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Saturday, February 16, 2013

10 Days Grace


As of right now, Ncov will be allowed a 10 day grace period. That means there are no travel restrictions anywhere, no actual special screening at points of entry, no travel warnings, alerts or thermal screening.
Now that the stuff is trying to go h2h, I think there should be a little more notice to travelers and the public in general. Without trying to single out any particular country, we all know it is harbored in the middle east and continues to become worrisome to all health services. They are just having a hard time explaining it to all the common folk.
Of course they wouldn't dream of closing off all their buddies in the M.E., but pretending it is not about to become a problem is like watching them intentionally hide the seriousness of what just happened.
Health agencies are really scared out of their shorts, but can't tell you that. 3 cases in a week or so and running down all their contacts is not something they do everyday. A mild case, a case with H1N1,  VAGUE REPORTS on ages and conditions.. you get the picture don't you?
Health agencies are telling travelers to report suspicious symptoms after 10 days from return.  That means 10 days for the guy to cough in your face!  
But  don't worry, They will tell you in plenty of time to prepare.. like maybe in 10 days.
  
Any person with severe acute respiratory infection:
 Symptoms of fever (≥ 38⁰C) or history of fever, and cough 
             AND
 With evidence of pulmonary parenchymal disease (eg. clinical or radiological evidence of pneumonia or Acute Respiratory Distress Syndrome (ARDS))
AND
 Not explained by any other infection or aetiology
1
AND EITHER            
History of travel to, or residence in an area where infection with novel coronavirus 2012 could have been acquired
2
in the 10 days before symptom onset
           OR
Close contact
3
during the ten days before onset of illness with a confirmed case of novel coronavirus infection while the case was symptomatic
OR
 Healthcare worker based in ICU caring for patients with severe acute respiratory infection, regardless of history of travel
OR
Part of a cluster of two or more epidemiologically linked cases within a two week period requiring ICU admission, regardless of history of travel  
http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317136270914


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

WHO continues to closely monitor the situation.

Revised interim case definition – novel coronavirus

Interim case definition as of 16 January 2013

Update

Based on additional information received since the original recommendations were published, WHO has updated its recommendations for surveillance. Surveillance recommendations are now contained in a separate document:
This case definition document has been revised to remove overlapping and outdated material. The definition is currently under review but the substance has not changed. 

WHO will continue to review and revise guidance related to novel coronavirus as more information becomes available.


14 February 2013

Further case of novel coronavirus 2012 reported in the United Kingdom


Advice for travellers

This confirmed case without a recent travel history suggests that human-to-human transmission has occurred in the UK. However the risk of UK residents contracting infection in the UK is very low. There continue to be no travel restrictions to the Arabian Peninsula and the risk to travellers remains very low.
Travellers returning from the Arabian Peninsula and surrounding countries, with mild respiratory symptoms are most likely to have a common respiratory illness such as a cold.  However, if severe respiratory symptoms develop, such as shortness of breath, within ten days of returning from these countries, medical advice should be sought from the GP orNHS Direct. Returning travellers should mention which countries they have visited... http://www.nathnac.org/travel/news/cov_140213.htm

The Hajj and Umrah: Please review the Department of State’s Hajj Fact Sheet. Muslims from the United States who plan to participate in the annual Hajj or seasonal Umrah pilgrimages to the holy cities of Makkah (Mecca) and Madinah should pay close attention to the following:
For those interested in performing Hajj visits, all travel plans must be made only through a Saudi government-approved travel agent in order to obtain entry, accommodation, and transportation in Saudi Arabia during the Hajj season. See the Royal Embassy of Saudi Arabia web site and the Saudi Hajj Ministry web sitefor further information, including a list of approved travel agencies. Please carefully select a reputable
http://travel.state.gov/travel/cis_pa_tw/cis/cis_1012.html

WHO continues to investigate novel coronavirus


13 February 2013 To date, nine cases of human infection with the novel coronavirus have been confirmed in the Eastern Mediterranean Region. Two of the cases were from Jordan, five from Saudi Arabia and two from Qatar. Five of these patients died. Two clusters were detected – one within a family in Riyadh, Saudi Arabia, and the other among health care workers in a hospital in Jordan.
The WHO Regional Office held a technical consultative meeting in Cairo, Egypt, from 14 to 15 January 2013, to: look at the natural history of this new disease; examine the source of infection, mode of transmission, transmissibility of infection and degree of infectiousness; assess laboratory diagnostic capabilities; and interpret test results. The consultation brought together relevant public health experts from the three countries in the Region that have reported cases of human infection with novel coronavirus, in addition to key partners, WHO collaborating centres and experts from the WHO Regional Office and headquarters. http://www.emro.who.int/media/news/who-explores-coronavirus.html

No mention of coronavirus here
or here    Saudi Ministry of Health Requirements and Health Matters  http://www.hajinformation.com/main/t20.htm
or here
or here

http://www.saudiembassy.net/latest_news/news02121301.aspx