China - WHO confirmed: Guangdong province announces coronavirus MERS case - isolated and symptomatic - traveled from South Korea via Hong Kong - May 28, 2015 - fully recovered

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Health | Fri Jun 26, 2015 1:45am EDT

South Korean man who was China's only MERS case recovers

SEOUL
REUTERS/KEREK WONGSA

A South Korean man who became China's only case of Middle East Respiratory Syndrome (MERS) has fully recovered and is being released from a Chinese hospital on Friday, the South Korean health ministry said.

The 44-year-old man, whose father is another MERS patient, had defied recommendations from health authorities in South Korea to remain in voluntary quarantine, flying to Hong Kong in late May before taking a bus to mainland China.

He later tested positive for the MERS virus and had been hospitalised in the Chinese city of Huizhou, where his initially unstable condition gradually improved, the ministry said.

There have been no other MERS case reported in China or Hong Kong.
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http://www.reuters.com/article/2015/06/26/us-health-mers-southkorea-idUSKBN0P600F20150626

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Translation Google

The first case imported mers still positive sputum specimens

2015-06-16 07:41 Source: Shenzhen Special Zone Daily

Shenzhen Special Zone Daily Prevention and Control Center on the 15th Guangdong Provincial Disease release information, he said, China's first imported Middle East respiratory syndrome Kim current temperature is normal, but the patient's sputum mers still positive response to the virus, the group will sustained attention for a longer period of time.

Up to now, under medical observation after two close contacts within the sampling, test results were negative, the normal body temperature monitoring. After two weeks of medical observation, no abnormal situation, achieve the lifting of medical observation standards.

The center bell hero, director of Public Health Emergency analysis, in Guangdong all 75 mers close contacts removed from medical observation, means the current round of second-generation cases have occurred, that is, from the input of the patient will spread the disease to Basically other Risk Eliminated People CAN be. "Despite Close Contacts have Been removed from medical Observation, Case has the Circumstances Surrounding the Managing Director More stable and Better, BUT the Risk of Epidemic input Remains."

The Center for Infectious Disease Prevention and Control, the physician in charge Kangmin said outside the Middle East did not happen mers community transmission of the virus, and nosocomial infections mers are mainly people the chance of infection is very low. People to do personal hygiene, unless the family has the flu, diarrhea patients, or without the use of disinfectants.

(Zhongxin Cai Minjie)

http://health.gmw.cn/newspaper/2015-06/16/content_107318423.htm

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Translation Google

The good news first case of imported MERS patients four days without fever

Date: [2015-06-10] Edition: [A09]

As of yesterday, 75 close contacts in Guangdong's no discomfort, relevant test results were negative

■ edition have written: Express reporter Li Qiuling

Correspondent Guangdong Health Letter

According to the Guangdong Provincial Health and Family Planning Commission (hereinafter referred to as the provincial Health Planning) reported yesterday, May 29 release of China's first imported Middle East Respiratory Syndrome (MERS) patients - a gold from South Korea for four days without fever, Room cough, no sputum, shortness of breath under no oxygen, the chest radiograph showed lung inflammation still, oozing over the previous reduction. Overall condition stabilized, but still wary of infection and change. Timely adjustment of the treatment regimen based on the views of the expert group academician Zhong Nanshan.

Prevention Expert Group in close contact with the guideline to quarantine work. As of yesterday, 75 close contacts in Guangdong's no discomfort, in close contact with throat swab specimens caught by two Middle East respiratory syndrome virus nucleic acid, the results were negative.

Treatment

Most worried about the situation did not appear

Patients with the most difficult time has passed

"After the efforts of medical experts, patients with Kim in good condition, which is in recovery rehabilitation." Yesterday, the Director of Medical Affairs Provincial Planning Commission, Zhang Wei, said Kim treatment, medical staff made great efforts, the provincial health Planning Commission in recent days had already sent a total of nine groups of experts to 25 people involved in Huizhou City People's Hospital for treatment.

