novel coronavirus - Eastern Med. (02): UK ex Saudi Arabia, Pakistan 20130212.1539086
2012
----
Novel coronavirus - Eastern Mediterranean: WHO, Jordan, conf., RFI 20121130.1432498
Novel coronavirus - Saudi Arabia (18): WHO, new cases, cluster 20121123.1421664
Novel coronavirus - Saudi Arabia (14): KSA MOH 20121022.1358297
Novel coronavirus - Saudi Arabia (12): RFI 20121019.1353615
Novel coronavirus - Saudi Arabia (04): RFI, Jordan, April 2012 20120925.1308001
Novel coronavirus - Saudi Arabia (03): UK HPA, WHO, Qatar 20120923.1305982
Novel coronavirus - Saudi Arabia (02): additional cases, RFI 20120923.1305931
Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733
.................................................sb/mpp/mj/mpp

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PostPosted: Mon Apr 14, 2014 1:07 pm 
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14 April 2014 - WHO has been informed of an additional 16 laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV) from Saudi Arabia and the United Arab Emirates (UAE).


The 15 additional laboratory-confirmed cases, including two deaths announced on the Ministry of Health of Saudi Arabia website and provided to WHO between 6 and 11 April include:
A 70 year-old man from Jeddah with underlying medical conditions. He became ill on 24 March, was hospitalized on 29 March and died on 5 April.
A 28 year-old man from Jeddah with no reported symptom of illness. The man is a household contact of the above mentioned laboratory-confirmed case.
Three health-care workers – a 26 year-old woman, a 26 year-old man and a 33 year-old man with no symptoms of illness.
A 28 year-old man who is a health-care worker in Jeddah. He became ill on 28 March, was admitted to a hospital on 3 April and is currently receiving treatment in an intensive care unit.
A 35 year-old man from Jeddah with no reported symptom of illness.
A 32 year-old woman from Jeddah who is a health-care worker with no reported symptom of illness.
A 45 year-old man from Riyadh. He became ill on 30 March, was hospitalized on 5 April and is currently receiving treatment in an intensive care unit. He had no history of exposure to animals nor contact with a laboratory-confirmed case.
A 90 year-old man from Riyadh. He became ill on 30 March, was hospitalized on 1 April, and is currently receiving treatment in an intensive care unit. He had no history of exposure to animals nor contact with a laboratory-confirmed case.
A 57 year-old man from Riyadh with underlying medical conditions. He became ill on 16 March, was admitted to a hospital on 19 March and died on 30 March.
Four men aged 29, 33, 34 and 70 years old from Jeddah.

Additionally, a previously laboratory-confirmed case has died. The concerned health authorities in Saudi Arabia are currently conducting investigations into the contacts of the cases.

The additional laboratory-confirmed case reported by the Ministry of Health of the UAE on 10 April 2014 includes:
A 45 year-old man from Abu Dhabi who became ill on 6 April, was hospitalized on 7 April and died on 10 April. The patient was not known to have any chronic disease. He did not have a recent history of travel or contact with animals or with a previously laboratory-confirmed case.

The concerned health authorities in the UAE are conducting investigations into the contacts of the case.



Globally, from September 2012 to date, WHO has been informed of a total of 228 laboratory-confirmed cases of infection with MERS-CoV, including 92 deaths.

WHO advice

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.

Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in health care facilities. Health-care facilities that provide for patients suspected or confirmed to be infected with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus from an infected patient to other patients, health-care workers and visitors. Health care workers should be educated, trained and refreshed with skills on infection prevention and control.

It is not always possible to identify patients with MERS-CoV early because some have mild or unusual symptoms. For this reason, it is important that health-care workers apply standard precautions consistently with all patients – regardless of their diagnosis – in all work practices all the time.

Droplet precautions should be added to the standard precautions when providing care to all 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.

Patients should be managed as potentially infected when the clinical and epidemiological clues strongly suggest MERS-CoV, even if an initial test on a nasopharyngeal swab is negative. Repeat testing should be done when the initial testing is negative, preferably on specimens from the lower respiratory tract.

