Thread: FLA. US: MERS patient may have exposed 100

May 13, 2014

US: MERS patient may have exposed 100 Orlando HCWs

Via ABC News: Orlando Hospital Workers Exposed to MERS Virus Awaiting Test Results, Officials Say.

Click through for the full report and a video. Excerpt:

A man with Middle East Respiratory Syndrome may have exposed 100 people to the deadly MERS virus at two Florida hospitals, health officials said today.

The 44-year-old man, who works as a healthcare provider in Saudi Arabia, was admitted to Dr. P. Phillips Hospital in Orlando May 8, a week after developing symptoms of MERS mid-flight from Jeddah, Saudi Arabia to London.

The man, whose name and nationality have not been released, traveled through Boston and Atlanta before arriving in Orlando, where he was visiting family, officials said.

“He is in good condition and is continuing to improve,” the hospital said in a statement, adding that prior to the man’s hospitalization, he accompanied another patient to Orlando Regional Medical Center May 5. “In conjunction with the Florida Department of Health, we are proactively notifying all team members, other patients and their guests who were in this patient’s vicinity prior to his diagnosis of their possible exposure to the virus and the proper precautions to take.”

At least 20 hospital workers who were in contact with the man at Dr. P. Phillips Hospital and Orlando Regional Medical Center have been placed in home isolation for the virus’s 14-day incubation period and are awaiting MERS test results.

One hospital worker, who developed symptoms of the virus 24 hours after being exposed, has been placed in isolation at Dr. P. Phillips Hospital, Dr. Antonio Crespo said at a media briefing today.

Crespo said he wears a special mask, goggles and gloves, all of which are disposable, when interacting with isolated patients.

An estimated 80 other people who may have been exposed to the virus in waiting rooms at the two hospitals have also been contacted. The infected man was not wearing a mask despite his respiratory symptoms and a fever as high as 102 degrees, and did not inform hospital staff that he worked at a hospital in Saudi Arabia that treated MERS patients until after his arrival, officials said.

Dr. P. Phillips Hospital is a 237-bed full-service medical facility in Southwest Orange County, according to the hospital’s website. Just last year, its staff ran a safety exercise that involved a fictitious MERS case, according to Crespo, who called the exercise an “excellent drill.”

The results of MERS testing for the 20 exposed healthcare workers are expected Wednesday or Thursday. If any tests come back positive, MERS testing will be offered to other community members that may have been exposed. But officials stressed that the risk to the community is “negligible,” and that healthcare workers in “close contact” with patients have the highest risk.

This is beginning to remind me of Dr. Liu Jianlun, the Guangzhou doctor who had treated numerous SARS patients and then visited Hong Kong.

As Karl Taro Greenfeld tells it in his remarkable book The China Syndrome, Dr. Liu was running a fever when he checked in to the Hotel Metropole. He went to the elevator bank on his floor, where he exploded into a coughing fit right beside a number of other guests. One of them was a 78-year-old woman who was soon to return to her home in Toronto.

That was all it took to launch SARS around the world.

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