Showing posts with label Oman. Show all posts
Showing posts with label Oman. Show all posts

Friday, February 27, 2015

Oman Worries Over H5N1 Blowin’ In The Wind

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Dust Movement Across The Globe – Credit NASA

 

 

# 9764

 

An unusual story has appeared in Omani press his week, where worries are expressed that avian flu (or MERS) might be carried in from other regions via the long-lived dust storms that frequent the Middle East during the spring.

 

While there isn’t a lot of evidence to support the notion that viable avian flu viruses could be carried sucessfully over long distances by dust storms, the idea isn’t completely far-fetched.


Some viruses have been documented capable of traveling significant distances on the wind. As an example, the USDA/APHIS  Overview of the FMD Response Plan: The Red Book lists Foot & Mouth Disease (FMD) as being windborne, stating:

 

FMDV has also been known to spread through windborne transmission, where the virus infects naïve animals located some miles from known infected animals without any history of contact. The distance of windborne transmission over land surfaces depends on the atmospheric conditions and the amount of virus emitted into the air by the infected animals. Sources suggest FMDV may spread to distances of approximately 60 kilometers over land in favorable conditions and potentially even greater distances over water.

 

Granted, FMDV is more heat tolerant than influenza viruses, but this shows it is possible for viruses to be carried – intact – for hundreds of kilometers.  First a link to the Oman story, then I’ll be back with some more research on the long distance propagation of viruses via the wind.

 

Oman health: Dust storms pose risks of bird flu; hospitals under siege

by Rahul Das | February 24, 2015 , 9 : 32 pm GST  Muscat: Hospitals in Oman say they are under siege as the changing weather has sparked off health alerts, even as a specialist warned that the walls of dust that barrelled across the Sultanate can transmit a variety of airborne infections, including bird flu.


Dr Thashli Thankachen, physician – internal medicine, Lifeline Medical Centre, said that the dreaded bird flu can drift in a sandstorm from an affected area to another region not previously under an epidemic attack.

"Viruses, bacteria and fungal spores are blown over from one place to another place along with climatic fluctuations increasing the risk of a whole range of infections like respiratory tract infections, conjunctivitis and influenza, in addition to  Severe Acute Respiratory Syndrome (SARS),  foot  and mouth disease, brain fever (Meningitis) etc," he told the Times of Oman on Tuesday.


The warning was issued after hospitals and clinics witnessed a significant increase in footfalls of patients after the temperature dropped by 18° Celsius in the last 72 hours in Muscat.

(Continue . . . )

 

Long time readers will recall that back in January of 2008 I wrote a blog called The Virus My Friend, Is Blowin' In The Wind where I cast a dubious eye upon claims by the Indian Government that the bird flu virus (H5N1) was being blown by the wind across the border from neighboring Bangladesh, and was infecting hapless Indian Poultry.

 

It wasn’t impossible, of course.  And I went into some of the other types of pathogens (mostly fungi and bacteria) that are known to travel in the wind.

 

Of course, bacteria and fungi can be pretty hearty organisms.  Viral particles are usually far more fragile; more susceptible to UV rays, desiccation, and are further encumbered by being unable to replicate outside of a host.

 

Fast forward to May of 2010 (see Viruses Blowin’ In The Wind?) and we saw a report in the journal Environmental Health Perspectives, that suggested that it was possible for H5N1 (or any Influenza A virus) to be transported across long (hundreds of kilometers) distances in the air.

 

Although researchers demonstrated influenza RNA could be detected in ambient air samplings, they didn’t establish that the virus remained viable over long distances.

 

In December of 2012 we revisited the idea again (see Barnstorming Avian Flu Viruses?) when we looked at a study in the Journal of Infectious Diseases called Genetic data provide evidence for wind-mediated transmission of highly pathogenic avian influenza that found patterns that suggested farm-to-farm spread of the 2003 H7N7 outbreak due to the prevailing wind.