Experts in place and the day and night to pay, so that the treatment of a gold assured. "Patients all indicators are slowly improving. Overall, he has spent the most difficult time." Guangzhou No.8 People's Hospital ICU chief physician Deng Ciron director, said the past few days the experts most fear is that the disease will Kim deteriorating, eventually intubation, ventilator, so that not only the treatment of heavy tasks among health care workers, patients' own risk will be further increased. Fortunately, through the pre-treatment program designed to eventually put a gold condition under control.

Treatment process that requires time to time face to face contact with the patient, in Korea, many medical personnel therefore infected MERS, this, Deng Xi admits: "Because there is no contact with such patients before the beginning of health care is more or less afraid of But the experience of the 'SARS' baptism, followed by learning the Ebola also organized training, medical treatment or have a degree of certainty. "

Deng Xi also disclosed that the state, the group arrive in Guangdong Province, the first-line treatment of health care also play a stabilizing role of morale, "especially 78-year-old academician Zhong Nanshan People's Hospital of Huizhou center, in the ICU ward spent more than four full hours, careful history, adjust the treatment plan, when he ate lunch too busy, the academician Zhong Nanshan professionalism, so we are very touched by these younger admire. "

Prevention 75 is expected to close contacts without discomfort tonight all desegregation

Deputy director of the Guangdong Provincial Disease Prevention and Control Center technician bell Hero is the first one of the experts involved in the treatment of Huizhou arrival, he told reporters about the Middle East respiratory syndrome patients found that treatment and tracking some of the behind the scenes details of close contacts.

Guangdong Zhong hero gave first "SARS" blood did detect, and this time they close to a blood sample of the gold. After taking samples tested, 5 am when more nonstop arrived in Guangzhou, it is 7:00, the day is bright. Quickly into laboratory samples, the day 12:00, the first test results came back positive. As a precaution, the experts conducted a round of testing is positive. Subsequently, the samples sent to Beijing for review. Chinese Center for Disease Control at 1:30 on May 29 received specimens, the same day around 6:00 in the morning to complete the review, results were consistent: positive. Kim was diagnosed Middle East respiratory syndrome, the first example of this is found in China.

"Every aspect, there are many people working on it. Track close contacts, which is to ensure that the country will not be an important part of the spread of the disease." Bell hero that evens close contact, also an unusually difficult process. Through the media, ports, airports and other cooperation, June 3, 78 close contacts all found.

"As of 9, 75 close contacts in Guangdong's health without exception." Chung hero said that if nothing unexpected happens, the evening of June 9, 10 evening, all close contacts of the two batches lift the quarantine. This means that the risk of secondary cases emerged in China can be lifted.
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Questions and answers

All indicators are getting better, but we can not say 100% secure

Q: A patient's condition Korea Kim how?

Deng Xi: According to foreign rescue experience, patients generally between two weeks before the condition will worsen, a condition gold also experienced this process, the treatment process, but also to constantly adjust the program. In the meantime, some of the mood swings of gold is relatively large, and I have put off smile, I say thank you, but sometimes said poor appetite, sleep, headache, do not want to eat. In order for him with the treatment, we also want some way, such as the provincial Planning Commission has to communicate with the health staff of the Korean consulate, consulate people to visit him four times, we respect his eating habits, he was prepared to Korean food, etc. . Fortunately, now two weeks, all the indicators are improving. 4 consecutive days without fever, cough between, no sputum, shortness of breath under no oxygen, the chest radiograph showed bilateral pulmonary still has inflammation, but oozing over the previous reduction. But now it can not be said to have one hundred percent secure.

Q: When will the lifting of the isolation of Kim?

Bell Hero: To be judged according to test results. Good indicators for 5 consecutive days of blood, throat swab test, showing a negative, but the sputum testing, there are still positive. So still further observation. Still wary of infection and change.

Q: The next prevention should pay attention to what issues?

