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Wednesday, March 27, 2013

Epidemiological update: additional confirmed cases of novel coronavirus including sixth case diagnosed in Europe


27 Mar 2013
Epidemiological update: additional confirmed cases of novel coronavirus including sixth case diagnosed in Europe
ECDC
Since the ECDC epidemiological update of 22 February 2013, four new confirmed cases of novel coronavirus (nCoV) infection have been reported worldwide, totalling 17 cases and including eleven deaths. Three of the four recent cases have been reported by the Ministry of Health of Saudi Arabia to WHO on:
  • 6 March 2013: a 69 year old male, with no recent history of travel or contact with a confirmed case, hospitalised on 10 February 2013 and who died on 19 February [1].
  • 12 March 2013: a 39 year old male reported to have developed symptoms on 24 February and who died on 2 March while hospitalised. Potential exposures are under investigation [2].
  • 23 March 2013: a patient with mild symptoms diagnosed with nCoV infection and hospitalised, who has since recovered. The mode and source of transmission has not been identified, but the case is known to be a contact of the above case reported on 12 March [3].
The fourth case was reported on 25 March by Robert Koch Institute (RKI), Germany, and is the second imported case to be reported in this EU Member State. The patient, a 73 year old male with underlying clinical conditions, had been hospitalised in United Arab Emirates and transferred to a hospital in Germany for specific clinical care where subsequent diagnosis of nCoV infection was confirmed. Despite intensive care treatment the patient died on 26 March [4]. Contact tracing and investigations are underway by German public health authorities.
Since the start of reporting, six cases have been diagnosed and cared for in Europe (Table 1). Three cases (2 in Germany and 1 in UK) came to Europe as part of transfer for care from countries in the Arabian Peninsula where they acquired their infection.  A fourth case became unwell while in the Arabian Peninsula, but may have acquired his infection in either Pakistan or the Arabian Peninsula, before travelling to the UK. Extensive contact tracing has been undertaken around the first two UK cases and first German case, by respective national public health authorities [5-7]. To date, this has revealed two cases occurring though human-to-human transmission in the UK. Testing of other persons as recommended by WHO and ECDC has not revealed additional cases [5-9].
Though the number of nCoV infections has increased this last month, most reported cases continue to be associated with the Arabian Peninsula, where contact tracing and epidemiological investigations by Public Health Authorities continue in order to identify the possible source of infection.
The ECDC update of the rapid risk assessment for the EU provided on 19 February and its recommendations remain valid [10]. ECDC has published today a Public Health Development highlighting recent updated surveillance and clinical guidance from WHO and providing ECDC advice in their application by EU Member States [11,12].

References:
1. WHO. Novel coronavirus infection – update 6 March 2013 http://www.who.int/csr/don/2013_03_06/en/index.html
2. WHO. Novel coronavirus infection – update 12 March 2013http://www.who.int/csr/don/2013_03_12/en/index.html  
3. WHO. Novel coronavirus infection – update 23 March 2013  http://www.who.int/csr/don/2013_03_23/en/index.html#
4. RKI. Aktualisierung der Risikoeinschätzung des RKI zu Erkrankungsfällen durch das neuartige Coronavirus (hCoV-EMC) 26 March 2013http://www.rki.de/DE/Content/InfAZ/C/Corona/Risikoeinschaetzung.html  
5. Health Protection Agency (HPA) UK - Investigation and public health management of possible cases of severe acute respiratory illness associated with a novel virus. February  version 19/02/2013. http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317136270914
6. Pebody RG, Chand MA, Thomas HL, Green HK, Boddington NL, Carvalho C et al. The United Kingdom public health response to an imported laboratory confirmed case of a novel coronavirus in September 2012. Euro Surveill. 2012;17(40):pii=20292. Available at:http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20292
7. Buchholz U, Müller MA, Nitsche A, Sanewski A, Wevering N, Bauer-Balci T, Bonin F, Drosten C, Schweiger B, Wolff T, Muth D, Meyer B, Buda S, Krause G, Schaade L, Haas W. Contact investigation of a case of human novel coronavirus infection treated in a German hospital, October-November 2012. Euro Surveill. 2013;18(8):pii=20406. Available online: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20406
8. Palm D, Pereyaslov D, Vaz J, Broberg E, Zeller H, Gross D, Brown CS, Struelens MJ, on behalf of the Joint ECDC-WHO Regional Office for Europe Novel Coronavirus Laboratory Survey participants; ECDC National Microbiology Focal Points, WHO European Region EuroFlu Network and European Network for Diagnostics of "Imported" Viral Diseases (ENIVD). Laboratory capability for molecular detection and confirmation of novel coronavirus in Europe, November 2012. Euro Surveill. 2012;17(49):pii=20335. Available online: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20335
9. Health Protection Agency  Novel coronavirus 20 March 2013 in HPA Weekly National Influenza Report. Summary of UK surveillance of influenza and other seasonal respiratory illnesses 21 March 2013 – Week 12 report (up to week 11 data)http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317138449850
12. WHO Interim surveillance recommendations for human infection with novel coronavirus - 18 March 2013 http://www.who.int/csr/disease/coronavirus_infections/InterimRevisedSurveillanceRecommendations_nCoVinfection_18Mar13.pdf