 

Another study of the same outbreak, Modelling the Wind-Borne Spread of Highly Pathogenic Avian Influenza Virus between Farms (PloS One 2012), found that windborne transmission could have accounted for up to 24% of the transmission over distances up to 25 km

 

We have also seen studies indicating that the H5N1 virus can – under the right environmental conditions – remain viable for hours or even days in the environment (see EID Journal: Persistence Of H5N1 In Soil and H5N1: Hiding In Plain Sight

 

So, the science is far being a slam-dunk one way or the other on the issue.   Short-distance carriage (20-30km) seems plausible, and while I’m somewhat skeptical, longer-distance travel doesn’t seem to have been completely ruled out. 

 

But it would probably take ideal environmental conditions - and a coalescing of a lot of unlikely factors – for an infectious dose of H5N1 to successfully migrate across several hundred kilometers of desert on the back of an Arabian dust storm. 

Friday, January 23, 2015

WHO: Oman Reports 3rd MERS Case Of 2015

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# 9620

 

My thanks to Lisa Schnirring of CIDRAP News for tweeting the link to a World Health Organization GAR report on the third MERS case to be reported out of Oman this month.  The first two cases were described in a WHO GAR report on January 16th.

 

Details of the case are as follows:

  • A 32-year-old male from Dakhelyia Region who developed symptoms on 27 December and was admitted to hospital on 5 January. The patient had comorbidities. He owned a farm and had frequent contact with camels, goats and sheep. The patient had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. He was admitted to ICU but passed away on 7 January.
  • A 31-year-old female from Dakhelyia Region who developed symptoms on 8 January and was admitted to hospital on 9 January. The patient has no comorbidities. She is a household contact of the MERS-CoV case reported above. The household owns camels but she had no direct contact with them. The patient is in stable condition and remains in isolation.

 

This third case is apparently another contact of the first two cases.

 

Middle East respiratory syndrome coronavirus (MERS-CoV) – Oman

Disease outbreak news
23 January 2015

On 17 January 2015, the National IHR Focal Point of Oman notified WHO of 1 additional case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection.

Details of the case are as follows:

A 43-year-old male from Dakhelyia Region. The patient is a direct contact of a laboratory-confirmed, fatal MERS-CoV case and was identified through contact screening. He was admitted to hospital on 16 January and discharged on 19 January but the patient remains asymptomatic. He has no comorbidities. The patient visited the fatal case at home and participated in the funeral rites. He has no history of exposure to other known risk factors in the 14 days prior to a respiratory sample being taken.

Tracing and monitoring of household contacts and healthcare contacts is ongoing for this case.

Globally, WHO has been notified of 956 laboratory-confirmed cases of infection with MERS-CoV, including at least 351 related deaths.

 

Unlike the first two cases, this patient is reported to have been asymptomatic.  This cluster represents only the 3rd, 4th, and 5th cases reported out of Oman since MERS-CoV was identified in 2012. 

Friday, January 16, 2015

WHO MERS Updates – Oman & Saudi Arabia

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Credit CDC PHIL

 

 

# 9586

 

The World Health Organization has posted details on five previously announced MERS cases;  2 from Oman, and 3 from Saudi Arabia.  While Saudi Arabia has been reporting sporadic cases since August (after a lull of a couple of months), these are the first cases from Oman in a year.

 

Middle East respiratory syndrome coronavirus (MERS-CoV) – Oman

Disease outbreak news
16 January 2015

Between 7 and 10 January 2015, the National IHR Focal Point of Oman notified WHO of 2 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including 1 death.

Details of the case are as follows:
  • A 32-year-old male from Dakhelyia Region who developed symptoms on 27 December and was admitted to hospital on 5 January. The patient had comorbidities. He owned a farm and had frequent contact with camels, goats and sheep. The patient had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. He was admitted to ICU but passed away on 7 January.
  • A 31-year-old female from Dakhelyia Region who developed symptoms on 8 January and was admitted to hospital on 9 January. The patient has no comorbidities. She is a household contact of the MERS-CoV case reported above. The household owns camels but she had no direct contact with them. The patient is in stable condition and remains in isolation.