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. 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.

People at high risk of severe disease due to MERS-CoV should avoid close contact with animals when visiting farms or barn areas where the virus is known to be potentially circulating. For the general public, when visiting a farm or a barn, general hygiene measures, such as regular hand washing before and after touching animals, avoiding contact with sick animals, and following food hygiene practices, should be adhered to.

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.

http://www.who.int/csr/don/2014_04_14_mers/en/

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PostPosted: Tue Apr 15, 2014 3:38 am 
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Published Date: 2014-04-14 23:42:14
Subject: PRO/AH/EDR> MERS-CoV - Eastern Mediterranean (30): Saudi Arabia, UAE, WHO, RFI
Archive Number: 20140414.2403986

MERS-COV - EASTERN MEDITERRANEAN (30): SAUDI ARABIA, UAE, WHO, REQUEST FOR INFORMATION
**************************************************************************************
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, 5 new cases, 1 death - MOH 14 Apr 2014
[2] Saudi Arabia, 15 new cases (2 deaths), UAE 1 case (1 death) - WHO 14 Apr 2014
[3] UAE, colleagues of fatal case - media report 14 Apr 2014
[4] & [5] Need for transparency - media reports

******
[1] Saudi Arabia, Jeddah, 5 new cases, 1 death - MOH 14 Apr 2014
Date: 14 Apr 2014
Source: Saudi MOH [in Arabic, machine translation, edited]
http://www.moh.gov.sa/CoronaNew/PressRe ... 4-001.aspx


In the context of epidemiological investigation and ongoing follow-up carried out by the Ministry of Health for the coronavirus causing Middle East respiratory syndrome (MERS CoV), the ministry announces the registration of 5 cases of HIV infection in Jeddah.

The 1st resident, a 70-year-old male, has passed away. The 2nd, a 51-year-old citizen, is receiving intensive care. The 3rd is a 28-year-old healthcare worker who is asymptomatic [there is a mention of "for citizenship," suggesting an expatriate who may have applied for citizenship]. The 4th is a 45-year-old female resident healthcare worker without symptoms, and the 5th is a 56-year-old male resident in stable condition.

During the last period [since 12 Apr 2014, when the last information was provided?], 190 samples have been tested, of which all but the aforementioned [5] were negative for infection with MERS-CoV.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[With the addition of these 5 newly confirmed cases, including one death, of MERS-CoV infection, this increases the total number of MERS-CoV infections reported by Saudi Arabia to 192 including 69 deaths, and if this moderator's count is correct, it brings the number of cases reported in Jeddah since 27 Mar 2014 to 28, including 4 deaths, 5 in intensive care, 6 in stable condition, and 13 reported as asymptomatic infections.

Of additional note is that 9 of these 28 reported cases (32 percent) in Jeddah were in healthcare workers (HCWs). One wonders what protocol is being followed in Saudi Arabia for respiratory precautions and what proportion of HCWs are following these protocols. Of curiosity is that in the 12 Apr 2014 Saudi MOH update announcing 4 new laboratory confirmed cases of MERS-CoV infection, the update in the Arabic language report mentions that 3 of the 4 cases were in HCWs, whereas the English language version only mentions 2, not mentioning the 26-year-old female as an HCW. Thanks to Helen Branswell for pointing this discrepancy out. Clarification from knowledgeable sources in the region would be greatly appreciated.

For a map of Saudi Arabia, see http://healthmap.org/promed/p/131. - Mod.MPP]

******
[2] Saudi Arabia, 15 new cases (2 deaths), UAE 1 case (1 death) - WHO 14 Apr 2014
Date: 14 Apr 2014
Source: WHO Global Alert and Response [edited]
http://www.who.int/csr/don/2014_04_14_mers/en/


WHO has been informed of an additional 16 laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV) from Saudi Arabia and the United Arab Emirates (UAE).