FBI Gets Case of Missing Virus at Texas Biolab





The Centers for Disease Control and Prevention has referred to the FBI the case of the laboratory where one of five vials of a deadly Venezuelan virus went missing, an official from the CDC told ABCNews.com.
"CDC reported the incident to the FBI and we understand that the FBI will initiate an investigation concerning the reported incident," Dr. Rob Weyant, director of the CDC's Division of Select Agents and Toxins, told ABCNews.com in an email. "Since the investigation is just underway, the agency will not comment further regarding details of this incident."
The FBI would not confirm it was investigating the incident at theGalveston National Laboratory.
"The FBI does not confirm nor deny the existence of investigations" as a matter of policy, said Shauna A. Dunlap, a media coordinator for the FBI Houston Division.
A lab spokesman said he did not think the FBI was investigating, but rather that the FBI was monitoring the lab's ongoing investigation.
The CDC can make a referral to the FBI if it finds "possible violations involving criminal negligence or a suspicious activity or person to the FBI for further investigation," according to 2007 congressional testimony from Dr. Richard Besser, who directed the CDC's Coordinating Office for Terrorism Preparedness and Emergency Response at the time. He is now ABC News' chief health and medical editor... http://abcnews.go.com/Health/fbi-case-missing-guanarito-virus-texas-biolab/story?id=18817744#.UVLiuhxwe8A

Schmallenberg virus: arrival in Scotland confirmed


A cow (generic)The cases are the first to be confirmed in cattle bred and raised in Scotland

Related Stories

The first evidence of cases of the Schmallenberg virus (SBV) among livestock bred and raised in Scotland has been confirmed.
Eight cows on the Barony Campus of Scotland's Rural College in Dumfries and Galloway have tested positive for SBV antibodies.
It indicates exposure to the virus at some time last year.
No deformed calves have yet been born to the 160-strong herd on the farm north of Dumfries.
Last year a ram from Shropshire was confirmed with the virus after being transported to Orkney.
The animals involved in the latest incident were homebred and no animals had been added to the herd from outside Scotland.
The virus - which can cause abortions and birth defects in animals - was first detected in southern England in January 2012.
Although a small number of animals that had recently moved into Scotland have previously tested positive for SBV antibodies, this is the first evidence that suggests exposure to infected midges in Scotland.

Start Quote

While the results were unexpected they will now help us plan our breeding programme and consider vaccination when it becomes available later this year”
Colin MasonSAC Consulting
Rural Affairs Secretary Richard Lochhead said: "Since Schmallenberg was first detected in the south of England we have watched it spread slowly northwards.
"Confirmation of its arrival in Scotland is, therefore, no surprise but is nonetheless disappointing and undoubtedly a headache which farmers could do without at the moment.
"Following that confirmation, farmers should continue to exercise vigilance, particularly when moving animals onto their farm and should consider testing breeding stock for the SBV antibody."
He said current evidence suggested infection with SBV had a "relatively low impact" but it was known it could cause problems in pregnant animals.
Brian Hosie, of SAC Consulting veterinary services, said any farmers encountering foetal abnormalities, stillbirths or newborns showing signs of nervous disease should contact their vet or SAC.
"Do not assume these are cases of Schmallenberg virus infection as other diseases can cause birth defects in lambs and calves and it is important to know which you are dealing with," he said.
A Schmallenberg surveillance scheme is about to start in Scotland.
Vaccination considered
They are identifying dairy farms that would be willing to take part in the testing of bulk milk to help flag up any spread of the virus across the country.
Colin Mason, of SAC Consulting in Dumfries, said: "These new results arose from testing we chose to do as part of other routine sampling at Barony.
"While the results were unexpected they will now help us plan our breeding programme and consider vaccination when it becomes available later this year.
"That's exactly what we hope any findings of the proposed screening programme will help others with."
SBV causes fever, diarrhoea and loss of milk production in adult cattle, although the animals do recover.
The disease, first identified on German and Dutch farms, is not thought to pose a risk to humans.
It spread via midges throughout parts of Europe and southern England.  http://www.bbc.co.uk/news/uk-scotland-south-scotland-21954418

Tuesday, March 26, 2013

Came the killer virus of a camel?


