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PostPosted: Thu Feb 12, 2015 10:07 pm 
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MERS presser scheduled for 9 PM ET

11 of 56 contacts symptomatic

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PostPosted: Thu Feb 12, 2015 10:07 pm 
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Live stream

https://www.youtube.com/embed/1Dn5F9Oq1qE

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PostPosted: Thu Feb 12, 2015 10:22 pm 
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niman wrote:
MERS presser scheduled for 9 PM ET

LIVESTREAM: DOH press briefing on MERS-CoV case in PHL
Date posted: Feb 13, 2015 10:00am

http://www.gmanetwork.com/news/video/26 ... ase-in-phl

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PostPosted: Thu Feb 12, 2015 10:45 pm 
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5 Saudi flight passengers negative for MERS-CoV
02/13/2015 10:18 AM
ABS-CBNnews.com

ILOILO – Five passengers of a Saudi Airlines Flight 860 carrying a Filipina nurse who tested positive for the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) have tested negative for the disease.

The Department of Health (DOH) in Region 6 confirmed that five of the passengers of the said flight were from Western Visayas.

Three of them were from Iloilo while the other two hailed from Negros Occidental.

Dr. Glen Alonsabe of the Regional Epidemiology and Surveillance Unit of the DOH said the five were allowed to leave the hospital after undergoing medical examination and not showing any symptoms of MERS-CoV.

Some of the symptoms of MERS-CoV are fever, cough and colds.

The DOH Region 6 and the Western Visayas Medical Center said they are ready to take in anyone who may be infected with MERS-CoV and anyone who may show symptoms of it. –report from Kenneth Ladigohon, ABS-CBN News Iloilo

http://mobile.abs-cbnnews.com/nation/re ... -mers-cov/

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PostPosted: Thu Feb 12, 2015 11:31 pm 
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11 of 56 contacts symptomatic.

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PostPosted: Thu Feb 12, 2015 11:38 pm 
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PostPosted: Thu Feb 12, 2015 11:43 pm 
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Published Date: 2015-02-12 21:16:06
Subject: PRO/AH/EDR> MERS-CoV (19): Saudi Arabia, Qatar, UAE, Philippines, WHO, RFI
Archive Number: 20150212.3160052
MERS-COV (19): SAUDI ARABIA, QATAR, UNITED ARAB EMIRATES, PHILIPPINES, 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, 13 new cases, 3 deaths - MOH 8-12 Feb 2015, RFI
[2] Philippines ex Saudi Arabia - media report, RFI
[3] Saudi Arabia - WHO 11 Feb 2015
[4] Qatar - WHO 11 Feb 2015
[5] UAE - WHO 11 Feb 2015, RFI

******
[1] Saudi Arabia, 13 new cases, 3 deaths - MOH 8-12 Feb 2015, RFI
Date: 8-12 Feb 2015
Source: Saudi MOH 8-12 Feb 2015 [edited]
http://www.moh.gov.sa/en/ccc/pressrelea ... fault.aspx


As of 12 noon today (12 Feb 2015), there have been a total of:
862 cases of laboratory confirmed MERS-CoV infection including,
368 deaths
479 recoveries and
15 cases currently under treatment.

Information on newly confirmed cases:
12 Feb 2015 (7 cases)
http://www.moh.gov.sa/en/CCC/PressRelea ... 2-001.aspx

1- Riyadh: 58-year-old Saudi male, non-healthcare worker, currently in critical condition, history of pre-existing co-morbidities, history of exposure to camels, no history of contact with suspected/confirmed cases in the healthcare environment or in the community.

2- Riyadh: 75-year-old Expat male, non-healthcare worker, currently in critical condition, history of pre-existing co-morbidities, no history of animal exposure, history of contact with suspected/confirmed case in the healthcare environment, no history of contact with suspected/confirmed case in the community.

3- Jeddah: 46-year-old Expat male, non-healthcare worker, currently in critical condition, history of pre-existing co-morbidities, no history of high risk exposures (animal exposure, contact with suspected/confirmed cases in healthcare environment or community) in the 14 days prior to onset of illness.

4- Madinah: 70-year-old Saudi male, non-healthcare worker, currently in stable condition, history of pre-existing co-morbidities, no history of high risk exposures (animal exposure, contact with suspected/confirmed cases in healthcare environment or community) in the 14 days prior to onset of illness.

5- Riyadh: 29-year-old Saudi male, non-healthcare worker, currently in critical condition, history of pre-existing co-morbidities, no history of high risk exposures (animal exposure, contact with suspected/confirmed cases in healthcare environment or community) in the 14 days prior to onset of illness.

