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PostPosted: Sun Jun 15, 2014 3:34 pm 
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MERS virus in B’desh DHAKA: Bangladesh Sunday reported its first case of the deadly MERS virus after a Bangladesh-born US resident was admitted to hospital days after returning to his homeland via Abu Dhabi. The condition of the unidentified 53-year-old man had improved but he was still in intensive care in a Dhaka clinic, Mahmudur Rahman, the director of the Institute of Epidemiology, Disease Control and Research, told AFP. It is the first known MERS case in Bangladesh. The country has become the 22nd nation to report a case of Middle East Respiratory Syndrome (MERS), according to Rahman. Other countries including Egypt, Jordan, Lebanon, Iran, the Netherlands, the United Arab Emirates, the United States and Algeria have also recorded cases. — AFP # - See more at: http://www.thehimalayantimes.com/fullNe ... PPeHZ.dpuf

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PostPosted: Mon Jun 16, 2014 1:14 am 
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DHAKA: Bangladesh Sunday reported its first case of the deadly MERS virus after a Bangladesh-born US resident was admitted to hospital days after returning to his homeland via Abu Dhabi.


The condition of the unidentified 53-year-old man had improved but he was still in intensive care in a Dhaka clinic, Mahmudur Rahman, the director of the Institute of Epidemiology, Disease Control and Research, told AFP.”He is Bangladesh-born but lives in the US.

He came to the country on June 4 and became sick two days later. Most probably he contracted the virus during the three hours at Abu Dhabi airport or in the plane,” he said.”After a series of tests we got confirmation yesterday that he was suffering from MERS coronavirus.”It was the first known MERS case in Bangladesh.

The country has become the 22nd nation to report a case of Middle East Respiratory Syndrome (MERS), according to Rahman.

http://www.thenews.com.pk/Todays-News-1 ... irus-in-BD

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PostPosted: Mon Jun 16, 2014 2:43 am 
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http://www.recombinomics.com/News/06161 ... ka_NY.html

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PostPosted: Mon Jun 16, 2014 4:24 pm 
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Published Date: 2014-06-16 15:12:09
Subject: PRO/AH/EDR> MERS-CoV (01): Bangladesh, KSA, Algeria, UAE, Iran, WHO, RFI
Archive Number: 20140616.2541707
MERS-COV (01): BANGLADESH, SAUDI ARABIA, ALGERIA, UAE, IRAN, 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

[Since there have now been reported cases of MERS-CoV infection from 22 countries, we have decided to change the name of the thread to reflect the multi country distribution, including areas outside of the Eastern Mediterranean region, even though all cases to date can be linked to an index case with contact in the Eastern Mediterranean. - Mod.MPP]

In this update:
[1] Bangladesh ex USA via UAE, 1st case - media report, 15 Jun 2014, RFI
[2] Saudi Arabia, 3 new cases, 2 deaths - MOH reports 12-16 Jun 2014
[3] Saudi Arabia, 2 new cases - WHO 16 Jun 2014
[4] Algeria, 2 cases, 1 death - WHO 14 Jun 2014
[5] Saudi Arabia, UAE, Iran - WHO 13 Jun 2014

******
[1] Bangladesh ex USA via UAE, 1st case - media report, 15 Jun 2014, RFI
Date: Sun 15 Jun 2014
Source: Channel NewsAsia (CNA), Agence France-Presse (AFP) report [edited]
http://www.channelnewsasia.com/news/hea ... 62024.html


Bangladesh Sunday [15 Jun 2014] reported its 1st case of the deadly MERS [Middle East respiratory syndrome] virus after a Bangladesh-born US resident was admitted to hospital days after returning to his homeland via Abu Dhabi.

The condition of the unidentified 53-year-old man had improved but he was still in intensive care in a Dhaka clinic, Mahmudur Rahman, the director of the Institute of Epidemiology, Disease Control and Research, told AFP.

"He is Bangladesh-born but lives in the US. He came to the country on [4 Jun 2014] and became sick 2 days later. Most probably he contracted the virus during the 3 hours at Abu Dhabi airport or in the plane," he said.

