MIDDLE EAST RESPIRATORY SYNDROME CORONA VIRUS ALERT VERIFICATION IN MIRPUR, AZAD KASHMIR
AbstractBackground: Middle East Respiratory-Corona virus (MERS-CoV), SARS like virus,identified in September 2012 in Middle-East. February 2013, an elderly man, who visitedPakistan and KSA, was confirmed as MRS-CoV in UK. A team visited Mirpur to assesscurrent and past SARI trends in major indoor facilities, to explore possible contact of thepatient with known or suspected SARI case during his stay in Pakistan and enlist closecontacts. Methods: Review of indoor records in hospitals, interviews with relatives &physicians and active contact tracing using operational case definition. Results: Arrived on16th December 2012, mostly stayed at daughter's house, visited by relatives, on 19th January,left for KSA accompanied by daughter, developed fever with chills and body aches on 23rdJanuary. On 28th January, arrived London, admitted at City Hospital, Birmingham,subsequently shifted to Manchester Hospital on 6th February 2013, diagnosed as MERS-CoV,expired on 19th February. His son having underlying condition, confirmed as MERS-CoV on13th February, and expired on 17th February. Daughter developed mild respiratorysymptoms, confirmed as MERS-CoV on 16th Feb and recovered. Both have been infected bythe Index case. The review of indoor record did not reveal any significant change in SARItrends, the cumulative number of cases for the January –February 2012 and 2013 was 291 and294 respectively indicating no difference. During his stay in Pakistan, he didn't meet anysuspected/ill person. Close contacts were observed and investigated for MERS-CoV, allremained healthy. Conclusions: The available evidence does not suggest any MERS-CoVtransmission to, or from the patient in Pakistan.Keywords: MERS-CoV; Transmission.
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