6- Dhahran: 53-year-old Saudi male, non-healthcare worker, currently in stable condition, history of camel exposure, no history of contact with suspected/confirmed case in the healthcare environment, possible history of contact with suspected/confirmed cases in the community.

7- Dhahran: 52-year-old Saudi male, non-healthcare worker, currently in stable condition, history of pre-existing co-morbidities, no history of high risk exposures (animal exposure, contact with suspected/confirmed cases in healthcare environment or community) in the 14 days prior to onset of illness.

11 Feb 2015 (5 cases):
http://www.moh.gov.sa/en/CCC/PressRelea ... 1-001.aspx

8- Braidah: 48-year-old Expat male, healthcare worker, currently in critical condition, history of pre-existing co-morbidities, no history of animal exposure, possible history of exposure to suspected or confirmed case in the health care environment currently under investigation, no history of contact with suspected or confirmed case in the community.

9- Khobar: 31-year-old Expat female, healthcare worker, currently in stable condition, no history of pre-existing co-morbidities, no history of animal exposure, history of contact with suspected or confirmed case in the healthcare environment, no history of contact with suspected or confirmed case in the community.

10- Jeddah: 73-year-old Expat female, non-healthcare worker, reported as dead, history of pre-existing co-morbidities, no history of animal exposure or contact with suspected or confirmed case in the healthcare environment or in the community.

11- Onaizah: 27-year-old Saudi female, non-healthcare worker currently in stable condition, history of pre-existing co-morbidities, no history of animal exposure or contact with suspected or confirmed case in the healthcare environment or in the community in the 14 days preceding onset of illness.

12- Riyadh: 41-year-old Saudi male, non-healthcare worker, currently in critical condition, history of pre-existing co-morbidities, no history of animal exposure, possible history of exposure to suspected or confirmed case in the health care environment currently under investigation, no history of contact with suspected or confirmed case in the community.

8 Feb 2015 (1 case)
http://www.moh.gov.sa/en/CCC/PressRelea ... 8-001.aspx

13- Dhahran: 56-year-old Saudi male, non-healthcare worker, currently in stable condition, no history of pre-existing co-morbidities, no history of animal exposure or contact with suspected or confirmed case in the healthcare environment or in the community in the 14 days preceding onset of illness.

Information on newly reported deaths (3 fatalities)
12 Feb 2015 (1 fatality)
http://www.moh.gov.sa/en/CCC/PressRelea ... 2-001.aspx

1- Najran: 50-year-old Saudi female, non-healthcare worker, history of pre-existing co-morbidities

11 Feb 2015 (2 fatalities)
http://www.moh.gov.sa/en/CCC/PressRelea ... 1-001.aspx

2- Dammam: 49-year-old Saudi male, non-healthcare worker history of pre-existing co-morbidities

3- Jeddah: 73-year-old Expat female, non-healthcare worker, history of pre-existing co-morbidities

Information on newly reported recoveries (6 recoveries)
12 Feb 2015 (2 recoveries)
http://www.moh.gov.sa/en/CCC/PressRelea ... 2-001.aspx

1- Taif: 76-year-old Saudi male, non-healthcare worker, history of pre-existing co-morbidities

2- Hafoof: 59-year-old Saudi male, non-healthcare worker, history of pre-existing co-morbidities

11 Feb 2015 (3 recoveries)
http://www.moh.gov.sa/en/CCC/PressRelea ... 1-001.aspx

3- Riyadh: 38-year-old Saudi male, non-healthcare worker, history of pre-existing co-morbidities

4- Riyadh: 34-year-old Expat male, non-healthcare worker, no history of pre-existing co-morbidities

5- Dhahran: 56-year-old Saudi male, non-healthcare worker, no history of pre-existing co-morbidities

9 Feb 2015 (1 recovery)
http://www.moh.gov.sa/en/CCC/PressRelea ... 9-001.aspx

6- Riyadh: 67-year-old Saudi male, non-healthcare worker, history of pre-existing co-morbidities

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

[In the past 5 days since the last ProMED-mail update (MERS-CoV (17): Saudi Arabia, new cases, WHO 20150207.3148681), there have been 13 newly confirmed cases, 3 deaths and 6 recoveries reported by the Saudi MOH, 12 of whom were reported in the past 2 days. These increased reports bring the total number of reported cases since June 2012 in Saudi Arabia to 869, including 369 deaths. The case fatality rate continues to hover around 43 percent. There have been 24 newly confirmed cases reported by Saudi Arabia since the beginning of February 2015. Cases this month (February 2015) have been reported from Riyadh (9), Dhahran (3), Alkharj (2), Hafoof (2), Jeddah (2), Dammam (1), Najran (1), Braidah (1), Khobar (1), Onaizah (1), and Madinah (1). If one looks at the maps showing the locations of reported cases on the Saudi MOH website (available through links found at http://www.moh.gov.sa/en/ccc/pressrelea ... fault.aspx and the source URLs for each of the reported cases), one sees that the cases have primarily been reported from the central part of the country extending from Jeddah in the west to the Dammam in the east. Hafoof, Dammam, Dhahran, and Khobar are all in the Eastern Province of the country. A good table showing the cities and towns in Saudi Arabia can be found at http://en.wikipedia.org/wiki/List_of_ci ... udi_Arabia.

