Announcement

Collapse
No announcement yet.

Worldwide: 24 confirmed cases due to novel animal nCoV coronavirus - 16 fatalities - September 20, 2012 - May 2, 2013

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • #16
    Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

    Yes, exactly like that. SARS-like coronaviruses have been isolated from bats all around the world, including in Nigeria (above), Kenya, China, and the Americas. Presumably, one of these has jumped to humans, causing the current outbreak.

    I wonder if such coronaviruses are genetically distinct from each other enough that scientists might be able to tell where in the world geographically this virus originated. It is not clear, IMO, that Saudi Arabia was the point of first infection in this outbreak; they just seem to be the first ones to detect it.

    Google's Arabic Health section is blowing up with dozens of restatements of this story:

    http://news.google.com/news/section?...d=1&authuser=0,
    http://news.google.com/news/section?...d=1&authuser=0 ,

    but there is still no sign of any reports coming out of England.

    Comment


    • #17
      Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

      Originally posted by alert View Post
      Hat-tip Crof. This proves it's the patient, not the sample, that went to London.

      Two obvious errors: A coronavirus is not an influenza virus, and this appears to be an ANIMAL coronavirus, not related to the human coronaviruses OC43, 229E, and NL63 which cause seasonal respiratory illness.

      Global News Website covers the latest and breaking news of saudi arabia and the world all the time, with politics, business, technology, life, opinion and sports news.


      The Ministry of Health (MoH) announced Sunday that a rare pattern of the coronavirus, a known seasonal influenza virus, has been detected with the acceleration of climate changes and the advent of Haj and Umrah seasons.
      In a statement, the ministry said that two Saudis ? one at a hospital in Jeddah ? and another Gulf citizen in Britain were recently diagnosed with the said virus. Two of them died and the third is still under treatment.
      The MoH said that most people afflicted with the virus recover after simple treatment, although "in very rare cases and in a rare pattern of this virus, complications occur to the respiratory system and kidneys, which may lead to death, especially in elderly people and those with chronic cardiac illnesses and immune deficiency," the statement said.
      Thanks everyone for all the work on this.

      I think the above article says 1 patient was/is in Britain. The status of this patient is not mentioned. He/She may be alive.

      Comment


      • #18
        Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

        Originally posted by sharon sanders View Post
        Thanks everyone for all the work on this.

        I think the above article says 1 patient was/is in Britain. The status of this patient is not mentioned. He/She may be alive.
        Yes, but I believe an earlier article says the 2 of the 3 cases that were not in Jeddah both went to London, so since at most one confirmed case is alive, there has been at least one fatality in Britain. My count right now is:

        60-year-old Saudi man - Treated in Jeddah - Died "earlier this year", confirmed.
        Unknown Saudi - Treated in London - Died, probable case
        49 year-old man from Qatar - previous travel to Saudi Arabia - onset September 3, hospitalized in Qatar September 7, evacuated to London September 11 - Still ill, confirmed
        Last edited by alert; September 23, 2012, 07:08 PM. Reason: updated with below information

        Comment


        • #19
          Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

          Thanks for the case count.

          Comment


          • #20
            Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

            HPA Announcement on Coronavirus



            Acute respiratory illness associated with a new virus identified in the UK

            23 September 2012

            The Health Protection Agency (HPA) can confirm the diagnosis of one laboratory confirmed case of severe respiratory illness associated with a new type of coronavirus. The patient, who is from the Middle East and recently arrived in the UK, is receiving intensive care treatment in a London hospital.

            In recent months, this new human coronavirus was also identified in a patient with acute respiratory illness in Saudi Arabia, who subsequently died.

            Coronaviruses are causes of the common cold but can also include more severe illness, such as the virus responsible for SARS (Severe Acute Respiratory Syndrome). This new virus, however, is different from any that have previously been identified in humans. Preliminary enquiries have revealed no evidence of illness in contacts of these two cases, including healthcare workers. Based on what we know about other coronaviruses, many of these contacts will already have passed the period when they could have caught the virus from the infected person.