"After a series of tests we got confirmation yesterday [14 Jun 2014] that he was suffering from MERS coronavirus."

It was the 1st known MERS case in Bangladesh. The country has become the 22nd nation to report a case of Middle East Respiratory Syndrome (MERS), according to Rahman.

Other countries including Egypt, Jordan, Lebanon, Iran, the Netherlands, the United Arab Emirates, the United States, and Algeria have also recorded cases, mostly in people who had been to Saudi Arabia.

MERS has killed 284 people in Saudi Arabia since it first emerged in 2012, and hundreds more have been infected [see below for latest data from Saudi Arabia].

It is considered a deadlier but less transmissible cousin of the severe acute respiratory syndrome [SARS] virus that appeared in Asia in 2003 and killed hundreds of people, mostly in China.

Like SARS, it appears to cause a lung infection, with patients suffering coughing, breathing difficulties, and [fever]. But MERS differs in that it also causes rapid kidney failure.

Muslim pilgrims from around the world are pouring into the holy city of Mecca in Saudi Arabia, undeterred by the spread of the deadly virus.

Research has suggested that the virus has been common in camels for at least 20 years.

Last week, researchers said they had found the 1st direct evidence that MERS jumps directly from camels to humans.

Rahman said it was only a matter of time before MERS arrived in Bangladesh. Some 3 million Bangladeshis work in the Middle East, more than 2/3 of them in Saudi Arabia.

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

[This is the 1st reported case of MERS-CoV infection from Bangladesh. The history of the patient travelling through Abu Dhabi with a 3 hour connect is curious to say the least, suggesting that exposure may have occurred while in the airport. More significant might be a look back at individuals travelling on the flight to or from Abu Dhabi to see if there were individuals with evidence of a respiratory infection seated near to this case on the plane -- a significant challenge. The other alternative is that the individual was exposed while in the USA -- less likely as there haven't been reports of MERS-CoV infections other than the 2 individuals returning to the USA from Saudi Arabia. If this individual is confirmed to be MERS-CoV infected by a reference laboratory, the exposure and route of transmission appears to be somewhat of an enigma, suggesting a more casual contact with a MERS-CoV infected individual than previously felt to be necessary for transmission.

In another media report submitted by ProMED-mail Rapporteur Mary Marshall, there was mention that Bangladesh has tested 39 suspected cases of MERS-CoV infection prior to this confirmation (see http://bdnews24.com/health/2014/06/15/f ... bangladesh). In addition, apparently a 2nd specimen from this case has been processed. More information on potential high risk exposures of this patient would be greatly appreciated.

For a map of Bangladesh, see http://healthmap.org/promed/p/153. For a map of the United Arab Emirates, see http://healthmap.org/promed/p/132. - Mod.MPP]

******
[2] Saudi Arabia, 3 new cases, 2 deaths - MOH reports 12-16 Jun 2014
Dates: 12-15 Jun 2014
Source: Saudi Arabia Ministry of Health [edited]
http://www.moh.gov.sa/en/CCC/PressRelea ... fault.aspx


As of 16 Jun 2014:
Number of laboratory confirmed cases of MERS-CoV infection: 703
Number of deaths: 289
Number of recovered cases: 369
Number of cases presently under treatment: 45

Mon 16 Jun 2014
http://www.moh.gov.sa/en/CCC/PressRelea ... 6-001.aspx
-------------------------
0 new cases, 0 deaths, 0 recovered

Sun 15 Jun 2014
http://www.moh.gov.sa/en/CCC/PressRelea ... 5-001.aspx
----------------------------------------------------------------------
1 new case, 1 death, 1 recovered

Information on new case:
Riyadh: 58 year old expat male, non-healthcare worker, currently in stable condition, no history of comorbidities

Information on death:
Dahran: 45 year old Saudi male, non-healthcare worker, history of pre-existing comorbidities

Information on recovered case:
Aljoff: 26 year old expat female, healthcare worker, no history of comorbidities

Sat 14 Jun 2014
http://www.moh.gov.sa/en/CCC/PressRelea ... 4-001.aspx
----------------------------------------------------------------------
0 new cases, 1 death, 0 recovered