In a recent media report from the Malay Mail Online, there is a report that the Saudi authorities warned of an expected spike in cases of MERS-CoV soon related to the calving season of camels and the risk in juvenile camels (http://www.themalaymailonline.com/world ... amel-study). One wonders if that warning have been related to the significant increase in confirmed cases over the past 2 days?

The 3 newly reported deaths include a 50-year-old Saudi female from Najran who was reported as a laboratory confirmed case by the Saudi MOH on 7 Feb 2015, at which time she was noted to be in critical condition. A possible history of animal exposure was under investigation, but there was no history of contact with suspected/confirmed cases in either the healthcare environment or the community. The 2nd reported death was in a 49-year-old Saudi male from Dammam who was reported as a laboratory confirmed case by the Saudi MOH on 6 Feb 2015, at which time he was noted to be in critical condition. He did not have a history of any high risk exposures/contacts in the 14 days preceding onset of illness. The 3rd reported death was a 73-year-old Expat female from Jeddah who was reported as a newly confirmed case on the same day of the report of her death (11 Feb 2015). She too did not have a history of any high risk exposures/contacts in the 14 days preceding onset of illness.

The 6 newly reported recoveries include a 76-year-old Saudi male from Taif who had been reported as a newly confirmed case on 3 Jan 2015 at which time he was noted to be in critical condition. According to the WHO confirmation, he had a history of frequent contact with camels and raw camel milk consumption but no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms (see MERS-CoV (08): Oman, Saudi Arabia, WHO 20150117.3097488 and MERS-CoV (01): Saudi Arabia, new cases, new death 20150104.3069383). The 2nd reported recovery is a 59-year-old Saudi male from Hafoof who had been reported as a newly confirmed case on 3 Feb 2015, at which time he was noted to be in stable condition. According to the WHO update, he is a household contact of a laboratory-confirmed MERS-CoV case (a 76-year-old Saudi male from Hafoof and listed as case 7 in the below WHO update). He denied a history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The 3rd reported recovery is a 67-year-old Saudi male from Riyadh who had been reported as a newly confirmed case on 19 Jan 2015, at which time he was noted to be in stable condition. A possible contact with a suspected/confirmed case in the healthcare environment was under investigation, but the WHO confirmation mentioned no history of high risk exposures/contacts in the 14 days preceding onset of illness: "He frequently visited a health-care facility in Riyadh to treat his unrelated medical condition but has no history of contact with patients with respiratory symptoms. The facility is not associated with previous known MERS-CoV cases." (see MERS-CoV (17): Saudi Arabia, new cases, WHO 20150207.3148681). The 4th reported recovery is a 38-year-old Saudi male from Riyadh who had been reported as a confirmed case on 21 Jan 2015 at which time he was noted to be in stable condition. According to the WHO followup, "[he] was initially admitted to hospital on [1 Jan 2015] for a surgical procedure. On [7 Jan 2015], during his admission, he went out on a day-release where he visited his family in Aldawadmi city. On [12 Jan 2015], the patient underwent surgery in a hospital where a laboratory confirmed MERS-CoV case had also been treated, although there is no history of contact between the patient and the case. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms" (see MERS-CoV (17): Saudi Arabia, new cases, WHO 20150207.3148681). The 5th reported recovery is a 34-year-old Expat male from Riyadh, who was most likely reported as a confirmed case on 5 Feb 2015, although the individual reported that day was reported as a 34-year-old Expat female. This individual had no history of high risk exposures/contacts in the 14 days preceding onset of symptoms. The 6th individual reported as a recovery is a 56-year-old Saudi male from Dhahran reported as a confirmed case on 8 Feb 2015, at which time he was noted to be in stable condition. He too did not have a history of high risk exposures/contacts in the 14 days preceding onset of illness.

ProMED-mail Rapporteur Mary Marshall sent a blog report that mentioned 2 suspected cases of MERS-CoV in Braidah (also known as Buraydah). The report mentioned that 2 women had specimens sent for testing (see http://crofsblogs.typepad.com/h5n1/2015 ... aidah.html). Today's (11 Feb 2015) official MOH report confirmed a 48-year-old male in Braidah. One wonders whether there may be contacts of this case that are being tested. More information from knowledgeable sources in the region would be greatly appreciated.