HATTIP TO CATBIRD

Munich - The Infected with a novel coronavirus in the Schwabing Hospital has died.Now it is checked whether he has been infected with a camel.
For the first time a person dies in Germany at the death Virus: The infected with the novel coronavirus in the Schwabing Hospital did not make it. The 73-year-old from the United Arab Emirates died Monday night after a circulatory shock . "Due to the advanced stage infection and septic disease, the prognosis for the patient was unfortunately very unfavorable, so that his maximum intensive care could not be saved," laments Professor Clemens Wendtner, infectious diseases chief physician in Schwabing.
Now the case can advance research. The man - possibly a sheik - have visited shortly before his camel-herd disease he could have been infected at one of its racing camels, explains Prof. Wendtner. The talks with the family of the deceased would have arisen. Also one of the animals had fallen ill. The camel in turn could have the virus from a batThe Arabs had fallen ill in early March and last Tuesday was flown by private jet from Abu Dhabi to Munich for treatment. Now, the body will be transferred promptly to his homeland.
A risk of infection for the population did not pass loud city. The patient lay on the isolation that some 50 members and contact persons would continue to be monitored.So far there are no abnormalities, according to health department.
With the Munich dead, the number of victims of the pathogen : So far, the 17 infections are known to have died eleven patients. Last week, according to British media reports, a 60-year-old from Birmingham has died, which seemed to have overcome the coronavirus. The man had been infected in the Middle East and at home probably infected his 38-year-old son, who died before his father.

Munich as a medical mecca

The illness of the 73-year-old Arab is a particularly stark case of medical tourism : Already hovering in mortal danger, he was flown by private jet to treat - attached to the ventilator. He was several times on the Isar for treatment because the family probably just promised here is a chance of recovery.
So the thousands to see every year: The five hospitals welcomed the Municipal Hospital in the past year about 1500 patients mainly from Arab countries and from Russia. Most wanted in Bogenhausen Schwabing or under the knife - and paid the treatment itself Most interventions were the chief physicians in the fields of orthopedics, plastic surgery and reconstruction, neurosurgery, gastroenterology and diabetes. That has already gone off in the 90s because of the reputation of the physician, hospital spokesman says Matthias Winter. "The potential is still great."
Somewhat smaller, the figures are at the University Hospital: In Grosshadern and in the city there were in 2011 just 1225 patients. "The number is far lower than you might think," said hospital spokesman Philip Kressirer. On the right of the Isar River are consistently steady around 300 Arab patients per year. The number of patients treated staionär from Russia had recently risen to 500 a year, says hospital spokeswoman Eva Schuster.
On the international patients, the clinics have long set-with websites, brochures, advertising. On the right of the Isar Clinic there is even a patient off at Lufthansa. http://www.tz-online.de/aktuelles/muenchen/kam-killervirus-von-einem-kamel-schwabing-patient-verstorben-tz-2822100.html

Gujarat HC pulls up state govt on swine flu: why not declare it an epidemic


The Gujarat High Court on Tuesday came down heavily on the state government over the prevalence of swine flu in the state and asked why it did not declare the disease "an epidemic".
The court also termed the state government's report on steps being taken to handle the disease as "an eyewash".
After lashing out at the state government, the court directed the Commissioner of Health to file a detailed affidavit on a variety of issues related to the disease and medical emergency situation in the state by April 9, when further hearing is scheduled.
The court presided over by Justice Anant Dave had, in the last hearing, asked the state government to submit a detailed report related to the disease while acting on certain bail petitions by some undertrial prisoners who had sought bail to attend to their relatives suffering from diseases like swine flu, malaria and dengue.
On Tuesday, the state government counsel presented the report before the court and apprised it about the instructions being given to the government hospitals and health centres.
The court, however, was unimpressed. "Instructions do not work. There are no qualified doctors in your CHCs (Community Health Centres). Even for X-ray, patients have to go outside," the court said.
The court said there were norms of cleanliness and hygiene in government hospitals but expressed doubts about how many hospitals were following the same.
Apprising the court about various provisions at government hospitals, the state government's counsel said they were having rain-basera facilities in major centres for accommodation of relatives of the patients...

