South Korea sees first case of MERS in about three years, travel from Kuwait - September 7, 2018

[Shiloh]

Source: http://english.yonhapnews.co.kr/national/2018/09/08/0302000000AEN20180908001452315.html

(2nd LD) South Korea sees first case of MERS in about three years
2018/09/08 19:26

(ATTN: UPDATES with quarantine of patients in other hospital)

SEOUL, Sept. 8 (Yonhap) -- A patient in Seoul was diagnosed on Saturday with the first case of Middle East Respiratory Syndrome (MERS) in South Korea since 2015.

The 61-year-old man, whose identity was withheld, was diagnosed with the disease at about 4 p.m. Saturday, the Korea Centers for Disease Control and Prevention said.

He returned home Friday from a business trip to Kuwait from Aug. 16 to Sept. 6. He was hospitalized right after the trip showing symptoms of fever and phlegm and has since been receiving quarantine treatment at Seoul National University Hospital in central Seoul...

 

[sharon sanders]

[FONT=&quot]Date : 2018-09-10[/FONT]​

[FONT=&quot]Modified : 2018-09-10[/FONT]​

[FONT=&quot]? Interviews with Mels patient movement and contacts ◇ Interviews of CCTV analysis and interviews with related persons and announcement of interim results of Mels' patients in Kuwait and after moving to Korea [/FONT]
[FONT=&quot]◇ Patients were interviewed in Kuwait - Dubai - Incheon airport . After staying in the airport for 26 minutes, the taxi immediately went to the Samsung Seoul Hospital (sound pressure office), and after 4 hours and 38 minutes of stay, it was isolated as a nationally designated quarantine hospital. [/FONT]
[FONT=&quot]◇ Based on 9.10 days, The Korea [/FONT]

[FONT=&quot]Center for Disease Control and Prevention (Jung Eun-kyung) conducted a CCTV analysis of Incheon airport and Samsung Seoul hospital, interviews with family members, and patients in the field, and interviews with residents, And the result of the interim survey was revealed. [/FONT]

[FONT=&quot]○ As a result of the investigation, the patient stayed in Incheon Airport for 26 minutes, moved to the Samsung Seoul Hospital (sound pressure office) immediately by taxi, and stayed in the hospital for 4 hours and 38 minutes and underwent medical examination and chest radiography. Were classified as suspicious patients and transferred to a nationally designated quarantine hospital (Seoul National University Hospital). [/FONT]

[FONT=&quot]○ As a result of the survey, as of September 10, 21 closely contacted persons and 417 daily contact persons were classified. All closely contacted persons were isolated from the facility or home, and the health center staff was actively monitoring the persons. Active surveillance is underway. [/FONT]

[FONT=&quot]○ Among the contactors managed by local governments, 4 people * showed suspicious symptoms, and all of them were confirmed by Mers voice in the first inspection and the second inspection was scheduled to be carried out.[/FONT]
[FONT=&quot]* 1 contact with close contact, 3 daily contact persons [/FONT]

[FONT=&quot]□ (Kuwait stay) Patient visited Kuwait (8.16 ~ 9.6 days) and was living in work facility *. Abdomen and diarrhea occurred from August 28, I visited the hospital (9.4, 9.6) and received treatment. [/FONT]
[FONT=&quot]* 20 Korean employees living in two or three facilities. [/FONT]

[FONT=&quot]○ The results of the patient interview revealed that there was no contact with the camel and the confirmed patient in the local area. The infection route and infection epidemiological survey Is in progress. [/FONT]
[FONT=&quot]* Kuwait stay contact: 20 Korean workers (under investigation) [/FONT]

[FONT=&quot]○ The patient made a phone call with a doctor at a Samsung hospital in Kuwait to talk with the general weakness and diarrhea symptoms, and the doctor was worried about severe diarrhea. . [/FONT]
[FONT=&quot]* At the time of the telephone call, there was no respiratory symptom such as cough. [/FONT]
[FONT=&quot]* The contents of medical service in Kuwait will be investigated. [/FONT]

[FONT=&quot]□ (Aircraft stay) Patient entered the business class (seat number 24B) together with one work colleague *. [/FONT]
[FONT=&quot]* Arriving via UAE (EK322, 9.7 from 3:47 to 16:51) via Kuwait - Dubai (EK860, 9.6 days from 22:35 to 9.71:10). [/FONT]
[FONT=&quot]* Aircraft close contacts: 8 passengers, 4 crew members [/FONT]

[FONT=&quot]□ (airport stay) Patients stay at the airport for a total of 26 minutes for the immigration process[/FONT]

[FONT=&quot]○ The quarantine was carried out in the main area (the place where the aircraft was dropped), and the patient requested the wheelchair and proceeded to the immigration process with assistance from the helper. [/FONT]

[FONT=&quot]○ The patient submitted a health condition questionnaire stating that diarrhea and muscle pain were present. (36.3 ? C, 17:20 on September 7). In addition, there was no significant difference between the two groups. [/FONT]

[FONT=&quot]○ The quarantine officer indicated that the patient did not have a fever and respiratory symptoms and therefore did not fall into the definition of suspicious patients. [/FONT]
[FONT=&quot]* The airport closely contacts: the quarantine station 1, the immigration officer 1, the wheelchair helper 1 [/FONT]

[FONT=&quot]○ After the immigration process, the patient met a family member, got out of the airport, took a limousine taxi, and did not use convenience facilities such as restrooms, convenience stores, (See CCTV analysis results, location tracking movement path). [/FONT]
[FONT=&quot]* Patients family should wear normal masks to Samsung solicitation of Hospital Doctors (Middle entrants common risk descriptions and mask invitation) [/FONT]
[FONT=&quot]* Airport close contacts: inspectors 1, Immigration Officer 1 wheelchair helper 1, family 1 [/FONT]