A good map of Saudi Arabia showing the principal cities in the country can be seen at http://www.mapsofworld.com/saudi-arabia/cities/. - Mod.MPP]

******
[2] Philippines ex Saudi Arabia - media report, RFI
Date: 11 Feb 2015
Source: Philippine Daily Inquirer [edited]
http://globalnation.inquirer.net/118603 ... -case-doh/


A 32-year-old Filipina nurse who arrived from Saudi Arabia on [1 Feb 2015] is the country's 1st positive case of the deadly Middle East Respiratory Syndrome-Coronavirus (MERS-CoV), according to the Department of Health (DOH).

In a press briefing on Wednesday [11 Feb 2015], DOH Undersecretary Nemesio Gako said health officials were already tracking down the other 224 passengers who flew on the same plane as the infected nurse, who took Saudi Airlines Flight No. SV860 in Riyadh.

"Testing was done on the patient and yielded positive results. The patient is being watched closely by our doctors and health workers," said Gako, reading from a prepared statement. He added that the nurse was in a stable condition, as of Wednesday [11 Feb 2015].

While the risk of transmission [on the plane] was low since the patient had no symptoms of the virus during the 9-hour flight, the DOH appealed to the passengers and others who came in contact with the nurse to have themselves tested and undergo a throat swab examination to rule out infection of MERS-CoV.

"Our appeal, since we already started contact-tracing, is that they don't make it hard for us to contact them and they are requested to be subjected for testing because we are doing this for their and their families' protection," DOH spokesperson Lydon Lee Suy told reporters on Wednesday [11 Feb 2015].

MERS-CoV, considered a deadlier but less-transmissible cousin of the SARS virus, carries symptoms that are similar to the common flu, including fever with cough, cold and sneezing. The incubation period of the virus is usually 14 days.

The nurse, who traveled with her husband from Riyadh, was brought to the Research Institute for Tropical Medicine (RITM) in Muntinlupa City on Monday [9 Feb 2015] after days of having cough, fever and body pains, among the symptoms of the virus.

Lee Suy said the initial consultation at an undisclosed health facility did not treat the case as MERS-CoV until the nurse was referred to the RITM on Monday [9 Feb 2015], where she was immediately confined in one of the hospital's negative pressure rooms.

The husband, who had no signs of the virus, was confined in a separate isolation room in the same hospital for precaution, he added.

Lee Suy said 3 tests were done on the nurse and all yielded positive for the virus. But he clarified that the country's 1st MERS-CoV case was imported from Saudia Arabia and was not due to local transmission. "This is the 1st confirmed MERS-CoV case that was tested in the country," he said.

Last year [2015], 2 Filipino nurses had tested positive for the virus while still in the United Arab Emirates and Saudi Arabia, respectively. But confirmatory tests done at the RITM following their return to the Philippines yielded negative results.

"According to the nurse, she did not have any contact with any case of MERS-CoV back there in Saudi. But she was working in a health facility, so there was a chance that she might have [encountered] a patient [with the virus]," said Lee Suy.

The nurse developed fever and cough a day after her arrival in the Philippines. Aside from the nurse's co-passengers, health officials were also tracking down other possible contacts between [1-10 Feb 2015], the day tests confirmed that she had the virus.

So far, the patient's relatives have not developed symptoms of the virus but they should be tested and placed under observation, said Lee Suy, adding that health personnel who attended to her during her 1st consultation have also been subjected to throat swab examination.

"For the community, we are also doing contact-tracing ... we need to check on them to make sure they do not have fever, they do not manifest any symptoms relative to MERS-CoV," said Lee Suy.

Dr. Julie Hall, World Health Organization country representative, said that while RITM had a "high level capacity" for confirming such cases, the DOH has been directed to send samples to one of WHO's collaborating laboratories in Hong Kong as part of international protocol for MERS-CoV.

"We thank the government for informing us early on this, and their willingness to share the samples for collaboration is very important as part of the global effort to end the [spread] of MERS-CoV," said Hall.

As of [5 Feb 2015], the WHO has recorded 971 laboratory-confirmed cases of MERS-CoV, of which 356 have died.

"The chance of transmission in the plane is low, but it is important that those passengers be contacted and particularly those close to the [patient] are tested and are given the necessary advice and reassurance," said Hall.

She also noted that the Philippine government was taking "very sensible" precautionary measures in terms of tracking down the nurse's co-passengers and contact-tracing in the community to prevent the spread of the disease.