Emirati man dies in of coronavirus infection in Germany


Emirati man dies in of coronavirus infection in Germany


Mar 26, 2013 - 11:27 -
Abu Dhabi, 26 March 2013 (WAM) - A 66 years old UAE national man died in Germany while being hospitalised for cancer treatment (level 4). The man was infected by novel coronavirus (NcoV) confirmed the German Health Authorities.

The Health Authority in Abu Dhabi confirmed that it's coordinating with the Ministry of Health and other authorities in the country and has taken the necessary measures as per the international standards and recommendations by the World Health Organisation (WHO). The Authority confirmed that there are no suspected cases of coronavirus in the Emirate up to date.

The Ministry of Health also confirmed that there are no suspected cases in the UAE up to date.

The Ministry and the Authority stated that the WHO first issued an international alert in September 2012. Up to date the WHO confirmed 16 coronavirus cases globally.

The WHO confirmed that the virus is not a concern for public health at the moment, and that the current situation does not require to ban travel to any country in the world or screenings on different ports and do not impose any restrictions on trade.

The WHO is working with international experts and countries where cases have been reported to assess the situation and review recommendations for surveillance and monitoring and asked all national authorities to promptly assess and notify the WHO of any new NCoV cases within 24 hours.

The Ministry and the Health Authority were sadden by the loss of the UAE National and sent condolences to his family. http://www.wam.org.ae/servlet/Satellite?c=WamLocEnews&cid=1290003898100&p=1135099400124&pagename=WAM%2FWamLocEnews%2FW-T-LEN-FullNews

New diseases: Are we safe?



26.03.2013
The reaction of the World Health Organization to the case of nCoV (Novel Coronavirus Infection) is tellingly similar to the reaction of the WHO to the new strain of Influenza A H1N1 in 2009 - an emulation of the three Sanzaru monkeys covering their eyes, ears and mouths. Do nothing and hope it spreads...
From SARS to SARI. Novel Coronavirus Infection, or nCoV is far less widespread than the Severe Acute Respiratory Syndrome (SARS) which swept across 37 countries from November 2002 to July 2003 causing 775 deaths in 8,273 cases (a fatality rate of 9.6%). However, Novel Coronavirus Infection, causing Severe Acute Respiratory Infections (SARI) has killed nine of the confirmed 16 cases, a fatality rate of 56%.
And as usual, only laboratory tested cases count, meaning that the real prevalence and fatality rate could be far higher, as was the case with the Influenza A H1N1 pandemic in 2009, whose official statistics were a relatively low fatality rate of 0.01 to 0.03% (Influenza usually has a fatality rate of lower than 0.03%) or 294,500 deaths. However, there are claims that up to 579,000 people could have died from A H1N1, as many cases in Africa and South-East Asia (where else?) went unreported.
And while the WHO "continues to closely monitor the situation" (split infinitive), it "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".
 Practically a copy-paste of the official position during the A H1N1 pandemic. It is the verborrea of those who spend millions doing nothing.And as was the case with A H1N1, as is the case with practically all outbreaks and Pandemics of disease, what does the WHO do with nCoV? It "encourages all Member States (MS) to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns", while it is "currently working with international experts and countries where cases have been reported to assess the situation and review recommendations for surveillance and monitoring".
In four words, sit back, do nothing, or in a four-letter word, zero. And this is the approach of those who are supposed to be protecting us even though the WHO itself admits that "there is insufficient information available to allow a conclusive assessment of the mode and source of transmission". Bullshit! There is telling evidence which points towards a strong possibility of human-to-human transmission on nCoV.
The three apes sanbiki no saru, from Japanese mythology, are called Mizaru (who covers the eyes and can see no evil); Kikazaru (covering his ears, can hear no evil) and Iwazaru(covers his mouth, can speak no evil). Doing nothing, these monkeys hope that a disease will simply go away? Or spread, so that the pharmaceutical giants can make millions?
Is that the idea? If it isn't, it seems like it.  http://english.pravda.ru/opinion/columnists/26-03-2013/124160-new_diseases-0/

CDC-Novel (New) Coronavirus in the Arabian Peninsula and United Kingdom


Novel (New) Coronavirus in the Arabian Peninsula and United Kingdom

This information is current as of today, March 26, 2013 at 14:49 EDT
Updated: March 26, 2013

What Is the Current Situation?