The 15 additional laboratory-confirmed cases, including 2 deaths announced on the Ministry of Health of Saudi Arabia website and provided to WHO between [6 and 11 Apr 2014] include:

- A 70-year-old man from Jeddah with underlying medical conditions. He became ill on [24 Mar 2014], was hospitalized on [29 Mar 2014] and died on [5 Apr 2014].
- A 28-year-old man from Jeddah with no reported symptom of illness. The man is a household contact of the above mentioned laboratory-confirmed case.
Three health-care workers:
- a 26-year-old woman, a 26-year-old man, and a 33-year-old man with no symptoms of illness.
- A 28-year-old man who is a healthcare worker in Jeddah. He became ill on [28 Mar 2014], was admitted to a hospital on [3 Apr 2014], and is currently receiving treatment in an intensive care unit.
- A 35-year-old man from Jeddah with no reported symptom of illness.
- A 32-year-old woman from Jeddah who is a healthcare worker with no reported symptom of illness.
- A 45-year-old man from Riyadh. He became ill on [30 Mar 2014], was hospitalized on [5 Apr 2014], and is currently receiving treatment in an intensive care unit. He had no history of exposure to animals nor contact with a laboratory-confirmed case.
- A 90-year-old man from Riyadh. He became ill on [30 Mar 2014], was hospitalized on [1 Apr 2014], and is currently receiving treatment in an intensive care unit. He had no history of exposure to animals nor contact with a laboratory-confirmed case.
- A 57-year-old man from Riyadh with underlying medical conditions. He became ill on [16 Mar 2014], was admitted to a hospital on [19 Mar 2014], and died on [30 Mar 2014].
- Four men aged 29, 33, 34 and 70 years old from Jeddah.

Additionally, a previously laboratory-confirmed case has died. The concerned health authorities in Saudi Arabia are currently conducting investigations into the contacts of the cases.

The additional laboratory-confirmed case reported by the Ministry of Health of the UAE on [10 Apr 2014] includes:
- A 45-year-old man from Abu Dhabi who became ill on [6 Apr 2014], was hospitalized on [7 Apr 2014] and died on [10 Apr 2014]. The patient was not known to have any chronic disease. He did not have a recent history of travel or contact with animals or with a previously laboratory-confirmed case.

The concerned health authorities in the UAE are conducting investigations into the contacts of the case.

Globally, from September 2012 to date, WHO has been informed of a total of 228 laboratory-confirmed cases of infection with MERS-CoV, including 92 deaths.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[According to the above WHO report, as of 11 Apr 2014 globally, there have been a total of 228 laboratory confirmed cases of MERS-CoV infections including 92 deaths (case fatality rate 40 percent). The above report mentions a single laboratory confirmed case (who died) in UAE in an individual with no identified exposure risk factors (absence of co-morbidities, no history of travel to areas with known MERS-CoV transmission, and no known contact with animals or with a previously laboratory-confirmed case). Media reports surrounding this event in the UAE have mentioned that this individual was a paramedic working in ambulance transport in the UAE (see prior ProMED-mail posts MERS-CoV - Eastern Mediterranean (29): Saudi Arabia, Yemen, UAE, RFI 20140413.2401723 and MERS-CoV - Eastern Mediterranean (28): Jordan, UAE, Saudi Arabia 20140412.2398280 for media reports on this event). As previously mentioned one wonders if this indvdual was involved in transport of an individual with undiagnosed MERS-CoV infection.

Of note, the case reported by Jordan in the 11 Apr 2014 WHO Disease Outbreak Notification is a 52-year-old male with co-morbidities who reportedly travelled to Saudi Arabia from 20-29 Mar 2014, became ill on 25 Mar 2014 and visited a hospital in Jeddah, returned to Jordan on 29 Mar 2014, and visited a hospital in Amman on 29 Mar 2014, and again on 2 Apr 2014. As the apparent index case in the current outbreak in Jeddah had a date of onset of illness of 16 Mar 2014 and an HCW in Jeddah had a date of onset of illness on 22 Mar 2014, information on possible in-hospital contacts the Jordanian case may have had would be helpful to determine whether this case is part of the current Jeddah cluster.