[Byline: Jocelyn R. Uy]

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[As mentioned above, this is the 1st case of MERS-CoV with onset of illness occurring in the Philippines. Last April (2014), the Philippines did report a case of MERS associated with a returning healthcare worker who had been confirmed as MERS-CoV infected in the UAE, and returned to the Philippines "infected." According to the above media report, the individual may not have been infected at the time of re-testing. Clarification would be appreciated as this case is reported in the ECDC risk assessments.

It would be interesting to know where this newly reported case was working. There have been a number of confirmed cases in Saudi Arabia without documented contact with other cases, but with periodic health sector contact for other co-morbidities, suggesting there may well be contaminated fomites in the healthcare environment that are responsible for transmission.

As for risk to passengers flying with this individual, if the individual was asymptomatic during the flight, the likelihood of transmission of the MERS-CoV to others on the plane is most likely very low. There has been no documented transmission of the virus from asymptomatic infected individuals identified through contact tracing. Testing of close contacts during the flight might be very helpful in further studying this hypothesis that asymptomatic infection is not associated with continued transmission of the virus from person to person. There are still many unknowns with respect to MERS-CoV epidemiology, and every opportunity to address this question should be taken.

More information on this case (including gender and city where the individual worked in Saudi Arabia) would be greatly appreciated. For the HealthMap/ProMED map of the Philippines, see http://healthmap.org/promed/p/158. - Mod.MPP]

******
[3] Saudi Arabia - WHO update 11 Feb 2015
Date: 11 Feb 2015
Source: WHO Global Alert and Response Disease Outbreak News 11 Feb 2015 [edited]
http://www.who.int/csr/don/11-february- ... arabia/en/


Middle East respiratory syndrome coronavirus (MERS-CoV) - Saudi Arabia, 11 Feb 2015
------------------------------
Between [27 Jan 2015 and 4 Feb 2015], the IHR National Focal Point for the Kingdom of Saudi Arabia (SAU) notified WHO of 10 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including one death. Cases are listed by date of reporting, with the most recent case listed 1st.

Details of the cases are as follows:

A 37-year-old, non-national male from Riyadh city, who works as a health worker in a private hospital, developed symptoms on [28 Jan 2015] and was admitted to a hospital on [30 Jan 2015]. The patient is a smoker; however, he has no comorbidities. The private hospital where he works in is not associated with any known MERS-CoV cases. The patient has no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. The patient was admitted to a negative pressure isolation room on a ward and is currently in stable condition [reported as a confirmed case by MOH on 4 Feb 2015 - Mod.MPP].

A 58-year-old, non-national female from Riyadh city developed symptoms on [28 Jan 2015] and was admitted to a hospital on [31 Jan 2015]. The patient has comorbidities but has no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. She was admitted to a negative pressure isolation room on a ward and is currently in stable condition [reported as a confirmed case by MOH on 4 Feb 2015. - Mod.MPP].

A 59-year-old male from Hofuf city developed symptoms on [28 Jan 2015] and was admitted to a hospital on [3 Feb 2015]. The patient has comorbidities. He is a household contact of a laboratory-confirmed MERS-CoV case [case n. 7, see below]. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient was admitted to a negative pressure isolation room on a ward and is currently in stable condition [reported as a confirmed case by MOH on 3 Feb 2015. - Mod.MPP].

A 26-year-old male from Alkharj city developed symptoms on [1 Feb 2015] and was admitted to a hospital on the same day. The patient has comorbidities. He has no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. The patient was admitted to a negative pressure isolation room on a ward and is currently in stable condition. [Reported as a confirmed case by MOH on 3 Feb 2015. - Mod.MPP]

A 56-year-old female from Alkharj city developed symptoms on 24 Jan 2015] and was admitted to a hospital on [30 Jan 2015]. She has comorbidities. The patient's family owns a camel farm, and she has history of frequent contact with camels. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. She was admitted to ICU on mechanical ventilation and is currently in stable condition. [Reported as a confirmed case by MOH on 3 Feb 2015, and reported as a fatality on 6 Feb 2015. - Mod.MPP]

A 62-year-old male from Hafoof city developed symptoms on [29 Jan 2015] and was admitted to a hospital on the same day. The patient has comorbidities. He is a household contact of a laboratory-confirmed MERS-CoV case (Case n. 7 - see below). The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient was admitted to a negative pressure isolation room on a ward and is currently in stable condition. [Reported as a confirmed case by MOH on 2 Feb 2015. - Mod.MPP]

A 76-year-old male from Hafoof city developed symptoms on [19 Jan 2015] and was admitted to a hospital on [25 Jan 2015]. The patient has comorbidities. He owns a camel farm and has history of frequent contact with camels and consuming their raw milk. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. He was admitted to a negative pressure isolation room on a ward and is currently in stable condition. [Reported as a confirmed case by MOH on 30 Jan 2015. - Mod.MPP]

