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Travellers with respiratory symptoms and travel history test negative for MERS-CoV
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     The Centre for Health Protection (CHP) of the Department of Health (DH) today (December 25) provided an update on 10 suspected cases of Middle East Respiratory Syndrome (MERS). All the 10 patients' respiratory specimens tested negative for MERS Coronavirus (MERS-CoV).

     The ten cases involved four males and six females of two families aged from 3 months to 34 years old. The patients travelled from Dubai to Hong Kong on December 20. They developed fever, cough and runny nose since December 20 after arriving in Hong Kong. They attended the general outpatient department of a private hospital yesterday and were transferred to Pamela Youde Nethersole Eastern Hospital for isolation and management. All are in stable condition.  

     All the patients' respiratory specimens tested negative for MERS-CoV upon preliminary laboratory testing by the CHP's Public Health Laboratory Services Branch.

     "We strongly advise travel agents organising tours to the Middle East not to arrange camel rides and activities involving camel contact, which may increase the risk of infection. In addition, travellers are reminded to avoid going to farms, barns, or markets with camels, and avoid contact with animals (especially camels), birds, poultry or sick people during travel," a spokesman for the DH said.

     "Scientific studies have supported the premise that camels serve as the primary source of MERS Coronavirus (MERS-CoV) infecting humans. A study further suggested that human MERS-CoV infections could be transmitted through close contact with infected camels," the spokesman added.

     Locally, the DH's surveillance mechanism with public and private hospitals, practising doctors and at boundary control points is firmly in place. Suspected cases identified will be sent to public hospitals for isolation and management until their specimens have tested negative for MERS-CoV.

     "MERS is a statutorily notifiable infectious disease and the CHP's Public Health Laboratory Services Branch is capable of detecting the virus. No human cases have been recorded so far in Hong Kong," the spokesman said.

     "The Government will be as transparent as possible in the dissemination of information. Whenever there is a suspected case, particularly involving patients with travel history to the Middle East, the CHP will release information to the public as soon as possible," the spokesman added.

     Early identification of MERS-CoV is important, but not all cases can be detected in a timely manner, especially mild or atypical cases. Healthcare workers (HCWs) should maintain vigilance and adhere to strict infection control measures while handling suspected or confirmed cases to reduce the risk of transmission to other patients, HCWs or visitors. Regular education should be provided.

     Travellers returning from the Middle East who develop respiratory symptoms should wear face masks, seek medical attention and report their travel history to the doctor. HCWs should arrange MERS-CoV testing for them. Patients' lower respiratory tract specimens should be tested when possible and repeat testing should be undertaken when clinical and epidemiological clues strongly suggest MERS.

     Travellers are reminded to take heed of personal, food and environmental hygiene:

* Avoid going to farms, barns, or markets with camels;
* Avoid contact with animals (especially camels), birds, poultry or sick people during travel;
* Wash hands regularly before and after touching animals in case of visits to farms or barns;
* Do not consume raw or undercooked animal products, including milk and meat, or foods which may be contaminated by animal secretions, excretions (such as urine) or products, unless they have been properly cooked, washed or peeled;
* Seek medical consultation immediately if feeling unwell;
* Avoid visits to healthcare settings with MERS patients;
* Wash hands before touching the eyes, nose and mouth, and after sneezing, coughing or cleaning the nose; and
* Wash hands before eating or handling food, and after using the toilet.

     The public may visit the pages below for more information and health advice:

* The CHP's MERS page (www.chp.gov.hk/en/view_content/26511.html);
* The MERS page of the DH's Travel Health Service (www.travelhealth.gov.hk/english/popup/popup.html); and
* The WHO's latest news (www.who.int/csr/don/archive/disease/coronavirus_infections/en).

     Tour leaders and tour guides operating overseas tours are advised to refer to the CHP's health advice on MERS (www.chp.gov.hk/en/view_content/26551.html).

Ends/Thursday, December 25, 2014
Issued at HKT 15:08

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