From April 2012 to March 2013, a total of 17 people in Saudi Arabia, Qatar, Jordan, the United Kingdom (UK), and the United Arab Emirates were confirmed to have respiratory illness caused by a novel (new) coronavirus. Ten of these 17 people died.
In the UK, an infected man likely spread the virus to two family members. He had recently traveled to Pakistan and Saudi Arabia and got sick before returning to the UK. This cluster of cases provides the first evidence of person-to-person transmission. The UK’s Health Protection Agency is continuing to investigate this. Also, clusters of cases in Saudi Arabia and Jordan are being investigated.
For more information, seeCDC’s novel coronavirus update.
CDC does not recommend that anyone change their travel plans because of these cases of the novel coronavirus. CDC recommends that US travelers to countries in or near the Arabian Peninsula* monitor their health and see a doctor right away if they develop fever and symptoms of lower respiratory illness, such as cough or shortness of breath. They should tell the doctor about their recent travel.  

What Is a Coronavirus?

Coronaviruses are a cause of the common cold. A coronavirus also was the cause of the severe respiratory illness called SARS (severe acute respiratory syndrome). SARS caused a global epidemic in 2003, but there have not been any known cases of SARS since 2004. This novel coronavirus is not the same coronavirus that caused SARS.

What Is Known About Novel Coronavirus?

The novel coronavirus is different from any other coronavirus that has been previously found in people. In the UK, the virus likely spread from an infected person to two family members. Symptoms of novel coronavirus infection have included fever, cough, and shortness of breath. CDC is working with WHO and other partners to understand the public health risks from this virus.

How Can Travelers Protect Themselves?

Taking these everyday actions can help prevent the spread of germs and protect against colds, flu, and other illnesses:
  • Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand sanitizer.
  • Avoid touching your eyes, nose, and mouth. Germs spread this way.
  • Avoid close contact with sick people.
  • Be sure you are up-to-date with all of your shots, and if possible, see your healthcare provider at least 4–6 weeks before travel to get any additional shots. Visit CDC’s Travelers' Health website for more information on healthy travel.
  • If you are sick
    • Cover your mouth with a tissue when you cough or sneeze, and throw the tissue in the trash.
    • Avoid contact with other people to keep from infecting them.

When Should Someone See a Health Care Provider?

You should see a healthcare provider if you develop a fever and symptoms of lower respiratory illness, such as cough or shortness of breath, within 10 days after traveling from countries in or near the Arabian Peninsula*. You should tell the healthcare provider about your recent travel.

Clinician Information:

Health care providers should be alert to patients who develop severe acute lower respiratory illness (e.g., requiring hospitalization) within 10 days after traveling from countries in the Arabian Peninsula* or neighboring countries, excluding those who transited at airports.
  • Consider other more common causes of respiratory illness, such as influenza.
  • Evaluate patients using the CDC’s case definitions and guidance
  • Immediately report patients with unexplained respiratory illness and who meet CDC’s criteria for “patient under investigation” to CDC through the state or local health department.
  • Consider evaluating patients for novel coronavirus infection who:
    • develop severe acute lower respiratory illness of known etiology within 10 days after traveling from the Arabian Peninsula,* but who do not respond to appropriate therapy
    • develop severe acute lower respiratory illness who are close contacts of a symptomatic traveler who developed fever and acute respiratory illness within 10 days of traveling from the Arabian Peninsula.*
  • See additional recommendations and guidance on CDC’s novel coronavirus website.
  • Contact your state or local health department if you have any questions.

Additional Information:

*Countries in and near the Arabian Peninsula: Bahrain, Iraq, Iran, Israel, Jordan, Kuwait, Lebanon, Oman, Palestinian territories, Qatar, Saudi Arabia, Syria, the United Arab Emirates (UAE), and Yemen.

Jordan and Jeddah Beta2c Coronavirus Sequence Match



Recombinomics Commentary 19:30
March 26, 2013
NAMRU-3 has released a full sequence (30030 BP), Jordan-N3, from a bronchial wash from one of the fatal case linked to the SARS-like Jordan ICU cluster (collected in April, 2012).  Like EMC/2012, the sequence has 70 differences with the consensus sequence (defined by EMC/2012,England1, and England2) which is an identity of almost 99.8%. 

However, 37 of these 70 differences are shared with EMC/2012, defining two distinct sets of sequences (Jordan-N3 and EMC/2012 in one subclade and England1 and England2 in a second subclade).  Because of the similarities a fifth sequence would be required to create a true consensus because of the large number of positions which are shared by 2 or the 4 full sequences. A fifth sequence would help determine how much of the match between Jordan and Jeddah is due to an earlier sampling, and how much is due to sub-clade differences.

