Patient with deadly MERS virus waited hours in Florida ER

Shay Wilinski works in the Microbiology Lab at Community Hospital, where a patient with the first confirmed U.S. case of Middle East Respiratory Syndrome is in isolation, in Munster, Indiana, May 5, 2014. (Reuters/Jim Young)

The second #US patient to be diagnosed with the Middle East Respiratory Syndrome ( #MERS ) waited four hours before he was seen by doctors in #Florida as 20 health care workers await test results for the deadly virus.

After sitting in the crowded waiting room of the Dr. P. Phillips Hospital in Orlando for four hours before being seen by a physician, it took another 8 hours for medical personnel to determine the patient had traveled from Saudi Arabia, one of the countries experiencing an outbreak of the disease, which is estimated to kill about one-third of infected people.

The 44-year-old man was quarantined by hospital staff after they began to suspect the patient, who also works at a medical facility in Saudi Arabia, could be a carrier of MERS, a respiratory illness that begins with flu-like symptoms that may progress to pneumonia.
Dr. Antonio Crespo, the hospital's chief quality control officer, said that as of Tuesday he had revamped procedures in the ER section of the hospital so that any patient who arrives with flu-like symptoms will be immediately asked whether they had visited Saudi Arabia, or other countries experiencing MERS outbreaks.

“That is one of the learning lessons of this experience. Yes, we could have asked this sooner. I think we have created more awareness,” Crespo told Reuters. 

While the patient waited to be admitted, he was treated in a single room in the emergency department by healthcare workers who did not wear goggles and face masks that would have protected them from the virus, Crespo said.

It was also learned that the individual flew on four separate flights on a route that took him from Jeddah, Saudi Arabia to Orlando, Florida.

The US Transportation Security Administration (TSA), in response to a request by the US Centers for Disease Control and Prevention, is alerting travelers to the risk of MERS at 22 major US airports, a US health official told Reuters.

The warning, while saying that the risk of infection for most travelers remains low, states that people who suffer flu-symptoms within 14 days of being in the Middle East should consult a physician.
Meanwhile, Florida health officials are monitoring the health of 20 healthcare workers who had been in contact with the patient.

"We're just waiting for the results from the testing that was done yesterday to decide about discharge," Crespo said.
Since April 2012, 206 confirmed cases of MERS have been reported to the World Health Organization (WHO), including 100 deaths.

WHO convened an emergency meeting in Geneva where it was determined that although the virus has "significantly increased," MERS does not yet constitute a global public health emergency, the agency said on Wednesday.

Thus far, the affected countries in the Middle East include Jordan, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates (UAE). Other affected countries include France, Germany, Italy, the United Kingdom and Tunisia.

MERS is a virus related to SARS, or Severe Acute Respiratory Syndrome, which killed around 800 people globally after it first broke out in China in 2002.
The first case of MERS was reported in Saudi Arabia in 2012.
Source: RT

Florida Hospital Workers Who Treated MERS Patient Also ill

Two of the health care workers who treated a MERS patient in #Florida have come down with respiratory symptoms, and are being tested to see if they may have caught the mysterious virus from him, hospital officials say.

In at least one of the cases it’s almost certain not to be #MERS — the staffer started showing symptoms just a day after treating the patient, who’s the second person to be diagnosed with MERS in the United States.

The incubation period for MERS — meaning the time it takes from contacting someone who’s infected to showing the first symptoms — is usually about five days.

“We want to be extra cautious,” said Dr. Antonio Crespo, infectious disease specialist and chief quality officer for the P. Phillips Hospital in Orlando. "These two people were in contact with the patient without a mask."

One of the staffers was treated and sent home, and the other is in a special isolation room at the hospital, like the MERS patient is.

“We want to be extra cautious."

Health care workers who treat patients with the virus are the most likely to become infected themselves, probably because of the close contact.

Crespo said 20 health care workers at two hospitals who may have been exposed to the virus are keeping themselves isolated at home and being regularly tested for MERS.

The MERS patient, a 44-year-old health care worker from #SaudiArabia, was visiting family in Orlando when he became ill enough to visit the emergency room on May 8. He’s been in the hospital since May 9 and has been kept isolated under special conditions ever since doctors suspected he might have MERS.

Middle East respiratory syndrome virus (MERS) is on the rise, especially in Saudi Arabia. It’s infected more than 500 people since it was first identified in 2012, spread to 16 countries, and killed about a quarter of its victims.

The first U.S. patient with MERS, also a health care worker who had been working in Saudi Arabia, has gone home after treatment in an Indiana hospital. Doctors say the risk to the general public is very low.

MERS is not terribly infectious. Studies of those who have become infected show they were usually in close and prolonged contact with a victim. But it's a new virus, and very deadly compared to something like the flu, so doctors want to err on the side of caution.

Health detectives are tracking down everyone who flew on four flights with the MERS patient, from Saudi Arabia to London, then to Boston, Atlanta and #Orlando.

The trouble with treating any respiratory virus is they all have similar symptoms -- fever, cough, body aches. And people get these viruses all the time. it takes about two days to test for something specific like MERS. If MERS is suspected, the Centers for Disease Control and Prevention advises hospitals to just act as if it were MERS.

So patients are being kept in special isolation rooms, with strict hygiene procedures. "When we go and visit the patient -- I went this morning -- I have to wear a special mask called an N-95 (respirator). I have to wear a gown and gloves. Once we get out of the room we dispose of everything," Crespo told reporters.

"I don’t think we have seen the last of this."

The MERS patient also visited a second hospital, the Orlando Regional Medical Center. Officials at the P. Phillips Hospital are not precisely sure why -- he didn't go to seek treatment, they say -- but to be extra sure, they've asked five hospital staff who were in contact with him to stay home for 14 days, get tested for MERS and stay away from other people.

But because he did not feel well, the patient didn't travel around the region and mostly stayed home, doctors said. He did not go visit any tourist attractions in Orlando.

White House Watching Possible MERS Cases 'Very Closely'

White House press secretary Jay Carney said President Obama had been briefed on the two cases.

Dr. Ken Michaels of the Florida Department of Health in Orange County says hospitals should prepare for cases like this. "I don’t think we have seen the last of this," he told reporters.

"We are going to see more travel from this part of the world."

With a surge of cases in Saudi Arabia, people are sure to carry the virus on trips with them, Michaels said -- something that CDC and World Health Organization officials have also said.

Both of the men who carried MERS to the U.S. worked in hospitals where MERS patients were treated -- one in Jeddah, one in Riyadh.

There's no specific treatment for MERS. Patients get what's called supportive care -- intravenous fluids, oxygen or a breathing tube if needed, and pain medications.
Source: NBC News

Florida health officials confirm second case of MERS on U.S. soil

The Middle East respiratory syndrome, or MERS, coronavirus is seen in an undated transmission electron micrograph from the National Institute for Allergy and Infectious Diseases.

(Reuters) - #U.S. health officials said on Monday a second case of #MERS, a deadly virus first discovered in the Middle East, has been confirmed in the state of Florida.

The U.S. Centers for Disease Control and Prevention confirmed the presence of the virus, known formally as Middle East Respiratory Syndrome, with health officials from Florida.

The CDC said in a statement the case was the second "imported" case of MERS, meaning a traveler contracted the virus in another country and brought it to U.S. shores. The first such imported case involved a man who flew from Saudi Arabia and traveled to #Indiana earlier this month.
Source: MSN News