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The Centre for Health Protection (CHP) of the Department of Health (DH) today (March 4) reported a suspected case of Middle East Respiratory Syndrome (MERS) which tested negative for MERS Coronavirus (MERS-CoV), and called on the public to stay alert and maintain good personal, food and environmental hygiene during travel.
The male patient, aged 43 with good past health, presented with fever and sore throat on February 28 during his stay in Dubai and sought medical attention from a local doctor. He travelled from Dubai to Hong Kong on March 2 and developed a high fever and cough with sputum after arriving in Hong Kong. He consulted a private doctor on the same day and attended the outpatient department of a private hospital the next day as his symptoms worsened. He was subsequently transferred to Pamela Youde Nethersole Eastern Hospital for isolation and treatment. He is currently in a stable condition.
The patient had no contact with camels or other animals while he was in Dubai. He claimed that some of his relatives in Dubai had influenza symptoms but have recovered. His travel collateral to Hong Kong remains asymptomatic.
His nasopharyngeal aspirate tested negative for MERS-CoV upon preliminary testing by the CHP's Public Health Laboratory Services Branch (PHLSB).
"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. 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," a spokesman for the DH said.
"Scientific studies support the premise that camels serve as the primary source of 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, 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.
"MERS is a statutorily notifiable infectious disease and the PHLSB 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. Health-care 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 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);
* The MERS page of the DH's Travel Health Service (www.travelhealth.gov.hk/english/popup/popup.html);
* The CHP Facebook Page (fb.com/CentreforHealthProtection);
* The CHP YouTube Channel (youtube.com/c/ChpGovHkChannel); and
* The latest news of the World Health Organization (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/Wednesday, March 4, 2015
Issued at HKT 17:15
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