Corona virus and respiratory syndrome in the Middle East

Mohamed Ibrahim Bassyouni
2020 / 4 / 12

Corona virus and respiratory syndrome in the Middle East


* Respiratory syndrome in the Middle East is a viral respiratory disease caused by the emerging corona virus (the corona virus that causes respiratory syndrome in the Middle East), first discovered in the Kingdom of Saudi Arabia in 2012.
Coronaviruses are a large group of viruses that can cause a range of diseases, ranging from a common cold to severe acute respiratory syndrome (SARS).
* Although most human cases with respiratory syndrome in the Middle East are caused by human-to-human transmission, it is likely that camels are the main repository for the Corona virus that causes respiratory syndrome in the Middle East, and an animal source for human infections with respiratory syndrome in the Middle East. We do not know exactly the role of camels In the transmission of the virus, nor the method (s) of transmission.
The clinical spectrum of infection with the SK virus that causes respiratory syndrome in the Middle East ranges from no symptoms (absence of symptoms), to moderate respiratory symptoms, to severe acute respiratory disease and death. The typical symptoms of coronavirus, which causes respiratory syndrome in the Middle East, are fever, cough, and shortness of breath. Pneumonia is common, but it does not always happen. Gastrointestinal symptoms have also been reported, including diarrhea. Severe illness can cause respiratory failure, which requires artificial respiration and support in the intensive care unit. Almost 36% of the patients who were reported to be infected with the Corona virus, the Middle East Respiratory Syndrome, died. The virus appears to cause severe illness in the elderly, people with weak immune systems, and people with chronic diseases, such as cancer, chronic lung disease, and diabetes.

The Corona virus, the respiratory syndrome in the Middle East, is an animal virus that is transmitted from animals to humans. The origin of the virus has not yet been fully understood, but according to the analysis of the various genomes of the virus, it is believed that its origin is in bats and that it has passed into camels at some point in the distant past.
The way the virus is transmitted from animals to humans is not fully understood, but it is likely that camels are the main repository for the Middle East respiratory syndrome, the Corona virus, and an animal source for infecting humans. Corona virus strains that cause respiratory syndrome in the Middle East, which are identical to human strains, have been isolated from camels in several countries, including Egypt, Oman, Qatar and Saudi Arabia.
Human transmission: The virus does not appear to pass easily from person to person, unless close contact occurs, such as providing unattended care to the patient. Groups of cases have appeared in health care facilities, where transmission from one person to another appears to be more possible, especially when measures taken to prevent and control infection are insufficient. To date, no infection resistance has been documented in the community.
The virus appears to circulate throughout the Arabian Peninsula, especially in Saudi Arabia, where most cases (> 85%) were reported in 2012. Several cases were reported outside the Middle East. Most of these infections are believed to have occurred in the Middle East and were then exported outside the region. The current outbreak in the Republic of Korea is the largest outbreak in the Middle East, but despite the concern it raises, there is no evidence that the transmission of human infection has persisted in the Republic of Korea. With regard to all other cases received, second-level flow cases were not reported,´-or-only a-limit-ed number of them were reported, in the countries to which the cases were visited.

There is currently no vaccine´-or-any specific treatment. Available treatment is supportive and depends on the patient s clinical condition.
As a general precaution, anyone visiting farms, markets,´-or-sheds where camels and other animals are found should follow general hygiene measures, including washing hands regularly before and after touching animals, and avoid contact with sick animals.
The consumption of raw´-or-undercooked animal products, including milk and meat, carries a high risk of infection from a variety of organisms that can cause human disease. Properly prepared animal products, through cooking´-or-pasteurization, are safe consumption products, but they should be handled with care to avoid accidental contamination of uncooked foods. Camel meat and milk are nutritious products that can continue to be consumed after pasteurization, cooking,´-or-other thermal treatments.
Until more can be understood about the Corona virus that causes respiratory syndrome in the Middle East, patients with diabetes, kidney failure, chronic lung disease and people with immunodeficiency are at a high risk of developing severe disease due to the infection of the Corona virus, which causes respiratory syndrome in the Middle East. So they should avoid mixing with camels and avoid drinking raw milk´-or-urine´-or-eating meat that has not been properly cooked.
Transmission of the virus occurred in health care facilities in several countries, including transmission from patients to health care providers, and transmission between patients in health care settings prior to the diagnosis of the Coronavirus, which causes respiratory syndrome in the Middle East. It is not always possible to identify patients infected with the Corona virus that causes respiratory syndrome in the Middle East early´-or-without testing because the symptoms of this infection and other clinical features are not specific to them.
Infection prevention and control measures are crucial to prevent the potential spread of the Coronavirus, the Middle East respiratory syndrome virus, in health care facilities. Facilities that provide care for patients with´-or-suspected to be infected with the Corona virus that causes Middle East Respiratory Syndrome should take appropriate measures to reduce the risk of transmission of the virus from the infected patient to other patients, health care workers´-or-visitors. Health care workers should be educated and trained to prevent and control infection, and they should remember their skills regularly.




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