Information on death:
Riyadh: 80 year old Saudi male, non-healthcare worker, history of pre-existing comorbidities

Fri 13 Jun 2014
http://www.moh.gov.sa/en/CCC/PressRelea ... 3-001.aspx
----------------------------------------------------------------------
1 new case, 0 deaths, 0 recovered

Information on new case:
Qunfutha: 33 year old Saudi male, non-healthcare worker, asymptomatic, on home isolation, no history of comorbidities

Thurs 12 Jun 2014
http://www.moh.gov.sa/en/CCC/PressRelea ... 2-001.aspx
----------------------------------------------------------------------
1 new case, 0 deaths, 4 recovered

Information on new case:
Albaha: 36 year old expat male, non-healthcare worker, currently in stable condition, on home isolation, no history of comorbidities

Information on recovered cases:
1. Khobar: 41 year old Saudi male, non-healthcare worker, no history of comorbidities
2. Aljoof (AlJawf): 27 year old expat male, non-healthcare worker, no history of comorbidities
3. Riyadh: 48 year old Saudi male, non-healthcare worker, no history of comorbidities
4. Riyadh: 76 year old Saudi male, non-healthcare worker, no history of comorbidities

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

[In the past 5 days (12-16 Jun 2014) there have been 3 newly confirmed cases of MERS-CoV infection and 2 deaths reported in Saudi Arabia. Cases have occurred in Albaha, Qunfutha, and Riyadh, whereas deaths occurred in Riyadh and Dahran. Of note is a glimpse of other geographic areas involved with confirmed cases of MERS-CoV infection -- Albaha, Khobar, Qunfutha, and Dahran -- possibly locations where cases were retrospectively confirmed through the review of data earlier this month (June 2014). (see the WHO reports below for more details on some of these cases).

Maps showing the locations of newly confirmed cases, deaths, and recovered cases can be found at the source URLs above. - Mod.MPP]

******
[3] Saudi Arabia, 2 new cases - WHO 16 Jun 2014
Date: Mon 16 Jun 2014
Source: WHO Global Alert and Response (GAR), Disease Outbreak News [edited]
http://www.who.int/csr/don/2014_06_16_mers/en/


Middle East respiratory syndrome coronavirus (MERS-CoV) -- update 16 Jun 2014
----------------------------------------------------------------------
On [12 and 13 Jun 2014], the National IHR Focal Point of Saudi Arabia notified WHO of 2 additional laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV).

Details of the 2 cases
----------------------
- A 36 year old resident of Almakhwah city, Baha Region. The patient works as a truck driver. He became ill on 4 Jun 2014, was diagnosed with mild pneumonia, and was admitted to a hospital on [9 Jun 2014]. The patient is currently in stable condition. He has underlying medical conditions. He was tested positive to MERS-CoV on [11 Jun 2014]. The patient frequently commutes to Qunfudah city, Qunfudah Region and Wadi Addawaser city, Riyadh Region. The patient has no other travel history. He is reported to have had possible contacts with animals as he delivers hay to a mixed animal market. He has no contact with a known laboratory confirmed MERS-CoV case.
- A 33 year-old man, resident of Qunfudah city, Qunfudah Region. He works as a national security guard. The patient is asymptomatic, and was detected through the screening of contacts of previously laboratory-confirmed MERS-CoV cases (reported between [11 Apr-9 Jun 2014]). He has no underlying medical condition. He was tested positive to MERS-CoV on [13 Jun 2014]. The patient has a history of frequent travel to Jeddah. He has no history of contact with animals.

Investigation of contacts of the patients and follow up is ongoing.

Additionally, Saudi Arabia has reported an additional 38 deaths among the laboratory-confirmed MERS-CoV cases reported between [11 Apr-9 Jun 2014].

Globally, 701 laboratory-confirmed cases of infection with MERS-CoV, including at least 249 related deaths have officially been reported to WHO.

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

[This report provides additional details on 2 of the newly reported/identified laboratory confirmed cases of MERS-CoV infection in Saudi Arabia reflected in section [2] above, as well as adds confirmation of additional deaths attributable to MERS-CoV infection in Saudi Arabia, presumably from the review of the delayed reports presented on 3 Jun 2014.