Bell Hero: Middle East respiratory syndrome is not only South Korea has the disease, a greater risk of imported cases from other parts of the Middle East and to the Middle East pilgrimage tourism personnel. When the latest assessment: Enter risk still exists. Then, for unexplained pneumonia and severe pneumonia, especially in the Middle East to monitor people coming back will strengthen.

http://epaper.xkb.com.cn/view/993584

[sharon sanders]

June 3rd Middle East Respiratory Syndrome (MERS) epidemic reporting

2015-06-03 17:43:22 Ministry of Health and Family Planning Commission | Views (171 ) | Text background color:

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[Letter] Guangdong healthfont


Guangdong Provincial Health and Family Planning Commission informed patients diagnosed May 29 release of improved mental state, improve appetite, occasional mood swings; there are fever, body temperature of 38.4 degrees Celsius, the heat decrease compared with the previous peak; with occasional cough, shortness of breath a little; vital signs were stable. This morning chest radiographs show obvious aggravation double lung lesions, the presence of a small amount of pleural effusion on the right. Today, I appointed the allocation of 300 sets of protective clothing, protective goggles 150, four disinfection sprayers Huizhou Central People's Hospital, strengthen the hospital infection control and personal protection.
The province continue to strengthen close contacts search and quarantine today traced to close contact with the new three people, all of the East Wing of bus passengers. Up to now, the province close contact to be followed by a total of 78 people have been traced to 72 people, all the way to take centralized quarantine, temporarily no discomfort. Now, there are bus passengers ride the East Wing 6 people do not get in touch.

http://www.gdwst.gov.cn/a/yiqingxx/2015060313698.html

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Translation Google

MERS close contacts are still six people "lost contact"

June 4, 2015 07:10:33 Source: Beijing News

Yesterday, reporter learned from the Guangdong Provincial Health Planning, patients diagnosed May 29 release of the Middle East Respiratory Syndrome (MERS) Korean Kim, now improved mental state, vital signs were stable.

It is reported that Kim had improved appetite, occasional mood swings, but there is still fever, body temperature 38.4 degrees Celsius, compared with before the fall peak heat; with occasional cough, shortness of breath a little; vital signs were stable. In addition, yesterday, chest radiographs show obvious aggravation double lung lesions, the presence of a small amount of pleural effusion on the right.

Guangdong Province yesterday traced to close contact with the new three people, all of the East Wing of bus passengers. Up to now, to be followed by 78 close contacts have been traced to 72 people, all the way to take centralized quarantine, temporarily no discomfort. East Wing also ride buses six passengers do not get in touch.

Reporters learned yesterday, Guangdong Province set up the expert group in the Middle East respiratory syndrome epidemic prevention and control. Chinese Academy of Engineering, Guangzhou Medical College, Zhong Nanshan, director of the Guangzhou Institute of Respiratory Diseases in any team leader. Expert Group set up under the clinical expert, prevention and control of the Group of Experts, the etiology of the Group of Experts.

In addition, the Guangdong Provincial Health Planning Commission yesterday to allocate 300 sets of protective clothing, protective goggles 150, four disinfection sprayers Huizhou Central People's Hospital, strengthen the hospital infection control and personal protection.

Reporter yesterday from Huizhou Central People's Hospital was informed, in order to prevent the spread of the virus MERS, to protect medical personnel from infection, the hospital of the hospital 1587 clinical staff were trained mainly personal MERS isolation precautions, health care workers against content protection technology and other professional training.

http://news.xinhuanet.com/world/2015-06/04/c_127876335.htm

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China's Response to MERS Proper: Expert

2015-06-03 08:55:46 CRIENGLISH.com Web Editor: Xu

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Zhong Nanshan is a doctor specializing in respiratory diseases, who earned international fame during the struggle against the deadly SARS epidemic in 2003.

Along with other medical experts, Zhong visited Huizhou Municipal Central hospital on Tuesday and entered into the intensive care unit housing the first MERS patient in China.

Zhong says he is impressed by measures taken by the hospital. All nearby rooms to the ICU have been emptied so as to reduce the risk of virus transmission.

"As we have adopted such strict quarantine measures, MERS cannot be spread through air, it cannot even be spread in hospitals. I think we have done well in the quarantine work. We have isolated spaces and pay attention to cross infection. So we should not worry about its spread."
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Zhong also discussed treatment options and found that the patient's condition was stable, but at a low level.