            We are also aware of a small number of other cases of serious respiratory illness in the Middle East in the past three months, one of whom was treated in the UK but has since died. This person's illness is also being investigated although there is no evidence at present to suggest that it is caused by the same virus or linked to the other two cases. No other confirmed cases have been identified to date in the UK.

            Professor John Watson, head of the respiratory diseases department at the HPA, said: "The HPA is providing advice to healthcare workers to ensure the patient under investigation is being treated appropriately.

            "In the light of the severity of the illness that has been identified in the two confirmed cases, immediate steps have been taken to ensure that people who have been in contact with the UK case have not been infected, and there is no evidence to suggest that they have.

            "Further information about these cases is being developed for healthcare workers in the UK, as well as advice to help maintain increased vigilance for this virus. This information is also being shared with national and international authorities including the World Health Organization and the European Centre for Disease Control.

            "As we are aware of only two cases worldwide and there is no specific evidence of ongoing transmission, at present there is no specific advice for the public or returning travellers to take but we will share any further advice with the public as soon as more information becomes available."
            Last edited by sharon sanders; September 23, 2012, 11:15 AM. Reason: added bolding
            All medical discussions are for educational purposes. I am not a doctor, just a retired paramedic. Nothing I post should be construed as specific medical advice. If you have a medical problem, see your physician.

            Comment


            • #21
              Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

              The unidentifed "Gulf State" is Qatar.

              I have edited post #18 with information from this release and the one above it.

              SARS had an incubation period as long as 10 (maybe even 14) days, it is unclear why this virus is suspected to have a shorter incubation period.




              Information for professionals - novel corona virus September 2012


              On 21 September 2012 a novel corona virus was identified in lower respiratory tract specimens of a Qatari national who was receiving treatment for a severe respiratory illness in London. The virus is the same as a novel corona virus recently identifed by Dutch researchers in lung tissue from a national from Saudi Arabia who was ill previously with pneumonia. These are currently the only two known cases where this virus has been isolated.

              There are a variety of corona viruses and these include viruses causing common cold symptoms and other types causing the much more serious illness of SARS. In light of the seriousness of the illness in these two patients and the unknown nature of the novel coronavirus, the current patient is being managed in strict respiratory isolation and any staff caring for them must wear full personal protective equipment - FFP3 respirator (staff should be fit tested), goggles, gown and gloves. Anyone who was in close contact with the patient while the patient was ill is being followed up - this includes healthcare workers who provided direct clinical or personal care or examination of the case while they were symptomatic.

              The incubation period is currently considered to be up to seven days and therefore any respiratory illness occuring in the seven days following last contact with this case is considered relevant and staff should alert their manager / occupational health service as soon as possible. Symptoms would include fever, cough, or other respiratory symptoms.

              At the current time any person recently returning from Saudi Arabia or Qatar with a serious respiratory illness should be managed in strict respiratory isolation (ideally a negative pressure room) and all staff should wear PPE as described above.

              Clinicians who think they may have a patient meeting the above criteria should call the fever service on 0844 7788990.

              Individuals with health concerns or queries should contact their occupational health department.
              Last edited by sharon sanders; September 23, 2012, 11:33 AM. Reason: added bolding to 1 sentence

              Comment


              • #22
                Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

                The first case was a Saudi patient diagnosed in one of the hospitals in Jeddah; the second was a Saudi patient and the third a Gulf State patient both diagnosed in London, England. Two of the patients passed away (God bless their souls) and the third patient is still under treatment.http://www.menafn.com/menafn/1093561...on-Coronavirus

                machine translation -

                Statement of the Ministry of Health on HIV (Krona) a seasonal influenza viruses
                November 06, 1433
                Ministry of Health issued a statement explained that, on the part of its preventive to prevent importation of disease, and a continuation for its follow-up and a survey of all diseases transmitted between people, and in order from the Ministry of Health on the approach of transparency as matter of public health, it shows that with the acceleration of climate change and the entry of season Hajj and Umrah, it was diagnosed pattern rare virus "krona" a seasonal influenza viruses are known, where he was diagnosed three cases infected with the virus, the first Saudi citizen in one of Hospitals in Jeddah, and the second to Saudi citizen, and the third Gulf in Britain recently, where two of whom died mercy God, is still third receive treatment.