This moderator has been unable to reconcile all reports in the above WHO update with information previously reported on the Saudi MOH website and posted previously on ProMED-mail covering the stated period (6-11 Apr 2014). Information correlating these cases with those reported on the Saudi MOH website would be greatly appreciated (information identifying variables such as age and gender were not always available)..

For a map of the area showing Saudi Arabia and the UAE, see http://healthmap.org/promed/p/131. - Mod.MPP]

******
[3] UAE, colleagues of fatal case - media report 14 Apr 2014
Date: 14 Apr 2014
Source: The National [edited]
http://www.thenational.ae/uae/health/ua ... -filipinos


Health authorities and Philippine embassy officials in Abu Dhabi are closely monitoring medical staff who may have been infected with the MERS coronavirus. A 45-year-old male died on Thursday [10 Apr 2014] after contracting the virus. Four paramedics and a nurse are in quarantine as a precautionary measure.

"The 5 Filipinos are under observation and are stable, according to the local health authorities," said Grace Princesa, the Philippine ambassador to the UAE. "They're doing well and are recovering."

A team from the embassy went to Al Ain at the weekend to check on the condition of the 5 patients.

An engineer in Al Ain identified the ill as 4 paramedics and one nurse. He confirmed they were still being kept in quarantine but were doing well as of Monday [14 Apr 2014]. The 4 paramedics, 2 men and 2 women, are in Al Ain Hospital, and the nurse, a man from Abu Dhabi, is being treated at Mafraq Hospital.

A friend of all 5, said: "My friends and I have also been screened, and the tests all came back negative for the virus."

[This friend] hosted a birthday party on [3 Apr 2014] attended by [the 45-year-old who died of MERS-CoV]. The paramedic was already suffering from a fever that week. He worked as a paramedic for Al Ain Rescue and Ambulance Section, part of the Ministry of Interior. A few months before his death, he was transferred to its logistics section.

Dr Asim Malik, a consultant and head of infectious disease at Mafraq Hospital, said people with flu-like symptoms such as a fever, cough and shortness of breath are asking doctors to be tested to eliminate the possibility they may have the coronavirus. "The symptoms are just so similar to regular flu," he said. "You cannot differentiate unless you test for it. So it is not unusual that people are coming to be tested. As Ramadan approaches and more people travel to and from Saudi Arabia, I expect more and more people to be tested for MERS-CoV."

Dr Malik said the UAE was prepared to track and control infectious outbreaks and people should remain calm. He said the "number one priority" was for people not to panic and to strictly adhere to advice being issued to the community. "Don't rely on rumours, trust experts, and listen to their advice."

Manila's department of foreign affairs issued an advisory on Monday [14 Apr 2014] urging Filipinos in the Middle East to take precautions.

Cases of [MERS-CoV infection] have been reported in Saudi Arabia, Qatar, Kuwait, Jordan and Oman.

The department "continues to urge Filipino nationals in affected countries to remain calm and to heed the advice given by local health authorities such as washing hands thoroughly, using sanitisers, and observing other general hygiene practices," the advisory said. It added: "Those who experience any of the disease's symptoms are urged to immediately seek medical attention."

[Byline: Jennifer Bell and Ramona Ruiz]

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

[The information in the above media report is on the contacts of the case mentioned in the WHO update above (see [2] above). Of note, prior newswires suggested that the 5 individuals who were colleagues of the 45-year-old male who died were asymptomatic (see MERS-CoV - Eastern Mediterranean (28): Jordan, UAE, Saudi Arabia 20140412.2398280 and MERS-CoV - Eastern Mediterranean (27): Saudi Arabia, UAE, WHO, screening 20140410.2395733). The mention in the above newswire that these individuals are "stable" and are "recovering" suggests that there may have been some clinical disease associated with the MERS-CoV infections. Clarification from knowledgeable sources would be greatly appreciated. It is curious that only the fatal case has been reported as a confirmed case of MERS-CoV infection whereas the media continue to report on 6 additional colleagues of this individual as being infected with the MERS-CoV. Clarification of the actual situation would be greatly appreciated.