A 37-year-old non-national, male from Riyadh city developed symptoms on [16 Jan 2015] and was admitted to a hospital on [28 Jan 2015]. The patient has comorbidities but no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. He was admitted to ICU on mechanical ventilation and is currently stable condition. [Reported as a confirmed case by MOH on 30 Jan 2015. - Mod.MPP]

A 62-year-old male from Riyadh city was detected through contact tracing of a MERS-CoV case that was reported in a previous DON on [3 Feb 2015] (Case n. 9). The patient is currently asymptomatic but laboratory tests confirmed MERS-CoV infection. He has no comorbidities and no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, he is home isolated and being closely monitored. [I am unable to find a report of this case. All cases reported on the MOH website in recent months have been symptomatic cases. - Mod.MPP]

An 80-year-old male from Riyadh city developed symptoms on [21 Jan 2015] and was admitted to a hospital on [24 Jan 2015]. The patient had comorbidities. He had history of admission to the same hospital on [30 Dec 2014] for an unrelated medical condition. This hospital treated 2 MERS-CoV cases reported in previous DONs on [20 Jan 2015] (Case n. 4) and on [3 Feb 2015] (Case n. 9). During that period of time, however, the patient had no direct contact with these cases. He had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient was in critical condition in ICU on mechanical ventilation and passed away on [1 Feb 2015]. [Reported as a confirmed case by MOH on 27 Jan 2015 and as a fatality on 1 Feb 2015. - Mod.MPP]

Contact tracing of household contacts and healthcare contacts is ongoing for these cases.

Globally, WHO has been notified of 975 laboratory-confirmed cases of infection with MERS-CoV, including at least 358 related deaths.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[The WHO report is helpful in filling in missing epidemiologic information from further investigations after the cases have been reported as confirmed cases. This report is up to date through cases reported on 4 Feb 2015. Since then, there have been an additional 11 cases reported by the Saudi MOH. It is also of interest to see that continuous contact tracing is ongoing, and some are found to have asymptomatic MERS-CoV infections.

The HealthMap/ProMED map of Saudi Arabia can be found at http://healthmap.org/promed/p/131. - Mod.MPP]

******
[4] Qatar - WHO 11 Feb 2015
Date: 11 Feb 2015
Source: WHO Global Alert and Response Disease Outbreak News 11 Feb 2015 [edited]
http://who.int/csr/don/11-february-2015-mers-qatar/en/


Middle East respiratory syndrome coronavirus (MERS-CoV) - Qatar
---------------------
On [2 Feb 2015], the IHR National Focal Point of Qatar notified WHO of one additional case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection.

Details of the case are as follows:

A 55-year-old, non-national male from Al-Shahaniya City developed symptoms on [28 Jan 2015] and visited a primary health care center as symptoms worsened on [31 Jan 2015]. Following laboratory confirmation of MERS-CoV infection, the patient was admitted to hospital on [1 Feb 2015]. He has no comorbidities but has frequent contact with camels and goats. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, he is in stable condition in an isolation room with negative pressure.

Contact tracing of household contacts and healthcare contacts is ongoing for the case.

Globally, WHO has been notified of 976 laboratory-confirmed cases of infection with MERS-CoV, including at least 358 related deaths.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[This case was reported by the Qatar Supreme Council of Health in a press release on 1 Feb 2015 (see MERS-CoV (16): Qatar, Saudi Arabia, RFI 20150203.3138313). At that time, there was no information on possible high risk exposures.

For the HealthMap/ProMED map of Qatar, see http://healthmap.org/promed/p/130. Note the close proximity of Qatar to the Eastern Province of Saudi Arabia, where there have been cases recently reported. - Mod.MPP]

******
[5] UAE - WHO 11 Feb 2015, RFI
Date: 11 Feb 2015
Source: WHO Global Alert and Response Disease Outbreak News 11 Feb 2015 [edited]
http://who.int/csr/don/11-february-2015-mers-are/en/


Middle East respiratory syndrome coronavirus (MERS-CoV) - United Arab Emirates 11 Feb 2015
------------------------------------
On [3 Feb 2015], the IHR National Focal Point of the United Arab Emirates notified WHO of one additional fatal case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection.

Details of the case are as follows:

A 38-year-old, non-national male from Abu Dhabi developed symptoms on [29 Dec 2014]. As symptoms worsened, the patient presented to the emergency room of a hospital on [29 Jan 2015] and was admitted to the hospital on the same day. Investigation of history of contact with camels is ongoing. He had no comorbidities and no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient was in critical condition, intubated in ICU, and passed away on [6 Feb 2015].

