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Monday, March 25, 2013

France is preparing for a possible new infections coronavirus


25/03/2013

In a notice available on its website , the High Council of Public Health (HCSP) published recommendations for the management of infections due to the new coronavirus. "the event of the occurrence of an event in France can not be departed, the Directorate General of Health asked the HCSP an opinion on what to do against this virus, " says the HCSP.
The opinion was prepared from a work of the Coordination of epidemic risk and biological (COREB) and the Society of Infectious Pathology of French, who had already initiated discussions with the French Society of Hospital Hygiene, the Company French Microbiology, in close relationship with the National Reference influenzae virus and the Institute of Health Surveillance. Y are specified: the definition of suspected and confirmed cases, the conditions for achieving microbiological confirmation and treatment. The same is detailed organization of care in hospital to ensure "control the risk of infection during care" .

Nearest SARS

The opinion is based on the current state of knowledge on the epidemiology, clinical presentation and transmission of this new virus.However, "knowledge about the new viruses evolve very quickly" and HCSP "will most likely need to refresh these recommendations" , warns the notice.
HCoV-EMC (Human coronavirus - Erasmus Medical Center) or NCoV (Novel Coronavirus) is an RNA virus of the family Coronaviridae, like beta-coronavirus "close to the SARS coronavirus causing the epidemic of 2003» confirms the HCSP. It is therefore very different respiratory coronavirus known endemic in humans and "is not detected in routine laboratory of virology by multiplex PCR kits" .
Human transmission has been confirmed as possible via observation of a family cluster in Britain. However, by analogy with SARS, "a transmission by air and by contact should be considered," says the HCSP.
The virus is the cause of severe pneumonia cases associated in 5 cases with acute renal failure. One case was intrafamilial "pauci-symptomatic" , says the HCSP, which "suggests that cases were undiagnosed" .Indeed, of the 15 cases with 9 deaths occurred between September 2012 and March 2013 in Saudi Arabia, Qatar, Jordan and Britain, two cases corresponded to intra-family transmission - all the others had traveled or resided in the Arabian Peninsula.

Suspected, potential and confirmed

A possible case is any person who traveled or resided in countries affected by the event and the neighboring countries (Saudi Arabia, Bahrain, UAE, Iraq, Iran, Israel, Jordan, Kuwait, Lebanon, Oman, Qatar, Syria Territories oPt, Yemen) who, during the 10 days after his return, presented clinical and / or radiological evidence of acute respiratory distress (ARDS) or infection of the lung parenchyma (including fever ≥ 38 ° C and coughing) without other etiology could explain the pathology.
All about the same contact (family caregivers) a possible case or confirmed, having presented an acute respiratory infection, regardless of its severity, within 10 days after contact with if possible / confirmed while it is still symptomatic.
A confirmed case is a possible case with respiratory samples indicating the presence of new coronavirus.

Reporting

If the patient contacts the health system (doctor, center 15), "it should not immediately orient towards the sectors of home emergencies, but to organize his direct care" with isolation measures and protective environment to avoid contact with other patients, pending the filing of the case by InVS.
All suspected cases must be reported without delay to the Regional Health Agency (ARS) where it has been identified via the platform for collecting reports and InVS by email ( alerte@invs.sante.fr ) or Phone: 08.20.42.67.15. Cases classified as "possible" or "confirmed" by InVS in connection with the clinician should be hospitalized and monitored.
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press release Coronavirus in patients diagnosed



(25/03/2013) In a house the Municipal Hospital Munich GmbH is currently a patient
treated, wherein the 23 March an infection has been diagnosed with the corona virus. the
Patient came specially to transport to a medical intensive care in a specialized care
Munich. The disease was the Department of Health and Environment on the same
Days reported. Of the Arab region dating and living there is in man
Hospital in strict isolation in a single room in the ICU treated. for
Population was never a danger of contagion. Worldwide, according to the current
Knowledge, only 16 cases of coronavirus (novel human Betacoronavirus2c EMC/2012)
occurred, while in Germany it is the second became known infection. In both cases,
These it is imported cases of disease. For the first time the virus was in June 2012 at
a man from Saudi Arabia demonstrated. Coronaviruses cause respiratory infections in
Respiratory to mammals and also in birds, ie, it is the primary or
flu-like symptoms. According to current knowledge, from a very small
Infectivity of human assumed to person. According to present knowledge goes
The disease associated with pneumonia and can be transferred to other organs.
Especially in debilitated patients or people with pre-existing conditions one can
severe course take. The contact persons and relatives of the patients are in
Munich advised and monitored medically.  http://www.klinikum-muenchen.de/fileadmin/07-Presseinformationen/2013/coronavirus.pdf
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'Superspreaders' could turn new coronavirus into SARS-like event: experts


