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Eerste uitslagen MERS-testen zijn gunstig Uit de eerste testresultaten bij mensen die nauw contact hebben gehad met de twee MERS-patiënten, zijn vooralsnog geen nieuwe besmettingen gebleken. Dat heeft het Rijksinstituut voor Volksgezondheid en Milieu (RIVM) op 17 mei laten weten. (Advertentie) Uit deDe groep van in totaal 80 mensen, waaronder het reisgezelschap, een aantal familieleden en mensen die contact hebben gehad met de twee patiënten voordat de ziekte bekend was, wordt de komende 2 weken nog een aantal keer getest. - lees verder
The Camels and the ContagionInside the international hunt for the source of MERSHis name, two years later, is guarded within the privacy of medical files and a family compound of bereaved relatives, his wives, and his children. He was 60 years old. He was a businessman. He lived in Bishah, a small city southeast of the great Saudi port metropolis of Jeddah, and when he became too sick for the Bishah doctors to care for him properly, he was transported to Jeddah, feverish and coughing. There he lay, inside one of the tall white buildings of the Dr. Soliman Fakeeh Hospital, where a diagnostic physician called onto his case happened to be a virology specialist, an Egyptian physician named Ali Mohamed Zaki, who liked to pay close attention to the latest reports of pernicious infectious disease.All this was at the very beginning, a single week in the middle of June 2012, long before the sick man was understood to be the "index patient."lees verder
RIVM @rivmMERS-patienten aan de beterende hand http://www.rivm.nl/Documenten_en_publicaties/Algemeen_Actueel/Nieuwsberichten/2014/MERS_patienten_aan_de_beterende_hand3:12pm · 22 May 2014
Saudi Arabia announces 92 more MERS deaths, sacks deputy health ministerHealth Ministry data show more fatalities and cases than previously reportedSaudi Arabia has sacked its deputy health minister and hiked the country’s death toll from Middle East Respiratory Syndrome (MERS) after uncovering more than 90 additional fatalities.The number of victims from the virus was raised to 282 from 190 following a review of health data. In all, an additional 113 confirmed cases of MERS had been found, bringing the total to 688.lees verder
MERS-patiënten ontslagen uit ziekenhuisDe twee patiënten bij wie drie weken geleden het MERS-virus werd vastgesteld, zijn thuis. Dat meldt het Rijksinstituut voor Volksgezondheid en Milieu (RIVM) donderdag. Dat de twee aan de beterende hand waren was al bekend.lees verder
MERS Virus Found in Camel MilkThe virus that causes Middle East respiratory syndrome (MERS) has been found in camel milk. Scientists don’t know whether infected milk can sicken people, but experts say the results are reason enough to warn against drinking raw camel milk, a widespread tradition in the Middle East. The Qatari government has already issued new guidelines recommending that milk be boiled before consumption.The new findings come from a group of researchers at Qatar's Supreme Council of Health; the country's Ministry of Environment; Erasmus MC in Rotterdam, the Netherlands; and the Dutch National Institute for Public Health and the Environment. They were announced at a press conference in Doha on Wednesday, and a paper about them was submitted to the journal Eurosurveillance today, says Erasmus MC virologist Chantal Reusken, the first author.lees verder
Middle East respiratory syndrome coronavirus (MERS-CoV) – updateDisease Outbreak News13 June 2014The National IHR Focal Points of Saudi Arabia, the United Arab Emirates (UAE) and the Islamic Republic of Iran recently reported additional laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV) to WHO.Details of the cases reported by Saudi Arabia are as follows:Between 11 April and 9 June 2014, 515 cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV) have been reported from Saudi Arabia to WHO. This includes 402 laboratory-confirmed cases reported on various dates, and 113 cases that have been identified through retrospective review of hospital records, and which was reported by Saudi Arabia on 3 June. Further information on these cases will be provided as information becomes available as part of the collaboration between the Saudi authorities and WHO on the MERS-CoV response.This update covers 402 laboratory-confirmed cases, including 114 deaths.Thirty-five cases were reported from Madina, 132 from Riyadh, 208 from Mecca Province (including 154 from Jeddah, 39 from Mecca, 8 from Qunfudhah and 7 from Al Taif), 10 from Tabuk, 6 from Al Jawf, 3 from Najran, and 3 from Ash Sharqiyah. The location from where 5 cases were reported was not specified.The median age of the 402 cases is 46 years old (ranging from 9 months to 94 years old) and 58.3% of those with information on sex (n=388) are men. Almost half (44.5%) of the cases with reported information (n=398) experienced severe disease including 114 cases who died; and 114 cases (28.6%) were reported to be asymptomatic or have mild disease. Underlying medical conditions were only reported