Tag Archive: Middle East


Earth Watch Report  -  Epidemic Hazards

SAMC Front in SAMC Front Entrance by Southeast Alabama Medical Center

 

SAMC Tower

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23.05.2013 Epidemic Hazard USA State of Alabama, Dothan [Southeast Alabama Medical Center] Damage level
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Epidemic Hazard in USA on Wednesday, 22 May, 2013 at 03:30 (03:30 AM) UTC.

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Updated: Thursday, 23 May, 2013 at 03:24 UTC
Description
U.S. and state health authorities are investigating an unidentified respiratory illness that has killed two of 10 people hospitalized with it in Alabama since last week. Preliminary tests do not indicate the bird flu, nor a new mutation of any known influenza virus, said Dr. Mary McIntyre, an assistant state health officer at the Alabama Department of Public Health. Two patients did test positive for the H1N1 strain of the flu. Bacteria such as MRSA (Methicillin-resistant Staphylococcus Aureus) remains a possibility, especially as a secondary infection, McIntyre said on Wednesday. However, one patient tested for MRSA by a physician had negative results. “At this point, it could be anything. We are testing for everything,” McIntyre said. State health officials believe it is unlikely the patients are suffering from the new coronavirus that surfaced in the Middle East last year, because none had traveled, she said.

Laboratory samples were sent to the Centers for Disease Control and Prevention in Atlanta for evaluation, and the agency is expected to issue a report within 24 hours, she said. Those hospitalized with the illness had symptoms of fever, coughing, pneumonia and shortness of breath, health officials said. The first checked into a hospital last week, and the most recent patients were hospitalized on Wednesday. One person has been released, one is improving and the others are still suffering from their initial symptoms, according to McIntyre. The patients range in age from the 20s to late 80s and all lived in the Dothan, Alabama, area, but they were spread out around the community with no epidemiological link, McIntyre said. “Right now, we are not finding a connection…such as a place of work, a restaurant where they all ate, or a meeting they all attended,” she said. People with similar symptoms are encouraged to stay home and call their physician, health officials said.

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Earth Watch Report  -  Epidemic Hazards

Novel Coronavirus -  NCoV

 

 

A Saudi family arrives at a hospital in the center of the capital Riyadh, on May 14, 2013. A man who had contracted the coronavirus has died in Saudi Arabia, raising the death toll in the kingdom from the SARS-like virus to 17, the health ministry announced on its website on Wednesday

 

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23.05.2013 Epidemic Hazard Saudi Arabia Eastern Province, Al-hasa Damage level Details

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Epidemic Hazard in Saudi Arabia on Thursday, 02 May, 2013 at 07:12 (07:12 AM) UTC.

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Updated: Thursday, 23 May, 2013 at 03:27 UTC
Description
A man who had contracted the coronavirus has died in Saudi Arabia, raising the death toll in the kingdom from the SARS-like virus to 17, the health ministry announced on its website on Wednesday. “A male non-Saudi died on Tuesday in a hospital in the Qassim region where he had been admitted several days ago with acute bronchitis,” the ministry said. The ministry announced on Monday that a patient had died of coronavirus in the Eastern Region where most of the kingdom’s cases have been registered. But no new cases have been recorded in that region for five days, the ministry said. The latest death brings to 17 the number recorded in the kingdom. The ministry said most of those who had died were “elderly people with chronic illnesses”. Last week, the Geneva-based World Health Organisation reported that two Saudi health workers had contracted the deadly coronavirus from patients – the first evidence of transmission in a hospital setting. While the virus has been deadliest in Saudi Arabia, cases have also been reported in Jordan, Qatar, Germany, Britain and France.

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SARS-like virus claims new life in Saudi

 

 

 

 

A man who had contracted the coronavirus has died in Saudi Arabia, raising the death toll in the kingdom from the SARS-like virus to 17, the health ministry announced on its website on Wednesday.

 

“A male non-Saudi died on Tuesday in a hospital in the Qassim region where he had been admitted several days ago with acute bronchitis,” the ministry said.

 

The ministry announced on Monday that a patient had died of coronavirus in the Eastern Region where most of the kingdom’s cases have been registered.

 

But no new cases have been recorded in that region for five days, the ministry said.

 

Read Full Article Here

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Earth Watch Report  -  Epidemic Hazards

Novel Coronavirus -  NCoV

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22.05.2013 Epidemic Hazard Tunisia Governorate of Monastir, Monastir Damage level
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Epidemic Hazard in Tunisia on Monday, 20 May, 2013 at 17:38 (05:38 PM) UTC.