Contact tracing of household contacts and healthcare contacts is ongoing for these cases.

Globally, WHO has been notified of 950 laboratory-confirmed cases of infection with MERS-CoV, including at least 350 related deaths.

 

The latest case in the following update was reported on January 5th.  Since that time we’ve seen an additional 6 cases reported out of Saudi Arabia.   

 

 

Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia

Disease outbreak news
15 January 2015

Between 3 and 5 January 2015, the National IHR Focal Point for the Kingdom of Saudi Arabia (KSA) notified WHO of 3 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection.

Details of the cases are as follows:
  • A 69-year-old male from Najran city who developed symptoms on 23 December and was admitted to hospital on 2 January. The patient has comorbidities. Although his neighbours rear camels, the patient has neither a history of direct contact with them nor of consuming raw camel products. In the 14 days prior to the onset of symptoms, he travelled to Yemen. He has no history of exposure to other known risk factors in the 14 days that preceded the onset of symptoms. Currently, the patient is in stable condition and remains in an isolation ward.
  • A 76-year-old male from Taif city who developed symptoms on 26 December and was admitted to hospital on 31 December. The patient has comorbidities as well as a history of frequent contact with camels and raw camel milk consumption. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in ICU and remains in critical condition.
  • A 45-year-old male from Dammam city who developed symptoms on 31 December and was admitted to hospital on 1 January 2015. The patient has no comorbidities. Although he frequently visits his friends’ camel farm, the patient has no history of direct contact with camels. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, he is in stable condition and remains in isolation.

Cases are listed by date of reporting, with the most recent case listed first.

 

 

Last year we saw the number of MERS cases jump sharply in April  & May (see chart below), exacerbated – in part – by lapses in infection control procedures at Saudi Health Care Facilities.   The Ministry of Health appears to be taking a harder line on infection control protocols this year (see Saudi MOH Closes Riyadh Dialysis Center Over MERS Concerns).

 

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Credit BCCDC


We should know in a few months is they were successful.

Sunday, January 11, 2015

Oman Reports 2nd MERS Case of 2015

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# 9561

 

On Thursday we learned that after a year with no reported cases,  Oman Reported their 3rd Coronavirus Case.  Today, the Oman News Agency reports discovery of another case – a contact of the 3rd case – who is reportedly hospitalized in stable condition.  

The relationship of this patient (family member, HCW, etc.)  to the previous one is not mentioned.

 

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Muscat on January 11/Oman/Ministry of Health said in a statement issued today confirmed its New corona virus causes AIDS Middle East to total injuries 


The Sultanate to four cases since the outbreak of the virus.


It should be noted that this case is for one of the contacts for the advertised by several Days, and the situation is stable and in remarkable improvement and are subject to the control and treatment in the hospital Reference.


The Ministry emphasizes continued its efforts to control and fight the disease through effective epidemiological surveillance system And the readiness of all the reference hospitals for dealing with such cases.


It commends the role of the community in contributing to the prevention of the spread of certain infectious diseases to infections The need for preventive action and follow healthy habits when sneezing and coughing, the maintained Public and personal hygiene, especially hand hygiene, since even today there is no vaccine or Specific treatment for the disease.


It also advises caution when dealing with animals and especially beauty. Emphasis on people Suffering from respiratory symptoms as influenza or flu a health behaviours when Sneezing and coughing and keep a distance away from the others and avoid mixing them.


SAS/Oman/SAS

 

Thursday, January 08, 2015

Oman Reports 3rd Coronavirus Case/Fatal

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# 9546

 

Despite it’s proximity to Saudi Arabia, Oman hasn’t exactly been a hotbed of coronavirus activity, with only two other cases (both fatal) reported in the past.  The last case was reported just over a year ago (see Oman Reports Second MERS-CoV Fatality), but today there are media reports of a 3rd – fatal – case.