[FONT=&quot]□ (airport - Samsung Hospital) The patient arrived at the Samsung Seoul Hospital via a limousine taxi booked in advance. [/FONT]
[FONT=&quot]* The patient's family moved to the hospital separately by their own car. [/FONT]

[FONT=&quot]○ The patient called the Samsung Seoul Hospital doctor to inform the hospital about the scheduled arrival time . The patient went directly to the emergency room sound pressure office and received medical treatment.[/FONT]
[FONT=&quot]* The [/FONT]

[FONT=&quot]patient was diagnosed with diarrhea as the main symptom. The first body temperature test (37.6 ℃ on September 7, 19:22), the second body temperature test (38.3 ℃, On September 7, 20:37), the body temperature was elevated. On chest radiography, there was a suspicion of pneumonia, and Mers suspected (21:34). [/FONT]
[FONT=&quot]* Institution closely contacts: 1 doctor 1 nurse 2, Radiation [/FONT]

[FONT=&quot]□ (epidemiological and quarantine) Seoul epidemiological investigators had classified the patient through a case study in a patient with suspected (22:40), [/FONT]

[FONT=&quot]○ Seoul Gangnam Community Health Center is a negative pressure (9:33 am to 8:00 am) [/FONT]

[FONT=&quot]□ The government decided to fulfill all of the ministries' capabilities for the end of the martial era (9.9) Ministerial meeting), management of contact persons, and protection measures for residents in Kuwait. [/FONT]

[FONT=&quot]○ The Disease Control Headquarters, together with the municipality, said that it will do its best to prevent further propagation by thoroughly investigating and managing contact [/FONT]

[FONT=&quot]persons . ○ Follow closely and daily contacts with confirmed patients and follow the monitoring and guidance of the health authorities. If you have any suspicious symptoms such as shortness of breath, do not visit the medical institution directly. * Be sure to call 1339 or the public health center immediately. [/FONT]
[FONT=&quot]* When visiting a medical institution, there is a risk of infecting another patient through an emergency room etc.[/FONT]

[FONT=&quot]○ People are required to observe personal hygiene regulations such as hand washing during the visit to the Middle East, to avoid visits to farms during the trip, to camel contact, to prohibit ingested camel meat and raw camel oil, to visit local medical institutions for medical purposes, [/FONT]

http://www.cdc.go.kr/CDC/notice/CdcK...937&cid=140635

 

[sharon sanders]

[FONT=&quot]September 10 SBS "Is in close contact" 3 crew members, was in a limited hotel, "JTBC" "close contact" 4 hotel stay ... "Isolation is right" and "controversy" . [/FONT]


[FONT=&quot]□ Main contents of the article [/FONT]

[FONT=&quot]○ Crew members classified as close contact persons are isolated from the accommodation, raising concerns about whether the close contact person is managed properly. [/FONT]

[FONT=&quot]□ Explanation of contents [/FONT]

[FONT=&quot]○ Confirmation of musses After the crew members are classified as close contact persons, The headquarters informed the Incheon city that the crew was a close contact person. [/FONT]

[FONT=&quot]○ The Incheon city and the local health center in charge of the Incheon city dispatched a notice of quarantine of the contact person to the crew immediately after receiving the notice and in cooperation with the hotel, [/FONT]

[FONT=&quot]○ In addition, Incheon city actively monitored the isolation and health status of close contact persons. [/FONT]

[FONT=&quot]○ We also checked the electronic records of the passengers' access to the room and confirmed that there was no access record after the quarantine. [/FONT]

[FONT=&quot]○ Currently, the crew members are transferred to a safe isolation facility, and Incheon city will actively manage the presentation of the quarantine by continuing active surveillance of the crew.[/FONT]


http://www.cdc.go.kr/CDC/notice/CdcKrIntro0201.jsp?menuIds=HOME006-MNU2804-MNU2937&cid=140638

 

[sharon sanders]

9 September 2018 -- The Republic of Korea has officially reported an imported case of Middle East Respiratory Syndrome (MERS). This is the first case seen in the country since the end of an outbreak in 2015.
The case is a 61-year-old male who had travelled to Kuwait for business between 16 August and 6 September. He was hospitalized with fever, diarrhoea and respiratory symptoms shortly after returning to the Republic of Korea and is currently receiving treatment in isolation.
The Republic of Korea?s National International Health Regulations Focal Point reported the case to the World Health Organization (WHO) on 8 September, the same day that it was laboratory-confirmed as MERS.
While this case is unusual, it is not unexpected that MERS will occasionally appear outside of the Middle East. The risk of spread can be minimised by the implementation of rapid response measures, including adequate infection prevention and control measures in health care facilities, contact tracing and public communication. WHO is in discussion with the Korea Centers for Disease Control and Prevention (KCDC) on the required response and is ready to provide further support if required.
MERS is caused by a novel coronavirus (MERS‐CoV) that was first identified in Saudi Arabia in 2012. Since then, WHO has continued to monitor the disease, with more than 2200 laboratory-confirmed cases reported from 27 countries. Typical MERS symptoms include fever, cough and shortness of breath. Pneumonia is common, but not always present. Gastrointestinal symptoms, including diarrhoea, have also been reported. In around a third of cases, the disease is fatal.
While there appears to be a link between the disease and dromedary camels, the majority of human cases to date have occurred in health care settings. The virus does not seem to pass easily from person to person unless there is close contact, such as between a patient and someone providing care. The implementation of infection prevention and control measures are therefore critical to the prevention of MERS‐CoV in health‐care facilities.
WHO does not recommend the application of any travel or trade restrictions or entry screening related to MERS-CoV.

