Italy- Man, 45, hospitalized with coronavirus nCoV in good condition - travel history to Jordan

[tetano]

From Tuscany it was reported a confirmed case, the import new Coronavirus infection in a 45-year-old of foreign nationality, who lives in Italy, and that it was recently in Jordan for 40 days, where one of his sons seems to have a flu not better specified. symptoms-the patient, that the shelter had high fever, coughing and signs of respiratory distress, and is currently hospitalized in isolation and is in good condition. Confirmation of the diagnosis was carried out by the Istituto Superiore di Sanita '-Department of infectious diseases, parasitic and immune-mediated diseases. The recognition of the Italian case is done by following the procedure indicated by Circular that the Ministry of health has issued the Health Departments of the regions and autonomous provinces on May 16 to increase the degree of attention towards people with fever and respiratory symptoms important coming from regions where there have been similar cases or have witnessed a sick person suffering from MERS-CoV, for the specific test. It is a virus whose human transmission seems to be almost exclusively where there have been close contacts and prolonged as for example in the context of a household or a hospital ward. The Ministry monitors carefully the situation in close connection with the health authorities of the region of Tuscany. (Sources: Emi_music)




http://www.giornalettismo.com/archiv...rus-in-italia/

[Michael Coston]

Re: The first case of the new Coronavirus in Italy

machine translated MOH statement

http://www.salute.gov.it/portale/new...stampa&id=3962



New Coronavirus, first confirmed case in Italy


The patient is in isolation but at the moment is in good condition



· Ministry is closely monitoring the situation



By the Region of Tuscany has been reported a confirmed case of import of new infection Coronavirus (now called MERS-CoV = Middle East Respiratory Syndrome Coronavirus), a citizen of 45 years of foreign nationality, who lives in Italy, and that has recently been in Jordan for 40 days, where one of his sons seems to suffer from a flu unspecified.



The patient, who at admission had a high fever, cough and signs of respiratory failure, is currently hospitalized in isolation and is in good condition.



The confirmation of the diagnosis was made by the Institute of Health - Department of Infectious, Parasitic and Immune-Mediated.



The recognition of the Italian case occurred following the procedures outlined in the Circular that the Ministry of Health issued the Departments of Health of the Autonomous Regions and Provinces on May 16 last year to increase the degree of attention to persons with fever and respiratory symptoms from important by geographical areas in which there have been similar cases or who have witnessed a patient suffering from MERS-CoV, for submission to the specific test.



It is a virus whose almost-human transmission seems to be possible only where there have been prolonged close contact such as in a family or in a hospital ward.



With regard to international travel and trade routes, the World Health Organization does not recommend testing or other restrictions on entry to travelers in the member countries of the European Region.



The Ministry is closely monitoring the situation in close collaboration with the health authorities of the Region of Tuscany.



Please note that for the prevention of respiratory infections, the normal recommended hygiene measures for influenza (frequent hand washing, covering your mouth with a tissue when you sneeze, etc..), And that information about it can be found on the website of the Ministry of Health.



Date Posted: May 31, 2013, last update 31 May 2013

[Shiloh]

Re: The first case of the new Coronavirus in Italy

Source: http://www.cbc.ca/news/health/story/...virus-who.html

Italy's 1st MERS case travelled to Jordan
Health officials in Italy reported the country's first case of MERS coronavirus in a man who had been travelling in Jordan.
CBC News
Posted: May 31, 2013 3:28 PM ET
Last Updated: May 31, 2013 4:06 PM ET


Health officials in Italy reported the country's first case of MERS coronavirus in a man who had been travelling in Jordan.

The 45-year-old man was in good condition and was being monitored in isolation after being admitted to hospital in Tuscany with a high fever, cough and breathing difficulties, Italy's health ministry said in a statement.

The man had recently been in Jordan for 40 days, where one of his sons seemed to have a flu.

Earlier Friday, the World Health Organization said it's learned of a new case of MERS coronavirus in an eastern province of Saudi Arabia, raising the total number worldwide to 50...

[Giuseppe]

Re: The first case of the new Coronavirus in Italy

Unfortunately, Italian Ministry of Health did not offer details about the onset date, the number of close contacts under surveillance, the clinical course and the possible number of health care workers exposed without proper PPE adherence, a common feature in Italian hospitals and A&E departments.

To release a press statement without details is the like a shot in the dark.

[Catbird]

Re: The first case of the new Coronavirus in Italy

The man had recently been in Jordan for 40 days, where one of his sons seemed to have a flu.