Contact tracing of household contacts and healthcare contacts is ongoing for the case.

Globally, WHO has been notified of 977 laboratory-confirmed cases of infection with MERS-CoV, including at least 359 related deaths.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[This is the 1st report of this newly confirmed case in the UAE. The most recent report of a MERS-CoV case in the UAE that was covered on ProMED was in July 2014 (see MERS-CoV (06): Saudi Arabia, UAE, WHO, corr. 20140718.2621398, 18 Jul 2014 MERS-CoV (06): Saudi Arabia, UAE, WHO 20140718.2620907 and 10 Jul 2014 MERS-CoV (05): Saudi Arabia, UAE, WHO, RFI 20140710.2592792). In doing a retrospective search for possible missed media reports, it is interesting to find a report from 2 Jan 2015 praising the UAE for successful control measures leading to no reported cases in over 5 months (http://www.thenational.ae/uae/health/he ... ive-months). I was unable to find information on MERS-CoV on the English page of the UAE MOH website as well. Hence, this WHO confirmation is the 1st public announcement of this case. It will be of interest to learn whether there was contact with camels as a possible explanation for transmission of the MERS-CoV. It will also be interesting to see whether additional MERS-CoV asymptomatic infected contacts are identified, as has been the case in previous instances in the UAE. We await further information.

According to the most recent ECDC rapid risk assessment document from 15 Jan 2015, there have been a total of 73 laboratory confirmed cases of MERS-CoV infection including 9 deaths reported by the UAE MOH, with the most recent date of onset 5 Jul 2014 (see http://ecdc.europa.eu/en/publications/p ... update.pdf).

As of 11 Feb 2015, there have now been a total of 977 laboratory confirmed cases of MERS-CoV infection, including at least 359 deaths (case fatality rate of 36.7 percent) globally reported to WHO. As the 1000 mark of cases approaches, one hopes there will be results of needed case control studies to further clarify true high risk exposures/contacts/behaviors that are associated with MERS-CoV infection, and learn more information on the epidemiology of this disease.

The HealthMap/ProMED map of the UAE can be found at: http://healthmap.org/promed/p/132. - Mod.MPP]
See Also
MERS-CoV (18): animal reservoir, camel, Israel survey, bat, RFI 20150210.3156453
MERS-CoV (17): Saudi Arabia, new cases, WHO 20150207.3148681
MERS-CoV (16): Qatar, Saudi Arabia, RFI 20150203.3138313
MERS-CoV (15): Saudi Arabia, new cases 20150130.3126681
MERS-CoV (14): Saudi Arabia, Oman, WHO 20150124.3114951
MERS-CoV (13): Saudi Arabia, new cases 20150122.3111739
MERS-CoV (12): animal reservoir, camels debated, case-control study, RFI 20150122.3109335
MERS-CoV (11): Saudi Arabia, new cases, deaths, WHO 20150121.3108145
MERS-CoV (10): Saudi Arabia, new cases, new death 20150119.3103976
MERS-CoV (09): Saudi Arabia, animal reservoir, camels debated 20150117.3098294
MERS-CoV (08): Oman, Saudi Arabia, WHO 20150117.3097488
MERS-CoV (07): Saudi Arabia, new cases 20150114.3092794
MERS-CoV (06): Oman, new case, RFI 20150111.3085228
MERS-CoV (05): Saudi Arabia, new cases 20150109.3082724
MERS-CoV (04): Oman, Saudi Arabia, RFI 20150108.3079584
MERS-CoV (03): Saudi Arabia, new cases, new fatality, Jordan, WHO 20150107.3077259
MERS-CoV (02): Saudi Arabia, new case, new fatality, WHO 20150105.3072814
MERS-CoV (01): Saudi Arabia, new cases, new death 20150104.3069383
2014
----
MERS-CoV (69): Saudi Arabia, new case, RFI 20141230.3063059
MERS-CoV (68): Jordan, Saudi Arabia, RFI 20141229.3057913
MERS-CoV (67): Iran (SB) animal reservoir, camel, ex Pakistan, RFI 20141219.3039497
MERS-CoV (66): Saudi Arabia, new cases, deaths 20141216.3037408
MERS-CoV (65): Saudi Arabia, new case, new death, RFI 20141209.3020468
MERS-CoV (64): Saudi Arabia, new case, camel workers 2012 20141206.3014451
MERS-CoV (63): Saudi Arabia, new cases, new deaths, WHO 20141203.3006876
MERS-CoV (62): Saudi Arabia, new case, new death 20141201.452096
MERS-CoV (61): Saudi Arabia, new cases, new deaths 20141128.2997466
MERS-CoV (60): Saudi Arabia, WHO 20141124.2986456
MERS-CoV (59): Saudi Arabia, new case, WHO 20141123.2984564
MERS-CoV (58): Saudi Arabia, new cases, new deaths, RFI 20141122.2981224
MERS-CoV (57): Saudi Arabia, new case 20141118.2966558
MERS-CoV (56): Saudi Arabia, new case 20141115.2956985
MERS-CoV (55): Saudi Arabia, new cases, deaths 20141114.2953682
MERS-CoV (54): Saudi Arabia, new cases, outbreak control, WHO 20141108.2938223
MERS-CoV (53): Saudi Arabia, new cases 20141105.2932867
MERS-CoV (52): Saudi Arabia, Qatar, WHO 20141104.2928160
MERS-CoV (51): Saudi Arabia, new cases, new deaths, sups cases 20141030.2916328
MERS-CoV (50): Saudi Arabia, new cases, new deaths, susp. cases, RFI 20141029.2913506
MERS-CoV (49): Iran (SB), animal reservoir, camel conf, OIE 20141029.2912385
MERS-CoV (48): Saudi Arabia, new case, new deaths 20141029.2911075
MERS-CoV (47): Saudi Arabia, new cases 20141028.2907070
MERS-CoV (42): Saudi Arabia, Qatar 20141024.2894667
MERS-CoV (34): Qatar, Saudi Arabia, new case, RFI 20141012.2856064
MERS-CoV (01): Bangladesh, KSA, Algeria, UAE, Iran, WHO, RFI 20140616.2541707
MERS-CoV - Eastern Mediterranean (82): anim res, camel, seroepidemiology 20140613.2537848
MERS-CoV - Eastern Mediterranean (81): Kuwait, animal res, camel conf, OIE 20140612.2534919
MERS-CoV - Eastern Mediterranean (80): S Arabia, Iran, Algeria, Tunisia 20140612.2534478
2013
----
MERS-CoV - Eastern Mediterranean: Saudi Arabia, new case, RFI 20130518.1721601
Novel coronavirus - Eastern Mediterranean (29): MERS-CoV, ICTV nomenclature 20130516.1717833
2012
----
Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733
.................................................mpp/msp/mpp