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

******
[4] Algeria, 2 cases, 1 death - WHO 14 Jun 2014
Date: Sat 14 Jun 2014
Source: WHO Global Alert and Response (GAR), Disease Outbreak News [edited]
http://who.int/csr/don/don_updates/en/


Middle East respiratory syndrome coronavirus (MERS-CoV) -- update 14 Jun 2014
----------------------------------------------------------------------
On 31 May 2014, the National IHR Focal Point of Algeria notified WHO of 2 laboratory-confirmed cases of infection with Middle East Respiratory syndrome coronavirus (MERS-CoV). This is the 1st report of laboratory confirmed cases in Algeria.

Details of the 2 cases
----------------------
- A 66 year old man who was part of a pilgrimage group that went to Saudi Arabia to perform Umrah [pilgrimage to Mecca] on 14 May 2014. The patient became ill on 23 May 2014, while in Saudi Arabia. Upon his arrival to Algeria on 28 May 2014, he was hospitalized. The patient has underlying medical conditions.
- A 59 year old man who went on a pilgrimage in Saudi Arabia on 5 May 2014. The patient became ill on 23 May 2014, while in Saudi Arabia. On 29 May 2014, he was hospitalized. He did not have any underlying medical condition. Despite all medical care, the patient died on 10 Jun 2014 from multi organ failure.

Since June 2013, the Ministry of Health, Population and Hospital Reform (MSPRH) has enhanced activities for the early detection and monitoring of MERS-CoV. MSPRH was alerted by the Prefecture Health Services of Tipaza and Tlemcen of the 2 suspected cases of MERS-CoV on 29 May 2014. On 30 May 2014, laboratory confirmation was established for both cases by the Institut Pasteur in Algeria.

Medical and preventive measures have been implemented in accordance with the instructions issued by MSPRH, which include:
- Meetings of the crisis committee.
- Points of entry have been informed to heighten surveillance and inform passengers travelling to pilgrim areas. Information products have been developed and are distributed to passengers. A special area has been assigned to facilitate interaction with passengers, the distribution of leaflets with public health recommendations, as well as the distribution of disinfectant and masks.
- Investigation teams are following up on confirmed and suspected MERS-CoV cases based on national directives for surveillance and alert.
- Information campaigns are ongoing, using different channels of information including the media.

Globally, 699 laboratory-confirmed cases of infection with MERS-CoV including at least 210 related deaths have officially been reported to WHO.

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

[The report above provides more details on the 2 cases reported from Algeria (see MERS-CoV - Eastern Mediterranean (80): S Arabia, Iran, Algeria, Tunisia 20140612.2534478 and MERS-CoV - Eastern Mediterranean (73): Saudi Arabia, Algeria, Jordan, WHO, RFI 20140601.2512766 for earlier details available). In both instances, the individuals became ill while performing the Umrah pilgrimage in Saudi Arabia, although their detailed itineraries within Saudi Arabia are not available. No mention is made of possible high risk exposure behaviors such as contact with known MERS-CoV infected individuals, contact with the health sector for possible nosocomial exposure, or contact with camels or raw camel products such as meat or milk.

For a map of Algeria, see http://healthmap.org/promed/p/67. - Mod.MPP]

******
[5] Saudi Arabia, UAE, Iran - WHO 13 Jun 2014
Date: Fri 13 Jun 2014
Source: WHO Global Alert and Response (GAR), Disease Outbreak News [edited]
http://who.int/csr/don/2014_06_13_mers/en/


Middle East respiratory syndrome coronavirus (MERS-CoV) -- update 13 Jun 2014
----------------------------------------------------------------------
The National IHR Focal Points of Saudi Arabia, the United Arab Emirates (UAE), and the Islamic Republic of Iran recently reported additional laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV) to WHO.