The relatedness between the Jordan and Jeddah sequences raises concerns that this Jeddah sequence is widespread.

 
The match between Jordan and Jeddah increases concerns regarding recent comments that mild cases in Saudi Arabia were concentrated inJeddah.  The Jordan ICU cluster was likely due to a patient who was treated last April, but that index case was not identified.  The match with EMC/2012 raises concerns that the Jordan cluster was also linked to the nCoV circulating in Saudi Arabia.
The match between the Jordan cluster and the first confirmed case in Saudi Arabia supports sustained transmission of this sub-clade.  Full sequences from the two partially sequenced cases would be useful.

Latest patient had stage 4 cancer

suspected cases  to be reported within 24 hrs

Diagnosed HIV infection Taji new "Corona virus" Emirates died in Germany
2013-03-26 22:16:33
Abu Dhabi / Health Authority HIV / Corona. Abu Dhabi on March 26 / WAM / announced the Health Authority of Abu Dhabi for the diagnosis of severe pneumonia and known disease "Koruna" or coronavirus new citizen Emirates in sixth sixty years of age died in Germany, where he was treated for cancer "Phase IV" and diagnosed health authorities German situation and show his disease Koruna. 
confirmed the Health Authority Abu Dhabi it is coordinating with the Ministry of Health and health authorities and relevant state in this regard and has taken the necessary measures and precautions in accordance with the recommendations of the scientific and conditions and criteria adopted by the World Health Organization, including Epidemiological Investigation of Mkhaltin .. Also confirmed that there is no case installed inside the emirate currently. and The Ministry of Health for its part also that there have been no cases in the UAE. has shown the Ministry of Health and the Health Authority - Abu Dhabi, the first HIV infection Taji new "virus Koruna" was declared on 20 September 2012 by the World Health Organization (WHO) .. Even twenty-third of March 2013 the organization announced 16 confirmed cases of HIV Koruna. as World Health Organization confirmed that the virus is not a concern for public health at the moment and stressed that the current situation does not require any action to ban travel to any country in the world and does not require tests early in the ports states do not impose any restrictions on trade. asked the organization of national focal points IHR in countries initiative 'notice of any suspected case or have been confirmed infected within 24 hours and that's what committed Emirates fully as a member of the World Health Organizationand made ​​the Ministry of Health and the Health Authority - Abu Dhabi sincere Azaúhma to the family Saúlten Almighty God to bestow His mercy and eternal peace.  http://www.wam.ae/servlet/Satellite?c=WamLocAnews&cid=1290003895763&pagename=WAM%2FWAM_A_Layout&parent=Collection&parentid=1135099399918

Novel coronavirus infection -WHO update



 The Robert Koch Institute informed WHO of a new confirmed case of infection with the novel coronavirus (nCoV).
The patient was a 73-year-old male from United Arab Emirates, who was transferred from a hospital in Abu Dhabi to Munich by air ambulance on 19 March 2013. He died on 26 March 2013.
In the United Kingdom, the index patient in the family cluster reported on 11 February 2013 with travel history to Pakistan and Saudi Arabia prior to his illness, has died.
To date, WHO has been informed of a global total of 17 confirmed cases of human infection with nCoV, including 11 deaths.
Based on the current situation and available information, WHO encourages all Member States (MS) to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns. WHO is currently working with international experts and countries where cases have been reported to assess the situation and review recommendations for surveillance and monitoring.
All MS are reminded to promptly assess and notify WHO of any new case of infection with nCoV, along with information about potential exposures that may have resulted in infection and a description of the clinical course.
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.  http://www.who.int/csr/don/2013_03_26/en/index.html

