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Germany ex UAE: 73 year-old man in isolation with novel coronavirus (NCoV), 17th case in the world - Died
"...Now Munich Municipal Hospital, a patient is treated, in which recent infection with the coronavirus been diagnosed. In Germany, it is only the second reported case..."
Highly dangerous virus
Coronavirus-patient clinic in Munich In a hospital of the city of Munich is currently a patient with a coronavirus disease is treated. This new virus type, although little contagious, but for sufferers, the infection is often fatal.
As of 03/25/2013
Worldwide, there are so far 16 documented cases of people in whom the virus has broken out. Nine of them have died. The Munich-based patient comes from the Arab region and was noisy urban Klinikum GmbH specifically for the treatment brought by critical care transport to Munich. According to the city, he will be treated in strict isolation.
München - In der Schwabinger Isolierstation kämpfen Ärzte um das Leben eines Arabers, der am gefährlichen Coronavirus erkrankt ist. 50 Münchner, die mit ihm Kontakt hatten, werden nun beobachtet.
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! The health authorities monitor around 50 people in the city, which had to do with the patient. For the population no risk of infection had passed.
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: The 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.
David Costanzo
tz keyword coronavirus
Most of coronary Corona viruses are harmless: They cause colds. The deadly SARS descendant humanity has ten years ago made the acquaintance - some 1,000 infected died. Now researchers are wondering: How dangerous can be the new coronavirus? Infected complain after three to ten days of malaise, fever to severe pneumonia. It also mild cases were observed. The Robert Koch Institute evaluated the risk of contact persons as "low", for the general population as "extremely low".
Re: Germany ex UAE: 73 year-old man in isolation with novel coronavirus (NCoV), 17th case in the world
hat tip Ronan Kelly
Press Release re nCoV patient at Municipal Hospital Munich <hr style="color:#D1D1E1; background-color:#D1D1E1" size="1"> machine translated;
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.
Re: Germany ex UAE: 73 year-old man in isolation with novel coronavirus (NCoV), 17th case in the world
hat tip Treyfish
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
City of Munich for the 2 imported into Germany case
Table of confirmed cases of infection with the new coronavirus (HCoV-EMC) (PDF, 102KB, file is not accessible)
Recommendations of the Robert Koch Institute for Hygiene and infection control in patients with heavy acute respiratory syndrome (SARS) (PDF, 49KB, file is not accessible)
Case definition of the RKI to severe respiratory disease associated with a novel coronavirus (12/12/2012) (PDF, 118KB, file is not accessible)
Notes for the laboratory diagnosis of suspected severe acute respiratory syndrome due to infection with a new human beta 2c EMC/2012 coronavirus (HCoV-EMC)
As of 03/25/2013
Germany, Saudi Arabia report new novel coronavirus cases
Lisa Schnirring * Staff Writer
Mar 25, 2013 (CIDRAP News) ? The German media and Saudi Arabia's health ministry have reported two new novel coronavirus (NCoV) cases, one in a patient hospitalized in Munich and the other a mild illness in a Saudi Arabian resident.
According to an early report today in German from Abendzeitung, a news source based in Munich, the German patient arrived in Germany from the Middle East by medical transport. It says the patient is in isolation in the intensive care unit (ICU) at Munich Municipal Hospital.
The patient is a 73-year-old man from the United Arab Emirates who was first treated in an Abu Dhabi hospital on Mar 19, another German news source, TZ Online, reported today. It said medical authorities are monitoring about 50 people who had contact with the patient.
The case appears to be Germany's second NCoV case. In October a Qatari man was hospitalized and treated in Germany but has since recovered. The man's NCoV infection wasn't detected until almost a month after he was hospitalized, and so far no evidence of infection has been found in any of that case-patient's German contacts.
Saudi Arabia's health ministry said its new case is a contact of a 39-year-old man who died in early March from the disease in that country, according to a Mar 23 World Health Organization (WHO) statement. The patient had a mild illness, recovered, and has been discharged from the hospital. It said there isn't enough information to allow a conclusive assessment of the mode and source of transmission.
