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Middle East respiratory syndrome coronavirus (MERS-CoV) ? update (WHO, October 14 2013)

Giuseppe

Emeritus
[Source: World Health Organization, full page: (LINK). Edited.]


Middle East respiratory syndrome coronavirus (MERS-CoV) ? update

Disease outbreak news

14 October 2013


WHO has been informed of an additional two laboratory-confirmed cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in Saudi Arabia.

The patients, both men, aged 55 and 78, were from Riyadh region. They became ill at the end of September 2013 and died in the beginning of October 2013. Both the patients were reported to have had no contact to a known laboratory-confirmed case with MERS-CoV.

Globally, from September 2012 to date, WHO has been informed of a total of 138 laboratory-confirmed cases of infection with MERS-CoV, including 60 deaths.

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

Health care providers are advised to maintain vigilance. Recent travellers returning from the Middle East who develop SARI should be tested for MERS-CoV as advised in the current surveillance recommendations.

Specimens from patients? lower respiratory tracts should be obtained for diagnosis where possible. Clinicians are reminded that MERS-CoV infection should be considered even with atypical signs and symptoms, such as diarrhoea, in patients who are immunocompromised.

Health care facilities are reminded of the importance of systematic implementation of infection prevention and control (IPC). Health care facilities that provide care for patients suspected or confirmed with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus to other patients, health care workers and visitors.

All Member States are reminded to promptly assess and notify WHO of any new case of infection with MERS-CoV, along with information about potential exposures that may have resulted in infection and a description of the clinical course. Investigation into the source of exposure should promptly be initiated to identify the mode of exposure, so that further transmission of the virus can be prevented.

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.

WHO has convened an Emergency Committee under the International Health Regulations (IHR) to advise the Director-General on the status of the current situation. The Emergency Committee, which comprises international experts from all WHO Regions, unanimously advised that, with the information now available, and using a risk-assessment approach, the conditions for a Public Health Emergency of International Concern (PHEIC) have not at present been met.


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Re: Middle East respiratory syndrome coronavirus (MERS-CoV) ? update (WHO, October 14 2013)

FluTrackers.com ‏@FluTrackers 2h
@HaertlG @WHO Is it possible that the WHO count of deaths is short by 2? Do you have these included on your list? http://www.moh.gov.sa/CoronaNew/PressReleases/Pages/Mediastatement-2013-09-18-002.aspx ? Thx


Gregory H?rtl ‏@HaertlG 1h
@FluTrackers @WHO Hello. 2 fatal cases are still pending confirmation. Hence both cases and deaths on WHO site are low by 2. #MERS
 
Re: Middle East respiratory syndrome coronavirus (MERS-CoV) ? update (WHO, October 14 2013)

Most likely clarification of total confirmed cases reported from WHO

WHO n=138
ECDC=141
FT n=143 (includes 2 probable)
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MOH KSA n=119

WHO n=138 compared to FT's/ECDC n=141(not including the recent probable cases on FT's)

Globally cases 131,132,133 (or KSA MOH reports cases 109,110,111)
Media Statements - MOH: ?Three New Cases of Novel Coronavirus Recorded and Two Cases Passed Away? , 18 September 2013
http://www.moh.gov.sa/en/CoronaNew/PressReleases/Pages/Mediastatement-2013-09-18-002.aspx

I believe these cases are missing from WHO's confirmation list,respectively!

The confirmed fatal cases count is partially skewed due to lack of information publically released in relation to specific cases at the time of reporting!

WHO confirms two more Saudi MERS cases | CIDRAP
http://www.cidrap.umn.edu/news-perspective/2013/10/who-confirms-two-more-saudi-mers-cases
 
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