http://www.wpro.who.int/mediacentre/releases/2018/20180909/en/

 

[sharon sanders]

[h=2]President Song "Mels early response is great ... please do your best to the end"[/h] [h=3]All the utterances of the Cabinet[/h] [FONT=&quot](Seoul = News 1) Hong Gi-sam reporter | 2018-09-11 11:20 Songwon
[/FONT]

[FONT=&quot]President Moon Jae-in assessed the early response to the recent outbreak of Mers' patients and urged him to do his best to the end.[/FONT]

[FONT=&quot]President Moon said, "We are worried about the people of Mers because of the outbreak of Mers' s disease." This time, unlike in the past, authorities, hospitals and healthcare workers respond quickly and systematically to the initial response It was relatively good. " [/FONT]

[FONT=&quot]President Moon said, "I respect the efforts of the people who have made a great effort during the last weekend while the people are not aware of it." "The most important thing is to stop the spread of mers and end the situation quickly, so please do your best to the end." He said. [/FONT]

http://news1.kr/articles/?3423104

 

[sharon sanders]

50 passengers from the plane are not being tracked.


Input 2018.09.11 03:00

snip


Five women who were in the same space as the confirmed woman, including an English woman A but not in close contact, and one close contact person were initially suspected of having a suspicion of MERS, but all of them were judged to be "MERS" (negative) in the first test. Mr. A was discharged from the second test after a negative judgment, and the other five were waiting for the second result. Of the 408 passengers who boarded the same aircraft, Mels did not appear.

However, 50 foreigners are not in contact.


출처 : http://news.chosun.com/site/data/htm...091100103.html

 

[sharon sanders]

[FONT=&quot]Date : 2018-09-11[/FONT]​

[FONT=&quot]Modified : 2018-09-11[/FONT]​

[FONT=&quot]Department : Risk Communication Officer[/FONT]​

[FONT=&quot]Contact : 043-719-9061[/FONT]​

[FONT=&quot]Views : 457[/FONT]​

Questions and answers from CDC site:


References Mert, press inquiries and responses

1. Is it correct that the number of close contacts is reduced to 21? (Contact Management Team)
○ Yes, the contact person was reclassified through precise epidemiological survey in 22 people at present,
We manage the caller.
- Since the self-isolation of two persons classified as close contacts of business seats,
And they were classified as close contacts until they were administratively confirmed
Managed. By additional confirmation, the actual ticketed airline ticket will be refunded to the Economy Seats
Converted to daily contact.
- From the very beginning, the crew members, who were managed by close contacts,
In the case of repeated requests, it was changed from close contact → general contact → close contact
. This subject was consistently sequestered by close contact.

2. Close contacts of closely contacted persons, for example taxi passengers or their families,
No yoga. If so, what things are going on? (General-epidemiological survey)
○ The contact person who has contacted the asymmetric machine does not take any management measures.

3. Among the everyday contact persons, the number of foreign residents who have taken the plane by plane (number of confirmed places)
Check your health Do you get your own time?
- When are foreign women and Koreans second mars test results? (Patient management)
○ 9.11 As of 11 am, 115 foreigners are on board the aircraft.
Personal information was secured and liaison measures were taken. Ministry of Public Administration and Security, National Police Agency, Immigration Office
We're still checking your contacts.
○ Health status of daily contact person is self-heating monitoring at least once a day.
○ 9.11 As of 11:00 pm, one foreigner is scheduled to undergo a second inspection today.
And voice is verified and quarantined.

4. A statement from the Seoul Metropolitan Epidemiological Investigation Department (9.9)
1) Is it true that Mr. A called his wife, 'Come out to the airport with a mask?' Why so
Was it a story? (General-epidemiological survey)
○ Patients' families are recommended by Samsung Medical Center doctor
I wore a regular mask.
2) I used a taxi instead of a car in the process of moving to a hospital.
Did not you? (General-epidemiological survey)
○ The patient moved to Samsung Medical Center via Limousine taxi which was reserved in advance.
3) I was going to come to Korea on September 4,
○ I have made a statement during the interview with the patient.
5) As a result, Mr. A went to the hospital in Kuwait not on August 10th,
How many times? (Patient management)
○ Symptoms were developed on August 28th, and I visited the medical institution twice (9.4, 9.6).
6) What are the symptoms of patients currently hospitalized in Kuwait? (Patient Management)
○ Patients admitted to the hospital were admitted to the hospital with diarrhea symptoms,
I was discharged after checking the voice.
- This employee is contacted prior to the symptoms of the MERS confirmable patient and is not a contact person.
Judged.
* 8.25-26 days, contact with outside field inspection

5. With confirmed patient A returning from Kuwait and sitting next to him,
What is the current status and how is it managed? This person does not have symptoms
Are you? How and when does this line and A's line overlap? (General-epidemiological survey)
○ The companion is classified as a close contact and is self-isolated and monitored as having no specific symptoms.
It is. The companion accompanied him before boarding the taxi outside the airport.

6. As in the case of an English woman, if there is another case classified as suspicious, what is the completion of the test?
(General-epidemiological survey)
○ As of September 10 at 18:00, 4 people were verified against 6 suspect patients and quarantined
Has been.
○ Both of the people who did not show result received voice judgment as of 13:00 on September 11th.