"His lung infection became a little worse in the past two days. But his clinical situation turned better today. I think that's a stable condition at a low level, a little better. Why we are so cautious to say this? Because we know little about MERS in China and this disease fluctuates sometimes. So we'll see what happens."
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http://english.cri.cn/12394/2015/06/03/1821s881493.htm

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Hattip: Crof

Hong Kong seeks WHO help to ensure Mers updates, as virus kills two in South Korea

Tighter health checks at border, and minister wants more timely updates on deadly virus

PUBLISHED : Wednesday, 03 June, 2015, 3:29am
UPDATED : Wednesday, 03 June, 2015, 3:29am
Lai Ying-kit, Elizabeth Cheung and Emily Tsang

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"We still do not know which medical institutions have been involved. There is a lack of transparency with the information and it is worrying," said Ko.

"We will seek assistance from the WHO."
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In the wake of a 44-year-old infected traveller from South Korea who slipped through a medical check at Hong Kong's airport last week before taking a bus to the mainland, Ko said surveillance at border checkpoints would be tightened.
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Ko's announcement came after the infected South Korean man denied claims that he had lied about his contact and travel history to medical officers at Chek Lap Kok airport on Tuesday last week.

Hong Kong health officials said the man was intercepted by a nurse because he had a fever but was allowed to go after he denied having contact with Mers patients or visiting Mers-hit areas.

The man, surnamed Kim, told South Korean television station KBS that officials had only asked him if he had any flu symptoms and if he had been to hospital recently. He said he was not asked if he had Mers.

Kim said a clinic near his home in Gyeonggi-do asked him to go for a medical examination after his father was confirmed to have contracted Mers on May 21. But he said he did not go because he was not told of the seriousness of the virus.

The Hong Kong government has so far traced 61 people who had contact with Kim - 19 have been quarantined but none had shown any symptoms of Mers, for which there is no known cure or vaccine.

Kim's condition had worsened yesterday, said Dr Ling Yun, chief of the Huizhou Municipal Centre Hospital's intensive care unit.
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Additional reporting by Christy Choi and Mimi Lau

http://www.scmp.com/news/hong-kong/health-environment/article/1815581/hong-kong-seeks-who-help-ensure-mers-updates-virus

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China's first MERS patient in stable condition

English.news.cn 2015-06-01 20:49:38

GUANGZHOU, June 1 (Xinhua) -- China's first confirmed Middle East Respiratory Syndrome (MERS) patient is stable, while authorities in southern Guangdong Province are still looking for ten people who had close contact with him.

A man from the Republic of Korea (ROK) tested positive for MERS in Guangdong last Friday. He is being treated at Huizhou Municipal Central Hospital and is still feverish, the provincial health and family planning commission said Monday.

"We communicate by writing Chinese and Korean on a white board. He is very cooperative and can eat food properly," said Li Chunmei, a nurse at the hospital.
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On Sunday, the commission increased the number of people who had been in close contact with the patient to 77. Among them, 67 have been quarantined while ten bus passengers are yet to be found as of Monday.

None of those in quarantine are showing any symptoms of MERS.
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http://news.xinhuanet.com/english/2015-06/01/c_134288463.htm

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China trying to reach 13 people near MERS patient

Xinhua, May 31, 2015

Authorities in south China's Guangdong Province are still trying to reach 13 people who had close contact with the country's first Middle East Respiratory Syndrome (MERS) patient.

A man from the Republic of Korea (ROK) was tested positive for the deadly MERS in Guangdong on Friday. He is receiving medical treatment in Huizhou City with doctors saying his situation has worsened, the provincial health and family planning commission said Sunday.

Meanwhile, the number of people who had been in close contact with the patient rose to 77 in Guangdong, the commission said. Among them, 64 have been quarantined while 13 others, including 11 passengers on a bus boarded by the man, have remained out of contact.

None of the quarantined has showed any abnormality.

The commission said more medical specialists were sent to Huizhou on Sunday to help with the treatment.
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http://www.china.org.cn/china/Off_the_Wire/2015-05/31/content_35703234.htm

[sharon sanders]

China confirmed the first case of MERS sicker patients in close contact with 77 people


At 21:21 on May 31 2015

The picture shows the May 2, 2014, the US Centers for Disease Control announced the Middle East coronavirus (MERS) image respiratory syndrome.