The WHO provided no other details about the patient's NCoV infection. However, Ziad Al-Memish, undersecretary with the health ministry, said the patient is from Riyadh, Arab News, an English-language newspaper based in Jeddah, reported yesterday. He added that the ministry has taken prevention measures and is monitoring the disease.
The latest infection in Saudi Arabia appears to represent yet another instance of a mild illness in a person who had contact with another infected patient. Though the disease has been fatal for many patients infected with NCoV, the emergence of mild cases has raised questions about surveillance for the disease and whether people with asymptomatic or mild disease could be playing a role in the spread of the virus.
In a related development, the index patient in a recent three-case British family cluster has died, according to a Mar 23 Birmingham Mail report. The man died at Wythenshawe Hospital in Manchester on Mar 19, and his body has been taken to Pakistan for burial. The 60-year-old man got sick at the end of January after traveling to Pakistan and Saudi Arabia and has remained hospitalized.
The Saudi Arabian case pushes the number of WHO-confirmed NCoV cases to 16, and the UK death raises the fatality count to 10. That count does not include Germany's new case.
The second patient sickened in the UK family cluster was a 38-year-old male household contact who died on Feb 17. The Birmingham Mail report said he was the older man's son. The third patient is a 30-year-old woman from a different household who got sick with a mild NCoV infection after visiting the older man three times in the hospital.
Two other clusters have been reported among the NCoV cases, but few details are known. One involved three members of one Saudi family and the other included two Jordanian deaths that were part of a cluster linked to a hospital ICU.
In other coronavirus developments, though NCoV doesn't appear to spread easily from person-to-person so far, some infectious disease experts aren't ruling out the possibility that "superspreaders" could contract the virus and contribute to a more global outbreak, much the way SARS (severe acute respiratory syndrome) spread 10 years ago, the Canadian Press (CP) reported today.
Ron Fouchier, PhD, told the CP that the current transmission pattern could change quickly if an NCoV superspreader were hospitalized in a facility that didn't recognize the disease and take precautions. The CP story noted that during the SARS epidemic only a few people infected a fair number more, which uncovered the disease and sparked global panic.
Donald Low, MD, a microbiologist from Toronto who played a key role in Canada's response to SARS, told the CP that it's impossible to predict the spread of NCoV, because coronaviruses are RNA viruses, which are known for mutating rapidly.
The eagle-eyed newshounds at FluTrackers this afternoon have picked up several German news stories indicating that a hospital there is treating another novel coronavirus case.
The FT thread with these stories (hat tips to Curiosity & Alert) may be accessed here.
(Note: FluTrackers has been the subject of repeated DOS ? Denial of Service ? attacks in recent weeks and has been intermittently down this afternoon.
In the meantime, the hospital in Munich has just posted the following announcement (h/t RoRo at FT).
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.
Perhaps the most detailed media report (machine translated) is available at TZ-Online :
<cite></cite> 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.
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. (Continue . . . )
The story goes on to provide details on this case; a 73 year old man from the UAE who was treated at a hospital in Abu Dhabi last Tuesday, and was transferred by air ambulance to Germany last week.
On Saturday, lab results reportedly confirmed NCoV, after which the patient was placed in isolation, and contact tracking was begun on up to 50 people.
Julia Lenders, 25.03.2013 17:32 clockHospital in the city infected is treated, has the dangerous Coronavirus - this is only the second time in Germany. Munich - It's brand new. And highly dangerous. Last year, the "Human coronavirus Beta 2c EMC/2012" was first identified. It can cause severe human respiratory infection, pneumonia, and kidney failure. Existing diseases ran hard and often fatal.
Now Munich Municipal Hospital, a patient is treated, in which recent infection with the coronavirus been diagnosed. In Germany, it is only the second reported case. (Continue . . .)
Once confirmed by the World Health Organization, this will become the 17th lab confirmed novel coronavirus case in the past year, and the second announced in the past 3 days.