Helen Branswell, The Canadian Press
Published Monday, Mar. 25, 2013 11:52AM EDT 
TORONTO -- People who think the new coronavirus couldn't take off and cause a SARS-like crisis may have forgotten a phenomenon that was a game-changer during SARS -- patients called superspreaders.
At present, this new coronavirus doesn't seem to spread easily from person to person, a fact which some people use to argue it will not become the next SARS. Some limited human transmission has occurred, but confirmed cases are few and sporadically seen.
However, several experts suggest that superspreaders, which turned SARS into a global outbreak, could do the same with this new virus. That term refers to people who buck the transmission trend with a given bacteria or virus, infecting many more people than is the norm.


Dutch virologist Ron Fouchier gives a succinct answer when asked if a superspreader could profoundly alter the pattern of spread with this emerging virus: "Yes."
If the virus infected someone who turned out to be a superspreader, and that person sought care in a hospital that wasn't taking precautions against novel coronavirus infections, this new disease could rapidly begin to resemble SARS.
"I think we would be in big trouble," says Fouchier, who is with Erasmus Medical Centre in Rotterdam. "There were really only very few cases that caused the trouble during the SARS outbreak."
So far there have been 16 confirmed infections with the new virus, 10 of which have been fatal. Cases have emerged from Saudi Arabia, Qatar and Jordan.
After the dust settled from the whirlwind 2003 event and infectious diseases teams traded their emergency response vests for their research coats, it became apparent that the SARS coronavirus hadn't spread very well.
In fact, most people who contracted the virus either didn't infect anyone else, or passed it on to a single person. With that kind of inefficient transmission, an outbreak would normally stall, lacking the momentum to keep itself going.
But during SARS, a select few people inexplicably ended up infecting a dozen, two dozen or more people, turning a disease that might otherwise never have been spotted into a four-month worldwide panic.
SARS went global thanks to a superspreader -- a Chinese doctor who infected more than a dozen people at a Hong Kong hotel in late February. One of those people brought the virus to Canada.
In Singapore, one SARS patient infected 62 people. In Toronto, which had several superspreaders, one early case infected 44 others.
In fact, an elderly couple who contracted the virus on the night SARS made its first appearance in a Toronto hospital were both superspreaders.
The woman, who had taken her husband to hospital for a heart problem, brought him back a few days later when he began to suffer from the symptoms that would come to be recognized as SARS. Later, people who traced the spread of the virus through Toronto hospitals would see that she infected three admission clerks, a security guard, five visitors, three nurses and one housekeeper -- all within a 2 1/2 hour span.
"She wasn't that sick, actually. I don't even know if she had a fever," says Dr. Donald Low, the Toronto microbiologist who helped lead the city's SARS response.
"But clearly she was excreting a lot of virus ... which then ping-ponged into a massive number of cases throughout the city."
It's not clear why some people became superspreaders during SARS.
True, in some cases the amplified transmission seemed to relate more to the circumstances than actual patient. For instance, it became apparent that intubating a patient -- putting him or her on a breathing machine -- could be a superspreader event if health-care workers weren't wearing respirators fitted over their noses and mouths and goggles to shield the mucus membranes around their eyes.
Still, there were some people who seemed to spew more virus than others. Why? Maybe it was due to their health status -- perhaps they had another medical condition that amped up the amount of virus they emitted, muses Michael Osterholm, director of the Center for Infectious Diseases Research and Policy at the University of Minnesota.
Osterholm thinks it could happen again. "Is there a potential here for a superspreader to be in our midst? I think absolutely. Yes."
"It's the virus and the host and the environment here all interacting. And any one of them could up the ante for widespread transmission. This is why it's kind of a stay-tuned (situation)," Osterholm warns.
Low too thinks it's a possibility.
"These RNA viruses, you just can't predict what they're going to do," he says. (Coronaviruses are RNA viruses, which mutate rapidly.) "So the longer they stay in the human population, the more likely it is they're going to do something that's not good.
"Probably some individuals who come down with this will either come down with it in a different level of their respiratory tract or their receptors are going to be expressing in such a way as that the virus will be able to attach better, replicate better and if it does happen to be in the upper respiratory tract possibly, be able to disseminate better."
If someone with superspreader capacity were to take the virus from the Middle East to another country, that could ratchet up the risk. Wealthy people from the Middle East sometimes fly abroad for medical care. In fact, both of Qatar's confirmed cases were diagnosed in Europe -- in Britain and Germany.
The man who went to Germany may have been a bullet dodged. The hospital he went to did not know he was infected with the coronavirus. A report on his case in the journal Eurosurveillance noted some health-care workers in the hospital didn't wear protective gear while treating him.
The man didn't transmit the virus to his health-care providers, but that may have been thanks to the fact he was already on a ventilator when he arrived at that hospital, says Dr. Christian Drosten, a coronavirus expert from the University of Bonn's Institute of Virology.
If he hadn't been on a ventilator already? Who knows whether he might have infected others, and how the virus might have behaved in crowded German cities in a cold, humid winter?
"We have a country (Saudi Arabia) which is not densely populated, apart from say central Riyadh, Dammam and Jeddah. The rest in Saudi Arabia is villages. And you have a very dry, very hot climate, which is also not something viruses like," Drosten notes.
"So we don't know at all what happens if this virus comes to a Northwestern (Europe) big city."
And Europe isn't the only place to watch.
About 25 per cent of people who travel from the three countries which have seen the new coronavirus cases go to the massively populated region of South Asia, specifically to India, Pakistan and Bangladesh, notes Dr. Kamran Khan, who tracks global travel patterns as a tool to predict and interpret spread of diseases.
"If we look at South Asia, there's obviously a lot of people there. There's high population density. And there's limited resources. And diagnostic facilities are perhaps not as sophisticated as they are in European centres and North American centres," says Khan, who is an infectious diseases doctor and scientist at Toronto's St. Michael's Hospital.
"The key message (that) I think is important for really the whole international community to be mindful of is that our risks are very much connected to the public health capacity and sophistication of the diagnostic tools and systems that are in place in every other country around the world."