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Updated: Wednesday, 22 May, 2013 at 03:09 UTC
Description
A 66-year-old Tunisian man has died from the new coronavirus following a visit to Saudi Arabia and two of his adult children were infected with it, the Tunisian Health Ministry reported. His sons were treated and have since recovered but the rest of the family remains under medical observation, the ministry said in a statement Monday. The World Health Organization confirmed the cases of the children, but said one of them was a daughter who was with her father for part of the trip to Saudi Arabia and Qatar. There was no immediate way to reconcile the differing reports. The cases are the first for Tunisia and indicate that the virus is slowly trickling out of Saudi Arabia, where more than 30 coronavirus cases have been reported. There have been at least 20 deaths worldwide out of 40 cases. “These Tunisia cases haven’t changed our risk assessment, but they do show the virus is still infecting people,” said Gregory Hartl, a spokesman for WHO in Geneva. The Tunisian fatality, a diabetic, had been complaining of breathing problems since his return from the trip and died in a hospital in the coastal Tunisian city of Monastir. Many previous coronavirus patients have had underlying medical problems, which WHO said might have made them more susceptible to getting infected. There is no specific treatment for the disease, but the agency has issued guidelines for how doctors might treat patients, like providing oxygen therapy and avoiding strong steroids.

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Epidemic Hazard in Tunisia on Monday, 20 May, 2013 at 17:38 (05:38 PM) UTC.

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Updated: Wednesday, 22 May, 2013 at 07:16 UTC
Description
A 66 year-old Tunisian man has died from the coronavirus, following a visit to Saudi Arabia, according to a Health Ministry statement. The man’s two children were also diagnosed with the virus but have since undergone treatment and recovered. It’s the first case of the SARS-like virus in Tunisia and shows how the virus is slowly spreading throughout the Middle East, where 30 cases have been reported, AP reported. In this latest outbreak, 9 people have died in Saudi Arabia alone. The diabetic Tunisian man had suffered health complaints since he returned from a trip to Saudi Arabia and died of acute respiratory distress at hospital in Monastir. The coronavirus outbreak has caused 20 deaths globally.

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Tunisian man dies of new coronavirus

Coronavirus
The World Health Organisation says it is closely monitoring the virus

A man has died of the novel coronavirus (NCoV) in Tunisia, in what is believed to be the first such case in Africa.

Tunisia’s health ministry said the 66-year-old had visited Saudi Arabia, which is badly affected by the virus.

About 20 deaths and 41 cases have been reported worldwide since 2012, the World Health Organisation (WHO) says.

NCoV is from the same family of viruses as the one that caused the Severe Acute Respiratory Syndrome (Sars) outbreak in 2003, killing about 770 people.

However, NCoV and Sars are distinct from each other, the WHO says.

“These Tunisia cases haven’t changed our risk assessment, but they do show the virus is still spreading”

Gregory Hartl WHO spokesman

It appears likely that the virus can be passed between people in close contact, it adds.

 

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Earth Watch Report  -  Epidemic Hazards

 

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20.05.2013 Epidemic Hazard Tunisia Governorate of Monastir, Monastir Damage level
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Epidemic Hazard in Tunisia on Monday, 20 May, 2013 at 17:38 (05:38 PM) UTC.

Description
In a communique issued today, (20 May 2013), the Ministry of Health announced the death of a Tunisian citizen returning from the Gulf with coronavirus. This individual was 66 years old and had diabetes, he wastreated in the Fatima Bourguiba Hospital in Monastir for acute respiratory insufficiency (SARI – severe acute respiratory illness) upon his return from a trip to holy sites (-in Saudi Arabia) and Qatar where one of his sons lives. Medical evaluation of his family revealed 2 of his sons had symptoms (consistent with an influenza-like illness). Testing confirmed infection and they have completely recovered (the translation here is not clear as to whether they were laboratory confirmed infections – Mod.MPP). The ministry is continuingto monitor all family members of this case, but thus far they are not showing signs of infection with this virus. It should be noted that the ministry is continuing heightened surveillance for coronavirus in all parts of the country. Recommendations to prevent the spread of this disease are to avoid contact with individuals returning from the Middle East with respiratory symptoms, urging such individuals to use protective masks and be diligent about hand washing, (especially after sneezing, coughing, or touching respiratory tract secretions.)
Biohazard name: NCoV (novel coronavirus)
Biohazard level: 4/4 Hazardous
Biohazard desc.: Viruses and bacteria that cause severe to fatal disease in humans, and for which vaccines or other treatments are not available, such as Bolivian and Argentine hemorrhagic fevers, H5N1(bird flu), Dengue hemorrhagic fever, Marburg virus, Ebola virus, hantaviruses, Lassa fever, Crimean-Congo hemorrhagic fever, and other hemorrhagic or unidentified diseases. When dealing with biological hazards at this level the use of a Hazmat suit and a self-contained oxygen supply is mandatory. The entrance and exit of a Level Four biolab will contain multiple showers, a vacuum room, an ultraviolet light room, autonomous detection system, and other safety precautions designed to destroy all traces of the biohazard. Multiple airlocks are employed and are electronically secured to prevent both doors opening at the same time. All air and water service going to and coming from a Biosafety Level 4 (P4) lab will undergo similar decontamination procedures to eliminate the possibility of an accidental release.
Symptoms:
Status: confirmed

