Qatar - Man, 59, hospitalized in isolation in stable condition - travel history to Saudi Arabia - nCoV coronavirus FAO confirmed

[Ronan Kelly]

20 AUGUST 2013 - 21H04
MERS case in Qatar

AFP - Health authorities in Qatar on Tuesday announced the first case of MERS coronavirus in the Gulf state, with a 59-year-old man infected.

The patient, a Qatari, is in stable condition, they said.

Another Qatari with the infection died in a London hospital on June 28.

...
http://www.france24.com/en/20130820-mers-case-qatar

[sharon sanders]

Re: MERS case in Qatar in media reports

Thanks Ronan. I can't find this on the Qatar Health site or any government press release. Also, the Qatar man that this article refers to as dying on June 28 is from 2012, case #4:

http://www.flutrackers.com/forum/sho...29&postcount=1

So I guess we wait for more confirmation....

[Ronan Kelly]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

thanks, Sharon - I can't find the original at AFP either, but copies of this report are now widespread in multiple languages.

[sharon sanders]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

I am glad you posted this. Once an issue is widespread on the internet it is better that we post the data along with our comments regarding its veracity.

[Ronan Kelly]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

machine translated;

ANNOUNCES THE CORONA VIRUS CASES

(KUNA) - The Supreme Council for the health of the country here today registered new cases of HIV (Corona) that causes AIDS (sic) Middle East respiratory patient's diagonal at the age of 59 years. council said in a statement that the patient was out of the country and felt symptoms before coming to the state and upon arrival was detected upon diagnosis of the disease in the National Laboratory for avian stressing that "the patient Atqly appropriate treatment currently is in stable condition." He stressed the continuing surveillance measures, monitoring and infection control for all cases of acute respiratory infections, especially for those coming from traveling pointing out that he is checked all the samples in the laboratory of the National Flu coordination with HMC. stressed the keenness of the Supreme Council of Health informed citizens and residents to new health information or epidemic of Infectious Diseases and told the latest developments and provide appropriate support when needed. The council recently launched web page awareness about HIV Corona via its website and dedicated line hotline to inquire about the virus or any other infectious disease around the clock.
http://www.alqabas.com.kw/node/791162

[Shannon Bennett]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

The patient was out of state when the symptoms started? How long out of state I wonder. What are the odds he contracted this disease while out of the country and they found it once he returned. Or, maybe he was in a nearby country where we have had on-going infections. Questions as yet with no answers.

[Laidback Al]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

No official report on the Supreme Council of Health, Qatar website: http://www.sch.gov.qa/sch/Ar/

It is interesting that the media reports this possible new case traveled outside of Qatar. Two previous cases (FT # 4 and #6) are Qatari citizens. The individual who died on June 28th, 2013 was a Qatari business man who traveled several times to Saudi Arabia before falling ill in September of 2012. Little is known about the other individual who was treated in Germany (link). Perhaps Qatar is trying to build a case that any sick Qatari was infected outside the county.

[sharon sanders]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

I still do not see the announcement on the above link and, in fact, the WHO is looking for it too:

Gregory H?rtl @HaertlG 25m
#Qatar announces #MERS case. Can someone share Govt ancmnt in Arabic? Note pls this is 3rd case involving a Qatari. First 2 abroad 4 treatmt

[sharon sanders]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

Dr. Mohammad Al-Hajri is the Director of Health Protection and Communicable Diseases for Qatar.


machine translation

Registration cases .. D. Al-Hajri: procedures for the control and monitoring of the virus, "Corona"



Dr. Mohammed Al-Hajri
1:20
21
August
2013
East Gate - Fulfillment Zayed:

The Supreme Council of Health registered new cases of Corona virus that causes of Middle East respiratory syndrome to a patient diagonal at the age of 59 years.

The council said in a press statement yesterday that the patient was out of the country and felt symptoms before coming to the state, and upon arrival it was detected and diagnosed with the disease in the National Influenza Laboratory .. Stressing "that the patient receives appropriate treatment currently is in stable condition" ..

The statement emphasized the continued tightening of surveillance and monitoring procedures and infection control for all cases of acute respiratory infections, especially for those coming from the travel .. He pointed out that all the samples are examined at the National Influenza Laboratory in coordination with HMC.

The Supreme Council is keen to inform the health of citizens and residents to new information or health and epidemiology of infectious diseases and provide them with the latest developments and to provide appropriate support when needed.

Dr Mohammed Al-Hajri director of health protection and disease control transitional Public Health Department at the Supreme Council of Health that the arrangements taken by the health system in the country to observe and monitor the virus, "Corona" that causes AIDS Middle East respiratory at the highest level, and live up to the ranks of health efforts of international efforts in the field of monitoring and follow-up of the virus, noting that there is coordination and close cooperation with the World Health Organization to keep up with all the developments in the discovery of the virus and its complications and monitoring cases.

He said in an interview for "The Middle" The health sector in the country has taken all arrangements of medical Toaqmh and nursing and therapeutic follow-up virus "Corona" and the extent of its spread on a global level, in order to keep up with all the developments that accompany this virus.