For a map of the UAE showing the location of Al Ain, see http://www.mapsofworld.com/united-arab- ... ae-map.gif. For a map showing the location of the UAE and other countries in the region, see http://healthmap.org/r/awCA. - Mod.MPP]

******
[4] Need for transparency - media report
Date: 13 Apr 2014
Source: Arab News [edited]
http://www.arabnews.com/news/555306


At a recent get-together, one of our friends surprised us by showing up wearing a medical mask. Another complained that most pharmacies were out of hand sanitizers. All this and much more is perhaps the natural reaction to the reports about the spread of coronavirus or Middle East respiratory syndrome (MERS) in Jeddah.

About a week ago, panic gripped the city when reports about the death of a medical practitioner went public. He died of MERS in one of the government hospitals in Jeddah. In the wake of his death, various rumors started doing the rounds, and, not to be surprised, most of the social media networks went abuzz with different theories.

Frankly speaking, despite the seriousness of this issue, one has to admit that the social media and different online news outlets blew the issue out of proportion. However, the health officials decided to maintain their silence, and perhaps rumors feed on silence. Tweets, Facebook feeds, and WhatsApp messages went crazy with rumors about closure of hospitals, huge numbers of fatalities, and list upon list of health guidelines pouring in from everywhere in cyberspace.

Such a situation always gives rise to (sometimes) unwarranted fears, which grow due to people's natural concern for the safety of their loved ones.

After some delay, the Ministry of Health (MoH) finally broke its silence over the issue. As always, when an official comes forward to contain a situation fatted with rumors, people receive his statements with skepticism. In the era of the fast and furious social media networks, you do not voluntarily give the crowd the chance to tell your side of the story, to speak in your behalf; by doing so, you simply lose your credibility. Despite repeated statements and photos of routine work carried out in various hospitals and official visits to one of the hospitals particularly in the news, there are those who still swear that 4 hospitals have already been closed because of the virus; they have the WhatsApp messages to prove it!

However, the seriousness of the situation cannot be downplayed. The virus that was identified in Saudi Arabia back in April 2012 still remains a mystery. According to the World Health Organization, the coronavirus has not been previously detected in humans, and there is very limited information on its transmission, severity, and clinical impact. As of 27 Mar 2014, there were 206 confirmed MERS cases reported to the WHO, including 86 deaths.

Obviously, we do not know a lot about the virus, such as its development, mode of transmission, and its treatment. Scientists around the world are still working on it. For that, you better have little faith in the series of social media messages spreading several tips on how to protect yourself and your family from it. If you need real information, visit the webpage of MoH, as it has posted some good information and a FAQ about the virus and how to deal with the situation. In a nutshell, it is mostly general guidelines on personal and environmental hygiene.

I really hope the MoH and other government and private organizations take these incidents as a lesson. They need to become part of the lives of those they serve by interacting with them and addressing their fears and concerns. They cannot decide to stand on the line, when the whole game is being played in their backyard.

Moreover, in addition to disaster management, there are more important and pressing issues that the MoH needs to address. Infection control, government hospitals statuses, and medical staff management in such circumstances are all examples of what the officials at the ministry need to revise and address.

[Byline: Saad Dosari]

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

******
[5] Need for transparency - media report
Date: 14 Apr 2014
Source: Saudi Gazette Op Ed [edited]
http://www.saudigazette.com.sa/index.cf ... 0414201789


Saudi Arabia in general, and residents of its coastal city Jeddah in particular, have been overwhelmed with very disturbing news about the spread of the coronavirus that has so far claimed 66 lives across the country. What has been shocking and extremely disturbing are the countless stories and rumors that have spread just as quickly and just as aggressively as the virus itself. There was a great deal of panic; maybe a better word to describe the situation would be pandomonia. There was a clear lack of proper communication and transparency.

The problem has been a while in the making and not new (it has been over 3 years since the 1st case was reported, to be exact) [the 1st laboratory confirmed case was publicly reported on 20 Sep 2012; ProMED-mail post Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733; afterwards, in November 2012, a previously undiagnosed nosocomial outbreak in Jordan that occurred in April 2012 was retrospectively confirmed as having been due to MERS-CoV. - Mod.MPP]. One would have been [re]assured and would wish that at least there would have been a website, Twitter account, and Facebook page dedicated to monitoring the progress of combating the disease and revealing the status of each region as far as the number of cases detected, including the death toll as well.

