“FEATURE FIGHTERS”FINAL MERS-CoV Paper Post
Mers-C0V wordpress bolg final post ith captions This link is our Feature paper over the virus MERS-CoV also the pictures and captions we used are listed as well. This is our final post to wordpress from the Feature Fighters from Dr. Arif’s Feature Writing Summer 2015 semester. I loved my grouped and have enjoyed our time together during this course!!!(:
lingering sensation in the throat that spreads as a persistent tickle beneath the breastbone, forcing air from the lungs. Muscle aches, fatigue and chills follow alluding to the dreaded flu. In addition to fever, those with healthy immune systems may only experience gastrointestinal discomforts such as diarrhea and vomiting. Those with compromised immune systems may drown in pneumonia or languish in kidney failure before eventually succumbing. Sound like a common flu infection? You are sorely mistaken. It’s one of the most deadly virus’ plaguing the world at this time. It has crossed American borders twice and many still do not know its name.
The silence from major U.S. media outlets has been almost deafening. Pushed to the edges of American consciousness by the sheer volume of more proximity based news articles, stories of the Middle Eastern Respiratory Syndrome Virus (MERS-CoV) reside along the fringes of newsworthy consciousness. The virus is virtually unknown to many Americans. While it is true that there have been no major outbreaks in the United States, there have been at least two cases of infected persons within America’s borders. The fiasco that gripped the country during the Ebola crisis indicates that knowledge of infectious diseases and how to combat them is essential to public health. Also crucial is the public’s understanding of how such diseases can and will eventually reach the American people. Preparation and understanding of the virus and its symptoms are vital to prevent the panic that was present with the arrival of the Ebola virus.
MERS-CoV? What’s that again?
According to the World Health Organization (WHO), MERS-CoV is a viral respiratory disease caused by a coronavirus similar to the virus that causes the common cold, though MERS-CoV has the potential to be much more deadly. The coronavirus is a family of six viruses that also includes sister virus, Severe Acute Respiratory Syndrome or SARS. Named for their crown-like or corona shape, both viruses are considered extremely deadly. In addition to normal flu and cold-like symptoms, some people suffering from MERS-CoV may experience organ failure which can lead to septic shock. Those with weakened immune systems such as the elderly, cancer patients and people with chronic diseases, are much more susceptible than someone with a healthy immune system.
As CNN report earlier this month, 2,800 people have been quarantined in South Korea with a death total of nine. It is the largest outbreak so far.
Where did it come from?
The first known case of MERS-CoV occurred in Saudi Arabia in June 2012. The virus has since been identified in multiple countries along the Arabian Peninsula, China and South Korea. Although not known for certain, patient zero may have been a Saudi male who became ill with pneumonia and kidney failure and died eleven days later. The WHO notes that many of the 1,000 plus cases have either been directly or indirectly linked to the Arabian Peninsula and its dromedary or one hump camels. At least 400 people have succumbed to the disease. They also show that many of the camels that roam the peninsula have shown high rates of antibodies against the MERS-CoV while the virus’ RNA has been detected in camels in different countries. Bats can also carry the virus.
Though evidence would seem to point towards the camels as likely cause of the disease, coming into contact with them isn’t a sure fire way of catching it. A January 2015 study by Kafrelsheikh Univesity in Egypt, King Faisal Unversity in Hofuf, Saudia Arabia and the University of Hong Kong, shows that the blood of people who had repeated contact with infected camels, in some cases even drinking infected camel milk, did not possess antibodies against MERS-CoV. Although their research is promising for those who have some sort of contact with camels, it doesn’t completely rule out animal to people transmission. “Spillover infection of humans may be more common in other settings in which humans are exposed over sustained periods to animals among which virus prevalence is higher,” their research found.
Despite an extraordinary amount of research, answers about the virus’ origin have been elusive and without that information a vaccine will be quite difficult to acquire.
“There’s a lot of unknowns in this thing, in this virus. We don’t know who is the first patient (sic). The index patient. That’s why we cannot even create a vaccine. We know there’s bats in Egypt [that] have this, that carry it. We know that camels have it. [The virus they carry has the] same kind of genetic makeup. Is the transfer from animals to humans? We don’t know that. A lot of these things we don’t know at this time,” explains Dr. Mariejane Braza an Internist who specializes in infectious diseases at the East Texas Infectious Disease Consultants in Tyler, Texas.
Though Saudi Arabia, South Korea and China may seem worlds away, air travel makes the threat of the virus reaching American soil extremely likely. While it was not widely reported, the United States has already experienced two instances of the disease. In May 2014, the CDC confirmed the first case of MERS-CoV in Chicago, IL. The patient, who lives and works as a healthcare provider in Saudi Arabia, traveled to the U.S. by way of London before taking a bus to Indiana. After experiencing shortness of breath and coughing the patient went to the emergency room where his travel history and symptoms were noted. Health officials tested him for MERS-CoV and confirmed his illness. The patient later recovered. A second case in Florida also involved a patient who lives and works in Saudi Arabia. He also recovered.
To combat a possible spread, the CDC tracked down plane and bus passengers who shared each patient’s trip. Their findings showed that there was not a high risk of transmission. All health care workers who came into contact with the patients tested negative for the disease.
Is there a cure?
According to the U.S. Centers for Disease Control and Prevention (CDC) and the WHO there are no specific treatment regimen for patients suffering from a MERS-CoV infection. Patients who show symptoms of the disease are given supportive care which involves specific treatments to control or relieve complications and side effects that can arise from the disease. Also, while MERS-CoV is highly contagious, it does not appear to pass easily between humans without close contact.
Unfortunately, there is no vaccine for MERS-CoV. According to Braza, the mortality of the disease is exceptionally high at “about 30 to 40 percent.”
MERS-CoV! Here in Tyler?? What to do.
Firstly, don’t panic. There have only been two cases within the United States. Tyler, a college town, is a hub for international travel. From students who travel abroad with the GATE program to the international students and others who call Tyler home, the potential to see a case close to home isn’t completely out of the question. Braza is quick to put fears of a widespread pandemic similar to South Korea to rest.
“There are protocols in place on how to take care of these patients to prevent the spreading of it in the community and we’ve been successful with this. It’s all about telling us the history, if they travel to the Arabian Peninsula, [if] they’ve been to Korea, China within two weeks and they have some type of respiratory symptoms. Fever, cough, flu-like illness then they should inform their primary care physician,” she said.
Photo: Christina Williams
UT Tyler’s nursing department works to instill values that ensure their student nurses are prepared for infectious diseases.
Photo: Christina Williams
Although there is no specific treatment for MERS-CoV, researchers are diligently working to thwart any future outbreaks.
Photo: Christina Williams
International travel hampers containment of infectious diseases. In a globalized world, a population knowledgeable about diseases such as MERS-CoV can help stall the virus in its tracks.