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Commentary
MERS-CoV
Cluster In France Raises Pandemic Concerns
Recombinomics
Commentary 23:45
May 9, 2013
One of the doctors CH Valenciennes, who was also in contact with the patient coronavirus infection, "developed symptoms requiring hospitalization within the infectious diseases service CH Tourcoing order to take samples " , added the LR
The above translation describes two symptomatic contacts of the MERS-CoV case in France who developed SARS-like symptoms after travel to Dubai. United Arab Emirates. As noted the two contacts are being treated in separate facilities in northern France (see map). Confirmation will demonstrate additional human to human transmission similar to the cluster in Manchester, England, when a resident developed symptoms while performing Umrah in Saudi Arabia. His son and sister were novel coronavirus lab confirmed and both the index and his son died. The sister had mild symptoms but was MERS-CoV confirmed with a sputum sample. She and her nephew were also infected with para-influenza virus type 2 (HPIV-2) raising the possibility that they were infected by the daughter of the index case who also traveled to Saudi Arabia, but tested negative for MERS-CoV (which is common for mild cases tested with samples from the upper respiratory tract.
Recent updates from WHO have acknowledged two familial clusters in eastern KSA linked to a hospital outbreak among dialysis patients. However, media reports cite additional fatal cases, supporting widespread MERS-CoV in eastern Saudi Arabia, which is also likely widespread in neighboring countries including Bahrain, Qatar, and UAE.
The export of MERS-CoV to France and likely transmission signals significant undercounts in the Middle East as well as unreported spread to Europe beyond the confirmed cases in the UK and France.
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