There were hardly enough public statements to provide the press and the community with the required reassuring information that would put all the whirling rumors to rest once and for all. It is obviously important to highlight that, with the "arrival" of the virus to Jeddah, the challenge will be even greater, as Jeddah is the point of entry and the gateway to the 2 holy mosques, which means a huge number of non-stop visitors around the year from all over the world, simply a massive challenge.

Without proper preparation and adequate communication, the consequences could be nothing short of catastrophic. The challenge and the issue at hand is communication, which seems to be inadequate due to the over simplification of the matter for the fear of anxiety and panic a dedicated communique would cause. It seems that was not a proper conclusion, because the "lack" of it has caused a greater sense of panic.

Saudi Arabia is not the 1st country to be facing a medical "challenge" of dealing with the spread of viruses and diseases. The Far East was recently entangled with dealing with SARS, bird flu, and swine flu. They did it with mixed results at best, and this in itself should be a very important learning opportunity to engage with the countries that faced similar challenges and understand the mistakes they made, and what did they do to improve the system.

There is no need to reinvent the wheel at all in this case. It all starts with better communication to bring people out of the dark and put an end to rumors.

[Byline: Hussein Shobokshi]

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[When this moderator read the Op Ed piece in [4] above, she had a sense of deja vu from the early days of the SARS outbreak, especially the statement "...and perhaps rumors feed on silence," very reminiscent of a commentary in the British Medical Journal (BMJ) that was posted on ProMED-mail in February of 2003 (see Pneumonia - China (Guangdong) (07) 20030221.0452). In that report, there was an observation that "...considerable anxiety was created by an "epidemic of rumours." There was mention that "Rumours abounded about the source of the infection..." and "The rumour spread that many of the victims of the illness were hospital staff and that a number of them had died. ... In the absence of public statements and official information, the media communicated very little."

Times have changed, and some of the media today, in the absence of public statements and official information, publish using information that, at times, is just reporting on the circulating rumors.

In the 2nd Op Ed piece in [5] above, the comment: "What has been shocking and extremely disturbing are the countless stories and rumors that have spread just as quickly and just as aggressively as the virus itself," further enhances the argument for the need for transparency.

At the time of the SARS outbreak BMJ commentary (February 2003), this moderator commented: "This is a reminder of the need for official sources to report information on outbreaks and findings of outbreak investigations sooner rather than later. In today's environment, with increased telecommunications worldwide combined with heightened concerns about bioterrorism, news of disease outbreaks travels much faster and more widely than in the past."

The "explosion" in the use of social media in the 10+ years since the SARS outbreak has resulted in a further explosion of rumor mongering to fill the information void. - Mod.MPP

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/131.]


