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CHP investigates fever patient with travel history
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     The Centre for Health Protection (CHP) of the Department of Health (DH) is today (May 29) investigating a suspected case of Middle East Respiratory Syndrome (MERS) affecting a woman aged 30.

     The patient, with good past health, has developed fever, cough with sputum, runny nose and shortness of breath since May 28. Upon notification by a general practitioner, CHP arranged transferal of the patient to Tuen Mun Hospital for isolation and management today. She has been in stable condition.

     Initial investigations by the CHP revealed that the patient had travelled alone to Dubai from May 24 to 27 and rode a camel there. The patient did not visit health-care facilities or consume camel products during her trip.

     Her respiratory specimen will be collected for preliminary laboratory testing by the CHP's Public Health Laboratory Services Branch (PHLSB).

     To date, 1 139 laboratory-confirmed MERS cases have been reported to the WHO globally, including at least 431 deaths. Of note, 1 111 (97.5 per cent) were confirmed in nine Middle East countries, including 999 in the KSA, 72 in the United Arab Emirates, 12 each in Jordan and Qatar, six in Iran, five in Oman, three in Kuwait, and one each in Lebanon and Yemen.

     "We strongly advise travel agents organising tours to the Middle East to abstain from arranging camel rides and activities involving direct contact with camels, which are a known risk factor for acquiring MERS. Travellers should avoid going to farms, barns or markets with camels, and avoid contact with animals, especially camels, birds, poultry or sick people during travel," the spokesman for the DH said.

     "According to the WHO, among the recently exported cases who reported performing Umrah in the Kingdom of Saudi Arabia (KSA), investigation revealed that they had either visited a health-care facility or had come into contact with camels or raw camel products while in the KSA. As Ramadan will begin in mid-June, pilgrims preparing to go to the KSA for Umrah should be vigilant against MERS," a spokesman said.

     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. Health-care workers (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.

     Early identification of MERS-CoV is important, but not all cases can be detected in a timely manner, especially mild or atypical cases. 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 training and education should be provided.

     "Scientific evidence supports the premise that camels are the primary source of MERS-CoV resulting in human infection. 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, with 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 test negative for MERS-CoV. The DH has also kept ethnic minority and religious groups updated of the disease status and necessary preventive measures.

     "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 in Hong Kong so far," 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.

     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 health-care 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);
* Geographical distribution of MERS cases in the Middle East (www.chp.gov.hk/files/pdf/distribution_of_mers_cases_en.pdf);
* The MERS page of the DH's Travel Health Service (www.travelhealth.gov.hk/english/popup/popup.html);
* The CHP Facebook Page (www.fb.com/CentreforHealthProtection);
* The CHP YouTube Channel (www.youtube.com/c/ChpGovHkChannel); 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/Friday, May 29, 2015
Issued at HKT 20:25

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