7. Tell who the daily contact person is, classify like a close contact person, and give each number and local government
Can you give? (Patient management)

8. Considering the latency period, it is highly likely that the infection occurred in Kuwait,
How is the response to the contact, especially the Koreans, being achieved? (Patient management)

9. The numbers of the press are different. - The number of passengers on the plane (excluding the confirmation)
A foreigner who has left abroad. Foreigners currently residing in Korea. (Patient management)
○ Daily contactors have no direct contact within 2 meters of the confirmed patient,
Of those who were active, the victim of a suspected or confirmed patient, whether wearing appropriate personal protective equipment,
The epidemiologist will judge the exposure or the contact force together.
○ 9.11 As of 11:00 hours, daily contact person was 418 people in total 418 people the day before one medical staff member added.
- One person added to the previous day was a security guard and wore a N95 mask.
We have been classified as daily contacts.
Of these, 362 passengers (362 passengers, 0 crew *), airports and community contacts
57 people (47 airport officials, 4 quarantine officers, 1 airline business partner, 5 medical institutions).
* All 23 foreign crew leave without any symptoms (monitoring end)
○ In addition to investigating the contacts of Kuwait construction workers, the Ministry of Foreign Affairs
It is under the supervision of the Embassy of the Republic of Korea and Kuwait Health Authority.
○ Both of the people who did not show result received voice judgment as of 13:00 on September 11th.

10. Confirmation of MERS If there are any changes in the system of prevention before and after the occurrence of the patient?
○ (Kuwait added to quarantine infectious disease contaminated area) The report of the last occurrence of mussels in Kuwait
'16 .8.26, according to the quarantine law '18. 1. The reference has been lifted to a mars pollution area.
- From the occurrence of domestic mussels from Kuwait residents, from September 9, 9 Kuwait quarantine
The site was reassessed as an infectious disease contaminated area and strengthened the quarantine for the immigrants.
You must submit a health status questionnaire upon arrival in Japan.
- After entering Korea, notification SMS will be sent in case of symptoms,
Traveling power is provided.
* SMS / DUR: Provision for 13 transit passengers in the Middle East
○ (Among other visitors to the Middle East, even if there are other

11. Airport Quarantine Management System Manual Request (Quarantine Management Team)
○ In response to the MERS response guideline (Step 5-1, IV.
It is posted on the headquarters website.

12. There are no direct flights from Kuwait to Korea, but Kuwait is the first departure point via the third country
Number of inbound visitors 7 days 8 days 9 days Until today Statistics (Quarantine Management Team)
○ A total of 74 people arrived in Kuwait from July 7 to 9, 2018, and arriving via the UAE
62 people, 6 passengers via Qatar, 3 passengers via Turkey, and 3 passengers via Thailand.

13. One close contact is missing, because this person is mistaken about the airline's information about seat assignment
Is this correct? (Quarantine management team)
○ Since the self-isolation of two persons classified as close contacts of business seats,
And they were classified as close contacts until they were administratively confirmed
Managed. By additional confirmation, the actual ticketed airline ticket will be refunded to the Economy Seats
Converted to daily contact.
○ From the beginning, the crew members, who were managed as close contact persons,
It has been changed from contact person → general contact person → close contact person repeatedly by repeated request. This subject was consistently sequestered by close contact.

14. Is it possible to supervise whether the number of close contacts is isolated from the number of foreigners?
(Contact Management Team)
○ Of the close contacts, there are two foreigners, one for hospital isolation and one for facility isolation.
- One patient who was hospitalized was found to have a negative Mers 1st test on a nationally admitted hospital bed,
It is always scheduled for second inspection.
- One of the facilities being isolated is under observation without any symptoms.

15. Eight hours after the confirmed person A is classified as a suspect,
It is the contents that it was sent. Please check the facts. (Quarantine management team)
○ Merchant guide letters for the Middle East visitors will be issued by the quarantine officer
We have sent you a phone number to enter.
○ The letter of confirmation is sent to the confirmation person three hours after it is classified as suspect.
(9.8, 01:34).

16. What is the target of sending mail letters in Mels? What time is it sent to others?
May I ask you to confirm it as it is? (Quarantine management team)
○ All passengers enter the full passenger number after the inspectors complete the mars quarantine of the day
We sent the letters of the mars in around 9.30pm at 20:30.

17. How well was the virus isolation and analysis work on confirmed patient samples and the analyzed genes
Please explain about stools and toxicity. (Diagnosis management team)
○ In order to isolate the virus, the patient specimen is inoculated into the cell and is under observation.
○ Virus analysis is currently analyzing the viral gene amplified from a sample.
We will conduct an in-depth analysis of gene mutations if the iris separation succeeds.

18. Four out of six suspect patients with mers were found to have a final negative judgment. I
I am wondering when the results of the two merge will be released (Diagnosis Management Team)
○ As of September 10 at 18:00, 4 people were verified against 6 suspect patients and quarantined
Has been.
○ Both of the people who did not show result received voice judgment as of 13:00 on September 11th.


19. I heard that one of the suspects was in the conference call before the second one.
I think that three out of every five people in the report say it is a second voice, right? One in six contacts
Is it included in the second voice? When are the results of the second test for the remaining 2 people? (Diagnosis management team)
○ As of September 10 at 18:00, 4 people were verified against 6 suspect patients and quarantined
Has been.
○ Both of the people who did not show result received voice judgment as of 13:00 on September 11th.

20. In the past, Mers had a higher mortality rate in patients with underlying disease,
Can I see if this is there? (General - epidemiological survey)
○ Basis disease is personal medical information, so please understand that we do not disclose it.

