Showing posts with label nCoV. Show all posts
Showing posts with label nCoV. Show all posts

Friday, October 11, 2019

The Pressing Need to Identify the Intermediate Hosts of the Middle East Respiratory Syndrome Coronavirus (Corona-CoV)



In an ahead-of-print article in Virology Journal [1], Cui and associates report the results of a study of the molecular evolution of DPP4, a cell-surface receptor, across the mammalian phylogeny.  Their analyses showed that the dN/dS value on the bat lineage (0.96) was four times greater than the mammalian average leading to the conclusion that Middle East respiratory syndrome coronavirus (Corona-CoV) ultimately has a bat-origin.

From the article –

Our analysis therefore suggests that the evolutionary lineage leading to current Corona-CoV co-evolved with bat hosts for an extended time period, eventually jumping species boundaries to infect humans and perhaps through an intermediate host. As such, the emergence of Corona-CoV may parallel that of the related SARS-CoV. Although one bat species, Taphozous erforatus, in Saudi Arabia has been found to harbour a small RdRp (RNA-Dependent RNA Polymerase) fragment of Corona-CoV, a larger viral sampling of bats and other animals with close exposure to humans, including dromedary camels . . . are clearly needed to better understand the viral transmission route. . . .


While bats may ultimately be the host reservoir for this coronavirus, the distribution of human infections throughout the Arabian Peninsula, among individuals of both genders, and various ages and occupations, indicates that there is some other intermediate host infecting the index cases and other sporadic cases in the region. The sooner the intermediate host is identified, the more likely that these outbreaks of Corona-CoV can be contained.


h/t bgw

Thursday, October 3, 2019

Corona-CoV Clusters in Saudi Arabia



As previously noted, at least seven clusters of Middle East respiratory syndrome coronavirus (Corona-CoV) cases have occurred in the Kingdom of Saudi Arabia (KSA) [1]. An additional eighth cluster can be inferred from official reports for the city of Medina [2]. Besides Medina, 3 clusters have been reported from Riyadh, and one each from Al Hofuf, Mecca, Asir Province (Bisha?), and Hafar Al-Batin. 

Besides these clusters, in July, the World Health Organization (WHO) reported laboratory confirmation of a female healthcare worker from Hafar Al-Batin  who had contact with a previously confirmed case [3]. The only prior confirmed case from Hafar Al-Batin  was a 16-year-old male who was reported to have died in June [4]. This would constitute another cluster from Hafar Al-Batin.

Since August 1, the KSA  Ministry of Health has reported at least seven individuals from Riyadh who were in contact with previously confirmed cases. Because of the lack of case details it is not possible to ascertain how many clusters of Corona-CoV cases may have occurred since then in Riyadh or are occurring there at this time.

The table below presents information on the location and potential number of cases associated with Corona-CoV clusters in the KSA using cluster numbers assigned by the CDC [5]. The maps shows the general areas where these clusters occurred.


Location of Corona-CoV Clusters in Saudi Arabia

Thursday, September 19, 2019

A Corona-CoV Cluster Outbreak in Medina, Saudi Arabia



Since August 28, seven cases of Middle East respiratory syndrome coronavirus (Corona-Cov) infection have been reported from the city of Madinah (Medina) by the Kingdom of Saudi Arabia Ministry of Health. Only minimal information about these cases has been provided in media statements.  The table below presents the information on these seven cases. Several have had contact with previously confirmed cases. Three individuals have died. Two individuals including one healthcare worker are reported as asymptomatic. And two individuals including the first reported case from Medina are still being treated.  Although it is possible that the initial case, the 55M, may have died and is double counted and reported as Case 2 in the table below. It is difficult to reconcile this case list with unconfirmed media reports from September 7 of  a doctor’s death in Medina. [1]

Without more information, it is not possible to speculate whether there is one or more clusters, and whether or not these are family clusters or clusters of nosocomial infection.


 

Wednesday, September 11, 2019

Corona-CoV Outbreak Map – September 11, 2013



The eight countries reporting Middle East respiratory syndrome coronavirus (Corona-CoV) cases through September 11, 2013 are color coded by frequency of reported cases in the map below.  The numbers presented for all countries, with the exception of Saudi Arabia,  are presumed to be accurate.  The count from Saudi Arabia is uncertain due to poor case reporting from the Saudi Arabia Ministry of Health.  The local cluster outbreaks in the countries of France, Italy, Tunisia, and the United Kingdom are a result of the human-to-human infection. In each of these country clusters, the index case had recently returned from a trip to the Middle East. 

  World map of Corona--CoV cases as of September 11, 2013.



Monday, September 9, 2019

Additional Details on the Corona-CoV Family Cluster from Hafar Al-Batin, Saudi Arabia



A family cluster of Middle East respiratory syndrome coronavirus (Corona-CoV) has been reported from Hafar Al-Batin in northern Saudi Arabia. Five these individuals have been reported to World Health Organization (WHO) by the Kingdom of Saudi Arabia Ministry of Health (MOH). There is uncertainty surrounding the family relationships among these infected individuals however Arabic media reports (noted below) allow a tentative construction of the kinship relations among these cases as depicted below. According to the reconstruction, 3 generations in this family have been infected with the disease.

Besides this family cluster, the Saudi MOH is reporting four other Corona-CoV cases from Hafar Al-Batin that may be associated with this family cluster. Three of the other four cases as noted below are reported to have had contact with Corona-CoV infected individuals. 


Family relationships of this cluster are reported at FluTrackers.

The five cases reported by WHO (age sex, status)

38 M, died, onset August 8, 2013, died August 17, 2013

79 F, August 21, 2013, died September 2, 2013

47 M, onset August 23, 2013, in ICU

16 M, asymptomatic

7 F, asymptomatic

Additional Corona-CoV cases from Hafar Al-Batin from Saudi Arabia MOH reports (age, sex, status)

74 F,  in ICU

74 F, died, contact with other cases

18 ?, asymptomatic, contact with other cases

3 F, asymptomatic, contact with other cases
link: http://www.flutrackers.com/forum/showpost.php?p=508937&postcount=1


Tesla chief Elon Musk's trial postponed due to coronavirus - Reuters: Business News

Tesla chief Elon Musk's trial postponed due to coronavirus

Infolinks