Munich: Man dies after coronavirus infection



Again, a patient died from the dangerous coronavirus. In a Munich hospital the 73-year-old succumbed to the infection with the novel virus. He had been flown for treatment in Abu Dhabi - but suffered already at a pre-existing condition. Doctors puzzled further how the virus from spreading.
Munich - The novel coronavirus that was discovered a few months ago for the first time, has claimed another casualty: Now is a man succumbed in a Munich hospital infection with dangerous pathogens. As the urban Krankhenhaus announced , the 73-year-old died of a circulatory shock in the early hours of Tuesday.
However, the patient had already suffered from severe pre-existing conditions, said the Hospital Munich Schwabing. Due to the advanced stage infection is the prognosis was very unfavorable, said the head of the Department of Infectious Diseases, Clemens Wendtner. The man comes therefore from the United Arab Emirates, where he still lives.According to the Robert Koch Institute (RKI), the patient was on 19March was moved from a hospital in the Emirate of Abu Dhabi to Germany. On 23 March a laboratory confirmed the suspicion of an infection with a novel coronavirus. It is a SARS-like virus, which bears the acronym HCoV-EMC.
The Munich-based patient information had been brought to the hospital immediately after his arrival in an isolation room in the ICU. Contact persons and relatives of the man would continue to advise and medically monitored. For the population no risk of infection had passed.
According to the World Health Organization (WHO) worldwide have been 17 cases infected with this pathogen proven. Nine patients have died.Almost all of the 17 patients coronavirus originated far from the Arab world, were in most cases so far in Saudi Arabia. In Germany, it is after the second clinic details become known infection. In both cases, the patients came from abroad. Except for the patients in Munich late 2012 was a patient from Qatar treated in a hospital in Essen , where the infection succumbed.
So far, the doctors do not know how the new virus is transmitted to humans. They assumed, however, that under certain circumstances could be held even an infection from person to person . The doctors at least initiated from the case of a recently deceased man from the UK. The risk to the general population is very low, the experts stress. Even the RKI classifies the risk of disease in Germany is low.
Applies in the care of probable cases in the hospital however, carry out strict hygiene measures as recommended for diseases caused by the Sars virus, it is called by the RKI .
The disease starts with flu-like symptoms such as fever and chills. Quickly the symptoms are worse, however: Most infected patients have a severe respiratory distress syndrome, similar to the severe acute respiratory syndrome (SARS). A great danger especially as acute renal failure occur simultaneously. The new virus was first appeared last year in the middle of the Middle East.  http://www.spiegel.de/gesundheit/diagnose/muenchen-mann-stirbt-nach-coronavirus-infektion-a-891012.html

Sheikh died in Munich on killer virus


Munich - Munich is in a diseased to the dangerous coronavirus man (73) died. It is the first corona death in Germany. The recently discovered killer virus similar to the deadly SARS virus that killed ten years ago about 800 people were killed.
The man died of a circulatory shock due to infection, said the Municipal Hospital. He had already suffered from severe pre-existing conditions. He was treated in strict isolation. Contact persons and relatives of the patients are medically monitored.
After BILD.de information the patient belonged to the ruling family of Dubai and had apparently been infected with a camel race. On 19 March he was in a hospital in Abu Dhabi flown by private jet to Germany.  http://www.bild.de/news/inland/viren/mann-muenchen-tot-29669328.bild.html

DEATH Virus: patient died in Schwabing



Munich - The Munich-patient did not make it, the death virus has claimed another victim: The infected with the novel coronavirus in the Schwabing Hospital last night has died, confirm Municipal Hospital and city.
On the isolation ward in Schwabing is a patient with the new coronavirus
The 73-year-old from the United Arab Emirates fell ill in early March and last Tuesday was flown by private jet from Abu Dhabi to Munich for treatment. On Saturday, the laboratory had confirmed infection with the novel coronavirus. The patient suffered last night, according to hospital circulatory shock in the context of infection and its serious underlying medical conditions. "Due to the quite advanced infection and septic disease, the prognosis for the patient was unfortunately very unfavorable, so that his maximum intensive care could not be saved" regretted Clemens Wendtner, Chief of Infectious Diseases in Schwabing.
The patient lay on the isolation, a risk of infection for the population has not passed, according hospital and city. 's body the patient will promptly transferred to his homeland - in consultation with the Robert Koch Institute in Berlin and the Health Department of the City. The 50 or so members and contact persons are monitored medically unchanged. This brings the death toll of the sinister agent: So far, the 17 infections are known to have died eleven patients. Last week, according to British media reports, a 60-year-old Briton has died, which seemed to have overcome the coronavirus. The man had been infected in Pakistan or Saudi Arabia and home probably infected his 38-year-old son, who died before his father. http://www.tz-online.de/aktuelles/muenchen/todesvirus-patient-gestorben-2821564.html


Munich 26,
 March 2013. The novel from an infection with the
Beta coronavirus (HCoV-EMC) ill 73-year-old male from the United
Arab Emirates (UAE), in the Schwabing Clinic in the medical
Care was, tonight died of his serious illness.
The patient died one underlying circulatory shock in the infection and
underlying serious medical conditions. "Due to an advanced stage,
Infection with HCoV-EMC and septic disease was the forecast for the
Patients unfortunately very unfavorable, so that the patient despite maximum
intensive care could not be saved, "lamented
Wendtner Professor, Head of the Department of Infectious Diseases at the Schwabing Hospital, the
tragic course in this patient. The body of the patient in a timely manner
his homeland are transferred. This is done in close coordination with the
Robert Koch Institute and the Department of Health and Environment (RGU).
Contact persons and relatives of the patients are still in
tighter coordination between the hospital and the RGU and advise
medically monitored.  