Oman’s Ministry of Health’s website doesn’t seem to have posted yet, but we have a couple of reports from the Arabic press.

 

This from the Saudi Press agency:

General / death patient was diagnosed with Corona virus in Oman

Muscat, 17 March 1436, corresponding to January 8, 2015, SPA


died of a person infected with HIV (Corona) that causes AIDS Middle East respiratory in the Sultanate of Oman, in the case is the third of its kind in Oman after nearly a full year from the occurrence of the above two cases.
The Ministry of Health of Oman in a statement today continued its efforts to monitor and control the disease through effective surveillance system in place and the readiness of all referral hospitals to deal with such cases.
// // ended

 

And this report from Al-Shabiba.

 

man recorded a third case of death due to La Coruna

08-01-2015

Muscat - Oman

Ministry of Health announced on the status of the death of the patient was diagnosed disease that causes respiratory syndrome Middle East Corona virus where it is the third case of its kind in Oman after nearly a full year of a two extremes

The ministry said in a statement today the continuation of its efforts to monitor and control the disease through effective surveillance system in place and the readiness of all referral hospitals to deal with such cases

She commended the Ministry of Health and the role of members of the community to contribute to the prevention of the spread of infectious diseases, infection, emphasizing the need to adhere to the preventive measures and follow healthy habits when sneezing and coughing and take care of personal hygiene, especially hand hygiene, where he and until the present time has not discovered a vaccine to protect against the disease or specific treatment for him

The ministry noted the need for caution when dealing with animals, especially the beauty and appealed to people who suffer from respiratory symptoms as cases of influenza follow healthy behaviors when sneezing and coughing and keep them off at a distance from the others and avoid mixing with them

 

Despite the relatively small number of human infections reported out of Oman, in 2013 (see Lancet: Camels Found With Antibodies To MERS-CoV-Like Virus) researchers found a high seroprevalence of antibodies to MERS-CoV in Omani camels.  From that report:

 

While no MERS-CoV antibodies were detected among the 160 cattle, sheep, and goat samples gathered from the Netherlands and Spain, specific antibodies to the MERS coronavirus were detected in all 50 of the dromedary camel samples gathered (from multiple locations) in Oman.

 

Although we only have a few years experience with this pathogen, the winter and spring months have provided major upticks in infections across the Arabian peninsula, and a link to the seasonal calving of camels is suspected.

Thursday, January 09, 2014

WHO MERS-CoV Update – Oman

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# 8148

 

The World Health Organization has posted a GAR update on an Omani case we learned about on January 1st (see Oman Reports Second MERS-CoV Fatality) that adds a couple of significant details to what was reported earlier.

 

  • First, we discover this patient fell ill on December 20th, was hospitalized on the 24th, and moved to intensive care on the 28th. The patient died on December 30th, yet a lab confirmation of MERS-CoV wasn’t provided until January 1st.
  • Second, this patient apparently had near daily contact with camels.  While the source of infection remains uncertain, several recent serological studies have found antibodies to MERS or a MERS-Like virus in local dromedary herds (see EID Journal: MERS-Like Antibodies In Camels, UAE 2003-2013).

 

Here is an excerpt from today’s GAR update.  Follow the link to read it in its entirety.

 

Middle East respiratory syndrome coronavirus (MERS-CoV) - update

Disease outbreak news

9 January 2014 - WHO has been informed of an additional laboratory-confirmed case of Middle East Respiratory Syndrome coronavirus (MERS-CoV) in Oman.

The case is a 59 year-old man who became sick with fever, cough and shortness of breath on 20 December 2013 and was admitted to hospital in North Batinha Governorate on 24 December. On 28 December his condition deteriorated and he was transferred to an intensive care unit and was diagnosed with pneumonia. The patient died on 30 December. A laboratory confirmation of MERS-CoV was made on 1 January 2014. The patient had a history of daily exposure to camels and other farm animals and also participated in camel race events. In addition, the man was a heavy smoker.