Details of the cases reported by Saudi Arabia
---------------------------------------------
Between [11 Apr 2014 and 9 Jun 2014], 515 cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV) have been reported from Saudi Arabia to WHO. This includes 402 laboratory-confirmed cases reported on various dates, and 113 cases that have been identified through retrospective review of hospital records, and which was reported by Saudi Arabia on [3 Jun 2014]. Further information on these cases will be provided as information becomes available as part of the collaboration between the Saudi authorities and WHO on the MERS-CoV response.

This update covers 402 laboratory-confirmed cases, including 114 deaths.

35 cases were reported from Madina, 132 from Riyadh, 208 from Mecca Province (including 154 from Jeddah, 39 from Mecca, 8 from Qunfudhah, and 7 from Al Taif), 10 from Tabuk, 6 from Al Jawf, 3 from Najran, and 3 from Ash Sharqiyah. The location of reported 5 cases was not specified.

The median age of the 402 cases is 46 years old (ranging from 9 months to 94 years old) and 58.3 percent of those with information on sex (n=388) are men. Almost half (44.5 percent) of the cases with reported information (n=398) experienced severe disease including 114 cases who died; and 114 cases (28.6 percent) were reported to be asymptomatic or have mild disease. Underlying medical conditions were only reported for 149 of the 402 cases [37.1 percent], of which 140 cases were reported to have at least one underlying medical condition.

More than 25 percent (109) of the 402 reported cases are health care workers. Among the 109 health care workers, 63 [57.8 percent] were reported as asymptomatic or developing mild symptoms, 35 [32.1 percent] were reported with moderate symptoms (requiring hospitalization but not admission to an intensive care unit), 7 [6.4 percent] were reported as having severe disease and 4 [3.7 percent] died.

Details of the case reported by the UAE on [4 Jun 2014]
-------------------------------------------------------
The patient is a 36 year old butcher residing in Abu Dhabi. He works in a local slaughterhouse for camels and sheep. He was asymptomatic. His sputum was tested positive for MERS-CoV on 20 May 2014 as part of a general screening in slaughterhouses. The patient had no contact with a previously laboratory-confirmed MERS-CoV case. He had no history of travel. The patient is currently isolated and is in stable condition.

Investigations and follow up of contacts of the patient have been carried out and no other case was detected.

Details of the case reported by the Islamic Republic of Iran on [4 Jun 2014]
----------------------------------------------------------------------
The patient is a 35 year old nurse assistant. She developed a mild illness on 26 May 2014 followed by a productive cough on 28 May 2014. Her throat swab taken on 26 May 2014 was tested positive for MERS-CoV.

She has been advised to stay home and follow infection control precautions. The patient is a close contact to the 1st laboratory-confirmed MERS-CoV case in the country reported to WHO on 26 May 2014. The patient did not have an underlying medical condition. She had no history of contact with animals and no history of consumption of raw camel products in the 14 days prior to becoming ill. She became asymptomatic on [3 Jun 2014] and her condition is currently stable.

Investigations into her contacts among health care workers and family members is ongoing.

Globally, 697 laboratory-confirmed cases of infection with MERS-CoV including at least 210 related deaths have officially been reported to WHO. This global total includes all the cases in this update; of the above-mentioned 402 cases reported by Saudi Arabia, 390 cases have been included in previous Disease Outbreak News (DON) updates published since [14 Apr 2014].

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

[The WHO update of 13 Jun 2014 provides a summary of information on the retrospectively confirmed cases of MERS-CoV infection in Saudi Arabia. Points of interest include the geographic extent of the cases (35 from Madina, 132 from Riyadh, 208 from Mecca Province (including 154 from Jeddah, 39 from Mecca, 8 from Qunfudhah, and 7 from Al Taif), 10 from Tabuk, 6 from Al Jawf, 3 from Najran, and 3 from Ash Sharqiyah) and the fact that more than 25 percent of the cases occurred in healthcare workers.

What is difficult to reconcile are the numbers, and which cases have been reported by Saudi Arabia and were not confirmed by WHO, and reasons for non-confirmation. The most recent WHO update above (section [3]) mentions that globally there have been 701 laboratory confirmed cases of MERS-CoV infection including 239 deaths -- as of today, 16 Jun 2014, the Saudi MOH website states there have been 703 cases of MERS-CoV infection in Saudi Arabia including 289 deaths.

