Fwd: PRO/AH/EDR> MERS-CoV - Eastern Mediterranean (50): Saudi Arabia, UAE, USA, RFI
MERS-COV - EASTERN MEDITERRANEAN (50): SAUDI ARABIA, UAE, USA, 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, 15 new infections, 1 death - MOH [2] UAE, 4 new infections - MOH [3] USA ex Saudi Arabia - Indiana DOH ****** [1] Saudi Arabia, 15 new infections, 1 death - MOH Date: 4 May 2014 Source: Saudi MOH [edited] <http://www.moh.gov.sa/en/CoronaNew/PressReleases/Pages/mediastatement-2014-05-04-001.aspx> MOH: 15 Confirmed Cases of the Novel Coronavirus Recorded on Sat 3 May 2014 --------------------------- Daily Report on the Coronavirus (MERS-CoV) Situation Saturday [3 May 2014] Total number of confirmed cases: 15 Total number of recovered cases now testing negative: 4 Total number of deaths: 1 (The case was previously announced to be infected with the virus). Overview of the health status of the cases: 4 cases haven't developed any symptoms 5 stable cases receiving proper treatment 5 cases at intensive care units 1 case passed away. The health situation of the cases in detail: In Riyadh a) A 45-year-old woman working at a governmental hospital in Riyadh. She was admitted to the hospital on [29 Apr 2014] with respiratory symptoms. Now, she is at the intensive care unit receiving treatment. She has been in contact with a confirmed case. b) A 47-year-old man who was admitted to a governmental hospital in Riyadh on [21 Apr 2014] with respiratory symptoms. Now, he is at the IC unit receiving treatment. c) A 77-year-old man suffering from multiple myeloma. He was admitted to a governmental hospital in Riyadh in December 2013, and then he displayed respiratory symptoms on [29 Apr 2014]. He passed away on [2 May 2014]. d) A 73-year-old woman who was admitted to a governmental hospital in Riyadh in January 2014 with cardiac diseases, and then she developed respiratory symptoms on [29 Apr 2014]. Now, she is receiving treatment at the IC unit. e) A 27-year-old man who suffered from symptoms of high temperature, vomiting and diarrhea on [1 May 2014]. Two days later, he was admitted to a governmental hospital. His health status is stable now. He has been in contact with a confirmed case. f) A 55-year-old man who has been in contact with a confirmed case. He has not developed any symptoms. In Jeddah a) A 94-year-old man who exhibited respiratory symptoms on [26 Apr 2014], and then he was rushed to a governmental hospital in Jeddah on [28 Apr 2014]. Now, he is receiving treatment at the IC unit. b) A 61-year-old man suffering from renal failure. He experienced respiratory symptoms on [22 Apr 2014], and then he was admitted to a private hospital in Jeddah on [24 Apr 2014]. His health status is stable. c) The 3rd case is a 47-year-old man suffering from renal failure. On [29 Apr 2014], he showed respiratory symptoms and was taken to a governmental hospital in Jeddah. His health status is stable. d) A 63-year-old man who was admitted to a governmental hospital in Jeddah on [17 Feb 2014] suffering from gangrene. On [29 Apr 2014], he developed respiratory symptoms. Now, he is at the IC unit receiving treatment. e) A 40-year-old woman who was taken to a governmental hospital in Makkah on [29 Apr 2014] with respiratory symptoms. Her health status is stable. Later on, she was transferred to a governmental hospital in Jeddah. In Makkah: a) A 26-year-old woman who showed mild respiratory symptoms on [21 Apr 2014]. Her health status is stable. She has been in contact with a confirmed case. b) A 27-year-old woman who has been in contact with a confirmed case. She has not developed any symptoms. c) A 37-year-old woman who has been in contact with a confirmed case. She has not developed any symptoms. d) A 14-year-old adolescent who has been in contact with a confirmed case. He has not developed any symptoms. Recovered and discharged cases that previously tested positive and are now negative: a) A 48-year-old man who is discharged from the governmental hospital in Jeddah b) A 77-year-old woman who is discharged from the governmental hospital in Riyadh c) A 45-year-old man who is discharged from the governmental hospital in Riyadh d) A 81-year-old man who is discharged from the governmental hospital in Riyadh -- Communicated by: ProMED-mail <promed@promedmail.org> [With the addition of the above newly reported laboratory confirmations, there have now been 411 laboratory confirmed cases of MERS-CoV infection including 112 deaths reported in Saudi Arabia since September 2012. Of the 15 newly confirmed cases, 7 were known contacts of previously laboratory confirmed infections, of whom 4 have no clinical symptoms, and 3 had clinical illness compatible with MERS-CoV infection. 