21. At the quarantine stage, you stated that there is no problem in checking the symptoms of fever,
When visiting a medical institution visit, diarrhea and other digestive symptoms,
Does it pass through without it? Can we see if there is any measure to strengthen the quarantine standards?
What? (Quarantine management team)
○ Major symptoms of fever are fever and respiratory symptoms, fever and respiratory symptoms among the visitors, diarrhea,
Muscular pain, or any other symptoms of diarrhea, whether medication, camel contact,
Checking epidemiological relationship through thorough quarantine investigation such as confirmation of the text, and classifying it as suspicious patient
I am transferred to the city-designated hospitalized treatment beds.

22. Of the four crew members currently in hotel isolation, two Koreans and two foreigners.
(Contact person management)?
○ One of the four crew members (two Koreans and two foreigners) was hospitalized due to diarrhea, and two Koreans,
One foreigner is in the facility isolation and observation maintenance.


http://www.cdc.go.kr/CDC/notice/CdcKrIntro0201.jsp?menuIds=HOME006-MNU2804-MNU2937&cid=140657

 

[Shiloh]

Middle East respiratory syndrome coronavirus (MERS-CoV) infection ? Republic of Korea (12 September 2018)

Source: http://www.who.int/csr/don/12-september-2018-mers-republic-of-korea/en/
[h=1]Middle East respiratory syndrome coronavirus (MERS-CoV) infection ? Republic of Korea[/h] Disease outbreak news
12 September 2018

On 8 September 2018, the International Health Regulations (IHR 2005) National Focal Point (NFP) of the Republic of Korea notified WHO of a laboratory-confirmed case of Middle East respiratory syndrome coronavirus (MERS-CoV).
The case is a 61-year-old male Korean national who visited Kuwait on business from 16 August through 6 September 2018. He returned to Korea via Dubai.
On 28 August, while in Kuwait, he experienced diarrhoea. On 3 September his symptoms worsened and he visited a local hospital in Mangaf, Kuwait on 4 and 6 September. On 7 September, he returned to Korea and presented to a general hospital in Seoul with diarrhoea and fever. A diagnosis of pneumonia was made, and due to his travel history, MERS was suspected. He was immediately isolated, transferred to the Seoul National University Hospital where he was immediately placed in an isolation ward. The patient is currently in a stable condition.
A sputum sample was collected and tested positive for MERS-CoV by RT-PCR on 8 September at the laboratory of Seoul Provincial Institute of Public Health and Environment. Viral isolation is being performed.
[h=3]Public health response[/h] The Ministry of Health in the Republic of Korea is closely monitoring 21 individuals who had close contact with the patient: family members, individuals who were seated near the patient during travel, flight attendants, close contacts while in Seoul and four health care workers. All identified contacts have been placed in quarantine at home and are currently asymptomatic; they will be monitored by local public health centres for 14 days after exposure to the patient. In addition, up to 435 individuals, including the passengers on the flight, were or are under passive surveillance.
Health authorities in the Republic of Korea have been in contact with the Ministry of Health in Kuwait. The epidemiological investigation of the patient?s exposures and travel history in Kuwait is ongoing.
WHO is working with Ministry officials in the Republic of Korea, Kuwait and United Arab Emirates and providing technical advice and guidance for investigations in the three Member States to determine the patient?s movements, exposures and to minimize the occurrence of secondary infections.
[h=3]WHO risk assessment[/h] The virus does not pass easily from person to person unless there is close contact, such as providing unprotected care to an infected patient. Infection with MERS-CoV can cause severe disease resulting in high rates of morbidity and mortality. Community-acquired human infections with MERS-CoV have occurred from direct or indirect contact with infected dromedary camels. MERS-CoV can also transmit between humans, through unprotected contact with an infected person. So far, the observed non-sustained human-to-human transmission has occurred mainly in health care settings. Human-to-human transmission can be stopped with adequate infection prevention and control measures.
The notification of a confirmed case in the Republic of Korea does not change WHO?s overall global risk assessment for MERS. As a result of comprehensive contact tracing and testing of high risk contacts, additional cases may be identified in relation to this one case. Additional infections identified as part of the ongoing public health response will not change the overall global public health risk, which is low.
WHO expects that additional cases of MERS-CoV infection will be reported from the Middle East and that sporadic cases will continue to be exported to other countries by individuals who have acquired the infection after exposure to infected animals, animal products or human cases (for example, in a health care setting). To date, no cases have been associated with Hajj.
WHO continues to monitor the epidemiological situation and conduct risk assessments based on the latest available information.
[h=3]WHO advice[/h] Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for acute respiratory infections and to carefully review any unusual patterns. WHO recommends the collection of exposure information, including recent travel history, contact with dromedary camels and visits to health care facilities in countries where MERS-CoV is circulating.
Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV between people in health care facilities. It is not always possible to identify patients with MERS-CoV infection early because, like other respiratory infections, the early symptoms of MERS are nonspecific. Therefore, health care workers should consistently apply standard precautions with all patients, regardless of their diagnosis. Droplet precautions should be added to the standard precautions when providing care to patients with symptoms of acute respiratory infection; contact precautions and eye protection should be added when caring for probable or confirmed cases of MERS-CoV infection; airborne precautions should be applied when performing aerosol generating procedures.
Community and household awareness of MERS and MERS prevention measures in the home may reduce household transmission and prevent community clusters.
People with underlying illness such as diabetes, renal failure, chronic lung disease, or who are immunocompromised are considered to be at high risk of severe disease from MERS-CoV infection. Therefore, in addition to avoiding close contact with suspected or confirmed human cases of the disease, people with these conditions should avoid close contact with animals, particularly camels, when visiting areas where the virus is known to be potentially circulating. General hygiene measures, such as regular hand washing before and after touching animals and avoiding contact with sick animals, should be adhered to. Food hygiene practices should be observed. People should avoid drinking raw camel milk or camel urine, or eating meat that has not been properly cooked.
WHO does not advise any screening at points of entry with regard to this event nor does it currently recommend the application of any travel or trade restrictions, such as quarantine or travel bans. WHO recommends that travellers to or from Middle East be informed on preventive measures to avoid exposure to MERS-CoV and when or where to seek medical attention in case of respiratory or gastrointestinal symptoms. Information can be provided via travel health clinics, travel agencies, conveyance operators or at points of entry. WHO also recommends that routine core capacity requirements are in place at designated points of entry.
If a passenger on board an aircraft has symptoms suggestive of MERS-CoV infection, the pilot should follow the International Air Transport Association (IATA) guidelines for infection control and notify public health authorities at the destination airport via air traffic control, in accordance with the International Civil Aviation Authority Procedures for Air Navigation Services ? Air Traffic Management (ICAO PANS-ATM).
As of August 2018, the total global number of laboratory-confirmed cases of MERS-CoV reported to WHO since 2012 is 2249, including 798 MERS-CoV associated deaths. The global number reflects the total number of laboratory-confirmed cases and deaths reported to WHO under the IHR (2005); the total number of deaths includes the deaths that WHO is aware of through follow up with affected Member States.