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Earth Watch Report  -  Epidemic  Hazards

 


New case of SARS-like virus detected in Saudi Arabia (© Reuters)

Riyadh: A new case of deadly coronavirus has been detected in Saudi Arabia where 15 people have already died after contracting it, the Health Ministry announced today on its Internet Web site. “One new case of novel coronavirus was recorded in the eastern region” where most of the kingdom’s cases have been registered, the Ministry said, which had this week created a special web page dedicated to the outbreak.

MSN News

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19 19.05.2013 Epidemic Hazard Saudi Arabia Eastern Province, Al-hasa Damage level
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Epidemic Hazard in Saudi Arabia on Thursday, 02 May, 2013 at 07:12 (07:12 AM) UTC.

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Updated: Sunday, 19 May, 2013 at 04:49 UTC
Description
A new case of the deadly coronavirus has been detected in the Kingdom, where 15 people have already died after contracting it, the Health Ministry announced on Saturday on its website. One new case of the novel coronavirus has been recorded in the Eastern Province, where most of the Kingdom’s cases have been registered, said the Ministry, which this week created a special web page dedicated to the outbreak. “One case of coronavirus has been recorded in the Eastern Region, and he is now under the medical healthcare receiving the proper treatment,” the web page in English reported. The latest case takes to 31 the number of officially recorded cases of the virus in Saudi Arabia since September. Fifteen of those have died.

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New case of coronavirus in EP: Health Ministry

Last updated: Saturday, May 18, 2013 8:10 PM

 


RIYADH — A new case of the deadly coronavirus has been detected in the Kingdom, where 15 people have already died after contracting it, the Health Ministry announced on Saturday on its website.

 

One new case of the novel coronavirus has been recorded in the Eastern Province, where most of the Kingdom’s cases have been registered, said the Ministry, which this week created a special web page dedicated to the outbreak.
“One case of coronavirus has been recorded in the Eastern Region, and he is now under the medical healthcare receiving the proper treatment,” the web page in English reported.
The latest case takes to 31 the number of officially recorded cases of the virus in Saudi Arabia since September. Fifteen of those have died.
On Wednesday, the Geneva-based World Health Organization reported that two Saudi health workers have contracted the deadly coronavirus from patients — the first evidence of transmission in a hospital setting.
“This is the first time health care workers have been diagnosed with nCoV (novel coronavirus) infection after exposure to patients,” the WHO said in a statement.
Since last September, the WHO says it has been informed of a global total of 40 laboratory confirmed cases of the virus, including 20 deaths.
While the virus has been deadliest in Saudi Arabia, cases have also been reported in Jordan, Qatar, Germany, Britain and France, where two patients are now in hospital in the northern city of Lille.
The virus is a cousin of Severe Acute Respiratory Syndrome (SARS), which triggered a scare 10 years ago when it erupted in east Asia, leaping to humans from animal hosts and eventually killing some 800 people. — AFP

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Mike Stobbe, The Associated Press
Published Thursday, May 16, 2013 8:18AM EDT
Last Updated Thursday, May 16, 2013 7:52PM EDT

NEW YORK — A deadly new respiratory virus related to SARS has apparently spread from patients to health care workers in eastern Saudi Arabia, health officials said Wednesday.

The Ministry of Health in Saudi Arabia told world health officials that two health care workers became ill this month after being exposed to patients with the virus. One is critically ill.

Since September 2012, the World Health Organization has been informed of 40 confirmed cases of the virus, and 20 of the patients have died. The deaths occurred in Britain, Germany, Saudi Arabia, and Jordan.

Coronavirus, SARS-linked, MERS

A transmission electron micrograph of novel coronavirus particles, colorized in yellow, is shown. (Handout/National Institute for Allergy and Infectious Diseases)

Experts have suggested calling the new virus MERS, for Middle East Respiratory Syndrome, but officials have not signed off on that yet.Experts are watching carefully for signs that the deadly virus can spread from person-to-person. Health officials say the virus has likely already spread between people in some circumstances, including hospital patients in France.

The new virus has caused severe respiratory disease in patients, some of them needing mechanical ventilators to help them breathe.

