Jumat, 09 Mei 2014

INDONESIA YET TO DETECT MERS VIRUS AT HOME

By Andi Abdussalam  
          Jakarta, May 9 (Antara) - Indonesian health officials have not detected any MERS virus infection cases in the country but have advised the elderly and other risky people to delay trips to Saudi Arabia, where the virus has broken out.
         "The samples that we had tested in the laboratories until Thursday (May 8) were negative for the Middle East Respiratory Syndrome (MERS) virus, though we are still waiting for the results of other samples," Health Deputy Minister Ali Ghufron Mukti reported here on Friday.
         Several patients in Medan, North Sumatra, and Pekanbaru, Riau, were suspected to have contracted the MERS virus. They suffered from MERS infection-like symptoms, such as high fever, cold, cough, and difficulty in breathing.
         They were admitted to the hospital after their return from a minor hajj pilgrimage (umroh) to Saudi Arabia. One of these, a 54-year-old patient, KS, died at a general hospital in Medan on Tuesday.

 
         Saudi Arabia announced on Thursday that it had identified 32 new cases of MERS infection, pushing the total number of infections in the country so far to 463.
         Four people died of the disease on Wednesday and five on Thursday, taking the total death toll in Saudi Arabia to 126 since MERS, a form of coronavirus, was identified two years ago, Reuters quoted a Saudi Health Ministry statement on its website on Friday.
         The rate of infection in Saudi Arabia has surged in recent weeks after large outbreaks associated with hospitals in Jidda and Riyadh. The total number of infections nearly doubled in April and has already risen by a further 25 percent in May.
         The outbreak of the MERS virus infections in Saudi Arabia has raised concern and suspicions in Indonesia whenever similar symptoms occur in patients just like the patients in the Sumatran provinces of North Sumatra and Riau.
         However, laboratory tests on a number of samples until Thursday have shown negative results. "There are suspicions of MERS virus infection cases in Medan (North Sumatra), but they are still based on clinical symptoms. They have not yet been proven through a laboratory test. We are still waiting for the test results of other patients. It is not only in Medan, we also have cases in Riau, Bali, and other provinces whose samples have been examined in laboratories. We have tested about 48 cases and the all results were negative, the deputy health minister noted.
         Ali Ghufron Mukti pointed out that the Indonesian government had not yet taken a decision on banning Indonesian citizens to travel to Saudi Arabia because it had not found MERS virus infection cases in the country.
         "We have not yet issued a travel restriction. The World Health Organization has also not yet issued a recommendation to us. After all, till yesterday we had no positive MERS infection cases," the deputy minister noted on Friday.
         However, Ali Ghufron appealed to would-be minor hajj pilgrims--particularly those who were prone to infections, such as senior citizens of over 65 years, expectant mothers, and those who were suffering from chronic diseases--to delay their trips. Those who had chronic problems were requested to consult their doctors first.
          "If they are not able to delay their trips to the Holy Land, they are expected to put face masks during their staying there," asserted Ghufron. He also suggested that they receive vaccines, though vaccination cannot guarantee full protection against the MERS virus.
         "This is a kind of flu, so they had better have the vaccine before they leave the country for the Holy Land," he remarked.
         In the meantime, General Chairman of the Indonesian Medical Association (IDI) Zaenal Abidin asked all health officials across the country to watch for MERS infection symptoms on patients so that the case could be handled as early as possible.
         "Health officials should understand the virus infection symptoms. It should not happen that MERS virus infection cases should occur in their regions before doctors understand the disease," Zaenal told a press conference on Thursday.
         He called on doctors and other health officials to read the MERS-CoV guide book that was issued by the Ministry of Health in 2013.
         "IDI will also issue a simpler guide book so that it could be easily understood," Zaenal explained.
         The Central Executive Board of IDI (PB-IDI) has set up a MERS-Cov research team comprising members from the Assembly of Professional Service Development (MPPK) and associations of relevant specialist doctors such as the Indonesian Internists Association (PAPDI), Lung Specialists Association (PDPI), Indonesian Pediatricians Association (IDAI), and the Indonesian Gynecologist and Obstetricians Association (POGI).
         The team will draft a fact sheet on MERS-CoV for doctors and provide the latest information on the disease for the people. It will be distributed through the regional branches of IDI and can also be downloaded through the Internet, Zaenal stated.
         These efforts are made to prevent the spread of the disease in Indonesia.
         According to legislator Rini Rahmadhani, Indonesia should be on the alert because the MERS virus has a great potential to infect Indonesian umroh pilgrims in Saudi Arabia.
         "Indonesia has the greatest potential to be infected with the virus because this country has a large number of hajj and minor hajj pilgrims as well as Indonesian migrant workers in Saudi Arabia," Rini stated on Thursday.
         She added that even though Indonesia had not yet detected MERS infection cases, pilgrims and other Indonesian citizens need to remain alert.
         The legislator pointed out that in 2013, a total of 200 thousand Indonesian pilgrims and 750 thousand minor pilgrims conducted the hajj rituals in the Holy Land.
         This excluded the Indonesian migrant workers whose population exceeded one million.
         Therefore, the Health Ministry is taking precautions in the face of the MERS virus spread from Saudi Arabia. After all, this virus has also spread to other countries.
         "All the countries must take necessary precautions. Indonesia should have made thorough preparations. We have a good experience in handling such situations, namely our experience in handling Severe Acute Respiratory Syndrome and bird flu cases. Thus, we hope that we can face and handle the MERS cases," Acting Director General of Disease Control and Sanitation Agus Purwadianto asserted.
         Agus added that hospitals and surveillance officials were requested to stand-by 24 hours. The Port health offices (KKP) were also requested to follow the same and to monitor passengers for possible symptoms of MERS infection, particularly those who have such symptoms as cough, high body temperature, and difficulty in breathing. ***3***

(T.A014/INE/B003)
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(T.A014/A/BESSR/Bustanuddin) 09-05-2014 21:54:

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