* All services

He explained that the health system performs a check-called "test virus Corona" to find out if a person is infected with HIV or who has it, has been training staff of nurses and workers laboratories on how to conduct the examination, has also been providing all health services to the patient in the case of the discovery of his virus. . Thankfully, the health preparations made up to a global level.

On the face of coordination between the health system and ports state said Dr. Al-Hajri that there is close cooperation between the Supreme Council of Health and ports land, air and sea, and there are clinics integrated and liaison officers to communicate with the health system clock, and that in the case of suspicion in any case be examined and sampled as Samples are taken from the escorts and contacts of the suspected case by the medical staff and the nursing supervisor at ports and forwarded to the emergency center for the detection to monitor her condition and prescribing supporting her.

He added that the health system continues to tighten monitoring and surveillance and infection control for all respiratory infections, especially for those coming from traveling, and pointed out that he is checked all the samples in the National Laboratory for avian influenza in coordination with the Hamad Medical Corporation, based on the keenness of the Supreme Council of Health to inform citizens and residents to new health information or epidemic of infectious diseases and provide them with the latest developments and to provide appropriate support when needed.

He noted that the Supreme Council of Health recently launched a web page awareness about the virus, "Corona" across its official www.sch.gov.qa, the hotline devoted to inquire about the virus or any other infectious disease and works around the clock.

http://www.al-sharq.com/Detail/news/...8%D9%86%D8%A7-

[sharon sanders]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

from Qatar news agency

machine translation



Supreme Council of Health announces cases of "Corona"


Doha, August 20 / Qena / Supreme Council of Health registered new cases of Corona virus that causes respiratory syndrome Middle East for a patient diagonal at the age of 59 years.
The council said in a press statement today that the patient was out of the country and felt symptoms before coming to the state, and upon arrival it was detected and diagnosed with the disease in the National Influenza Laboratory, stressing that "the patient Atqly treatment right now is in stable condition" ..
The statement emphasized the continued tightening of surveillance and monitoring procedures and infection control for all cases of acute respiratory infections, especially for those coming from the travel .. He pointed out that all the samples are examined at the National Influenza Laboratory in coordination with HMC.
The Supreme Council is keen to inform the health of citizens and residents to new information or health and epidemiology of infectious diseases and provide them with the latest developments and to provide appropriate support when needed.
The Council has recently launched an electronic page awareness about HIV Corona, through his website, a hotline devoted to inquire about the virus or any other infectious disease around the clock at (66,740,948).


http://www.qnaol.net/QNAAr/Local_New...20Aug2013.aspx

[sharon sanders]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

I want to add a small note that I can not access the government health council site. I get this message when I try to access:

"The requested URL was rejected. Please consult with your administrator."


I am getting in through another method which I am not going to publicly print.

Mike Coston also could not access today but he could yesterday. He deleted some blocking cookies this morning and now has access. From his blog:

"A final note that may be of some assistance to others looking for information. After multiple visits to Qatar’s Supreme Council of Health Website overnight I found my browser blocked from accessing the site.


I was directed to an error page that read:



'The requested URL was rejected. Please consult with your administrator


I was able to restore access by deleting numerous cookies left behind by the sch.gov.qa website on my computer.'"


I have never been able to access that government site through the "front door".

[Biological]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

@ Al
"It is interesting that the media reports this possible new case traveled outside of Qatar. Two previous cases (FT # 4 and #6) are Qatari citizens. The individual who died on June 28th, 2013 was a Qatari business man who traveled several times to Saudi Arabia before falling ill in September of 2012. Little is known about the other individual who was treated in Germany (link). Perhaps Qatar is trying to build a case that any sick Qatari was infected outside the county."

See:
Buchholz U, Müller MA, Nitsche A, Sanewski A, Wevering N, Bauer-Balci T, Bonin F, Drosten C, Schweiger B, Wolff T, Muth D, Meyer B, Buda S, Krause G, Schaade L, Haas W. Contact investigation of a case of human novel coronavirus infection treated in a German hospital, October-November 2012. Euro Surveill. 2013;18(8):pii=20406. Available online: http://www.eurosurveillance.org/View...rticleId=20406

(removed "A patient with severe respiratory failure caused by novel human coronavirus - Online First - Springer"
http://link.springer.com/article/10....010-013-0509-9)

Clip from Buchholz describes!