One of the Saudi health care workers is a 45-year-old man who is in critical condition. The other is a 43-year-old woman in stable condition. No other details about their jobs or where they work were released. Health workers were previously infected in a cluster in Jordan, though that was before the new coronavirus had been identified and before any special measures were taken to prevent its spread. That is not the case in Saudi Arabia and officials worry any new spread to health workers could suggest the virus is becoming more transmissible to people.

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WHO Reprimands Saudi Arabia Facility: New Coronavirus Is Spreading Patient-To-Nurse

Two nurses in Saudi Arabia are added to the country’s list of now 30 infected individuals.

By Susan Scutti | May 16, 2013 12:16 PM EDT

Coronavirus, SARS-linked, MERS

(Photo : CDC.gov) Common symptoms of the new coronavirus (nCoV) have been acute, serious respiratory illness with fever, cough, shortness of breath, and breathing difficulties.

Two health care workers, one now in critical condition, caught the new coronavirus (nCoV) from patients in their care at a health care facility in the Eastern part of Saudi Arabia, the World Health Organization (WHO) reports in an update late on Wednesday. WHO has noted that all of the most recent cases are linked to a particular Saudi Arabian health care facility, which continues to remain unidentified in its updates on the disease.

A total of 21 patients, including nine deaths, have been reported in eastern Saudi Arabia from the outbreak since the beginning of May 2013 to date. The Ministry of Health in Saudi Arabia is conducting ongoing investigation of the outbreak, while WHO monitors the situation. Experts have suggested calling the new virus MERS, for Middle East respiratory syndrome, but officials have not yet signed off on it, Arab News reports.

“This is the first time health care workers have been diagnosed with (novel coronavirus) infection after exposure to patients,” WHO states of the two new laboratory-confirmed cases. Health care-associated transmission has been observed before with nCoV in Jordan last April, but this is a first for Saudi Arabia.

One of the two new patients is a 45-year-old man who became ill on May 2 and is currently in critical condition. The second patient is a 43-year-old woman with a coexisting health condition, who became ill on May 8 and is in stable condition.

In its update, WHO advises health care facilities providing care for patients with suspected nCoV infection to take appropriate measures to decrease the risk of transmission of the virus to other patients and health care workers. “Health care facilities are reminded of the importance of systematic implementation of infection prevention and control,” notes the United Nations Health Agency.

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Correction: New Virus story

Thursday, May 16, 2013

NEW YORK — In a story May 15 about a new SARS-like virus spreading from patients to health care workers in Saudi Arabia, The Associated Press reported erroneously the location of the 20 deaths attributed to the virus. There have been no deaths reported in France and Qatar, only in Saudi Arabia, Jordan, Germany and Britain.

The story also said that the spread to health care workers was new. Health workers were previously infected in a cluster in Jordan before the new coronavirus had been identified.

A corrected version of the story is below:

Saudi health workers sickened by SARS-like virus

2 Saudi Arabia health care workers get SARS-like virus; officials consider naming it MERS

By MIKE STOBBE

AP Medical Writer

NEW YORK (AP) — A deadly new respiratory virus related to SARS has apparently spread from patients to health care workers in eastern Saudi Arabia, health officials said Wednesday.

The Ministry of Health in Saudi Arabia told world health officials that two health care workers became ill this month after being exposed to patients with the virus. One is critically ill.

Since September 2012, the World Health Organization has been informed of 40 confirmed cases of the virus, and 20 of the patients have died. The deaths occurred in Britain, Germany, Saudi Arabia, and Jordan.

Experts have suggested calling the new virus MERS, for Middle East Respiratory Syndrome, but officials have not signed off on that yet.

Experts are watching carefully for signs that the deadly virus can spread from person-to-person. Health officials say the virus has likely already spread between people in some circumstances, including hospital patients in France.

Read Full Article Here

on 6 May 2013, 1:05 PM

A virus by any other name? Researchers have recommended a new name for a novel coronavirus (above) first found in the Middle East.
Credit: Rocky Mountain Laboratories, National Institute of Allergy and Infectious Diseases, NIH

New MERS cases. The MERS coronavirus. Or—if things turn really bad—the MERS pandemic. That’s how the world may soon be talking about the new virus that surfaced in the Arabian Peninsula last summer and that has been rattling health experts since. In a move that may end more than 7 months of confusion, an international group of scientists and public health officials will soon recommend that the new virus be called Middle East respiratory syndrome coronavirus (MERS-CoV).

The group plans to publish a paper recommending the new name, says Raoul de Groot, a veterinary virologist at Utrecht University in the Netherlands, who has coordinated the effort. De Groot chairs the Coronavirus Study Group of the International Committee on Taxonomy of Viruses (ICTV), which took the initiative to find a new, widely accepted name. The study group has no power to enforce use of the name, however; it will be up to researchers to decide whether to adopt the moniker.

