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The Department of Health (DH) is today (May 28) closely monitoring two additional cases of Middle East Respiratory Syndrome (MERS) reported by Korea, and hence called on the public to stay alert and maintain good personal, food and environmental hygiene during travel.
According to the health authority of Korea, the two latest patients (a 71-year-old male and a 28-year-old female) had contact with the male index case aged 68 confirmed on May 20. These are the sixth and seventh MERS cases in Korea.
The Centre for Health Protection (CHP) of the DH is seeking more information on the case from the World Health Organization (WHO) and the relevant health authority, and will remain vigilant and work closely with the WHO as well as overseas and neighbouring health authorities to monitor the latest developments.
"The cluster in Korea signifies that human-to-human transmission of MERS Coronavirus (MERS-CoV) in health-care settings and among close contacts can occur. The WHO has warned that failure in infection control and prevention measures in health-care settings could result in a large number of secondary cases. Nosocomial transmission can be stopped by strict adherence to basic infection control and prevention measures. The public and the health-care sector should pay special attention," a 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," the 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.
"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 said.
"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/Thursday, May 28, 2015
Issued at HKT 12:55
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