 

Globally, from September 2012 to date, WHO has been informed of a total of 178 laboratory-confirmed cases of infection with MERS-CoV, including 75 deaths.

(Continue . . . .)

Wednesday, January 01, 2014

Oman Reports Second MERS-CoV Fatality

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# 8120

 

 

My thanks to @MERS_InSaudi for tweeting a link to a story that is now starting to spread across the Arabic press, that of a 59 year-old Omani who has died from the MERS coronavirus.  This marks the second case reported out of Oman with this emerging coronavirus (see Oct 29th Oman Announces 1st MERS-CoV Case). 

 

Both cases have proved fatal.  Two reports, first the one tweeted by @MERS_inSaudi, and another from Al-Sharq.

 

The announcement of the death of a second case of HIV, "Corona" in the Sultanate

Announced the Sultanate today for the death of a second case a virus "Corona" as An official source at the Ministry of Health, explaining that "the citizen's 59-year-old has passed away at the thirtieth of last December because of a lack of lung function caused by severe pneumonia and the results of laboratory confirmed infected with HIV," Corona "The Ministry of Health affirmed its full readiness to deal with these cases and take immediate action by the response team and to take the actions required for each case.

The World Health Organization has announced earlier in the emergence of five new cases of HIV Coruna in the Kingdom of Saudi Arabia and the case in the UAE, and these injuries are extremely dangerous situation for Saudi man age 73 years, and three Saudis working in the medical field did not report any symptoms, This brings the total number of confirmed cases of the virus-infected 176 people, killing 74 people, is noteworthy that the virus appeared in the Middle East in 2012, which belongs to the same family of virus, Severe Acute Respiratory Syndrome "SARS" and the virus can "Mirs" that causes coughing, fever and pneumonia .

Muscat - Country

 

Somewhat curiously, the Al Sharq report below is accompanied by a large photograph of someone receiving what appears to a vaccine. 

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A reassuring image, I suppose, but with no vaccine for this virus – and none expected anytime soon (think years) – this second reports seems more concerned with damage control and soothing the public’s fears than anything else.

 

 

The announcement of a second infection with HIV Corona Oman

Muscat - Qena

An official source at the Ministry of Health of Oman, on Wednesday, the second for the diagnosis of infection with HIV Coruna in the Sultanate.

The source explained that the Omani citizen at the age of 59 years, has passed away yesterday, the first Monday; due to deficiencies in lung function caused by severe pneumonia, and the results of laboratory confirmed the virus infected Corona.

The Ministry of Health is fully prepared to deal with these cases, and immediate action by the response team and to take the actions required for each case.

 

Sunday, November 10, 2013

KSA & Oman Report MERS Fatalities

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# 7956

 

 

Without explanation, the Saudi Ministry of Health updated their MERS-CoV graphic (see above) to reflect a 53rd fatality in the Kingdom.  The last KSA text update came on the 7th of November, announcing new cases in Riyadh and Jeddah, which leaves us right now with no indication as to what patient this graphic change refers to.

 

Meanwhile, Oman reports their first MERS fatality, that of their first local case; a 68 year-old man who was first reported to be infected on October 29th (see Oman Announces 1st MERS-CoV Case). The World Health Organization GAR update on that case described it thusly:

 

The patient in Oman is a 68-year-old man from Al Dahkliya region who became ill on 26 October 2013 and was hospitalized on 28 October 2013. Preliminary epidemiological investigations revealed that he did not recently travel outside the country. However, investigations are currently ongoing to determine what exposures might be responsible for his infection

 

From www.aleqt.com we get the following (machine translated) brief report:

 

The death of the first case of infected Coruna in the Sultanate of Oman

Muscat: SPA


Announced the Omani Ministry of Health for the death of the first case registered as infected with (Corona) that causes respiratory syndrome Middle East RO person at the age of 68 years had been suffering from several chronic diseases, including diabetes, pressure and heart failure.