Read more: http://www.ctvnews.ca/health/superspreaders-could-turn-new-coronavirus-into-sars-like-event-experts-1.1210070#ixzz2OaxV6kgc
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Update the risk assessment of the RKI to disease cases by the novel coronavirus (HCoV-EMC)


As of 03/25/2013

For the second case imported to Germany:

In Munich since 19 March 2013, a patient hospitalized in the 23 March, an infection with the novel coronavirus was detected. The man had been in a hospital in Abu Dhabi, United Arab Emirates, moved to Germany. The patient is being treated in intensive care. The contact investigation is conducted by the health department in Munich, and informs all contacts. This is the second case of disease imported to Germany. The first patient was on 24 October 2012 moved to Germany for treatment and has since been restored to health (see further information of the City of Munich for the 2 imported into Germany case).
Information on all confirmed cases are summarized in a table.

On the background of a possible human-to-human transmission:

A first cluster was reported in a cluster in a family in Saudi Arabia in 2012. In this family, two males were infected, in which a very narrow, unprotected contact with the care of the patient was considered as a transmission as possible.
In February 2013 last three disease cases had been confirmed with the novel coronavirus from the UK. This affected a patient who had visited before his illness in Saudi Arabia, and two family members of the index patient. One of the family members died, the other was diagnosed with milder respiratory symptoms and recovered quickly.

Risk assessment:

There is still no evidence of continuous human-to-human transmission. In Germany, there have been only two imported cases of disease. There is no increased risk of disease in the general population.
In the care of probable cases in the hospital shall continue, mainly because of the severe course of the previously known diseases, strict hygiene measures carried out according to the recommendations for diseases caused by the SARS virus. For patients receiving further clarification also specifically avoid contact with sick persons with history of travel with respect to the Arabian Peninsula, are in demand.
The Robert Koch Institute has possibly further differential diagnostic laboratory tests (see case definition of the RKI of 12 December 2012). The specific diagnosis of novel coronavirus has been established at the Robert Koch Institute and the Institute of Virology at the University of Bonn (see also notes the RKI for laboratory diagnostics).

For more information

As of 03/25/2013
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Deadly virus: racing camel Arabs has infected?


Munich - Schwabing Hospital in a seriously ill patient is treated, which suffers from an extremely rare and dangerous pathogens.

