Press Release

Six additional overseas cases of Middle East Respiratory Syndrome closely monitored by DH

28 March 2014

The Department of Health (DH) is today (March 28) closely monitoring six additional cases of Middle East Respiratory Syndrome reported to the World Health Organization (WHO) by the Kingdom of Saudi Arabia (KSA).

According to the WHO, the six patients are all males from the KSA's capital. The first case aged 71 has underlying illnesses. He became ill on February 24, was hospitalised on March 5 and is currently in critical condition. He had exposure to animals, including camels.

The second case aged 66 also has underlying medical conditions. He became ill on March 9, was admitted to hospital on March 11 and is currently in critical condition. The patient had no exposure history to animals.

The third case aged 86 became ill on March 11 and died on March 19. He had no history of exposure to animals.

The fourth case aged 75 has underlying illnesses. He became ill on February 23, was hospitalised on February 26 and is currently in critical condition. He has a history of exposure to animals, including camels.

The fifth case aged 56, with underlying medical conditions, became ill on March 6 and was hospitalised on March 13. He is currently in critical condition and has exposure history to animals, including camels.

The remaining case aged 45 has underlying illnesses. He became ill on March 5 and was admitted to hospital on March 15. He is currently in critical condition and has no history of exposure to animals.

This brings the latest global number of confirmed cases of Middle East Respiratory Syndrome to 206, including 86 deaths.

"The Centre for Health Protection (CHP) of the DH will seek more information on the cases from the WHO and the relevant health authority. The CHP will stay vigilant and continue to work closely with the WHO and overseas health authorities to monitor the latest developments of this disease," a spokesman for the DH said.

Locally, the CHP will continue its surveillance mechanism with public and private hospitals, practising doctors and the airport for any suspected case of Middle East Respiratory Syndrome.

"No human infection with this virus has been identified so far in Hong Kong," the spokesman added.

"We would like to reassure the public that the Government will be as transparent as possible in the dissemination of information on cases of Middle East Respiratory Syndrome. 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 said.

Early identification of Middle East Respiratory Syndrome Coronavirus is important, but not all cases can be reliably detected in a timely manner, especially when a case is mild or atypical. Healthcare workers (HCWs) and hospitals are therefore reminded to maintain vigilance against the disease and adhere to strict infection control measures consistently while handling suspected or confirmed cases in order to reduce the risk of transmission to other patients, HCWs or visitors. Regular education and training of infection prevention and control should also be provided to all HCWs.

Recent travellers returning from the Middle East who develop severe acute respiratory infections should be tested for Middle East Respiratory Syndrome Coronavirus. Patients' lower respiratory tract specimens should also be obtained for diagnosis when possible and repeat testing should be done when the clinical and epidemiological clues strongly suggest Middle East Respiratory Syndrome.

Travellers should avoid contact with animals, poultry or sick people during travel and seek medical consultation immediately if feeling unwell. They should also wash hands regularly before and after touching animals when visiting farms or barns.

As a general precautionary measure, they should also adhere to food safety and environmental hygiene practices such as avoiding undercooked meats, raw fruits and vegetables, unless they have been peeled, and unsafe water. Those returning from the Middle East with respiratory symptoms are advised to wear face masks, seek medical attention and reveal their travel history to doctors.

Relevant travel health advice can be found on the website of the DH's Travel Health Service (This link will open in a new windowwww.travelhealth.gov.hk/english/popup/popup.html).

Members of the public are also reminded to take heed of personal hygiene:

• Wash hands before touching the eyes, nose and mouth;
• Wash hands before eating or handling food;
• Wash hands after using the toilet;
• Wash hands after sneezing or coughing and cleaning the nose; and
• Avoid direct contact with animals, birds or poultry.

The public may visit the CHP's website for more information on Middle East Respiratory Syndrome (This link will open in a new windowwww.chp.gov.hk/en/view_content/26511.html) and personal hygiene (This link will open in a new windowwww.chp.gov.hk/en/content/9/460/19899.html).