Man dies in Munich on Coronavirus



A 73-year-old Arab died Tuesday afternoon in Munich on dangerous coronavirus.
The Schwabing Hospital today a man died from the United Abrabischen Emirates on dangerous coronavirus.
Photo: Health Protection Agency dpa
The corona virus is considered extremely dangerous. The Schwabing Hospital in recent days an Arab was treated, who was suffering from this disease. Now he died on deadly virus.

73-year-old died of circulatory shock

The 73-year-old had died of a circulatory shock - a consequence of infection. This was announced by the municipal hospital, the news agency dpa. He had already suffered from severe pre-existing conditions. The man was according to the Robert Koch Institute in Berlin on 19 March was a clinic in Abu Dhabi in the United Arab Emirates moved to Germany. On 23 March the infection with the novel coronavirus was detected. Worldwide, only 16 cases are known, nine patients died.Many media inquiries for coronavirus

Many members of the press presented requests to the hospital in the morning."Since many people ask after the coronavirus and want to inquire about the man, it can be a while before we answer their questions," a spokesman of the hospital said on request from AZ online.Before she could answer the questions that the man died in a press release of the hospital so the announcement:
Coronaviruses cause respiratory infections in mammals and in birds.The pathogen was detected for the first time in June 2012 when a man from Saudi Arabia. "According to other media, the man shall have been infected with a racing camel.AZ / dpa
...
Man dies in Munich on Coronavirus- weiter lesen auf Augsburger-Allgemeine: http://www.augsburger-allgemeine.de/panorama/Mann-stirbt-in-Muenchen-an-Coronavirus-id24607241.html

Munich patient dies from coronavirus


Man dies in Munich on Coronavirus

Man dies in Munich on Coronavirus
A diseased to the dangerous coronavirus husband died in Munich. The 73-year-old had died of a circulatory shock due to infection, said the municipal hospital on Tuesday.
26.03.2013, 12:12 clock
He had already suffered from severe pre-existing conditions. The man was according to the Robert Koch Institute in Berlin on 19 March was a clinic in Abu Dhabi in the United Arab Emirates moved to Germany. On 23 March the infection with the novel coronavirus was detected. Worldwide, only 16 cases are known, 9 patients died http://www.radioarabella.de/nachrichten/aktuelles/mann-stirbt-in-muenchen-an-coronavirus/

Withheld Mild Jeddah Beta2c Coronavirus Cases



Recombinomics Commentary 04:00
March 26, 2013
Al-Memish, who is also the chairman of the National Scientific Committee for Infectious Diseases, said that only a few people had been found positive in the world.

Symptoms of the virus include runny nose, general feeling of illness, mild sore throat, cough, headache, low fever and chills. It can also cause respiratory, intestinal and neurological illness.

The official said most of those infected recover completely with no complications after receiving the required supportive therapy.

The above comments are in response to the most recent nCoV case in Riyadh, who was a contact of the recent fatal case (39M) and his infection was characterized as mild.  In addition the English language report cited above, local comments, which were widely reported, also noted that most of the milder cases were in Jeddah.
 
To date there is only one reported confirmed nCoV case linked to Jeddah, The first confirmed case (60M), who died in July, 2012.  Two other cases (the second confirmed case, 49M from Qatar who has been hospitalized in the UK for 6 months, and the index case (60M) for the UK cluster, who has also died) have also been reported and all are severe or fatal.  Thus, the mild cases described above, and in local media reports, have not been disclosed by WHO.
Since these cases are due to a novel coronavirus (nCoV), they are reportable under IHR, and Saudi Arabia has cited IHR reporting for the earlier confirmed cases, suggesting the WHO is withholding the information on the mild cases.  In the absence of the reports on these cases, WHO continues to claim that there has been no sustained transmission, even though sequences from five confirmed cases have been virtually identical (99.8% - 99.9% identity with the consensus sequence).  The claim that the confirmed cases are “spontaneous” although they recently added “seemingly” as a qualifier, and have been badgering media to call nCoV a cold virus and not note that it is SARS-like, when in fact the confirmed cases are SARS like with a case fatality rate of 66.7%.
The withholding of the information on these mild cases raises serious pandemic concerns, and WHO’s silence on these cases is hazardous to the world’s health.