The case confirmed in the UAE is the 1st report of a butcher working in a slaughterhouse for camels and sheep. This case was asymptomatic and was detected through screening of high risk exposure individuals.

In Iran, the newly reported case is in a healthcare worker with known close contact with the 1st confirmed case of MERS-CoV infection in Iran.

For a map showing the United Arab Emirates see http://healthmap.org/promed/p/132
For a map showing Iran, see http://healthmap.org/promed/p/128
For a map showing Saudi Arabia, see http://healthmap.org/promed/p/131 - Mod.MPP]
See Also
MERS-CoV - Eastern Mediterranean (80): S Arabia, Iran, Algeria, Tunisia 20140612.2534478
MERS-CoV - Eastern Mediterranean (78): Saudi Arabia, UAE, WHO, RFI 20140607.2525397
MERS-CoV - Eastern Mediterranean (77): S Arabia, Qatar, animal res, control, RFI 20140607.2525113
MERS-CoV - Eastern Mediterranean (76): Saudi Arabia, Jordan, UAE, ECDC assessment, WHO 20140604.2515846
MERS-CoV - Eastern Mediterranean (75): Animal res, camel, zoonotic aspects 20140604.2518134
MERS-CoV - Eastern Mediterranean (74): Saudi Arabia 20140602.2514518
MERS-CoV - Eastern Mediterranean (73): Saudi Arabia, Algeria, Jordan, WHO, RFI 20140601.2512766
MERS-CoV - Eastern Mediterranean (72): Saudi Arabia, Netherlands 20140530.2507811
MERS-CoV - Eastern Mediterranean (71): Iran, Saudi Arabia, UAE, RFI 20140527.2501383
MERS-CoV - Eastern Mediterranean (69): Saudi Arabia, Jordan, RFI 20140525.2496138
MERS-CoV - Eastern Mediterranean (67): Saudi Arabia, UAE, USA, WHO 20140524.2491495
MERS-CoV - Eastern Mediterranean (65): Saudi Arabia 20140521.2485630
MERS-CoV - Eastern Mediterranean (64): Saudi Arabia 20140519.2482552
MERS-CoV - Eastern Mediterranean (63): Saudi Arabia, Netherlands, USA, WHO 20140517.2479150
MERS-CoV - Eastern Mediterranean (61): Saudi Arabia, Yemen, RFI 20140516.2477619
MERS-CoV - Eastern Mediterranean (60): Middle East, Netherlands, USA, WHO 20140515.2474996
MERS-CoV - Eastern Mediterranean (59): Saudi Arabia, Netherlands, USA, WHO, RFI 20140514.2471839
MERS-CoV - Eastern Mediterranean (58): Saudi Arabia, USA 20140513.2469369
MERS-CoV - Eastern Mediterranean (57): Saudi Arabia, Jordan, USA 20140512.2466912
MERS-CoV - Eastern Mediterranean (56): Saudi Arabia, RFI 20140511.2465028
MERS-CoV - Eastern Mediterranean (55): Saudi Arabia, Jordan 20140510.2463601
MERS-CoV - Eastern Mediterranean (54): Saudi Arabia, Lebanon 20140509.2461876
MERS-CoV - Eastern Mediterranean (53): Saudi Arabia, Lebanon, RFI 20140509.2459095
MERS-CoV - Eastern Mediterranean (52): Saudi Arabia, Yemen, Jordan, WHO 20140507.2453121
MERS-CoV - Eastern Mediterranean (51): Saudi Arabia, 20140506.2450777
MERS-CoV - Eastern Mediterranean (50): Saudi Arabia, UAE, USA, RFI 20140504.2449373
MERS-CoV - Eastern Mediterranean (49): Saudi Arabia 20140503.2447188
MERS-CoV - Eastern Mediterranean (48): USA ex Saudi Arabia 20140502.2445843
MERS-CoV - Eastern Mediterranean (47): Saudi Arabia, Jordan, Egypt, WHO 20140502.2442560
MERS-CoV - Eastern Mediterranean (45): Saudi Arabia 20140430.2437089
MERS-CoV - Eastern Mediterranean (44): Saudi Arabia 20140428.2433859
MERS-CoV - Eastern Mediterranean (43): Saudi Arabia, Egypt, UAE, WHO 20140427.2431453
MERS-CoV - Eastern Mediterranean (42): Saudi Arabia, genome sequencing, Jeddah 20140426.2432140
MERS-CoV - Eastern Mediterranean (40): Saudi Arabia, UAE, Jordan ex KSA, WHO, RFI 20140424.2424017
MERS-CoV - Eastern Mediterranean (39): Qatar (RY) animal res., camel, OIE 20140424.2426491
MERS-CoV - Eastern Mediterranean (37): Saudi Arabia, UAE 20140422.2420072
MERS-CoV - Eastern Mediterranean (36): Greece ex Saudi Arabia, WHO 20140421.2417384
MERS-CoV - Eastern Mediterranean (35): Greece, Saudi Arabia, UAE, RFI 20140419.2415087
MERS-CoV - Eastern Mediterranean (33): Saudi Arabia 20140418.2413921
MERS-CoV - Eastern Mediterranean (32): Saudi Arabia, UAE, Malaysia, WHO, RFI 20140417.2411430
MERS-CoV - Eastern Mediterranean (31): Saudi Arabia, Malaysia, UAE, Philippines 20140416.2406647
MERS-CoV - Eastern Mediterranean (30): Saudi Arabia, UAE, WHO, RFI 20140414.2403986
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 (01): Saudi Arabia, UAE, Oman, WHO 20140103.2150717
2013
----
MERS-CoV - Eastern Mediterranean (102): Dubai, fatal 20131221.2128612
MERS-CoV - Eastern Mediterranean (100): Saudi Arabia, WHO 20131219.2126258
MERS-CoV - Eastern Mediterranean (94): UAE (Abu Dhabi), Qatar 20131129.2082330
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 (86): Kuwait, 1st rep, susp, RFI 20131113.2052320
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/mpp/mj/mpp