 

[sharon sanders]

Ministry of Health MERS daily update translated from Korean.

[FONT=&quot]Date : 2018-09-13[/FONT]​

[FONT=&quot]Modified : 2018-09-13[/FONT]​

[FONT=&quot]Department : Crisis response and general[/FONT]​

[FONT=&quot]contact : 043-719-9061[/FONT]​

[FONT=&quot]Views : 924[/FONT]​

 Patient Status
○ (confirmed patient) 1
Name Sex Age Age Isolation Hospital Confirmation Date
O O Male 61 years old Seoul National University Hospital 9.8.
○ (suspected patient related to confirmed patient): No additional report, all voice confirmed
(Unit: persons)
Date
Suspicious patient mers test
system
Closely
Contactor
daily life
During contact test positive test
9.12 (Wed) 18:00 Standard 11 1 10 11 0 11 0
9.13 (Thu) 12:00 Standard 0 0 0 0 0 0 0
Total 11 1 10 11 0 11 0

 Close and Daily Contact Status
○ Close contact (active monitoring *): total 21 persons, day before day
* Active surveillance: A person with a high degree of contact with a confirmed patient.
Occurrence Monitoring
- 10 in Seoul, 7 in Incheon, 2 in Busan, 1 in Busan, 1 in Gwangju
○ Daily contact (active monitoring *): 431 persons, 428 persons → 431 persons (+3 people) from the previous day (18 hours)
* Active surveillance: people who have low contact with confirmed patients, daily symptom monitoring
* Of daily contact persons: Unidentified persons: 4 foreigners (under the cooperation of the police agency and MOFA)
- 343 passengers → 345 persons (+2 persons *), and 85 other people → 86 people (+1 persons **)
* 2 passengers on departure of the aircraft used by the confirmed passengers
** Taxi passengers

Ⅱ. Major Actions
□ Inspection of closely-contacted power supply mails
○ After the average incubation period (6 days), a thorough
Performed mails inspection for cutting
* Test results will be confirmed tomorrow
- (Time) On the 6th day (mean latency period) after the confirmed patient on September 13 and 13
(Before the end of incubation period) will be carried out twice on September 20
□ Epidemiological Investigator, Private Experts Dispatch to Kuwait (9.13 days)
○ Checking the health and management status of local residents in local residents, local
To check the epidemiological survey information, two epidemiologists of disease management headquarters,
One expert sent to Kuwait
□ Unidentified daily contact (foreigner) reduced to 4 persons, plus 1 passenger in taxi
○ Of 27 foreign daily contacts who were not identified until September 12,
23 persons were identified and 4 unidentified persons were identified as current daily contact persons
○ After confirming the boarding pass, all 24 customers using the same taxi are contacted.
1 additional person has been confirmed and 28 people in total (28 people are in good condition)
* 27 persons are managed as daily contact persons (one is continuously monitoring while staying overseas)

Ⅲ. National People's Assembly
□ The Disease Control Headquarters shall thoroughly investigate and manage contact persons with local governments such as Seoul City.
"We are doing our best to prevent further propagation,
○ People are obliged to follow personal hygiene regulations, such as washing hands when visiting the Middle East.
Farm visitation, camel contact and raw camel meat and raw camel oil intake
Bans, and visits to local medical institutions other than for medical purposes.
To comply,
- Cooperate with quarantine such as filling health status questionnaire faithfully when entering the country,
Within 2 weeks, if you have any suspicious symptoms such as fever, coughing, shortness of breath, etc.,
Do not visit, and ask to be reported to 1339 or public health center.
○ In addition, in case of a medical institution employee,
Foreigners check the travel history of the Middle East through paperwork, etc.
If you have any doubts, you should contact your local health center or 1339.
* This press release is intended to provide a quick, accurate, and transparent disclosure of relevant incidents.
And may be corrected or supplemented by additional epidemiological studies.​


http://www.cdc.go.kr/CDC/notice/CdcK...937&cid=140689

 

[sharon sanders]

The above report says that South Korea has sent 3 personnel to Kuwait to investigate the situation since the last human coronavirus MERS case tied to Kuwait was in 2016:

#1818 - Male, 18, hospitalized in Thailand upon arrival from Kuwait WHO


Since the current patient had no contact with camels in Kuwait it is a mystery how he contracted the disease.