t's as rare as fatal: Worldwide infected so far only 15 people with the coronavirus. Nine paid with their lives. Patient number 16 is now in intensive care in Schwabing.
The ill comes from the Arab region. According to the head of the Schwabing Infectious Diseases, Dr. Clemens Wendtner, he had been at the 8th March infected in his home country. The doctor suspects that the Arabs infected with his "close contact racing camels."
Because he had been treated by a doctor several times in Munich, his family decided to let him fly by private jet here. Wendtner stressed that this patient has not set foot in a line pilot. Besides, he had already been intubated in the plane with a closed ventilator - so did the patient can infect anyone. Now the Arabs lies in strict isolation in a single room in Schwabing. His condition was "very critical," says Wendtner, the disease "life threatening".
The corona virus can cause pneumonia and kidney failure. It is considered difficult to transfer, as well as very dangerous. The pathogen is a relative of the SARS virus, which is known only recently. According to the World Health Organization (WHO), the first case occurred in June 2012 in Saudi Arabia, where the virus was found in a 60-year-old man. The highest number of cases are in the Middle East, Jordan, Qatar and Saudi Arabia. It also infections in the UK are known. There, one patient was affected, who had been present prior to his illness in Saudi Arabia and then infected two family members.Thus the virus can jump from person to person. Physicians are currently working but assume that for an infection, close contact is necessary.
Scientists from around the world are now trying to decipher the pathogen. Initial successes they have already achieved: Corona viruses enter through the DPP4 enzyme in the cells. The viral genome migrates into the nucleus and takes control of the metabolism of the host cell. Now researchers have succeeded to produce antibodies against DPP4, so as to prevent the infestation of lung cells.
The case is only the second in Munich in Germany. Both times, the pathogen was imported from abroad. "The risk of contact persons becoming infected is low overall and the general population is extremely low," reports the Robert Koch Institute.Wendtner also assured: It threatens no new pandemic.  http://www.merkur-online.de/lokales/muenchen/stadt-muenchen/toedliches-virus-renn-kamel-araber-infiziert-2820681.html

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Eerie Death virus in Schwabing Clinic


50 Munich under observation


Munich - In the Schwabing isolation ward doctors fight for the life of an Arab, who is ill with dangerous coronavirus. 50 Munich, who had contact with him are now being observed.
Isolation in Schwabing
© Hague / Kruse
On the isolation ward in Schwabing is a patient with the new coronavirus
Coronavirus© AP Photo / Health Protection Agency, the coronavirus
The virus appears not to be extremely contagious - but it is extremely deadly: Worldwide only 16 infections with the new coronavirus are known, nine patients died.Now a man in Munich is in danger! Health officials monitor about 50 people in the city, which had to do with the patient. For the population have no risk of infection existed.
The patient lies in the Schwabing Hospital in isolation rooms with locks in the ICU."The condition is clinically critical," says infectious diseases chief Clemens Wendtner.The patient must be ventilated.
The sick is to learn for privacy not much: The 73-year-old comes from the United Arab Emirates, on the Peninsula so far, almost all coronavirus infections occurred.
On 10 March he was admitted to a hospital in Abu Dhabi, last Tuesday, he met by private jet for one treatment on the Isar. Since the disease was not yet known, but he was already so bad that he was connected to a breathing system. With an intensive care ambulance we went to Schwabing. The doctors quickly typed on a serious infection and quartered him on the isolation ward. On Saturday struck the laboratory alarm: It is actually the novel human coronavirus Beta 2c EMC/2012!
Before this date poorly understood pathogens, the World Health Organization warns the last six months: . This virus belongs to the same family as the SARS virus , "The risk of infection is not the same but," says Prof. Wendtner. Patients are therefore not in the highest category for Ebola and SARS isolation, but in the second highest. "But the mortality rate is very high among those affected."
According to recent studies, the disease could especially in the Middle East from animals to humans are transferred - possibly via contaminated with dust particles of dried excrement of bats, or through direct contact with it.
Whether and how the virus from person to person transfers is not clear : In the first case of Germany in the fall of 2012 there was no further infection. Since a 45-year-old had been treated from Qatar in Food and recovered. Recently, however, had a Briton infected in Pakistan or Saudi Arabia. After returning diseased two younger family members, the 38-year-old son died.
Therefore, the health department of the city is observing about 50 people in Munich - especially relatives and hospital staff. These contacts are not due to date not been very great risk of infection isolated: you are free to move, the clinic staff are on duty. All have to give a blood sample and report daily to the authorities if they experience symptoms.According to current knowledge, they would only be contagious. "A precautionary measure", reassured Prof. Wendtner. The circle had been drawn on purpose very large. "So far, shows no symptoms." Not another contact to the patient population is incomprehensible.
http://www.tz-online.de/aktuelles/muenchen/coronavirus-muenchen-menschen-unter-beobachtung-tz-2820137.html
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All Confirmed Mild Beta2c Coronavirus Cases In Clusters



Recombinomics Commentary 14:00
March 25, 2013
 
The patient is a contact of the previous case reported in the Disease Outbreak News on 12 March 2013. This person suffered a mild illness, and has recovered and been discharged from hospital.