News of the name comes as Saudi Arabia has reported 13 new cases of the virus, including seven deaths, in just the past 5 days. The wave—more than a month after the last reported case, a 73-year-old man from Abu Dhabi who died in Munich on 26 March—has sparked fresh worries that the virus might start spreading between humans and trigger a global outbreak. As of today, the total reported number of cases is 30, including 18 deaths.

Confusion had reigned over the new name since the virus was first reported by Ali Mohamed Zaki, an Egyptian microbiologist who isolated it in June 2012 from a patient at a hospital in Jeddah, Saudi Arabia, where he worked at the time. Zaki sent the virus to Ron Fouchier’s virology group at Erasmus MC in Rotterdam, the Netherlands, which characterized it further in a paper published in m Bio in November. Alexander Gorbalenya, a coronavirologist at Leiden University in the Netherlands and ICTV’s vice president, was a co-author, and the group provisionally called the virus HCoV-EMC/2012, short for human coronavirus-Erasmus MC.

The reference to the Dutch lab didn’t sit well with Saudi health officials, who said that Zaki lacked authorization to send the virus to Rotterdam in the first place. Still, most researchers have accepted HCoV-EMC as the name to use. Some have dropped the “EMC,” however, and called the virus simply HCoV, a name that might cause confusion because there are five other human coronaviruses. The World Health Organization (WHO) has adopted the more neutral “novel coronavirus”—abbreviated initially as NCoV but more recently as nCoV—a name that by its very nature was not meant to last.

 

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16 May 2013
Information is reviewed on a regular basis and updated as required.

Risk Assessment

  • The public health risk posed by HCoV-EMC/2012 to Canada is considered low at this time. There have been a limited number of cases reported to date, and while there is evidence of limited capacity for human-to-human transmission, zoonotic transmission is still presumed to be the source of infection.
  • Updated risk assessments will be conducted as new evidence becomes available.

Event Summary

Cases of Novel Coronavirus (nCoV) – subsequently identified and named Human Coronavirus Erasmus Medical Centre (HCoV-EMC/2012) have been reported in Saudi Arabia, Qatar, Jordan, the United Arab Emirates, the United Kingdom and France since the Fall of 2012.

As of 14 May 2013, 34 laboratory-confirmed cases of human infection with novel coronavirus (nCoV) have been reported to WHO: two from Jordan, two from Qatar, 25 from Saudi Arabia, two from the United Kingdom (UK), one from the United Arab Emirates and two from France. Most patients are male (82%; 27 of 33 cases with sex reported) and range in age from 24 to 94 years (median 56 years). Most patients presented with severe acute respiratory disease requiring hospitalization and eventually required mechanical ventilation or other advanced respiratory support. Eighteen patients have died (case fatality rate 53%). Animal exposures were of concern in earliest cases, but the majority of recent cases do not have that history. For the latest updates on the total number of cases and deaths please visit the Global Alert and Response websiteExternal Link.

Since 14 April 2013, 15 new cases of infection have been confirmed and reported in Saudi Arabia, seven of these have died. All patients were reported to have at least one comorbid medical condition and most had more than one. Most of the cases were patients at a single health care facility. Two were family members of two patients from that facility; no health care workers have been affected. Preliminary investigations indicate that a small number of these cases had contact with animals in the time leading up to their illness.

On May 8, 2013, The Ministry of Social Affairs and Health in France reported one confirmed case with infection of nCoV. The patient was hospitalized and preliminary investigations revealed that the patient had a history of travel to Dubai, United Arab Emirates. A secondary case was reported on May 12, 2013 in a patient who shared a hospital room with the first laboratory-confirmed case. Among 120 persons identified as contacts of the first laboratory-confirmed case in France, laboratory tests were conducted on five suspected cases, of which four tested negative, one (mentioned above) tested positive. No healthcare workers have been affected to date.

Several cases have occurred in clusters, including in a health care setting in Jordan in April 2012, in the UK among family members of an infected patient who had recently arrived from Saudi Arabia, the cluster in Saudi Arabia and now the cluster in France. Nosocomial transmission has occurred once and possibly two other occasions (investigations ongoing); and the UK and France clusters confirmed the potential of the virus to transmit between humans with close contact. In neither instance did transmission appear to go beyond the immediate outbreak into the community, and the likely current scenario is multiple introductions into humans with local spread rather than persistent low human transmission.

No vaccine is currently available for novel coronavirus.

The National Institutes of Health has found that a combination of two antiviral drugs, ribavirin and interferon-alpha 2b, can inhibit replication of the virus in cell culturesFootnote 1.