 

[sharon sanders]

Update from the CDC: 11 suspected coronavirus MERS contacts still being monitored

[FONT=&quot] Date of issue: 2018-09-14Revisiondate : 2018-09-14Department in charge : Crisis response general office andcontact number : 043-719-9061Views : 939
[/FONT]​

[FONT=&quot]Central Disaster Prevention Headquarters announced the middle status for MERS[/FONT]


[FONT=&quot]Central Dispatch Headquarters and MERS Announcement of Intermediate Status [/FONT]

[FONT=&quot]- Prevention of spreading by prevention of intensive contact person's primary inspection by voice and contact concentration management - [/FONT]

[FONT=&quot]◇ 21 close contacts of patients with confirmed MERS (9.20days) [/FONT]
[FONT=&quot]◇ Local communities are likely to spread on a large scale, but the maximum latency period should be monitored until 14th (9.22 at 0:00). Central government and municipalities should respond to the prevention of spread of mussels. [/FONT]
[FONT=&quot]◇ Contact should cooperate with the health authorities If symptom occurs, immediately report to 1339 or the public health center. Check the DUR of the medical institution and thoroughly check the hospital infection management. [/FONT]

[FONT=&quot]□ The Disease Control Headquarters (General Manager Jeong Eun-kyung) announces the middle progress countermeasure response of the Central Disaster Prevention Headquarters, We would like to express our gratitude to the people who have actively cooperated with the close contacts of 21 people in action, the daily contacts of 427 people (based on 9.13 18:00) and the health authorities' Also offered to urge the cooperation of the people. [/FONT]

[FONT=&quot]□ The mid-term status of the Central Disaster Prevention Headquarters is as follows. [/FONT]

[FONT=&quot]○ (confirmed patient) On September 8, the patient who was diagnosed with Mers 'disease was hospitalized at Seoul National University Hospital' s nationally designated inpatient treatment hospital (sound pressure) and is in stable treatment. [/FONT]

[FONT=&quot]○ (close contact) MERS The average latency period (6 days), September 13, was conducted for all 21 contact persons and it was verified that all were negative.[/FONT]

[FONT=&quot]- This test was conducted as part of a thorough monitoring and thorough monitoring of the psychological stability of the isolated contact person, and will be quarantined at the time of voice confirmation after the second test on September 20, two days before the incubation period. [/FONT]

[FONT=&quot]* September 20 additional test → September 21 results analysis, negative judgment → September 22 at 0 hours quarantine [/FONT]

[FONT=&quot]○ Confirmation of mellus Among 11 patients who were classified as suspect patients, Respectively. [/FONT]

[FONT=&quot]* Doubtful patients (11 persons): 1 contact person, 10 daily contact persons. [/FONT]

[FONT=&quot]○ (Epidemiological survey) The Disease Control Headquarters together with the Seoul Metropolitan Government will provide information on the route of patient infections, patient interviews for investigating contact persons, CCTV analysis, etc. were conducted in-depth epidemiological studies on patient [/FONT]

[FONT=&quot]-dispatch health and management conditions of the confirmed patient contacts staying in Kuwait inspection, local epidemiology information, including two people Centers for disease Control and epidemiology investigator for the private professional one in Kuwait (9.13). [/FONT]

[FONT=&quot]- It is determined that the infection route of the patient is not domestic, and specific infection sources and infection route will be analyzed in cooperation with the Kuwait government and the World Health Organization (WHO).[/FONT]

[FONT=&quot]○ (Possibility of proliferation) The Center for Disease Control and Prevention (hereinafter referred to as the "Center for Disease Control and Prevention") conducted a mid-term review meeting with the Special Committee for Infectious Diseases Control Crisis Management and the Advisory Committee on Private Experts (9.14) The possibility of a large-scale spread is low, but it is said that it will do all-in-one to contactor management and medical institution infection control because there is possibility of additional patient until the longest latency period. [/FONT]
[FONT=&quot]- In this case, the patient was treated in a sound pressure isolating room and the exposure of the medical institution was blocked. The respiratory symptoms such as coughing were relatively mild. [/FONT]

[FONT=&quot]- The number of contacts with other people in the process of moving to the hospital was small. The same findings were also confirmed in the negative voice of all the suspected patients (11 patients) who had been diagnosed with mast cell carcinoma. [/FONT]

[FONT=&quot]* (In Korea Homers Fashion '15) Most of the spread of infection in hospitals is infection (92.5%) patients, and the patients with pneumonia, coughing ‧ spread the virus in confined spaces such ipwonsil, emergency caused by a large-scale epidemic medical center [/FONT]

[FONT=&quot]□ Following the September 8 confirmed cases of mellus infection, the central government and municipalities jointly implemented the following measures to combat mans infection. [/FONT]

[FONT=&quot]○ (Response System) On September 8, the Disease Control Headquarters upgraded the warning level of the infectious disease crisis from "attention" to "attention" level and established the Central Disaster Prevention Headquarters. [/FONT]

[FONT=&quot]- The Ministry of Health and Welfare and the Ministry of Public Administration and Security are working together with the Ministry of Justice, the Ministry of Foreign Affairs, the National Police Agency, and 17 cities and provinces to prevent the spread of mussels by establishing the MERS Support Center (9.8) and the MERS Support Center (9.10).[/FONT]

[FONT=&quot]* Prime Minister chaired urge active cooperation of government meeting (9.9) [/FONT]