　　China news agency, Guangzhou, May 31 (Reporter Tang Guijiang) - Guangdong Health Planning Commission notified the evening of 31 confirmed cases of the Commission May 29 release of imported Middle East Respiratory Syndrome (MERS) is currently disease heavier than before, from the Commission They will be arranged from June 1st batch two clinical experts province, in Huizhou Central People's Hospital to help guide treatment of resident patients.
　　Guangdong Health Planning Commission, said the evening's briefing, there are patients diagnosed in the room with high fever, chest radiograph showed an increase over the previous oozing lesions, oxygenation deteriorates, in line with moderate acute respiratory distress syndrome (ARDS) diagnosis, province health LEG positive dynamic adjustment of treatment according to the disease.
　　May 31 morning, the Guangdong Provincial Health and Family Planning Commission sent a third clinical expert guidance to Huizhou Central People's Hospital medical treatment, and decided that from June 1, arrange two clinical experts batch Province in Huizhou Central People Hospital resident to help guide treatment of patients.
　　Guangdong continue to strengthen search and quarantine of close contacts, through the health planning and public security departments to verify, confirm close contacts Guangdong province to be followed by a total of 77 people, as of now, the province has tracked 64 people, all taken in a centralized manner under observation , temporarily no discomfort.
　　Also not yet made contact with 13 people, including passenger information because there is no registration records, take the East Wing 11 bus passengers who have not yet made contact; Hong Kong briefing with airline passengers may enter Guangdong Province 2, the positive verification of information by police contact.(End)

http://news.sina.com.cn/c/2015-05-31/212131897330.shtml

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[sharon sanders]

CCTVNEWS @cctvnews 38m38 minutes ago
Guangdong health authorities: Condition of South Korean #MERS patient quarantined in Huizhou deteriorating

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Translation Google

Lottery patient care? Lu Hospital ︰ rumor

At 04:10 on May 31, 2015 Wan Jen-kui /

China Internet rumors these days, Huizhou Central People's Hospital because MERS Korea admitted patient admissions caused by a fever ambulance driver, suspected of being infected. Also rumored to hospital medical staff need to deploy to the intensive care unit, but also to draw unmarried "sign of life and death" decision. Hospital yesterday came forward to clarify the rumors are.

Recently, the mainland online news said: "Huizhou Central Hospital for isolation and treatment of Koreans, Central Hospital has put ICU (intensive care unit) sealed admissions ambulance driver had fever, suspected of being infected, please pay more attention and attention. the family's health and safety! "

Internet message also said: a few places, "Do not go to the following: Suns Hotel Huizhou Zhong Kai district, Zhong Kai district northeast Baiyun Pavilion home cooking; LG Eno company, ZhongKai A UN Hakka soil restaurant, Huizhou Kande International Hotel . "

In this regard, the Guangdong Provincial Health and Family Planning Commission responded that did not seal Huizhou city hospital ICU, ambulance drivers and no admissions fever.

Huizhou City Health Bureau Publicity Division clarified and no medical or driver is infected, there is no medical staff were transferred and other matters. But in order to ensure safety, all those who have close contact with the South Koreans patients had medical staff required to undergo several days of observation.

The previous day, the South Korean patients still fever, the highest temperature 39.5 degree Celsius, chest X-rays showed double lung disease. There are rumors that you want to go to South Korea yesterday, Guangdong other hospital patients treated in isolation.

However, Huizhou Central People's Hospital spokesman said yesterday, "South Korea's patients are in stable condition, without referral." Yesterday the two health care workers to the hospital, Mr. K samples collected and sent to Guangdong Provincial Health Department for testing. And with Mr. K 47 close contacts, as of yesterday did not appear abnormal.

Correction Editor: Yang Jie

http://www.chinatimes.com/newspapers/20150531000283-260102

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Health | Fri May 29, 2015 10:12am EDT

China's first confirmed MERS case arrived from Korea via Hong Kong

BEIJING/HONG KONG | BY SUI-LEE WEE AND NICOLE LI

China said on Friday a 44-year-old South Korean man had tested positive for Middle East Respiratory Syndrome (MERS), China's first confirmed case, but that it had not found any symptoms in 38 people who had been in close contact with him.