It would also be nice to know if the WHO or the Jordanian MoH is following up on the son's case of "flu".

[tetano]

Re: The first case of the new Coronavirus in Italy

Florence June 2013 .1- could have contracted the virus during a trip a month and a half in Jordan. Is foreigner, has 45 years, and is hospitalized in the infectious disease Department of Careggi: represents the first case of the new Coronavirus, also known as new Sars in Italy. 'It is not life threatening, but the case concerned, reveals Louis Brown, Health Minister of the Tuscany region. He adds: «we are mainly completing research of people with whom he came into contact, because the Coronavirus, which basically looks like a megainfluenza, it is dangerous. If a person is infected is no longer young and fragile health, the risk is high. the VIRUS, according to the World Health Organization, with the patient of Careggi reached 50 share cases and 30 deaths: 3 in Europe and many in Saudi Arabia. The new Coronavirus is transmitted only by ' closely ' and for disease prevention, the Ministry of health, hygienic precautions are used against flu. The 45-year-old foreigner, which in any case would not be in bad shape, is technically ' imported ', i.e. contract abroad. According to the first reconstruction, which occurred following ministerial procedures sent to regions on May 16, the man had just returned from Jordan, where one of his sons apparently suffered from a flu not better specified. Once landed, had high fever, coughing and signs of respiratory failure. Confirmation of the diagnosis — precisely the new Coronavirus — was given by Istituto superiore di sanità in charge of infectious, parasitic and immune-mediated diseases. Which monitors persons with suspected respiratory symptoms, from areas such as the Middle East, where similar cases occurred and who have witnessed a sick impressed by 'new Sars.' concerns about Florence and Tuscany and neighboring regions. The Governor, Enrico Rossi, last night sought to give assurances with these words: ' the fact that a new form of Sars was discovered and isolated in Tuscany means only that our works and health that doctors are good and careful to apply the ministerial directives relating to infectious diseases. Even at Careggi not worried: will argue that this is not the first to discover rare and dangerous virus and this allows you to isolate the problem in advance, limiting the negative consequences.

http://www.lanazione.it/salute/2013/...no-primo.shtml

[Giuseppe]

Re: The first case of the new Coronavirus in Italy

The 1st Italian imported confirmed human case of infection with the Coronavirus of the Middle East Respiratory Syndrome (MERS-CoV) is currently hospitalized in the Florence hospital ''Careggi'', according the daily newspaper ''il Secolo XIX'' on June 1 2013.

For the complete text in Italian please follow this link: http://www.ilsecoloxix.it/p/magazine...ia_primo.shtml

[tetano]

Re: The first case of the new Coronavirus in Italy

There is a first case of Coronavirus, also known as New Sars, in Italy: in Tuscany. This is confirmed by the Ministry of health. The patient is a Jordanian citizen of Palestinian origin, has 45 years who lives in Florence for some time with his brother. He works in a hotel in the city. The man, according to what has been reconstructed by doctors of the Hospital of Careggi in Florence that took care of was recently for more than a month in his country to find the family. On his return he experienced flu symptoms and a fever. He was convinced he had caught cold, but his health situation worsened with the passage of the hours and the late Tuesday, it was decided to go to the hospital. There were immediately suspicious checks sanitary who then deepened the analysis to diagnose the Coronaviruses. immediately report has been made to the Minister by the region of Tuscany. The patient is now in isolation and in good condition at the Hospital of Careggi, Florence's largest hospital. ' The patient is admitted to the Infectious Diseases Ward-explains the regional Health Councillor Louis Brown, the Department is headed by professor Alessandro Bartoloni-arrived Tuesday and were performed tests that confirmed today the positivity to the virus '. So he set in motion the procedure to the Ministry, Tuscany has activated a crisis unit and is OAS_RICH (' Middle ');

taken surveillance also for people who were in close contact with the patient ' explains the Councillor. The man lives in a House along with his brother that today will be subjected to the tests because they feared a possible contagion. Presenting symptoms were flu and respiratory ones.


http://firenze.repubblica.it/cronaca.../?ref=HREC1-11

[tetano]

Re: The first case of the new Coronavirus in Italy

The PATIENT is OUT of DANGER-' and ' out of danger, is fine, has had a positive development is very rapid. He said the professor Alessandro Bartoloni 20-fold, head of the Department of infectious diseases, University Hospital, which has treated the 45 year old Jordan hit by New Sars. Man, it was explained at a press conference this morning, it came from Jordan on Saturday on a flight Amman-Vienna-Bologna and in return accused the first symptoms. ' He stayed home one day, then he went to work for one day only – explained the 20-fold-and Tuesday is aimed at hospital '. L ' Tuscan health Councillor Louis Brown stressed that the surveillance system ' and ' shoot quickly ' and added that ' there is no alarm '.