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PostPosted: Tue Jun 17, 2014 6:39 pm 
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Location: Pittsburgh, PA USA
Bangladesh yesterday reported its first MERS-CoV case, involving a Bangladeshi man who lives in the United States and got sick after flying to his native land via Abu Dhabi, according to media reports.

The patient, age 53, flew to Bangladesh on Jun 4 and fell ill on Jun 6, according an Agence-France Presse (AFP) report quoting Mahmudur Rahman, director of the nation's Institute of Epidemiology, Disease Control and Research.

"Most probably he contracted the virus during the three hours at Abu Dhabi airport or in the plane," Rahman told AFP. The United Arab Emirates, site of Abu Dhabi, has had at least 70 MERS cases.

Rahman said the man's condition was improving, but he was in intensive care in a Dhaka clinic. He reported that the case was confirmed as MERS-CoV (Middle East respiratory syndrome coronavirus) yesterday after a series of tests.

Bangladesh is the 22nd country to report a MERS case, following Algeria on May 31 and Iran on May 26.

Rahman told AFP it was only a matter of time before MERS arrived in Bangladesh. The story said about 3 million Bangladeshis work in the Middle East, more than two thirds of them in Saudi Arabia.

The vast majority of MERS cases have occurred in Saudi Arabia, and all cases in countries outside the Middle East had links to that part of the world.

Latest Saudi case

In other developments, Saudi Arabia reported a new MERS case yesterday, in a 58-year-old expatriate in Riyadh.

The Ministry of Health (MOH) said the man, who is not a healthcare worker, is in stable condition and has no preexisting conditions. It gave no information on how he was exposed to the virus or when he got sick.

Yesterday the MOH also reported a death in a previously announced case, that of a 45-year-old Saudi man in Dhahran.

The ministry reported no new cases today or on Jun 14. Its MERS count stands at 703 cases and 289 deaths.

More details on 2 Saudi cases

Also today, the World Health Organization (WHO) supplied new details about two MERS cases that were announced by Saudi Arabia on Jun 12 and 13.