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Toronto SARS expert to go to Saudi Arabia to help with coronavirus

Dr. Allison McGreerDr. Allison McGeer in a laboratory at Mount Sinai Hospital in Toronto on Tuesday January 27, 2004. (/Frank Gunn / The Canadian Press)

Helen Branswell, The Canadian Press
Published Wednesday, May 8, 2013 1:37PM EDT
Last Updated Wednesday, May 8, 2013 5:02PM EDT

Authorities in Saudi Arabia have invited outside experts to help it deal with a large outbreak of the new coronavirus in the eastern Saudi city of al Hofuf, and a Canadian infectious diseases specialist is among them.

Toronto SARS expert Dr. Allison McGeer arrived in the Middle Eastern country on Wednesday, travelling at the request of the kingdom’s government, a source revealed.

The outbreak, which involves at least 13 cases, has ratcheted up worry about the coronavirus, the World Health Organization acknowledged in an update on the virus, which is from the same family as the SARS coronavirus.

“The reappearance of this virus and the pattern of transmission currently being observed in Saudi Arabia increase the level of concern regarding this novel pathogen,” the statement said.

“The questions of the exposures that result in human infection, the mode of transmission, the source of the virus and the extent of infection in the community urgently need to be answered and are being actively pursued by the Ministry of Health of Saudi Arabia.”

In addition to McGeer, two officials of the World Health Organization were in or travelling to the country to meet with senior officials of the ministry of health in the capital, Riyadh.

“It’s likely they will also visit al Hofuf,” WHO spokesperson Gregory Hartl said. He would not reveal the names of the WHO personnel.

The news came on the same day as France reported it had confirmed a case in one of its citizens, a 65-year-old man who got sick in late April after travelling to Dubai in the United Arab Emirates. His infection was confirmed May 7.

It was reported that the man was in the Middle Eastern country on a package tour, a fact that suggests his case may help disease investigators in their efforts to track down the source of the virus. That key fact has to date evaded detection.

Piecing together possible exposures with this coronavirus has been tough. Of the 31 confirmed cases, 18 have died. Of the others, many remain in hospital in critical condition, often on breathing machines. So questioning cases about what they did in the days before they fell ill can be difficult or impossible.

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Earth Watch Report  -  Epidemic  Hazards

 

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New SARS-like virus can probably pass person-to-person

ReutersVideo ReutersVideo

Published on May 13, 2013

May 13 – New SARS-like virus can probably pass person-to-person with Saudi Arabia having the biggest cluster of cases. Marie-Claire Fennessy reports.

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12 12.05.2013 Epidemic Hazard Saudi Arabia Eastern Province, Al-hasa Damage level Details

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Epidemic Hazard in Saudi Arabia on Thursday, 02 May, 2013 at 07:12 (07:12 AM) UTC.

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Updated: Sunday, 12 May, 2013 at 15:47 UTC
Description
Two more people have died from novel coronavirus, a new strain of the virus similar to the one that caused SARS, in an outbreak in al-Ahsa region of Saudi Arabia, the deputy health minister for public health said on Sunday. Ziad Memish said that in the latest cluster of infections, 15 cases had been confirmed, and nine of those patients had died.

Panic grips Saudis amid fears of SARS-like virus

May 13, 2013 05:03 PMAgence France Presse

A Saudi health ministry official visits patients infected with a new SARS-like virus at a hospital in the eastern Saudi province of al-Ahsaa on May 13, 2013. AFP PHOTO/STRA Saudi health ministry official visits patients infected with a new SARS-like virus at a hospital in the eastern Saudi province of al-Ahsaa on May 13, 2013. AFP PHOTO/STRRIYADH: Panic gripped Saudis in the country’s east on Monday, where most cases of the deadly Coronavirus have been detected, witnesses said, as the death toll from the SARS-like virus in the kingdom hit 15.

Scores of people have reported to the emergency services at hospitals in the city of Al-Ahsa in Eastern Province, after showing even the slightest signs of a fever.

“I felt the symptoms of a cold, accompanied by a fever,” a young man told AFP by telephone from one hospital where he was admitted and placed in quarantine.

“I came to hospital. The symptoms disappeared by the end of the day, but I am still kept in a quarantine with other patients, which scares me,” he said, asking to remain anonymous.

All cases admitted to hospitals in Al-Ahsa region have been placed in isolation, Saudi authorities said.

Fifteen of the 24 people who have contracted the Coronavirus in Saudi Arabia Since August have died, the kingdom’s health minister Abdullah al-Rabia said on Sunday.

A total of 13 cases have been detected in the King Fahd hospital, in Al-Ahsa.

The minister said on Sunday that three new suspected cases had been identified.

