25/02/2013
The Institute of Health Surveillance ( InVS ) publishes a report on the monitoring of severe pneumonia againcoronavirus ( NCoV ) and made recommendations.
Since February 21, the death toll is still burdened with one new confirmed cases reported by the Saudi authorities to the World Health Organization ( WHO ) in a patient hospitalized on 29 January and died on February 10th. Since the identification of the new virus in September 2012, 13 cases were confirmed. In Europe, more than two cases transferred from Qatar , 3 cases were reported in the United Kingdom, including two contacts who had not traveled to a country at risk.
Transmission from person to person
"These two secondary cases suggest strongly the existence of transmission among humans of infection, " says InVS . However, at this stage, the WHO and the European agency for disease surveillance (ECDC , the European center for disease prevention and control ) consider that the risk of such transmission among humans is "low" .
The 13th case does not change the recommendations of the WHOconfirms that the special measures for screening at ports of entry or restrictions on travel or trade can not be justified. However, Member States are invited to "continue to monitor acute respiratory infections and carefully raise anything unusual" . Similarly, "Any case or group of cases of severe ARF in patients or health workers should be thoroughly investigated, where it occurs in the world" , insists the WHO .
This coordinated international monitoring by the WHO and European byECDC , in France, under the responsibility of the Institute for Public Health. "Since the announcement of the discovery of this new virus information to clinicians might to handle cases of serious respiratory infection in people returning from a risk area was conducted to sensitize reporting and allow the detection of possible instances hospital " , said InVS. The new virus is detected, in fact, the coronavirus family beta"relatively close to the SARS coronavirus causing the epidemic of 2003" , says the Institute.
Reporting 24h/24, 7/7
In recommendations published on its website , InVS states that "detection for all people who have traveled or lived in the geographical areas considered at risk, with signs of severe acute respiratory infection during the 10 days after the return of the exhibition area and contacts with signs of acute respiratory infection " . The definition of possible cases as well as the action shall be specified.
No confirmed cases in France
Geographical areas concerned include the countries of the Arabian Peninsula and neighboring countries: Saudi Arabia, Bahrain, United Arab Emirates, Iraq, Iran, Israel, Jordan, Kuwait, Lebanon, Oman, Qatar, Syria, Occupied Palestinian Territories, Yemen. However, "any group of cases of severe acute respiratory infections in hospital, with or without the notion of travel or residence in geographic area at risk, must be reported and investigated, especially among health personnel" , says the institute.
Clinicians have identified is a possible case is a group of hospitalized ARI cases should be reported by e-mail or by phone at InVS 7/7, 24 hours/24: Alerte@invs.sante.fr; 08.20. 42.67.15. Reporting can be done on the platform of monitoring and warning of Regional Health Agency (CVGAS).
In France, 12 cases were reported to InVS. Of these, 5 were not selected because they did not meet the case definition and 7 were tested, "all negative for coronavirus" . These test cases were consistent with an influenza virus infection (4 cases), rhinovirus (1 case). The infectious etiology could not be found in two patients. http://www.lequotidiendumedecin.fr/actualite/sante-publique/nouveau-coronavirus-des-recommandations-pour-la-france