The ministry said the cause of death due to the lack of president in the patient's lung function has led to the deterioration of his health and thus died yesterday

Thursday, October 31, 2013

WHO MERS-CoV Update – Oct 31st

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Photo Credit – WHO

 

# 7926

 

My thanks to Gregory Hartl – spokesperson for the World Health Organization – for tweeting the link to the latest update on the MERS Coronavirus.   Today’s report catches up with four recently reported cases, one from Oman, and three from Saudi Arabia.

 

 

Middle East respiratory syndrome coronavirus (MERS-CoV) - update

Disease outbreak news

31 October 2013 - WHO has been informed of an additional four laboratory-confirmed cases of infection with Middle East respiratory syndrome coronavirus (MERS-CoV). These include the first laboratory-confirmed case from Oman and three additional laboratory-confirmed cases from Saudi Arabia.

The patient in Oman is a 68-year-old man from Al Dahkliya region who became ill on 26 October 2013 and was hospitalized on 28 October 2013. Preliminary epidemiological investigations revealed that he did not recently travel outside the country. However, investigations are currently ongoing to determine what exposures might be responsible for his infection

Of the three patients including one death reported from the Eastern Region in Saudi Arabia, one is a woman and two are men. The three patients, one of whom is a health care worker, had underlying medical conditions. Their ages range from 49 to 83 years old. All three patients reported having no contact with animals prior to their illness, while one patient was reported to have been in contact with a previously laboratory-confirmed case.

Globally, from September 2012 to date, WHO has been informed of a total of 149 laboratory-confirmed cases of infection with MERS-CoV, including 63 deaths.

Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns.

(Continue  . . .)

Tuesday, October 29, 2013

Oman Announces 1st MERS-CoV Case

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# 7917

 

While we await news on the suspected case in France (see France: MOH Statement On Suspected MERS-CoV Case), the Oman Observer has published a report of that country’s first MERS-CoV case.  Details are fairly sparse at this time, but this report vaguely suggests the virus was contracted after `contact with someone from outside the Sultanate’.

 

 

Sultanate reports first case of coronavirus

Wednesday 30th, October 2013 / 01:25 Written by Oman Observer

in Head stories

By A Staff Reporter -

MUSCAT — The Sultanate yesterday reported the first case of the deadly MERS coronavirus. This was announced by Mohamed bin Saif al Hosni, Under-Secretary for Health Affairs.

Giving details of the case, he said that the situation is under control and there is no need for panic. The affected patient is undergoing treatment at a hospital and his condition is stable.

The official said the patient got the disease after contact with someone from outside the Sultanate and more details of the case will be known in few days.

Symptoms of MERS-CoV infection include renal failure and severe acute pneumonia, which often result in a fatal outcome. The first patient had a “7-day history of fever, cough, expectoration and shortness of breath.” MERS has an estimated incubation period of 12 days.

(Continue . . .)

 

 

A second report (translated from Arabic) appears in the Oman Daily:

 

 

The discovery of the first case b 'Corona' in Oman

Wrote - Khaled infection: the Ministry of Health announced yesterday the discovery of the first case of infected Coruna province's internal review of the injured to a health center, Nizwa.

Following the laboratory diagnosis of his injury was confirmed with the virus. Was transferred directly to the Nizwa Hospital Reference.

Infected and return the situation to one of the sons of Nizwa injured after what felt short of breath as pulmonary informed sources from the Ministry of Health.

HE Dr Mohammed bin Saif Al Hosni, Undersecretary of the Ministry of Health for health affairs, in a press statement yesterday that the victim had gone to a referral hospitals to maintain after he felt one of the symptoms of pneumonia severe, pointing out that the patient's condition is stable, but he needs some oxygen does not need to Industrial breathing apparatus, expressing the hope that his condition will improve in the coming period.