Virologist: Coronavirus will cause an epidemic but docs are better prepared this time

May 13, 2013 11:21 am by

novel coronavirus (NCoV)

CAIRO (Reuters) – The doctor who discovered a new SARS-like virus says it will probably trigger an epidemic at some point, but not necessarily in its current virulent form.

The new strain of coronavirus (nCoV) that Ali Mohamed Zaki found last year, related to one that caused the outbreak of Severe Acute Respiratory Syndrome (SARS) in 2003, has killed at least 18 people in the Middle East and Europe.

On Sunday, the World Health Organization said it seemed likely the new virus, which can cause coughing, fever and pneumonia, could be passed between humans, but only after prolonged, close contact.

Zaki, an Egyptian virologist who identified the new virus last June in a patient at the hospital where he was working in Jeddah, Saudi Arabia, noted in a telephone interview on Monday that no one else at that hospital had been infected at the time.

More recently, there has been a cluster of cases in a hospital in Hofuf in Saudi Arabia’s Eastern province, as well as a case of transmission between two patients sharing a hospital room in France.

Zaki, now working at Ain Shams university in Cairo, said the virus was probably mutating. “From what is going on, it seems it is going step-by-step to become more easily transmitted,” he told Reuters.

But he said doctors and authorities were in a better position to deal with an outbreak than they had been with SARS because the new virus had been identified relatively early:

“Now we have the virus before the epidemic happened – and I think it will happen – and we have tools to diagnose it.”

LESSONS OF SARS

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Earth Watch Report  -  Epidemic Hazards

10 10.05.2013 Epidemic Hazard Saudi Arabia Eastern Province, Al-hasa Damage level Details

Epidemic Hazard in Saudi Arabia on Thursday, 02 May, 2013 at 07:12 (07:12 AM) UTC.

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Updated: Monday, 06 May, 2013 at 02:42 UTC
Description
As a follow up to the most recently reported 10 case cluster of nCOV in Alhasa in the Eastern Province of KSA. Our investigation is still ongoing and we picked up 3 more cases:

Case 11: 62 year old female with multiple comorbidities. Start of symptoms [19 Apr 2013] and deceased [3 May 2013]
Case 12: 71 year old male with multiple comorbidities. Start of symptoms [15 Apr 2013], deceased [3 May 2013]
Case 13: 58 year old female with comorbidities. Start of symptoms [1 May 2013] and currently ventilated in critical but stable condition.

So far there is no apparent community transmission and transmission seem linked to one HCF health care facility.

Epidemic Hazard in Saudi Arabia on Thursday, 02 May, 2013 at 07:12 (07:12 AM) UTC.

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Updated: Monday, 06 May, 2013 at 03:04 UTC
Description
Saudi Arabia’s health ministry has reported three novel coronavirus cases, including two fatalities, bringing the total number of infections up to 13 since the outbreak of the virus in the kingdom. Coronavirus infects respiratory system, and makes up 15 percent of viruses that cause human flu, the ministry said in a release. It said this type of viruses is new and that was why there is no reliable information on its transmission or even required vaccination. But, the ministry reassured that the number of coronavirus cases is still very limited compared to other flu outbreaks. It said it is closely monitoring the situation in the kingdom and taking all necessary precautions in handling patients and those having close contacts with them in line with local and world health directives.

Epidemic Hazard in Saudi Arabia on Thursday, 02 May, 2013 at 07:12 (07:12 AM) UTC.

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Updated: Monday, 06 May, 2013 at 07:44 UTC
Description
The number of infected due to the new SARS-like novel coronavirus in Saudi Arabia have jumped to 13 cases, of which seven have already died. First reported to the attention of the World Health Organization last Wednesday, health authorities said five of those who had earlier died have not travelled abroad, arousing suspicions and theories the infections could have originated right within the country’s health-care facilities. “After questioning relatives, it turned out that none of these people had been abroad before being infected,” Dr Ziad Mimish, who heads the health ministry’s disease prevention unit. First identified September 2012 in the Middle East, the global count for the new SARS-like novel coronavirus is now 30 cases. Of those, 18 people have died. Its first fatality was a Saudi man who died in June 2012 due to a mysterious and severe pneumonia. However, the first known cases of the new infection occurred as early as April 2012, in a cluster of 11 illnesses in a hospital in Jordan. A member of the same virus family as SARS, the new coronavirus has the ability to spread from person-to-person. This was confirmed when on Friday, Saudi authorities said one of those who got infected was a family member of one of the original seven who had died.

Epidemic Hazard in Saudi Arabia on Thursday, 02 May, 2013 at 07:12 (07:12 AM) UTC.