The above comments from the WHO March 23 coronavirus updatedefine the second confirmed nCoV cluster in Riyadh.  As was seen in the first cluster, the index case died, and a contact was confirmed with a mild infection involving hospitalization not involving the ICU.
Similar results were seen in the UK cluster, except the mild case was not hospitalized and did not require treatment, which was also seen in the ICU cluster in Jordan.  The non-fatal cases were classified as probable and at least one did not require hospitalization.  WHO also noted that many of the probable cases had a milder course and local media indicated several were only hospitalized for 1 or 2 days, suggesting they were also not admitted to the ICU and had a mild course.
However, there have been no reports of confirmed mild cases that were not linked to a confirmed cluster, raising concerns that the vast majority of nCoV infections are either not tested, produce a false negative, or are not reported.
WHO is targeting  more severe cases, so most mild cases will not be tested.   WHO has also recommended sampling from the lower respiratory tract, and the only confirmed cases who was not hospitalized was identified with a sputum test (targeting the low respiratory tract).  The same case tested negative for nCoV when a nose and throat swab was tested.
Concern regarding the testing / reporting of mild cases was increased significantly by recent local media reports offering assurances by noting that mild nCoV cases in Saudi Arabia are recovering without treatment, and most such cases are in Jeddah.  However, the only confirmed case from Jeddah is the first confirmed cases, which was fatal in July.  Two additional cases developed symptoms after a pilgrimage to Mecca, which is adjacent to Jeddah, but both confirmed case were severe (one has been hospitalized for 6 months, while the other was fatal).  The second UK traveler to Mecca (daughter of index case), tested negative, but may have been the source of the nCoV infections in the UK, since both were co-infected with HPIV-2, which was not reported in the index case (who was co-infected with H1N1pdm09).
WHO has not commented on these reported mild cases in Jeddah or other location in KSA or adjacent countries, although WHO has launched a twitter campaign to call the nCoV a cold virus, suggesting they are well aware of the mild cases.The WHO silence on these cases continues to be hazardous to the world’s health, as the similarities between nCov in 2013 and SARS-CoV in 2003 continue to increase.
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N.S. officials delayed notifying public of E. coli outbreak


, Mar. 25, 2013 7:24AM EDT 
HALIFAX -- Public health officials in Nova Scotia knew they were dealing with an outbreak of E. coli five days before they informed the public about it in early January, documents obtained by The Canadian Press show.
The first indication that staff were aware of the E. coli 0157 outbreak appears in two emails sent by the province's chief medical officer to staff with the Health Department and district health authorities on Dec. 31, 2012.
In one of the emails, Dr. Robert Strang says the Health Department was in the process of gathering more information about the outbreak and officials would meet on Jan. 2 to assess it. Notes from that day's meeting, which were released under access-to-information legislation, show that Health Department officials knew there were dealing with seven confirmed cases of E. coli 0157 affecting people ranging in age from 18 to 83.
Those notes also show that six of those people reported eating at fast food restaurants and they showed symptoms of the bacterial infection from Dec. 23-26, 2012. Officials were also aware of an E. coli outbreak of the same strain in New Brunswick but decided to delay notifying the public, the notes show.
"There have been no media calls yet. Until we know what the link is, we will provide standardized messaging," the notes say.
"If NB is sending messaging out, we should be consistent. Delay 24 hours."
It wasn't until Jan. 4 that the d...
Read more: http://www.ctvnews.ca/canada/n-s-officials-delayed-notifying-public-of-e-coli-outbreak-1.1209767#ixzz2OYuMpkq3
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FDA delays approval of GSK bird flu vaccine


Mon Mar 25, 2013 9:12am EDT
(Reuters) - Regulators have delayed approval of an H5N1 bird flu vaccine from GlaxoSmithKline, designed to be used in a pandemic.
The vaccine had been backed by an expert panel in November but GSK said on Monday the Food and Drug Administration (FDA) had informed it that additional review time was needed before approval.
 
Britain's biggest drugmaker said the delay was "due to an administrative matter that has recently been rectified", adding the company and the FDA were working to complete to review in a timely manner.

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Virus 'SARS desert' surveillance pilgrimage