http://www.giornalettismo.com/archiv...ars-in-italia/

[Treyfish]

Re: Italy- Man, 45, hospitalized with coronavirus nCoV in good condition - travel history to Jordan

Sanita ': new coronavirus, hospitalized child 18 months nephew patient Florence
Florence, June 1 - (Adnkronos) - A little girl of 18 months and 'was admitted to the children's hospital as a precaution Florentine' Meyer ': and' the niece of 45 year old Jordanian-born hospitalized Careggi in Florence to have contracted the new coronavirus, the so-called 'New Sars'. On the small, that in view of the age 'is not in school and therefore had no contact in the school environment, analyzes are performed to see if he contracted the virus that struck his uncle.http://www.adnkronos.com/IGN/News/Cr...253145464.html

[tetano]

Re: Italy- Man, 45, hospitalized with coronavirus nCoV in good condition - travel history to Jordan

coronavirus, the first patient released

Florence, June 7. -(Adnkronos)-he was resigned last night from the Department of infectious diseases at the hospital Careggi in Florence the first patient, the so-called '' index case '', the Kuwaiti national who was tested positive for coronavirus upon returning from a trip to Jordan. Its clinical conditions were already good. Yesterday it turned completely negative nasopharyngeal swab, and therefore the patient, 45-year-old employee of a hotel in Florence, and was sent back home. The news of hospital discharge was given with a press release from the Tuscany region.



http://www.adnkronos.com/IGN/News/Cr...271394486.html

[IanM]

Re: Italy- Man, 45, hospitalized with coronavirus nCoV in good condition - travel history to Jordan

Just updating this thread with information from..

http://www.eurosurveillance.org/imag...4/art20564.pdf

Index case (45M) was ill with ILI symptoms 24-May, got on a plane, with symptoms, and arrived in Florence 25-May. Visited one hospital, admitted to a 2nd.
45M, 18mth child and 40'ish coworker provided nasopharyngeal swabs that tested RT-rtPCR (upE assay) POS. Latter 2 are not confirmed cases though. No serology reported to date although noted as a future plan in Eurosurv article.

[Emily]

Re: Italy- Man, 45, hospitalized with coronavirus nCoV in good condition - travel history to Jordan

Thank you for the update, IanM. I hope that the 2 contacts were confirmed per the WHO guidelines. It seems to read that way, even though they didn't get LRT samples:

Both secondary cases were classified as confirmed on the basis
of a combination of clinical (influenza-like illness),
epidemiological (close contact with the index case)
and laboratory data, according to WHO guidelines [4].
Nasopharyngeal swabs of both secondary cases tested
positive only in the screening assay (real-time PCR to
detect the regions upstream of the E gene), probably
due to the known limitations when using upper respiratory
tract specimens [5,9]. Although required [7], lower
respiratory tract specimens were not available.

[Laidback Al]

Re: Italy- Man, 45, hospitalized with coronavirus nCoV in good condition - travel history to Jordan

Thank you for the update, IanM. I hope that the 2 contacts were confirmed per the WHO guidelines. It seems to read that way, even though they didn't get LRI samples:

WHO classified these two individuals as "probable cases" in September 2013. http://www.who.int/csr/don/2013_09_20/en/

20 September 2013 - Two patients earlier reported as laboratory-confirmed with Middle East respiratory syndrome coronavirus (MERS-CoV) infection in Italy in the Disease Outbreak News on 2 June 2013 are being reclassified as probable cases.

• Read DON of 2 June 2013

The reclassification follows further analysis of the laboratory tests performed in May 2013, which has shown that the two cases do not fulfil the current WHO case definition for a "confirmed case" for MERS-CoV. The two cases are the two-year-old girl and a 42-year-old woman who were identified as close contacts of the index case who travelled from Jordan.
A "probable" designation by WHO criteria refers to patients who are considered to have a high likelihood of having been infected with MERS-CoV, but from whom adequate samples could not be obtained for complete testing according to the current criteria established for laboratory confirmation.

[Emily]

Re: Italy- Man, 45, hospitalized with coronavirus nCoV in good condition - travel history to Jordan

Thanks, Al! That clears that up, though it surprises me that the samples from the upper tract don't quite count even of you have PCR. I guess they don't consider the infection well established yet.