[FONT=&quot]- In addition, infection, epidemiology consisting of experts' infectious risk management measures Committee (9.11, 9.14), '' Homers experts meeting (9.11, 9.14) " and "health-related organizations Homers corresponding conference (9.10, KMA, byeonghyeop, ganhyeop, Pharmacy Association), through and strengthening the public-private partnership, and we discussed the infection Control and Prevention measures of health authorities [/FONT]

[FONT=&quot]- including with the WHO Kuwaiti contacts We are trying to prevent the spread of mails to the international community by sharing contact information and domestic response with 11 related countries. [/FONT]

[FONT=&quot]○ (Contact management) As of September 13, 21 closely monitored contacts and 427 daily contacts are being monitored daily by the Disease Control Headquarters, the Ministry of Public Administration and Security, and the local governments. [/FONT]

[FONT=&quot]- close contact is isolated on a home or facility jungyimyeo 1, the competent public health centers: Specify one representative to conduct active surveillance for incubating twice Telephone monitoring (caused symptoms such as fever, respiratory or not) every day for (14), and [/FONT]

[FONT=&quot]- daily contacts Is conducting active surveillance monitoring by a local [/FONT]

[FONT=&quot]government official on a daily basis and - concentrating on contact management such as inspecting a suspicious symptom and inserting a nationally designated hospital treatment (sound pressure) when a suspicious symptom occurs. [/FONT]

[FONT=&quot]○ (Medical resources acquisition) In order to cope with sequestration treatment of patients with confirmed MERS and additional patient outbreak, 196 (158 rooms) nationwide inpatient treatment beds (sound pressure) were operated in 28 medical institutions across the country,[/FONT]

[FONT=&quot]- Provide personal protection zones (protective clothing sets, N95 masks, etc.) to local governments, medical institutions, and related organizations to ensure the spread of infectious diseases. [/FONT]

[FONT=&quot]○ (quarantine management) and transmits the Homers infection care guide characters through the Middle East leave during outbound destination Foreign Ministry Consular Call Center [/FONT]

[FONT=&quot]- Inbound during one one individual temperature measurements, performing the inspection survey and checking server health status question [/FONT]

[FONT=&quot]- Immigration Later, using the quarantine information system, it sends the notification letter (4 times) in case of the symptom after entering the country, and the medical institution is operating the early detection and suspicion system of suspected patients. [/FONT]

[FONT=&quot]* Provided by HIRA (Drug Safety Service) and ITS (Overseas Travel Information Service) and health insurance claimant eligibility inquiry system. [/FONT]

[FONT=&quot]□ Disease Management Headquarters shall thoroughly investigate and manage contacts with local governments to prevent further propagation I would like to [/FONT]

[FONT=&quot]express my gratitude to the active cooperation of the close contacts of the confirmed patients and to the cooperation of the health authorities during the remaining incubation period and follow the instructions and the fever, cough, shortness of breath If you have any suspicious symptoms of MERS, do not visit the medical facility yourself. * Be sure to call 1339 or the public health center immediately. [/FONT]


http://www.cdc.go.kr/CDC/notice/CdcKrIntro0201.jsp?menuIds=HOME006-MNU2804-MNU2937&cid=140717

 

[sharon sanders]

Further update adds 2 people to the list of suspected coronavirus MERS patients for a total of 13:

[FONT=&quot]Date : 2018-09-15Modified : 2018-09-15Department : Crisis response and generalcontact : 043-719-9061Views : 285[/FONT]​

[FONT=&quot]MERS Daily Status[/FONT]

snip


Date
Suspicious patient mers test
system
Closely
Contactor
daily life
During contact test positive test
9.14 (Fri) Based on 18:00 11 1 10 11 0 11 0
9.15 (Sat) 12:00 Standard 2 0 2 2 0 2 0
Total 13 1 12 13 0 13 0

http://www.cdc.go.kr/CDC/notice/CdcK...937&cid=140734

 

[sharon sanders]

S. Korea lifts quarantine on confirmed MERS patient


SEOUL, Sept. 18 (Yonhap) -- South Korean health authorities said Tuesday that the sole Middle East Respiratory Syndrome (MERS) patient in the country has been released from quarantine after testing negative for the respiratory disease.

more...

http://english.yonhapnews.co.kr/sear...80918006600320




[FONT=&quot]----------------------------------------------

Confirmation by government: [/FONT]


[FONT=&quot]○ On September 8, a patient who was diagnosed as Mels and received inpatient treatment at SNU Hospital's hospitalized hospitalized hospital (sound pressure) reported that the moxibustion of the patient had recently been lost [/FONT]

[FONT=&quot]. We carried out the muss test twice on September 16 (Sunday) and September 17 (Monday), and both were confirmed by voice. [/FONT]

[FONT=&quot]* After the symptom of the confirmed patient has disappeared, 48 hours have elapsed. When the specimen (sputum) PCR test shows that [/FONT]

[FONT=&quot]the patient is twice asleep every 24 hours , the quarantine is released. Transfer to the general ward and continue the necessary treatment.

more...[/FONT]

http://www.cdc.go.kr/CDC/notice/CdcKrIntro0201.jsp?menuIds=HOME006-MNU2804-MNU2937&cid=140768

 

[sharon sanders]

All 14 suspected cases have tested negative:


>KCDC> MERS Daily Report Sept 17 Press Release

Suspected Cases : All cases tested negative (Unit: Persons)

http://www.cdc.go.kr/CDC/eng/info/C...fid=8652&q_type=&q_value=&cid=140759&pageNum=