                تعد بوابة وزارة الصحة السعودية واجهة إعلامية إلكترونية لنشر معلومات صحية دقيقة ومدخلاً إلكترونياً لكل ما تقدمه الوزارة من خدمات
                Last edited by sharon sanders; September 23, 2012, 05:17 PM. Reason: added italics
                CSI:WORLD http://swineflumagazine.blogspot.com/

                treyfish2004@yahoo.com

                Comment


                • #23
                  Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

                  [Source: World Health Organization, full page: (LINK). Edited.]
                  Novel Coronavirus infection in the United Kingdom

                  23 September 2012



                  On 22 September 2012, the United Kingdom (UK) informed WHO of a case of acute respiratory syndrome with renal failure with travel history to the Kingdom of Saudi Arabia (KSA) and Qatar.

                  The case is a previously healthy, 49 year old male Qatari national that presented with symptoms on 3 September 2012 with travel history to the KSA prior to onset of illness.

                  On 7 September he was admitted to an intensive care unit (ICU) in Doha, Qatar.

                  On 11 September, he was transferred to the UK by air ambulance from Qatar.

                  The Health Protection Agency of the UK (HPA) conducted laboratory testing and has confirmed the presence of a novel coronavirus .

                  The HPA has compared the sequencing of the virus isolate from the 49 year old Qatari national with that of a virus sequenced previously by the Erasmus University Medical Centre, Netherlands. This latter isolate was obtained from lung tissue of a fatal case earlier this year in a 60 year-old Saudi national. This comparison indicated 99.5% identity, with one nucleotide mismatch over the regions compared.

                  Coronaviruses are a large family of viruses which includes viruses that cause the common cold and SARS.

                  Given that this is a novel coronavirus, WHO is currently in the process of obtaining further information to determine the public health implications of these two confirmed cases.

                  With respect to these findings, WHO does not recommend any travel restrictions.


                  Information regarding requirements and recommendations for the Hajj season in 2012 can be found at http://www.who.int/ith/updates/20120730/en/index.html
                  -
                  ------

                  Comment


                  • #24
                    Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

                    The WHO release gives us several new pieces of information:

                    Apparently, the case in Jeddah that started this thread may not be a current one. The release refers to that case as happening "earlier this year". Apparently, according to the HPA, there are suspect cases dating back about three months.

                    While the confirmed case in the UK had come from Qatar, he had previous travel to Saudi Arabia. So there are still no cases without a link to Saudi Arabia. The case was also sent to Great Britain on Spetember 11. That likely means that any of his contacts in Saudi Arabia or Qatar who are not ill are probably outside the incubation period.

                    Moreover, it makes all the reported cases so far older adult males, which might still be indicative of an occupational animal exposure and not circulation in the human population.

                    Comment


                    • #25
                      Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

                      We are the corporate foundation of Thomson Reuters, the global news and information services company. We work to advance media freedom, raise awareness of human rights issues, and foster more inclusive economies.


                      World Health Organisation says has found new SARS-like virus
                      Sun, 23 Sep 2012 22:09 GMT

                      Source: reuters // Reuters


                      By Kate Kelland

                      LONDON, Sept 23 (Reuters)

                      snip

                      Openshaw said the fact the two cases found so far are apparently unrelated suggests "that what has been picked up is just some rare event that in past times might have been undiagnosed".

                      But he added: "Any evidence of sustained human-to-human transmission or of contact would be more worrying, raising the worry that another SARS-like agent could be emerging."

                      The WHO said it was not recommending any travel restrictions but would be seeking further information on the virus. (Reporting by Kate Kelland; Editing by Sophie Hares)
                      Last edited by sharon sanders; September 23, 2012, 05:54 PM. Reason: shortened

                      Comment


                      • #26
                        Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

                        The ProMED post below contains a bunch of articles already in this thread, and the following comment:

                        Published Date: 2012-09-23 17:29:14
                        Subject: PRO/AH/EDR> Novel coronavirus - Saudi Arabia (03): UK HPA, WHO, Qatar
                        Archive Number: 20120923.1305982

                        NOVEL CORONAVIRUS - SAUDI ARABIA (03): UNITED KINGDOM HEALTH PROTECTION AGENCY, WHO, QATAR
                        ************************************************** ****************************************
                        A ProMED-mail post
                        ProMED is the largest publicly-available surveillance system conducting global reporting of infectious diseases outbreaks. Subscribe today.

