(精选)MERS和 H7N9教学课件.pptVIP

Emerging Infections of Interest Diane Woolard, PhD, MPH Director, Division of Surveillance and Investigation Topics Influenza A H7N9 Middle East Respiratory Syndrome – Coronavirus (MERS-Cov) Influenza A H7N9 Influenza viruses are always changing This new strain was first reported internationally in April 2013 By end of May, up to 132 cases including 37 deaths (28%) All cases have been in China Most have been exposed to infected poultry or contaminated environments before illness New illness reports have decreased since April Control measures (closing live bird markets) Natural seasonal pattern of avian flu viruses Criteria for an Influenza Pandemic Criteria for a pandemic: Novel strain that is not recognized by the human immune system Causes increased sickness and death X Sustained person-to-person transmission Concern that virus will change to increase person-to-person transmission So far such spread has been limited, not sustained Public Health Steps Being Taken CDC Working on vaccine development and immunization delivery systems Sharing test kits with public health laboratories Testing for antiviral resistance Maintaining current information VDH Monitoring situation Developing internal guidance Evaluating and deciding on testing of ill travelers, coordinating with DCLS Assessing immunization delivery capacity MERS-CoV Middle East Respiratory Syndrome-Coronavirus Formerly called novel coronavirus Not the same coronovirus that caused SARS Newly identified virus, causes severe acute respiratory illness – first seen in April 2012 54 cases, including 30 deaths (55.6%) to date 8 countries, with 72% in Saudi Arabia No cases in U.S. Can spread from person to person during close contact Families Healthcare Countries Cases (Deaths) France 2 (1) Italy 3 (0) Jordan 2 (2) Qatar 2 (0) Saudi Arabia 39 (24) Tunisia 2 (0) United Kingdom (UK) 3 (2) United Arab Emirates (UAE) 1 (1) Total 54 (30) MERS Cases and Deaths, April 2012 - June 2013    Current as of June 4, 2013