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 Post subject: Re: KSA MERS Bisha 58M
PostPosted: Fri Jun 27, 2014 7:54 pm 
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Robert Roos | News Editor | CIDRAP News | Jun 27, 2014

Saudi Arabia reported one new MERS-CoV case today, and a top Saudi health official told Reuters that the country is considering banning the importing of camels from the Horn of Africa because of worries about the virus.

The Saudi Ministry of Health (MOH) said a MERS-CoV (Middle East respiratory syndrome coronavirus) case was identified in a 58-year-old expatriate in the city of Bisha. The patient, who is not a healthcare worker, is in a hospital intensive care unit.

The man's illness raised the ministry's MERS tally to 711 cases with 292 deaths. No new deaths were reported today.

Camel ban considered

Meanwhile, Tariq Madani, who heads the scientific advisory board overseeing the MOH's control center for MERS-CoV, said the Saudi agriculture ministry is considering a ban on camels from the Horn of Africa, according to a Reuters story today.

"We do have suspicions that the disease may have been imported through camel trade from the Horn of Africa, but we haven't proved it yet," Madani told Reuters. He said camels are now being tested at Saudi seaports before being allowed into the country.

MERS-CoV is known to be fairly common in dromedary camels in the Middle East, and one recent study found the virus in Egyptian camels that had been imported from Sudan or Ethiopia. Other studies have detected MERS-CoV-like antibodies in camels in Kenya, Tunisia, Nigeria, and Ethiopia. The animals are believed to be an important source of human infections, but how the virus jumps from camels to humans has not been pinned down.

Lisa Murillo, PhD, a virologist and affiliate scientist at Los Alamos National Laboratory, told Reuters that she has analyzed data on MERS cases in the Middle East and camel imports from the Horn of Africa and has found striking correlations.

She said scientists should be looking for MERS-CoV in camels and humans in the Horn of Africa. Madani said Saudi scientists are doing that, by taking samples from imported camels at seaports and from their human handlers.

The story said Somalia is a major exporter of camels to Saudi Arabia, and a Saudi ban on the imports would be a major blow to Somalia's fragile economy.

See also:

Jun 27 Saudi MOH statement

Jun 27 Reuters story

Related May 7 CIDRAP News item

http://www.cidrap.umn.edu/news-perspect ... import-ban

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 Post subject: Re: KSA MERS Bisha 58M
PostPosted: Thu Jul 03, 2014 7:34 am 
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Details for two of three cases in Saudi Arabia reported on 25 June are as follows:

A 46-year-old male, non-national, and resident of Riyadh city, Riyadh Region who works in construction developed cough and fever on 21 June 2014. He presented to hospital on 24 June 2014 and had evidence of pneumonia on chest X-ray. He was admitted to the hospital on the same day. On 24 June 2014, a specimen was collected and tested positive for MERS-CoV on the same day. He is reported to have a comorbidity. He reports not to have had contact with laboratory-confirmed cases of MERS or contact with animals. He also reports that he did not perform Umrah or seek health care or consume camel products in the 14 days prior to onset of symptoms. He is currently in a stable condition in the hospital.

A 57-year-old retired male, national, and resident of Jeddah city, Mecca Region developed respiratory symptoms and fever on 13 June 2014. He presented to hospital on 21 June 2014 and had evidence of pneumonia on chest X-ray. He was admitted to the hospital on the same day. On 23 June 2014, a specimen was collected and tested positive for MERS-CoV on the same day. He is reported to have comorbidities. He reports not to have had contact with laboratory-confirmed cases of MERS or contact with animals. He also reports that he did not perform Umrah or seek health care or consume camel products in the 14 days prior to onset of symptoms. He is currently in a stable condition in the hospital.

Details for third case in Saudi Arabia reported on 27 June are as follows:

The case is a 58-year-old male, non-national, farmer who works and lives in a farm south of Bisha city, Bisha Region. He had onset of illness with cough and fever on 15 June 2014. He presented to hospital in Bisha city on 22 June 2014 and was admitted on the same day with a diagnosis of community-acquired pneumonia. On 24 June 2014, a specimen was collected and tested positive for MERS-CoV on the same day. The case is reported not to have any co-morbid conditions. He reports not to have had contact with laboratory-confirmed cases of MERS or contact with animals. In the farm where he works, he reports that there are no animals, including camels. He also reports not to have performed Umrah or sought health care or consumed camel products in the 14 days prior to the onset of symptoms. He is in a critical condition and was transferred to the ICU on 27 July 2014. On the same day, he was transferred to a center in Jeddah to have extracorporeal membrane oxygenation.

Contact investigation and follow-up of all these cases are ongoing and additional information will be communicated as it becomes available.

Globally, 824 laboratory-confirmed cases of infection with MERS-CoV, including at least 286 related deaths have officially been reported to WHO.

WHO advice

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

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

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

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

WHO does not advise special screening at points of entry with regard to this event nor does it currently recommend the application of any travel or trade restrictions.

http://www.who.int/csr/don/2014_07_02_mers/en/

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