See Also
MERS-CoV - Eastern Mediterranean (29): Saudi Arabia, Yemen, UAE, RFI 20140413.2401723
MERS-CoV - Eastern Mediterranean (28): Jordan, UAE, Saudi Arabia 20140412.2398280
MERS-CoV - Eastern Mediterranean (27): Saudi Arabia, UAE, WHO, screening 20140410.2395733
MERS-CoV - Eastern Mediterranean (26): Saudi Arabia 20140409.2392763
MERS-CoV - Eastern Mediterranean (25): Saudi Arabia, UAE, RFI 20140408.2390003
MERS-CoV - Eastern Mediterranean (24): Saudi Arabia, RFI 20140406.2385665
MERS-CoV - Eastern Mediterranean (23): Saudi Arabia 20140404.2378035
MERS-CoV - Eastern Mediterranean (22): UAE, WHO 20140401.2373381
MERS-CoV - Eastern Mediterranean (18): Saudi Arabia 20140321.2347610
MERS-CoV - Eastern Mediterranean (17): Kuwait, UAE, Saudi Arabia, WHO, RFI 20140320.2345849
MERS-CoV - Eastern Mediterranean (16): Saudi Arabia, WHO 20140318.2340740
MERS-CoV - Eastern Mediterranean (15): Saudi Arabia, WHO, RFI 20140317.2338519
MERS-CoV - Eastern Mediterranean (14): Saudi Arabia, RFI 20140314.2333773
MERS-CoV - Eastern Mediterranean (13): Saudi Arabia, UAE, WHO 20140313.2330878
MERS-CoV - Eastern Mediterranean (12): Saudi Arabia 20140306.2317828
MERS-CoV - Eastern Mediterranean (11): Saudi Arabia, WHO 20140301.2308415
MERS-CoV - Eastern Mediterranean (08): Saudi Arabia 20140220.2289977
MERS-CoV - Eastern Mediterranean (07): Saudi Arabia 20140215.2280653
MERS-CoV - Eastern Mediterranean (06): UAE (Abu Dhabi) 20140208.2264161
MERS-CoV - Eastern Mediterranean (05): Saudi Arabia, WHO 20140203.2252192
MERS-CoV - Eastern Mediterranean (04): Saudi Arabia, Jordan, WHO 20140128.2235722
MERS-CoV - Eastern Mediterranean (03): Oman, WHO 20140109.2162284
MERS-CoV - Eastern Mediterranean (02): animal reservoir, camel, UAE, serology 20140104.2151807
MERS-CoV - Eastern Mediterranean (01): Saudi Arabia, UAE, Oman, WHO 20140103.2150717
2013
----
MERS-CoV - Eastern Mediterranean (106): animal reservoir, camel, Qatar, OIE 20131231.2145606
MERS-CoV - Eastern Mediterranean (102): Dubai, fatal 20131221.2128612
MERS-CoV - Eastern Mediterranean (101): animal reservoir, camel, goat 20131219.2126531
MERS-CoV - Eastern Mediterranean (100): Saudi Arabia, WHO 20131219.2126258
MERS-CoV - Eastern Mediterranean (99): animal reservoir, camel, Qatar 20131217.2120936
MERS-CoV - Eastern Mediterranean (98): animal reserv/camel, Jordan, Saudi Arabia 20131213.2114362
MERS-CoV - Eastern Mediterranean (95): animal reservoir, camel, Qatar 20131129.2082942
MERS-CoV - Eastern Mediterranean (94): UAE (Abu Dhabi), Qatar 20131129.2082330
MERS-CoV - Eastern Mediterranean (93): animal res., camel conf, Qatar (RY) OIE 20131129.2082115
MERS-CoV - Eastern Mediterranean (91): Saudi Arabia, WHO 20131127.2078860
MERS-CoV - Eastern Mediterranean (90): Saudi Arabia, Qatar fatal 20131120.2064667
MERS-CoV - Eastern Mediterranean (88): Kuwait, WHO, Spain 20131119.2062587
MERS-CoV Eastern Mediterranean (87): animal res. camel susp. precautions 20131113.2053932
MERS-CoV - Eastern Mediterranean (86): Kuwait, 1st rep, susp, RFI 20131113.2052320
MERS-CoV - Eastern Mediterranean (85): animal reservoir, camel, susp, official 20131112.2051424
MERS-CoV - Eastern Mediterranean (84): Saudi Arabia, Oman, deaths, WHO, RFI 20131112.2049026
MERS-CoV - Eastern Mediterranean (82): Qatar, RFI 20131110.2047575
MERS-CoV - Eastern Mediterranean (81): Saudi Arabia, UAE ex Oman, RFI 20131108.2044846
MERS-CoV - Eastern Mediterranean (70): Saudi Arabia, WHO 20130913.1936342
MERS-CoV - Eastern Mediterranean (60): Qatar, new case, RFI 20130827.1904425
MERS-CoV - Eastern Mediterranean (51): Saudi Arabia, WHO, RFI 20130801.1857286
MERS-CoV - Eastern Mediterranean (40): Saudi Arabia, WHO 20130709.1813691
MERS-CoV - Eastern Mediterranean (15): Saudi Arabia, Italy ex Jordan, WHO, RFI 20130601.1749096
MERS-CoV - Eastern Mediterranean (12): Saudi Arabia, France 20130528.1741836
MERS-CoV - Eastern Mediterranean (05): Tunisia ex Saudi Arabia/Qatar, fatal, RFI 20130520.1725864
Novel coronavirus - Eastern Mediterranean (24): France, 2nd case 20130512.1707305
Novel coronavirus - Eastern Mediterranean (20): France ex UAE, WHO, Saudi Arabia 20130508.1700034
Novel coronavirus - Eastern Mediterranean (14): Germany ex UAE, WHO, fatal 20130326.1604564
Novel coronavirus - Eastern Mediterranean (12): KSA, UK fatality, RFI 20130323.1600113
Novel coronavirus - Eastern Mediterranean (11): UK, pers to pers transm 20130316.1588808
Novel coronavirus - East. Med. (07): Saudi Arabia, UK, Germany 20130221.155410
Novel coronavirus - Eastern Med. (04): UK, pers to pers trans susp 20130213.1541531
Novel coronavirus - Eastern Med. (02): UK ex Saudi Arabia, Pakistan 20130212.1539086
2012
----
Novel coronavirus - Eastern Mediterranean: WHO, Jordan, conf., RFI 20121130.1432498
Novel coronavirus - Saudi Arabia (18): WHO, new cases, cluster 20121123.1421664
Novel coronavirus - Saudi Arabia (14): KSA MOH 20121022.1358297
Novel coronavirus - Saudi Arabia (12): RFI 20121019.1353615
Novel coronavirus - Saudi Arabia (04): RFI, Jordan, April 2012 20120925.1308001
Novel coronavirus - Saudi Arabia (03): UK HPA, WHO, Qatar 20120923.1305982
Novel coronavirus - Saudi Arabia (02): additional cases, RFI 20120923.1305931
Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733
.................................................mpp/msp/mpp

