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Monday, July 22, 2013

Coronavirus Infections

Coronaviruses are a large and diverse family of viruses that include viruses that are known to cause illness in humans and animals from the common cold to SARS. Coronaviruses are species in the general of virus belonging to the subfamily Coronavirinae in the family Coronaviridae. These viruses cause respiratory infections of varying severity in humans and animals.


Middle East respiratory syndrome coronavirus (MERS-CoV)

The name "coronavirus" is derived from the Latin corona, meaning crown or halo. Human coronaviruses were first identified in the mid 1960s. MERS-CoV is a new SARS-like virus, previously found in bats. MERS-CoV has caused severe illness and death in people from several countries. Middle East respiratory syndrome coronavirus formerly called "novel coronavirus (nCoV), It was identified in 2012 in Saudi Arabia. The first cases appeared in Jordan and Saudi Arabia.

The people who got infected with Coronavirus developed severe acute respiratory illness with symptoms of fever, cough, and shortness of breath. About 50% among of them died. The medical's investigators team are trying to figure out the source of MERS-CoV and how it spreads, There is very limited information on transmission, severity and clinical impact with only a small number of cases reported thus far.

Coronavirus infection have been reported on 19 June 2013 with over than 81 cases detected globally, the majority of these case in Saudi Arabia. The World Health Organization (W.H.O) confirmed that the spread of Coronavirus infection appear in the many countries such as ; Saudi Arabia, Jordan, Qatar, Tunisia, France, Germany, Pakistan, United Kingdom and the United Arab Emirates. However, this is a dynamic situation and more cases may be reported.

The Ministry of Health (M.O.H) Kingdom of Saudi Arabia invited the World Health Organization (WHO) to help them assess the situation and to provide guidance and recommendations due to Coronavirus infection and how to solve or do the best treatment. The latest situation about MERS-CoV (21 July 2013), WHO has been informed of two additional laboratory-confirmed cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in Saudi Arabia. both patients currently in critically ill and hospitalized in ICUs.

Symptom of Coronavirus Infections

The most cases of coronavirus infections are appear with symptom acute serious respiratory illness, from fever and cough that progress to a severe pneumonia which causing shortness of breath and breathing difficulties. A small number of cases have presented with mild influenza-like symptoms or been asymptomatic.

Anyhow, If you are develop a fever and symptoms of lower respiratory illness such as cough and short breathing within 14 days after traveling from countries that reported there is cases of coronavirus infections, especially to the Arabian Peninsula (Bahrain, Iraq, Iran, Israel, Jordan, Kuwait, Lebanon, Oman, Palestinian territories, Qatar, Saudi Arabia, Syria, the United Arab Emirates (UAE), and Yemen.), or maybe you just transited in the airport, You should tell the doctor about your recent travel.


There is no vaccine or treatment to cure MERS-CoV

There are no specific vaccine or treatment for the novel coronavirus infection, Most people with coronavirus illness will recover on their own. Some action may help the patients from getting more worse situation. These are recommendation which you can implementation to the patient by Department of Health Victoria - Australia ;
  • Place the patient in a single room with negative pressure air-handling, and implement transmission-based precautions (contact and airborne), including the use of personal protective equipment (PPE).
  • Investigations and management should be performed as for community acquired pneumonia. Appropriate specimens should also be collected for MERS-CoV PCR testing.
  • Notify the Department of Health of any suspected (and probable or confirmed) cases in order to discuss and co-ordinate testing and management of contacts with patient who diagnosed as coronavirus infections.
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