One patient is a 36-year-old truck driver who lives in Almakhwah in the Baha region, the WHO said. He got sick on Jun 4, was hospitalized with mild pneumonia 5 days later, and is in stable condition.

The WHO said the man often commutes to Qunfudah and to the Riyadh region, both of which have had MERS cases recently. Also, the patient may have had contact with animals because he delivers hay to a "mixed animal market." He has had no contact with other known MERS patients.

The other patient is an asymptomatic 33-year-old man who lives in Qunfudhah and works as a national security guard, the WHO reported. His infection was found through screening of contacts of previously confirmed case-patients reported between Apr 11 and Jun 9.

The man frequently travels to Jeddah, a recent MERS-CoV hot spot, but has no history of contact with animals, the WHO said.

The agency said Saudi Arabia also has reported another 38 deaths among the MERS-CoV cases it reported between Apr 11 and Jun 9. With these reports, the WHO has raised its global MERS tally to 701 cases, including at least 249 deaths.

WHO on Algerian cases

In other MERS news, the WHO on Jun 14 noted the first two cases in Algeria, which were originally announced by the agency's Regional Office for Africa on May 31.

The virus struck two men, ages 66 and 59, who went on separate pilgrimages to Saudi Arabia. The WHO said both of them got sick on May 23 while in Saudi Arabia.

The two were hospitalized after returning home to Algeria, and they tested positive for MERS-CoV on May 30. The WHO said the 59-year-old died on Jun 10, contrary to a Jun 10 media report that said the 66-year-old died that day. The WHO statement gave no information on the 66-year-old's current condition.

The WHO supplied no details on the two patients' exposure history while in Saudi Arabia or on monitoring of their contacts.

Meanwhile, the WHO's emergency committee on MERS-CoV met today to consider again whether the MERS threat meets the definition of an international public health emergency. Its decision is expected to be announced tomorrow.

See also:

Jun 16 AFP story on Bangladesh case

Jun 15 Saudi MOH statement on new case

Jun 16 WHO statement on two Saudi cases

Jun 14 WHO statement on Algerian cases

http://www.cidrap.umn.edu/news-perspect ... -mers-case

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PostPosted: Thu Jun 19, 2014 6:28 pm 
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After further testing, a report of a MERS-CoV (Middle East respiratory syndrome coronavirus) case in Bangladesh 4 days ago appears to have been a false alarm, a World Health Organization (WHO) official revealed today.

"It appears to be negative," WHO spokesman Glenn Thomas told CIDRAP News this afternoon, referring to confirmatory testing of a sample from the Bangladesh patient. He supplied no other details. The case would have been Bangladesh's first.

A top Bangladeshi health official reported the case on Jun 15, according to media stories. The patient is a 53-year-old Bangladeshi who lives in the United States and got sick after flying to his homeland on Jun 4, a trip that included a stop in Abu Dhabi, United Arab Emirates, where dozens of MERS cases have occurred.

The health official had suggested that the man probably caught the virus on a plane or while at the Abu Dhabi airport. The news raised some concern because it suggested that the infection might have resulted from casual contact. So far, person-to-person spread of MERS-CoV has occurred mainly if not exclusively through close contact in families and healthcare settings.

Sample sent to reference lab

At a WHO press briefing on MERS-CoV 2 days ago, Keiji Fukuda, MD, said the test results for the Bangladesh patient were unclear and that a sample had been sent to a reference lab in another country for confirmatory testing. Fukuda is the WHO's assistant secretary-general for health security and environment.

When the Bangladesh official reported the case, he said the man was receiving intensive care in a Dhaka clinic.

One new Saudi case

In other news, Saudi Arabia reported one new MERS case today, raising the country's MERS count to 705 cases, with the death toll staying at 290.

The latest case-patient is a 38-year-old woman in Riyadh who is hospitalized, the Ministry of Health (MOH) reported. She is not a healthcare worker. As usual, the ministry gave no information about how the woman was exposed to the virus.

See also:

Jun 16 CIDRAP News story on reported Bangladesh case

Jun 19 Saudi MOH statement

http://www.cidrap.umn.edu/news-perspect ... alse-alarm

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