WHO has urged countries. Marked the outbreak of a mysterious virus, new species closely             for Thailand, Prof. Amon radius style expert and virus infections. Faculty of Medicine. Siriraj Hospital. Surveillance has established that this bacteria as well. Thailand each year due to the large number of Muslim pilgrims traveling to the pilgrimage to Mecca. Saudi Arabia And the mystery virus may spread among the people at the ceremony. Through the respiratory system.             "Now, no one knows for sure what exactly that species. That mutations of the SARS virus. But not to fear as swine flu or influenza virus, because the virus is not the same group. Desert SARS virus that may come from similar types of bats, birds or poultry. This species is easily spread through feces or dirt. The dust in the air and then inhaled or absorbed into the human body. As expected, the primary infection is not strong or very dangerous. Not as simple as the flu virus. New SARS virus is spread only to people who are very close to each other. Many fear that a pilgrimage to Saudi Arabia. Because each year millions of people from around the world gathered together a crowd overcrowding. If one is spread out. Others to embed the virus in the body. I went to the home may become carriers of the infection to spread to other countries ".             Prof. deities to explain that there is no cure for the disease caused by the SARS virus. Only treat the symptoms. If the body is weak, could die easily. Therefore I remind you to plan to attend the pilgrimage to Mecca this year. Or those who returned from the Middle East to monitor themselves. If you feel discomfort, fever, cold, cough up phlegm, wheezing, rapid breathing with opaque white. Taking 3-4 days to see a doctor, then I do not abate. Rushed to the hospital with pneumonia tomography that or not. Important to inform your doctor himself back from me. Surveillance authorities to help prevent spreading the infection to others http://www.komchadluek.net/detail/20130325/154652/%E0%B9%84%E0%B8%A7%E0%B8%A3%E0%B8%B1%E0%B8%AA%E0%B8%8B%E0%B8%B2%E0%B8%A3%E0%B9%8C%E0%B8%AA%E0%B8%97%E0%B8%B0%E0%B9%80%E0%B8%A5%E0%B8%97%E0%B8%A3%E0%B8%B2%E0%B8%A2%E0%B9%80%E0%B8%9D%E0%B9%89%E0%B8%B2%E0%B8%A3%E0%B8%B0%E0%B8%A7%E0%B8%B1%E0%B8%87%E0%B8%9E%E0%B8%B4%E0%B8%98%E0%B8%B5%E0%B8%AE%E0%B8%B1%E0%B8%88%E0%B8%8D%E0%B9%8C.html#.UVAdWRxwe8A
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Sunday, March 24, 2013

Virus vial missing from Galveston lab



Updated: Mar 24, 2013 1:31 PM EDT
GALVESTON, Texas (AP) - Officials say a vial containing a virus that can cause hemorrhagic fever has gone missing from a research facility in Galveston, but say there's no reason to believe there's a threat to the public.
The University of Texas Medical Branch said Saturday that there was no breach in the security its Galveston National Laboratory and no indication of wrongdoing. Officials suspect the missing vial containing the Guanarito virus was destroyed during the lab's cleaning process but the investigation continues.
The medical branch says the virus, native to Venezuela, is transmitted only through contact with Venezuelan rats. It is not believed to be able to survive in U.S. rodents or to be transmitted person-to-person.
The Centers for Disease Control and Prevention was immediately notified after the vial was discovered missing Wednesday.
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Non-dyed from Qatar girls new coronavirus



March 24, 2013
   CHP received today (March 24), Queen Mary Hospital reported suspected cases of a novel coronavirus caused severe respiratory disease, a four-year-old girl from Qatar arrived in Hong Kong with his parents, fever and headache. The preliminary test results show that the patient's respiratory samples were negative, but the novel coronavirus, adenovirus positive reaction.    Attend the "2013 World Tuberculosis Day" ceremony, urged the public to remain vigilant, because it is still at the peak of seasonal flu, if so the novel coronavirus imported or other infectious diseases in this period, there are still opportunities in Hong Kong community    He said the CHP and the health care system will remain vigilant and continue to communicate with the World Health Organization and other relevant areas of health units, in order to get the latest news.    Ko Wing-man, said authorities will continue to monitor the ports of entry, pay attention to whether patients with similar symptoms or fever. As for the flight from the Middle East, is beginning to come on board the aircraft to distribute leaflets, and deplaning broadcast, remind passengers to be careful and and similar infections novel coronavirus symptoms, you must immediately notify the crew and seek medical attention.  http://www.news.gov.hk/tc/categories/health/html/2013/03/20130324_192955.shtml
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Girl tests negative for new coronavirus


24-03-2013
Doctors checking a four-year-old girl for the Novel coronavirus say preliminary tests suggest she doesn't have the illness, which causes severe respiratory problems.The girl, from the Philippines, had travelled here with her parents from Qatar and was admitted to Queen Mary Hospital suffering from fever and headaches.
The Centre for Health Protection says she's being kept in isolation and is in a stable condition. http://rthk.hk/rthk/news/englishnews/20130324/news_20130324_56_910672.htm
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Access Saudis raising fears the spread of Corona


Khaberni: the pulse of the street: the arrival of the Saudis raising fears the spread of Corona

World Health Organization (WHO) announced the death of a Saudi citizen virus
(Corona) Severe Acute Respiratory Syndrome, and registering a new injury to
another Saudi citizen, to reap Corona virus 9 deaths in Saudi Arabia since the start of
.the spread
The fears began to spread among Jordanian citizens of Ancharalveros especially
that there is no medical examination border with news about the arrival of "4000"
Saudi Arabia to Jordan car across the border retained center for tourism, work and
.vacation,