http://promedmail.org/direct.php?id=20150212.3160052

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PostPosted: Thu Feb 12, 2015 11:49 pm 
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@AicaDioquino: DOH acting Sec. Garin says 11 of the 56 people with close contact with the patient showed symptoms, to undergo confirmatory test.

@AicaDioquino: Garin: The 56 identified close contact with the patient were not on the plane. DOH to update re: 220 passengers on Monday.

@AicaDioquino: Garin: The 56 all tested negative in first round, but the 11 displayed symptoms (i.e. coughs, phlegm).

@AicaDioquino: Garin: "Mas chineck pa 'yung husband kaysa sa wife kasi ubo nang ubo." He's one of the 11 that showed symptoms. @gmanews

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PostPosted: Thu Feb 12, 2015 11:50 pm 
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@gmanews: Garin: The 11 who have manifested symptoms, 10 are from the hospital, one is the husband

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PostPosted: Fri Feb 13, 2015 12:18 am 
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DOH: 11 in close contact with Pinoy MERS-CoV patient showed symptoms
By ROSE-AN JESSICA DIOQUINO, GMA NewsFebruary 13, 2015 11:46am
1 1 0 5
Eleven of the 56 people identified to have had close contact with the female Filipino nurse who tested positive of the Middle East Respiratory Syndrome-Coronavirus (MERS-CoV) showed flu-like symptoms, including her husband, the Department of Health said Friday.

In a press conference, acting Health Secretary Janette Garin said that along with the patient's husband, 10 others from the hospital where the nurse was first admitted will undergo confirmatory test to see whether they caught the disease.

"Mas chineck siya kaysa sa wife kasi ubo siya nang ubo," Garin said of the patient's husband, but clarified that it may turn out to be another disease like pneumonia.

All 11 identified close contacts, along with the patient, are at the Research Institute for Tropical Medicine (RITM) in Muntinlupa City, where they have been confined since Wednesday.

Also included are two people who tested negative in the first round of tests, but were the ones who took care of the patient.

In an interview following the press conference, Garin said that at least nine of them are seen to be recovering from the symptoms.

Samples for the confirmatory test, including rectal samples, have been taken from the 11, with results expected over the weekend, she added.

Garin said the patient is "stable" and is being "closely watched," as she is pregnant.

She said it can't be determined yet whether the baby caught the virus. "Masyado pang maliit to determine," she said. —KBK, GMA News

http://www.gmanetwork.com/news/story/43 ... d-symptoms

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