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PostPosted: Tue Apr 15, 2014 9:26 am 
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Posts: 43479
Location: Pittsburgh, PA USA
Thread on 10 HCWs in UAE

viewtopic.php?f=5&t=11467

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PostPosted: Wed Apr 16, 2014 4:32 am 
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Joined: Wed Aug 19, 2009 10:42 am
Posts: 43479
Location: Pittsburgh, PA USA
16 April 2014 - On 13 and 14 April 2014 United Arab Emirates (UAE) reported a cluster of ten laboratory-confirmed cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection among health-care workers identified through screening of contacts of a previously laboratory-confirmed case from Abu Dhabi who died on 10 April 2014.


The following details were provided to WHO:
A 37 year-old woman from Abu Dhabi with no reported underlying medical condition. She was screened and hospitalized on 9 April with mild illness.
A 41 year-old man from Abu Dhabi with no reported underlying medical condition. He was screened and hospitalized on 9 April.
A 43 year-old woman from Abu Dhabi with underlying medical conditions. She was screened and hospitalized on 9 April with mild illness.
A 33 year-old man from Abu Dhabi with no reported underlying medical condition. He was screened and hospitalized on 9 April with mild illness.
A 46 year-old man from Abu Dhabi with underlying medical conditions. He was screened and hospitalized on 9 April with mild illness.
A 48 year-old man from Abu Dhabi with underlying medical conditions. He was screened and hospitalized on 9 April, 2014 with symptoms of pneumonia.
A 37 year-old man from in Abu Dhabi with no reported underlying medical condition. He was screened and hospitalized on 9 April with mild illness.
A 43 year-old man from Abu Dhabi with no reported underlying medical condition. He was screened and hospitalized on 10 April without any illness.
A 27 year-old man from Abu Dhabi with underlying medical conditions. He was screened and hospitalized on 10 April without any illness.
A 43 year-old man from Abu Dhabi with no reported underlying medical condition. He was screened and hospitalized on 10 April without any illness.

Currently, all the cases are in stable condition and their family and health care contacts are being followed up.

http://www.who.int/csr/don/2014_04_16_mers/en/

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