Dr. Mohammad Abdallat Director of communicable diseases at the Ministry of Health
told "Khaberni" Jordan was working on a special program and comprehensive since
more than 5 years to fight the virus, "Corona", where there are 3 centers in the
provinces to detect the disease and
These centers are: founder King Hospital in Irbid and Karak Government Hospital in
.the south and Prince Hamzah Hospital in the capital
Abdallat stressed the ministry's readiness to follow up on any diagnosis or condition
in monitoring any suspected HIV virus and turn it into a hospital specialized in
.combating the spread of the virus
Noteworthy that Jordan scored two cases of Corona disease last April was one of the
nurse in the blue Government Hospital and the second young Ashrana and died with
.in a timely manner
And belongs new virus to the family of major includes viruses responsible for
diseases Karashh normal, but differs from SARS being lead to injury quickly kidney
failure and WHO recommended Saturday searching for the possibility of the
existence of "coronavirus new patients with inflammatory lung unclear reasons, or
the patients suffering from acute respiratory diseases is clear reasons with
" .complications, do not respond to treatment  http://khaberni.com/more-96220-1-%D9%88%D8%B5%D9%88%D9%84%20%D8%A7%D9%84%D8%B3%D8%B9%D9%88%D8%AF%D9%8A%D9%8A%D9%86%20%D9%8A%D8%AB%D9%8A%D8%B1%20%D9%85%D8%AE%D8%A7%D9%88%D9%81%20%D8%A7%D9%86%D8%AA%D8%B4%D8%A7%D8%B1%20%D9%83%D9%88%D8%B1%D9%88%D9%86%D8%A7

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New infections 'Corona' in Jeddah

...The Ministry of Health has announced more than once that SARS is under control, and it looked like a normal flu, and that most of these cases were in the city of Jeddah.  
explained Health Minister Dr. Abdullah Al-Rabiah, in an earlier statement that the virus «Corona» under control, pointing out that «disease transient and not cause for concern and a threat to the pilgrims. He said: «The all government agencies in the Kingdom is ready to face any dangers epidemic. He added: «The virus 'crowns' known and most patients are recovering after treatment pads and simple without complications.  http://www.alyaum.com/News/art/76495.html
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SFH on additional overseas case of Severe Respiratory Disease associated with Novel Coronavirus

Hong Kong (HKSAR) - Following is the transcript of remarks (English portion) made by the Secretary for Food and Health, Dr Ko Wing-man, after officiating at a ceremony to mark the 2013 World Tuberculosis Day this afternoon (March 24):

Reporter: (On the latest case of Severe Respiratory Disease associated with Novel Coronavirus reported to the World Health Organization by the Ministry of Health of the Kingdom of Saudi Arabia)

Secretary for Food and Health: The World Health Organization (WHO) has just informed our Centre for Health Protection that there is now a 16th case of new Novel Coronavirus causing severe respiratory disease. This patient is a contact of the 15th case (announced by the WHO on March 12). We are trying to contact the WHO and other regional authorities to get more information on this case.

On the other hand, in Hong Kong, there are from time to time patients returning from the affected areas who have symptoms fulfilling the clinical criteria of the new Novel Coronavirus infection. This morning, there is a four-year-old girl, who is a tourist from Qatar, has presented clinical symptoms fulfilling the criteria of new Novel Coronavirus infection. We have conducted rapid tests on this girl.

Up to this moment, her specimens had been tested positive for Adenovirus but we cannot rule out the possibility of other coincidental infections, including the new Novel Coronavirus. We are waiting for the results of the rapid tests on Coronavirus which will be available in a few hours' time. I have to renew our appeal to all Hong Kong people to remain vigilant and adopt good personal hygiene practices and healthy lifestyle.

Reporter: (On the condition of the 4-year old girl in local hospital)

Secretary for Food and Health: This girl was treated firstly in a private hospital and was subsequently referred to the public hospital. http://7thspace.com/headlines/434717/sfh_on_additional_overseas_case_of_severe_respiratory_disease_associated_with_novel_coronavirus.html
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Saturday, March 23, 2013

Sri Lanka Hospitals to screen all ME arrivals for coronavirus


Hospitals to screen all ME arrivals for coronavirus

by Carol Aloysius
The Health Ministry has alerted hospitals islandwide requesting doctors to screen all Middle East arrivals for coronavirus, also known as novel coronavirus (nCov) infection, now spreading in the Middle East.
"Although no cases of coronavirus have been reported yet, we are not taking any chances. We have asked doctors in all the hospitals to screen Middle East returnees as a precautionary method. If a person shows symptoms he or she will be transferred immediately to the Infectious Diseases Hospital (IDH)", Epidemiology Unit chief, Dr. Paba Palihawadana told the Sunday Observer.
The coronavirus is a severe infection that affects the upper respiratory system with symptoms such as breathing difficulty and severe coughing.
The disease causes respiratory complications such as pneumonia as well as enteric disease. Animals and humans are susceptible to the disease.
The first case of nCov was detected in an adult male in the UK suffering from severe respiratory infection, after having travelled to Saudi Arabia, ten days prior to the onset of the symptoms.
According to the World Health Organisation( WHO) a total of 15 confirmed cases have been detected globally, to date.  http://www.sundayobserver.lk/2013/03/24/new22.asp?
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Qatar- Smallpox kills 50 sheep at private farm



