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Published Date: 2013-05-20 12:49:15
Subject: PRO/AH/EDR> MERS-CoV - Eastern Mediterranean (05): Tunisia ex Saudi Arabia/Qatar, fatal, RFI
Archive Number: 20130520.1725864

MERS-COV - EASTERN MEDITERRANEAN (05): TUNISIA ex SAUDI ARABIA/QATAR, FATAL, REQUEST FOR INFORMATION
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Date: Mon 20 May 2013
Source: Radio Tunisia [in Arabic, machine trans., edited]
http://www.radiotunisienne.com/tataouine/index.php?option=com_content&view=article&id=10239:2013-05-20-14-03-43&catid=126:2010-02-02-15-17-52&Itemid=505


Ministry of health: the death of a Tunisian citizen returning from the Gulf with coronavirus Mon 20 May 2013

In a communique issued today, [20 May 2013], the Ministry of Health announced the death of a Tunisian citizen returning from the Gulf with coronavirus. This individual was 66 years old and had diabetes, he was treated in the Fatima Bourguiba Hospital in Monastir for acute respiratory insufficiency [SARI - severe acute respiratory illness] upon his return from a trip to holy sites [?in Saudi Arabia] and Qatar where one of his sons lives. Medical evaluation of his family revealed 2 of his sons had symptoms [consistent with an influenza-like illness]. Testing confirmed infection and they have completely recovered [the translation here is not clear as to whether they were laboratory confirmed infections - Mod.MPP]. The ministry is continuing to monitor all family members of this case, but thus far they are not showing signs of infection with this virus. It should be noted that the ministry is continuing heightened surveillance for coronavirus in all parts of the country. Recommendations to prevent the spread of this disease are to avoid contact with individuals returning from the Middle East with respiratory symptoms, urging such individuals to use protective masks and be diligent about hand washing, [especially after sneezing, coughing, or touching respiratory tract secretions.]

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[The case above represents the 1st reported case of a returning traveler to Tunisia. From the newswire above, prior to onset of illness the affected case had traveled to Saudi Arabia and Qatar, both countries that have reported cases of MERS-CoV. Information on the dates and locations of travel within each country (Saudi Arabia and Qatar), date of onset of respiratory symptoms, clarification of possible contact cases or secondary cases in patient's sons, and other relevant information from the epidemiologic and laboratory studies would be greatly appreciated.

For a map of Tunisia, see http://healthmap.org/r/1Cft. For a map of the Middle East showing locations of Saudi Arabia and Qatar, see http://healthmap.org/r/1HAJ. - Mod.MPP]

See Also

MERS-CoV - Eastern Mediterranean (04): Saudi Arabia, WHO 20130520.1723626
MERS-CoV - Eastern Mediterranean (03): animal reservoir, RFI 20130519.1723544
MERS-CoV - Eastern Mediterranean (02): WHO summary, ECDC risk assessments 20130518.1721873
MERS-CoV - Eastern Mediterranean: Saudi Arabia, new case, RFI 20130518.1721601
Novel coronavirus - Eastern Mediterranean (29): MERS-CoV, ICTV nomenclature 20130516.1717833
Novel coronavirus - Eastern Mediterranean (28): Saudi Arabia, WHO 20130516.1716274
Novel coronavirus - Eastern Mediterranean (27): Saudi Arabia, WHO, RFI 20130515.1715334
Novel coronavirus - Eastern Mediterranean (26): Saudi Arabia new cases, RFI 20130514.1712370
Novel coronavirus - Eastern Mediterranean (25): Saudi Arabia deaths, WHO 20130512.1708475
Novel coronavirus - Eastern Mediterranean (24): France, 2nd case 20130512.1707305
Novel coronavirus - Eastern Mediterranean (23): France, RFI 20130511.1705803
Novel coronavirus - Eastern Mediterranean (22): France, susp. RFI 20130509.1702445
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Novel coronavirus - Eastern Mediterranean (12): KSA, UK fatality, RFI 20130323.1600113
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Novel coronavirus - Eastern Med. (03): Saudi comment 20130212.1540011
Novel coronavirus - Eastern Med. (02): UK ex Saudi Arabia, Pakistan 20130212.1539086
Novel coronavirus - Eastern Mediterranean: bat reservoir 20130122.1508656
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Novel coronavirus - Eastern Mediterranean (06): comments 20121225.1468821
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Novel coronavirus - Saudi Arabia (05): WHO, case def., nomenclature 20120926.1309747
Novel coronavirus - Saudi Arabia (04): RFI, Jordan, April 2012 20120925.1308001
Novel coronavirus - Saudi Arabia (03): UK HPA, WHO, Qatar 20120923.1305982
Novel coronavirus - Saudi Arabia (02): additional cases, RFI 20120923.1305931
Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733
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