                        ProMED-mail is a program of the
                        International Society for Infectious Diseases
                        The International Society for Infectious Diseases (ISID) brings together a network of individuals from around the world.



                        In this report:

                        [1] HPA press release

                        [2] HPA notice for professionals

                        [3] WHO GAR


                        [snip]

                        Communicated by:

                        ProMED-mail

                        <promed@promedmail.org>

                        [The above reports from the Health Protection Agency (HPA) of the UK and WHO provide a bit more information on the background of the tested cases reported in the previous post (see Novel coronavirus - Saudi Arabia (02): additional cases, RFI 20120923.1305931) and addresses the question raised by Mod.CP concerning the viral identifications. According to the HPA report, there have been only 2 confirmed cases with severe disease associated with this novel coronavirus, the 1st from a Saudi Arabian national (see Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733) and the 2nd from a Qatari national treated in the UK. Apparently, the 3rd case mentioned in the previous ProMED-mail report today [23 Sep 2012] is a suspected case under investigation but not as yet confirmed to have been infected with this coronavirus. Information from the WHO report includes information that the 2nd case (the Qatari national) was a previously healthy 49-year-old male with a history of travel to Saudi Arabia prior to onset of illness, raising the possibility that infection may have taken place in Saudi Arabia.



                        From the information provided above it is clear there is a heightened level of awareness on the international level for the need for a rapid investigation on the possible implications of a novel coronavirus associated with severe disease. Concerns regarding the upcoming mass gathering in a region where this virus has been identified are clearly present, and the approach of implementing "active surveillance" (actively searching for cases) is highly appropriate to better define the epidemiology of this newly identified novel coronavirus- Mod.MPP]



                        .

                        Comment


                        • #27
                          Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

                          Several of the other news reports were also released in:



                          Published Date: 2012-09-23 15:18:12
                          Subject: PRO/AH/EDR> Novel coronavirus - Saudi Arabia (02): additional cases, RFI
                          Archive Number: 20120923.1305931

                          NOVEL CORONAVIRUS - SAUDI ARABIA (02): ADDITIONAL CASES, REQUEST FOR INFORMATION
                          ************************************************** ******************************
                          A ProMED-mail post
                          ProMED is the largest publicly-available surveillance system conducting global reporting of infectious diseases outbreaks. Subscribe today.

                          ProMED-mail is a program of the
                          International Society for Infectious Diseases
                          The International Society for Infectious Diseases (ISID) brings together a network of individuals from around the world.


                          [snip]

                          [As mentioned by Mod.CP, in the 1st post on this novel coronavirus in Saudi Arabia "The family _Coronaviridae_ is comprised of a group of RNA-containing viruses that are associated with respiratory infections in humans and animals, including pigs, cats, dogs, mice and chickens." (see prior ProMED-mail post Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733).



                          The coronavirus family has been identified as the etiology of many of the varieties of upper respiratory illnesses in humans referred to as the common cold. Oftentimes 1st reports of novel diseases are associated with severe clinical presentations including fatalities. Upon further community based studies, new diseases with severe early presentations are found to be less severe as studies reveal the overwhelming majority of infected individuals have had either subclinical infections (no disease) or very mild clinical presentations (i.e. "the common cold"). Concern is raised when there are reports of severe illness in otherwise healthy individuals when infected by a novel organism.



                          One question that arises here is whether these 3 individuals had predisposing illnesses which would lead to more severe disease with organisms usually associated with mild disease. Another question is whether community based studies are underway to determine how widespread transmission of this organism is, and what might be the "true" case fatality rate (CFR) -- right now the information available suggests the CFR is 67 percent (2 out of 3 known cases), but if there are many infected individuals with mild disease, that would significantly lower the CFR. Another observation/clarification that Mod.CP raised is that it is not entirely certain that this virus is the same one described in the 1st report. That virus (from the 1st report) was sent to the Netherlands, whereas diagnosis and the identification of some of these 3 isolates seems to have been done in London.