3 of the newly confirmed cases had been hospitalized for weeks or months for other illnesses and then developed respiratory symptoms compatible with MERS-CoV infection. One case is a government hospital employee. New information on patients who are no longer MERS-CoV positive and are being discharged home is being provided. A map of Saudi Arabia showing the locations of these newly confirmed laboratory infections can be found at the source URL. - Mod.MPP] ****** [2] UAE, 4 new infections - MOH Date: 4 May 2014 Source: Health Authority - Abu Dhabi (HAAD) [edited] <http://www.haad.ae/haad/tabid/58/ctl/Details/Mid/417/ItemID/425/Default.aspx> HAAD announces 6 cases diagnosed with MERS Coronavirus tested negative ---------------------------- The Health Authority - Abu Dhabi (HAAD) [United Arab Republic] is pleased to announce that 6 more of the individuals who are in isolation in hospital with MERS coronavirus (MERS-CoV) infection have now tested negative for the virus and will be leaving hospital soon. With this, the number of individuals who have tested negative has risen to 27. HAAD said that these 6 cases were kept in isolation at hospitals as a precautionary measure. They were able to clear the virus within 10-14 days themselves without any treatment. It is expected that the other individuals with positive MERS coronavirus currently in isolation in hospitals will likewise soon test negative and be able to go home. They are being tested daily to check on their positive status. HAAD also announced 4 new cases with MERS-CoV. Most have either no symptoms or mild symptoms and are expected to clear the virus soon. They have been admitted to hospital for isolation until they clear the virus. HAAD confirmed that it is coordinating with the Ministry of Health (MOH) and other authorities in the country and has taken all necessary measures as per international standards and recommendations from the World Health Organisation (WHO). HAAD has been engaging world authorities from expert international organizations who are now in Abu Dhabi to help shed light on various aspects of the virus, including modes of transmission, and best practice in managing viral infections of this type. The MOH stated that the WHO confirmed the virus is not a concern for public health at the moment and that the current situation does not require a travel ban to any country in the world, screenings at different ports, or any restrictions on trade. The MOH confirmed that it is monitoring the situation closely to ensure the health and safety of everyone. -- Communicated by: ProMED-mail <promed@promedmail.org> [The above announcement from the Health Authority of Abu Dahbi (HAAD) mentions 4 new laboratory confirmed MERS-CoV infected individuals with either mild or no symptoms. No further details on these cases are available as yet. Information as to whether these cases are related to the outbreak involving overseas workers in the health sector is not available. More information on the epidemiology of the cases reported in the UAE would be greatly appreciated. For a map of the UAE, see <http://healthmap.org/promed/p/132>. - Mod.MPP] ****** [3] USA ex Saudi Arabia - Indiana DOH Date: 4 May 2014 Source: Indiana Department of Health [edited] <http://www.in.gov/activecalendar/EventList.aspx?fromdate=5/2/2014&todate=5/4/2014&display=Month&type=public&eventidn=170005&view=EventDetails&information_id=200570> The 1st identified U.S. case of Middle East respiratory syndrome (MERS) was diagnosed this week at Community Hospital, Munster, Indiana. The patient, whose name is being kept confidential, remains hospitalized in good condition and is improving each day. As of today [4 May 2014], no other cases of MERS have been identified [in the USA]. "We are very pleased the patient is improving, and no other cases have been identified at this time," said State Health Commissioner William VanNess II, M.D. "The individual has received excellent care while at Community Hospital in Munster. The swift diagnosis and precautionary measures taken have undoubtedly greatly helped reduce the risk of this potentially serious virus spreading." The Indiana State Department of Health is working with the hospital, the Centers for Disease Control and Prevention (CDC) and others to monitor the situation and prevent the spread of the virus. Representatives from the CDC arrived in Indianapolis yesterday [3 May 2014] to assist and arrived at the hospital this morning. Since symptoms of MERS may take up to 14 days to occur, staff members at the hospital who had direct contact with the patient prior to the patient being placed in full isolation have been taken off duty and placed in temporary home isolation. Those individuals are being closely monitored for any signs or symptoms of the virus and will be allowed to return to work once the incubation period is over and they have confirmed negative laboratory results. There have been no reported cases of people without symptoms transmitting this virus. "The patient is in full isolation and presents no risk to patients, staff or the general community," said Don Fesko, CEO of Community Hospital in Munster. "We are thoroughly prepared to handle respiratory infections. We continue to work closely with the CDC and State Health Department and are following every recommendation. Safety is our top priority." For questions about MERS, please call the Indiana State Department of Health hotline at 1-877-826-0011, which is being answered daily, 8 a.m. to 4:30 p.m. EDT. A voicemail system is available for callers to leave a message during off hours. All calls will be returned 1st thing the following morning. To keep you and your family healthy by reducing your risk of disease, follow CDC's tips below: - Wash your hands often with soap and water for 20 seconds, and help young children do the same. If soap and water are not available, use an alcohol-based hand sanitizer. - Cover your nose and mouth with a tissue when you cough or sneeze, then throw the tissue in the trash. - Avoid touching your eyes, nose, and mouth with unwashed hands. - Avoid close contact, such as kissing, sharing cups, or sharing eating utensils with sick people. - Clean and disinfect frequently touched surfaces, such as toys and doorknobs. For more information, please visit the websites below. - Middle East Respiratory Syndrome: <http://www.cdc.gov/coronavirus/mers/index.html> - About Coronavirus: <http://www.cdc.gov/coronavirus/about/index.html> - Frequently Asked MERS Questions and Answers: <http://www.cdc.gov/coronavirus/mers/faq.html> - Indiana State Department of Health <http://www.StateHealth.in.gov> -- Communicated by: ProMED-mail <promed@promedmail.org> [On [24 Apr 2014], the patient traveled by plane from Riyadh, Saudi Arabia to London, England then from London to Chicago, Illinois. The patient then took a bus from Chicago to Indiana. On [27 Apr 2014], the patient began to experience respiratory symptoms, including shortness of breath, coughing, and fever. The patient went to an emergency department in an Indiana hospital on [28 Apr 2014] and was admitted on that same day. See post (48) listed below. - Mod.JW] [The description of the management of cases and contacts suggests that should there have been transmission of the MER-CoV from this patient to HCWs, the chain of transmission within the hospital would have been markedly reduced, as these individuals are being removed from active patient care until they are cleared of disease following one incubation period. The unfortunate "wild card" here will be how well the home isolation is observed, preventing transmission among the community outside of the health care environment. For a map of the USA showing states, see <http://commons.wikimedia.org/wiki/File:Map_of_USA_showing_state_names.png>. - Mod.MP A HealthMap/ProMED-mail map can be accessed at: <http://healthmap.org/promed/p/131>.] [See Also: 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 (46): Saudi Arabia, animal reservoir, camel 20140430.2440228 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 (38): animal reservoir, camel, Saudi Arabia, RFI 20140423.2424953 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 (34): animal reservoir, camel, Saudi Arabia, RFI 20140419.2414479 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 (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/jw *##########################################################* ************************************************************ ProMED-mail makes every effort to verify the reports that are posted, but the accuracy and completeness of the information, and of any statements or opinions based thereon, are not guaranteed. 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