Rapid risk assessment, update: Severe respiratory disease associated with a novel coronavirus
Since June 2012 and up to 25 November 2012, a total of six confirmed cases of infection with the novel coronavirus (of whom two died) have been reported to WHO. All cases share a history of residence in, or travel to, the Kingdom of Saudi Arabia (KSA) or Qatar. The source and possible routes of transmission of the virus remain unknown.
ECDC updated risk assessment concludes that in the absence of evidence of sustained person-to-person transmission outside of household settings, the current facts still point towards a hypothesis of a zoonotic or environmental source with occasional transmission to exposed humans. WHO does not advise any travel or trade restrictions at this point for KSA or Qatar.
Today, ECDC publishes an update of its risk assessment on the novel coronavirus that has been identified earlier this year. Six cases have been confirmed as of 25 November 2012. All six confirmed cases visited, or resided in, Saudi Arabia or Qatar when falling ill, between June and November 2012. Two of the cases were treated in the United Kingdom and Germany after medical evacuation, but so far, despite intensive surveillance, there are no indications of transmission of the virus within the EU.
The source and possible routes of transmission of the virus remain unknown. Investigations have yet to identify the source or route of infection and infectiousness. At this stage, the detection of a household cluster does not provide conclusive evidence for or against limited person-to-person transmission. It is possible that enhanced surveillance in the Kingdom of Saudi Arabia, Qatar and elsewhere will detect additional sporadic cases and clusters.
Healthcare workers should be made aware of the possibility of attending to patients matching the characteristics of patients requiring investigation as per WHO case-definition; however, the geographical area should be extended from Kingdom of Saudi Arabia and Qatar to include the whole of the Middle East. Healthcare workers caring for patients under investigation should exercise stringent infection control measures following national or international guidance. Testing for the novel coronaviruses should be considered in patients potentially undergoing medical evacuation for acute respiratory distress syndrome (ARDS) prior to their transfer. Healthcare workers caring for confirmed cases and close contacts of confirmed cases should be monitored for symptoms.
Patients returning from the Middle East with unexplained pneumonia or ARDS, i.e. where full diagnostic workup for respiratory pathogens (bacterial and viral) is negative, should be considered for investigation and tested for novel coronavirus by EU national reference and research laboratories capable of such testing.
Outbreak of carbapenemase-producing (NDM-1 and OXA-48) and colistin-resistant Klebsiella pneumoniae ST307, north-east Germany, 2019
28 Oct 2019 - Germany has reported an outbreak of carbapenemase-producing (NDM-1 and OXA-48) and colistin-resistant Klebsiella pneumoniae sequence type (ST) 307. As of 21 October 2019, 17 patients in three hospitals and one rehabilitation clinic in Mecklenburg-West Pomerania in north-east Germany have been affected. Six of the 17 cases presented with clinical symptoms of infection, while 11 were identified as be carriers.
Rapid risk assessment: Zika virus disease in Var department, France
16 Oct 2019 - On 1 October 2019, a case of locally acquired Zika virus (ZIKV) disease in France (Hyères city, Var department) was laboratory confirmed. To date, and based on ECDC’s epidemiological assessment, the probability of ongoing vector-borne local transmission in Hyères (and surrounding areas) is considered very low because current evidence does not indicate the existence of a more extensive cluster of ZIKV cases.
Rapid risk assessment: Autochthonous cases of dengue in Spain and France
1 Oct 2019 - Three autochthonous cases of dengue have been reported in France and Spain. The probability of further local sustained transmission remains very low, both in Spain and in France. Environmental conditions will become progressively less suitable for transmission over the autumn season.