for 149 of the 402 cases, of which 140 cases were reported to have at least one underlying medical condition.More than 25% (109)of the 402 reported cases are health care workers. Among the 109 health care workers, 63 were reported as asymptomatic or developing mild symptoms, 35 were reported with moderate symptoms (requiring hospitalization but not admission to an intensive care unit), 7 were reported as having severe disease and 4 died.Details of the case reported by the UAE on 4 June 2014 are as follows:The patient is a 36 year-old butcher residing in Abu Dhabi. He works in a local slaughter house for camels and sheep. He was asymptomatic. His sputum was tested positive for MERS-CoV on 20 May 2014 as part of a general screening in slaughter houses. The patient had no contact with a previously laboratory-confirmed MERS-CoV case. He had no history of travel. The patient is currently isolated and is in a stable condition.Investigations and follow up of contacts of the patient have been carried out and no other case was detected.Details of the case reported by the Islamic Republic of Iran on 4 June 2014 are as follows:The patient is a 35 year-old nurse assistant. She developed a mild illness on 26 May 2014 followed by a productive cough on 28 May 2014. Her throat swab taken on 26 May 2014 was tested positive for MERS-CoV.She has been advised to stay home and follow infection control precautions. The patient is a close contact to the first laboratory-confirmed MERS-CoV case in the country reported to WHO on 26 May 2014. The patient did not have an underlying medical condition. She had no history of contact with animals and no history of consumption of raw camel products in the 14 days prior to becoming ill. She became asymptomatic on 3 June 2014 and her condition is currently stable.Investigations into her contacts among health care workers and family members is on-going.Globally, 697 laboratory-confirmed cases of infection with MERS-CoV including at least 210 related deaths have officially been reported to WHO. This global total includes all the cases in this update; of the abovementioned 402 cases reported by Saudi Arabia, 390 cases have been included in previous Disease Outbreak News (DON) updates published since 14 April 2014.WHO adviceBased 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.Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in health care facilities. It is not always possible to identify patients with MERS-CoV early because like other respiratory infections, the early symptoms of MERS-CoV are non-specific. Therefore, health-care workers should always apply standard precautions consistently 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.Until more is understood about MERS-CoV, people with diabetes, renal failure, chronic lung disease, and immunocompromised persons are considered to be at high risk of severe disease from MERS‐CoV infection. Therefore, these people should avoid close contact with animals, particularly camels, when visiting farms, markets, or barn 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 special screening at points of entry with regard to this event nor does it currently recommend the application of any travel or trade restrictions.
With MERS threat, Morocco advises against HajjMorocco's health minister has advised Muslims in his country not to go on pilgrimage to Saudi Arabia this year, given the threat of MERS-CoV, according to an Agence France-Presse (AFP) report today.The minister, Lahoucine Louardi, issued the advice yesterday, the same day the World Health Organization (WHO) said MERS-CoV (Middle East respiratory syndrome coronavirus) remains a serious concern, particularly in view of the large number of pilgrims expected to go to Saudi Arabia this summer and fall, AFP reported. WHO experts said the disease is not an international health emergency, however. lees verder
Vaccinatieadvies voor Hadj-reizigers naar MekkaDe Reispoli adviseert reizigers die voor de Hadj naar Mekka gaan, zich te laten vaccineren tegen meningokokkenziekte, difterie, tetanus en polio (DTP) en eventueel hepatitis A en buiktyfus.Saoedi-Arabië stelt de vaccinatie tegen meningokokkenziekte verplicht bij het aanvragen van een visum. Meningokokkenziekte kan hersenvliesontsteking en/of bloedvergiftiging veroorzaken, wat levensbedreigend kan zijn. Polio is een ernstige ziekte die tot verlamming kan leiden.MERS-CoronavirusDaarnaast is sinds september 2012 in Saoedi-Arabië een uitbraak gaande van het MERS-Coronavirus (Middle East Respiratory Syndrome-Coronavirus). Infectie met dit virus kan een ernstige longontsteking veroorzaken. Reizigers met gezondheidsproblemen of chronische ziekten worden geadviseerd om met hun behandelend (huis)arts te overleggen of het maken van een reis naar Mekka op dit moment wel verstandig is. Daarnaast adviseert Saoedi-Arabië zwangeren, kinderen jongeren dan 12 jaar en personen ouder dan 65 jaar de reis uit te stellen.....Meer informatieKlik hier voor de folder 'Naar Mekka of Medina voor Hadj of Umrah - Gezondheidsadviezen voor pelgrims'.