Sunday, 24 March 2013
DOHA: An outbreak of smallpox at a sheep farm in Al Khor has killed more than 50 animals, sparking fears among other animal farm owners, a senior official said.
The veterinary centre at Al Khor received several animals with smallpox from a private farm, Director of Animals Department at the Ministry of Environment, Dr Qasim Al Qahtani, told Al Sharq.
He added that if the spread of the disease was not contained, the death toll may shoot up. 
According to Qahtani, a month-and-half ago, several of the 700 sheep at the farm tested positive for smallpox.
On instructions of the veterinary centre, the infected animals have been separated from the health ones. Those suffering from the infection are under treatment and are showing progress.
The sheep which died of smallpox were also suffering from other diseases like pneumonia, Qahtani said.
No other veterinary centre in the country has received any case of smallpox, added Qahtani.
Discounting fears of a spread of the disease, the official said that smallpox breaks out almost every year in Qatar and there was no need to worry as this is the first instance of so many animals dying. The department launched a programme to immunise all animals in the country from eight infectious diseases that are known to break out every year.
The animals are administered the vaccines once or twice every year.
The centres do not spare any effort to protect animals in the country, Qahtani said. http://thepeninsulaqatar.com/qatar/2...vate-farm.html
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Qatar-Smallpox kills dozens of sheep in the creek


Herd which had about 700 head of sheep
8:58 p.m.
23
March
2013
East Gate - Najati Badr
Smallpox claimed the lives of more than 50 head of sheep and struck a large proportion of the herd more than 600 or 700 head in one of the farms in the creek, which has led to fears farm owners and breeders of the spread of the disease among sheep in Qatar and the threat of educators heavy losses,
"Middle" got information that confirms the presence of smallpox among a large herd of sheep in the area of ​​the creek and talked to Dr. Qasim Al Qahtani, director of animal health at the Ministry of the Environment, where he confirmed the monitoring center veterinarian Khor large numbers of cases in a farm owned by one of the persons, He said Qahtani: a month ago and a half ago emerged cases in large numbers between herd approaching its numbers from 700 head of sheep, also monitor the status of Veterinary death cases approached than 50 head almost, and added: Lula rapid intervention by the Center of Veterinary creek to increased cases of mortality among the herd The injured each herd and possibly has mostly owner.
The Qahtani to be the center veterinarian intervention on the spot and the isolated sheep infected from other and deal with the situation and have taken all measures to fortify the sheep is infected and treat conditions that hit and since this time and place intensify its efforts to treat infected cases has improved dramatically, said Qahtani: The cause of death Tens of sheep was not due to smallpox alone, but as a result of disease among sheep, among other pneumonia and other diseases that have helped these sheep deaths.
The Qahtani to 8 centers tracking management, distributed in various regions of the state, all of which did not monitor cases of smallpox, thank God, except Creek which deal expeditiously with the situation and now the situation reassuring and stable, and said: The center veterinarian in Al Khor is currently working on censorship strict and continuous follow-up on the clock of the cases infected, and added: The smallpox is not new to Qatar and the region and shows a year and no fear of it and this is the first case of infected large numbers, due to the large numbers of the herd, and the symptoms of this disease delayed in history to some extent.
The director of animal that management has taken adopted a project to immunize all animals in the country against 8 diseases and this is the usual annually, stressing that the immunization is once or twice a year, pointing out that the administration does not waver in taking all measures to protect livestock in the country does not tolerate in dealing quickly and with interesting cases exposed to disease and all veterinary centers offering services to educators and ranchers fully and thank God.
http://www.al-sharq.com/ArticleDetails.aspx?AID=251453&CatID=64&title=%D8%A7%D9%84%D8%AC%D8%AF%D8%B1%D9%8A%20%D9%8A%D8%AD%D8%B5%D8%AF%20%D8%A3%D8%B1%D9%88%D8%A7%D8%AD%20%D8%B9%D8%B4%D8%B1%D8%A7%D8%AA%20%D8%A7%D9%84%D8%A3%D8%BA%D9%86%D8%A7%D9%85%20%D9%81%D9%89%20%D8%A7%D9%84%D8%AE%D9%88%D8%B1
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