Health authorities in the southern Chinese province of Guangdong said it was likely the disease would spread as the patient had taken a bus, crossed a busy border checkpoint from Hong Kong and stayed in a hotel before being taken to hospital.

"As we have said before, the possibility of MERS transferring into Guangdong is very high," He Jianfeng, director for the Guangdong Provincial Center for Disease Control, told reporters.

"In theory, it?s possible to have a second case."

He added, however, that 38 people found to have come into contact with the patient hadn't tested positive.
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http://www.reuters.com/article/2015/05/29/us-health-mers-southkorea-china-idUSKBN0OE0SK20150529

[sharon sanders]

Our first case of imported confirmed cases of the Middle East respiratory syndrome

2015-05-29 16:15:19 Ministry of Health and Family Planning Commission | Views (145 ) | Text background color:

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[Letter] Guangdong healthfont



Guangdong Health and Family Planning Commission informed, I appointed May 28 release of imported Middle East respiratory syndrome suspected cases (male, born in 1971, Korean, Middle East and South Korea the first three cases of confirmed cases of respiratory syndrome son, the first four cases confirmed Case's brother), the national expert group of patients based on epidemiological history, clinical data and the Chinese Center for Disease Control to review the test results on samples of patients, in the morning of May 29 determined that the Middle East respiratory syndrome confirmed cases.At present, the patient is the province Huizhou City designated medical institutions for isolation and treatment, there are still symptoms of fever, the highest temperature of 39.5 ℃, chest radiograph showed double lung disease, consider pneumonia.
National Health and Family Planning Commission to make the provincial government leadership important instructions, requiring accordance with the relevant prevention and control plan, do the prevention and control work. Ministry of Health and Family Planning Commission to seriously implement the written instructions, further improve hospital infection control, medical treatment, close contact tracing and health care and other prevention and control work. 28 afternoon, the National Health and Family Planning Commission and the Guangdong Provincial Health and Family Planning Commission were sent to the epidemiological, clinical and hospital infection control experts to guide epidemiological investigations Huizhou, medical treatment and hospital infection prevention and control work. It has been traced to close contact with 38 people, yet unusual.

http://www.gdwst.gov.cn/a/yiqingxx/2015052913662.html

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[sharon sanders]

From: WorldHealthOrganizationNews
To: undisclosed-recipients@null, null@null
Subject: WHO China office media statement: FIRST CONFIRMED MERS-CoV CASE IN CHINA
Date: May 29, 2015 5:48 AM

Dear Journalists, Please find below, the media statement issued by WHO China office. FIRST CONFIRMED MERS-CoV CASE IN CHINA Beijing, 29 MAY 2015 ? China?s National Health and Family Planning Commission has notified the World Health Organization of a laboratory-confirmed case of Middle East Respiratory Syndrome coronavirus (MERS-CoV) in China. This is the first case of MERS-CoV in China. The confirmed case is a Republic of Korea national in his mid-40s, who travelled to Guangdong province, China via Hong Kong Special Administrative Region (SAR) on Tuesday May 26. The patient is a close contact of a confirmed MERS-CoV case in the Republic of Korea. The patient is in isolation in a hospital in Huizhou, Guangdong province. We understand he is currently in a stable condition, and is being well cared for. Chinese health authorities acted swiftly in response to the initial notification from the Republic of Korea that the close contact of a confirmed-MERS case had travelled to China earlier this week. For example: local health authorities are tracing all known close contacts of the patient; the Guangdong Health and Family Planning Commission dispatched an expert team to Huizhou to conduct epidemiological investigation and sampling; Hong Kong SAR health authorities are tracing close contacts of the patient during his transit through Hong Kong SAR. Based on the evidence about MERS-CoV gathered to date, the virus does not seem to pass easily from person to person unless there is close contact. There is no evidence of sustained human-to-human transmission. WHO is communicating closely with the Chinese health authorities to support their response to the case. For more information on coronavirus infections see the WHO website: http://www.who.int/csr/disease/coron...infections/en/ . About the World Health Organization WHO is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends. For more information please contact: WHO China Office: Ms WU Linlin E-mail: wul@who.int Office Tel: +86 10 6532 7191