Press Release

DH closely monitors two additional overseas MERS cases reported to WHO

3 June 2014

The Department of Health (DH) is today (June 3) closely monitoring two cases of Middle East Respiratory Syndrome (MERS) reported to the World Health Organization (WHO) by Algeria, and hence called on the public to stay alert and maintain good personal, food and environmental hygiene during travel.

According to the WHO, both patients had stayed in the Kingdom of Saudi Arabia (KSA) for the Umrah pilgrimage. The first case is a man aged 66 who presented with fever and shortness of breath on May 23 after returning from Mecca, KSA, on the same day. The other patient is a man aged 59 who developed influenza-like illness and diarrhoea on May 23 in the KSA. Both are now hospitalised for management. The two cases were laboratory confirmed on May 30.

These are the first two cases of MERS in the African region of the WHO.

The Centre for Health Protection (CHP) of the DH is seeking more information on the cases from the WHO and the relevant health authority. The CHP will remain vigilant and work closely with the WHO and overseas and neighbouring health authorities to monitor the latest developments.

"As pre-existing major illnesses can increase the likelihood of medical problems, including MERS, during travel, in view of recent pilgrimage activities, pilgrims should consult a healthcare provider before travelling to assess whether it is medically advisable," a spokesman for the DH said.

"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," the spokesman added.

Locally, the DH's surveillance mechanism with public and private hospitals, practising doctors and at the airport is well 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 CHP's Public Health Laboratory Services Branch 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. Healthcare 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 drink raw milk, or consume foods which may be contaminated by animal secretions or products, unless they have been properly cooked, washed or peeled;
• Seek medical consultation immediately if feeling unwell;
• Avoid visits to healthcare 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 CHP's MERS page (This link will open in a new windowwww.chp.gov.hk/en/view_content/26511.html), the DH's Travel Health Service (This link will open in a new windowwww.travelhealth.gov.hk/english/popup/popup.html) or the latest news of the World Health Organization (This link will open in a new windowwww.who.int/csr/don/archive/disease/coronavirus_infections/en/) for more information and health advice.

Tour leaders and tour guides operating overseas tours are advised to refer to the CHP's health advice against MERS (This link will open in a new windowwww.chp.gov.hk/en/view_content/26551.html).