Posted by Michael Coston at <a class="timestamp-link" href="http://afludiary.blogspot.com/2013/03/germany-reporting-17th-ncov-case.html" rel="bookmark" title="permanent link"><abbr class="published" title="2013-03-25T17:34:00-04:00">5:34 PM</abbr>
Re: Germany ex UAE: 73 year-old man in isolation with novel coronavirus (NCoV), 17th case in the world
[Source: City of Munich press Department, full PDF document in German: (LINK). Edited.]
Herausgeber: Presse- und Informationsamt der Landeshauptstadt M?nchen / Verantwortlich f?r den Inhalt: Stefan Hauf, Druck: Stadtkanzlei, Gemeinsame Anschrift: Rathaus, Marienplatz 8, 80313 M?nchen, Telefon 2 33-9 26 00, Telefax 2 33-2 59 53, presseamt@muenchen.de, www.muenchen.de/rathaus
(?)
Coronavirus bei Patient diagnostiziert
(25.3.2013) In einem Haus der St?dtisches Klinikum M?nchen GmbH wird derzeit ein Patient behandelt, bei dem am 23. M?rz eine Infektion mit dem Coronavirus diagnostiziert wurde. Der Patient kam eigens in einem Intensivtransport zur medizinischen Spezialbehandlung nach M?nchen. Die Erkrankung wurde dem Referat f?r Gesundheit und Umwelt noch am selben Tag gemeldet. Der aus dem arabischen Raum stammende und dort lebende Mann wird im Krankenhaus unter strikter Isolation im Einzelzimmer auf der Intensivstation behandelt. F?r die Bev?lkerung bestand zu keiner Zeit eine Ansteckungsgefahr. Weltweit sind nach derzeitigem Wissensstand erst 16 F?lle des Coronavirus (neues humanes Betacoronavirus2c EMC/2012) aufgetreten; in Deutschland ist es die zweite bekannt gewordene Infektion. In beiden F?llen handelt es sich um importierte Erkrankungsf?lle.
Erstmals wurde der Erreger im Juni 2012 bei einem Mann aus Saudi-Arabien nachgewiesen. Coronaviren verursachen Atemwegsinfekte bei S?ugetieren und auch bei V?geln, d.h., es kommt prim?r zu respiratorischen beziehungsweise grippalen Symptomen. Nach derzeitigem Erkenntnisstand ist von einer sehr geringen Ansteckungsf?higkeit von Mensch zu Mensch auszugehen. Nach bisherigen Erkenntnissen geht die Erkrankung mit einer Lungenentz?ndung einher und kann auf andere Organe ?bergehen.
Insbesondere bei geschw?chten Menschen oder Patienten mit Vorerkrankungen kann sie einen schweren Verlauf nehmen. Die Kontaktpersonen und Angeh?rige des Patienten werden in M?nchen beraten und medizinisch ?berwacht.
[WARNING. Google Automatic Translation.]
Coronavirus in patients diagnosed
(25/03/2013) In a house the Municipal Hospital Munich GmbH currently, a patient treated with the 23 March, an infection with the Coronavirus was diagnosed. The patient came in a specially intensive transport for specialized medical treatment to Munich. the Disease was the Department of Health and Environment on the same Days reported. Of the Arab region, where it originated living man is in hospital in strict isolation in a single room treated in the ICU. Existed for the population never a risk of infection. 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 it is to imported cases of disease.
For the first time the virus was in June 2012 when a man from Saudi Arabia demonstrated. Coronaviruses cause respiratory infections in Respiratory to mammals and also in birds, ie, it is primarily or flu-like symptoms. According to current knowledge, is of a very low infectivity from human to People go out. 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 they can become severe. The contact persons and relatives of the patient are discussed in Munich and medical monitored.
Re: Germany ex UAE: 73 year-old man in isolation with novel coronavirus (NCoV), 17th case in the world
Munich patient dies from 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/nachrich...n-coronavirus/
Re: Germany ex UAE: 73 year-old man in isolation with novel coronavirus (NCoV), 17th case in the world - Died
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...
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/...d24607241.html
Re: Germany ex UAE: 73 year-old man in isolation with novel coronavirus (NCoV), 17th case in the world - Died
Yep, It really could be anything. Camels may just look the most obvious, but we are not getting the full story on it at all. No comments from the WHO yet.
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