On 22 November 2012, the Robert Koch Institute in Berlin, Germany, was informed according to the International Health Regulations [8] about a case of NCoV infection in a Quatari patient in his forties, treated in Germany (Figure). After an acute onset of symptoms on 5 October, he had been admitted to a hospital in Doha, Qatar, on 13 October, where he developed respiratory failure requiring ventilation, and was reported to have had temporary renal impairment. On 24 October, he was transferred to a specialist lung hospital in Essen, Germany. A respiratory sample had been taken in Qatar on 17 October. After some delay due to difficulties with the shipment of specimens, the sample tested positive for NCoV in a laboratory in the UK. The result was consequently communicated by the UK Health Protection Agency to the World Health Organization (WHO) on 21 November 2012. Until that date the hospital in Essen had not considered NCoV in the differential diagnoses for the patient. Only routine personal protection of HCW and no specific measures of respiratory protection had been followed during the whole course of treatment in the intensive care unit (ICU). After weeks of mechanical ventilation in ICU, the patient was discharged on 21 November.
Results

Patient interview
The patient reported to live in Doha, Qatar. He used to be a heavy smoker (2 to 3 packs of cigarettes per day), but denied smoking waterpipe or chewing qat. Disease onset was rapid, with initial symptoms including fever (40 °C), cough, runny nose, and shortness of breath. Subjective weakness was pronounced. After the first two days of illness he improved a little but deteriorated again, and was finally admitted to hospital on day eight of illness because of increasing dyspnoea. He reported no subjective symptoms of renal impairment such as foamy urine, reduced urine output, or back pain. He had not travelled and had no known contact with any other reported cases of NCoV infection. The patient owned a camel and goat farm and reported a large number of casual contacts (approx. 50 persons per day) on a regular basis. He remembered that before his disease onset some goats were ill and had fever. He did not have direct contact with the goats or any other animals especially falcons or bats, but said he had eaten goat meat. He also reported to have had contact with one of his animal caretakers who was ill with severe cough and was hospitalised. Other than the animal caretaker, he did not remember persons with severe respiratory illnesses in his wider or closer social environment.

Patient samples
Virus detection in the initial sample from illness day 20 and preliminary serological investigations have been described by Corman et al. [10]. Isolation of virus in cell culture failed. Serological testing yielded an IgM titre against NCoV of 1:1,000 and an IgG titre of 1:10,000 at day 20 (week three) of illness. At week eight of illness the IgG titre was still at 1:10,000 while the IgM titre had already decreased to 1:100. SNT titres against NCoV were 1:640 at week three and 1:640 at week eight of illness. The pharyngeal wash sample taken on 23 November 2012 (week eight of illness) tested negative by real-time RT-PCR.

Contact investigation
We identified 120 hospital and three out-of-hospital contacts, including the interpreter of the patient. Protective measures were largely limited to HCW wearing gloves and gowns when providing intimate care and use of surgical face masks during suctioning. From 31 October until 4 November (illness weeks five and six), the patient was isolated using barrier nursing due to a concurrent Pseudomonas aeruginosa infection. This included use of surgical masks only. Among the 120 hospital contacts the largest group were nurses (n=59; 49%), followed by physicians (n=26; 22%) and laboratory technicians (n=15; 13%) (Table 1). Median time from first contact to venipuncture was 39 days (range: 13–50 days).

Eighty-five (69%) of all respondents reported contact at a distance of less than or equal to 2 m, 14 (11%) of more than 2 m, and 24 (20%) of unknown distance to the patient. Frequency of ARI by week of first contact differed significantly among the groups (Table 1). However, there was no trend in the ARI proportion over time: eight of 33 contacts with first exposure during illness weeks three or four experienced ARI within 10 days of last contact; five of nine contacts with first exposure during the patient’s fifth week of illness; and none of 14 with first contact during week six of illness developed ARI.

Among 81 contacts reporting exposure within 2 m, 21 had ARI compared to none of 14 with contact of more than 2 m (p value; 0.04) (Table 1). Among those with first exposure in week three or four of illness of the patient, the proportion of contacts with ARI was not significantly different between those considered to be at high risk and the remaining contacts (p value, 0.87) (Table 1). Thirteen HCW had contact to the patient in weeks three or four of illness, had contact within 2 m to the patient and had worn surgical face masks rarely or never. Among these, nine were high-risk contacts, including one nurse who assisted in a bronchoscopy on 25 October. All nine provided a blood sample. The median time after last contact with the patient for these nine HCW was 32 days (range: 13–46 days). No sample was reactive by IFA.

http://www.eurosurveillance.org/View...rticleId=20406

[Pathfinder]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

Translation Google

France in Qatar Embassy of France in Doha

Home ?Services for French? Security / protection of french

Health - At the attention of french nationals in Qatar

A case of coronavirus was diagnosed in Qatar.

The patient, a Qatari national of 59 years, is currently under medical treatment and his state is declared stable. It is the third case declared in Qatar.

The infection by Coronavirus is a minor disease in people healthy, but can be serious in individuals suffering from chronic diseases.

In case of severe influenza syndrome with high fever and cough, do not hesitate to consult your usual doctor.


published on August 22 2013

http://www.ambafrance-qa.org/Sante-Al-attention-des

[Biological]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

http://www.ambafrance-qa.org/Sante-Al-attention-des

Is not working! HTTP 404 error!

[Ronan Kelly]

Re: MERS case in Qatar per media reports August 20, 2013 - nCoV coronavirus

working link - http://www.ambafrance-qa.org/Sante-A-l-attention-des