                          Given the rapid identification of new cases shortly following the identification of the 1st case, it strongly supports an observation that the Saudi MoH is monitoring the situation closely and appropriately with a focus on the upcoming mass gathering of the Hajj in Saudi Arabia. - Mod.MPP]

                          Comment


                          • #28
                            Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

                            A local report out of Saudi Arabia, machine translated from Arabic, that seems to be missing the distinction between human and animal coronaviruses:



                            Ziad Memc "Riyadh":
                            15 ٪ of the virus that causes cold is "krona"

                            Riyadh - Mohammed Haydar: 2012-09-23 20:30:37

                            Health official described the emergence of the rare type of coronavirus as a "transient" and not to worry about was recorded only a very few cases in Saudi Arabia and Britain, stressing that he has no particular vaccine and there is no cure dedicated so.

                            The agent said the Ministry of Health of the Public Health Dr. Ziad Memc told the "Riyadh" that 15% of the virus that causes cold is a coronavirus and symptoms simple is in pain, sore throat and high temperature and continue for several few days and disappear.

                            He added: "The pattern of the new virus from the coronavirus is very rare, and virus streamer, a new fiercer and infect people who suffer from heart disease and thoracic chronic or lack immunity or senior age and become them complications sore chest and kidney failure In cases lead to death.

                            He pointed out that influenza viruses turn with time to a new style, and is diagnosed by sneezing and coughing and by hand if contaminated with the virus, and the duration of incubation from 2 to 4 days and continue to 7 days, and 95% to 99% respond to treatments support the water and comfort and liquids.

                            Dr. Memc called to take care in gathering places and wash your hands with soap and water and disinfecting hands with alcohol and these things enough to prevent transmission of the virus from one person to another in addition to wearing masks and changed on a regular basis.

                            Comment


                            • #29
                              Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

                              Mecca - the location of the Hajj is about 73 kilometers (45 miles) from Jeddah.

                              machine translation


                              Director of Health Affairs in Jeddah for "economic":
                              Deaths and one injured ?Krona? .. Viewer and disease does not pose a threat



                              Amal Hamdi from Jeddah
                              He's'' economic'' Dr. Sami Badawoud Director of Health Affairs in Jeddah Jeddah had recorded only if one death after being infected with avian'' krona'' three months ago, denying registration yet other cases, pointing out that he has not been detected any of the suspected cases of the virus since the death of such a case, describing the virus as if casual does not pose a threat or give any implications for their proliferation

                              more...

                              Comment


                              • #30
                                Re: Saudi Arabia: 3 cases, 2 deaths due to novel animal coronavirus

                                Alert as SARS-like virus found in Saudi
                                London, 2 hours, 22 minutes ago


                                snip

                                Peter Openshaw, director of the Centre for Respiratory Infection at Imperial College London, said at this stage the novel virus looked unlikely to prove a concern, and may well only have been identified due to sophisticated testing techniques.

                                "For now, I would be watchful but not immediately concerned," he told Reuters.


                                snip

                                It said scientists at the HPA compared gene sequences of the virus from the Qatari patient with samples of virus sequenced by Dutch scientists from lung tissue of a fatal case earlier this year in a 60-year-old Saudi national.

                                The two were almost identical, it said.

                                Openshaw said the fact the two cases found so far are apparently unrelated suggests "that what has been picked up is just some rare event that in past times might have been undiagnosed".

                                But he added: "Any evidence of sustained human-to-human transmission or of contact would be more worrying, raising the worry that another SARS-like agent could be emerging."

                                The WHO said it was not recommending any travel restrictions but would be seeking further information on the virushttp://www.tradearabia.com/news/HEAL_222491.html?
                                Last edited by sharon sanders; September 24, 2012, 05:21 AM. Reason: shortened
                                CSI:WORLD http://swineflumagazine.blogspot.com/

                                treyfish2004@yahoo.com

                                Comment

                                Working...
                                X