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Updated: Tuesday, 07 May, 2013 at 02:38 UTC
Description
A new SARS-like virus has killed two more people in Saudi Arabia, taking the number of deaths from the coronavirus that the kingdom has announced to seven in one week, the health ministry said. “The health ministry has announced that three infections by the new coronavirus have been registered during the past days in Al-Ahsaa. Two of the victims have died while the third is in a stable condition,” state news agency SPA said late Sunday. The report did not identify the nationality of the latest victims. On Wednesday, the health ministry announced five Saudis recently died of the SARS-like virus and that two more were being treated in an intensive care unit. The World Health Organization said on Friday that three new cases of the virus were detected in Saudi Arabia. The outbreak has occurred in the oil-rich Red Sea region of Al-Ahsaa, which is near Bahrain and Qatar. The ministry says 13 infections have been “recently” registered in the kingdom.

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Epidemic Hazard in Saudi Arabia on Thursday, 02 May, 2013 at 07:12 (07:12 AM) UTC.

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Updated: Thursday, 09 May, 2013 at 14:27 UTC
Description
The investigation of the recent cluster in Alhassa (Al-Hasa or Al-Ahsa), KSA is still ongoing. Actions implemented and fully applied by 1 May 2013 have been effective to date in preventing NEW cases related to this cluster from emerging. But in-depth look back and search among contacts of earlier reported cases and repeat testing of suspected cases revealed 2 new cases yesterday (8 May 2013):

- Case 14: 48-year-old male with multiple comorbidities. Start of symptoms 29 Apr 2013 and confirmed by lab testing. He is in stable condition in hospital.
- Case 15: 58-year-old male with comorbidity. Start of symptoms 6 Apr 2013. His repeat testing was positive and he fully recovered and was discharged on 3 May 2013.

The investigation is ongoing and more details will be released as they arise.

Epidemic Hazard in Saudi Arabia on Thursday, 02 May, 2013 at 07:12 (07:12 AM) UTC.

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Updated: Friday, 10 May, 2013 at 03:37 UTC
Description
Authorities in Saudi Arabia have found two more people who were infected with the new coronavirus in a large cluster of cases in the eastern portion of the country. The two new cases, reported Thursday, bring the total to date of that al Hofuf cluster to 15 infections. Seven have been fatal. One of the newly reported cases became ill on April 6, which at this point is the earliest onset date known for any of the infections in this cluster. Though it is still not clear if these cases are all part of a chain of person-to-person spread, it does suggest the new virus has been infecting people in al Hofuf for more than a month. The new cases were reported publicly by the country’s deputy health minister, Dr. Ziad Memish, who posted a short update on the outbreak on the Internet-based disease surveillance system, ProMED.

Memish said the two people were not newly infected but rather cases that were detected by going back through records and tracing people who had been in contact with known cases. But his ProMED report did not say if these people are related to, or had contact with, any of the other cases in the cluster. And while the official Saudi line has been that all the cases have been linked to a dialysis clinic at al-Moosa Hospital, Memish’s post made no mention of these cases having had care at that facility. The new cases are both men and are both alive. Both men were reported to have had pre-existing medical conditions. One, a 48-year old, started to have symptoms on April 29. He is in stable condition in hospital. The other is a 58-year-old man who had symptom onset on April 6. Memish said he has recovered completely and was discharged from hospital on May 3. The al Hofuf cluster is the largest to date with the new coronavirus and it is linked to one or more health-care facilities. That feature of the outbreak raises red flags for infectious disease experts because health-care workers and hospital patients are often the sentinel cases when a new pathogen begins to spread.

Epidemic Hazard in Saudi Arabia on Thursday, 02 May, 2013 at 07:12 (07:12 AM) UTC.

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Updated: Saturday, 11 May, 2013 at 04:38 UTC
Description
Saudi health authorizes say two new cases of infection with a deadly new respiratory virus related to the Severe Acute Respiratory Syndrome (SARS) have been found in the country’s eastern region of al-Ahsa. Saudi Arabia’s Ministry of Health announced on Friday that a 58-year-old man confirmed to have contracted the virus. He was treated and discharged from hospital on May 8. The other patient was a 42-year-old man, who is still under careful treatment at hospital with a stable condition. Fifteen people in Saudi Arabia have been infected by the coronavirus virus, with 7 deaths. The novel coronavirus virus, also known as nCoV-EMC, is a cousin of SARS. The virus first emerged in the Middle East, and was discovered on September 2012 in a Qatari man who had recently traveled to Saudi Arabia. Since September 2012, the World Health Organization has been informed of 30 confirmed cases of the virus, and 18 of the patients have died. Cases have been reported in Saudi Arabia, Jordan, the UAE, Qatar, Britain and Germany, and health officials have said the virus has likely already spread between people in some circumstances. Health authorities are trying to find out how humans are contracting and spreading the virus and what the best remedy to treat it is.

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