Lahore General Hospital, Lahore Postgraduate Medical Institute, Lahore

LAHORE GENERAL HOSPITAL

Middle East Respiratory Syndrome (MERS)

Middle East respiratory syndrome (MERS) is a respiratory disease caused by a coronavirus (MERS CoV)

 


What is the source of this virus (MERS-CoV)?

The exact source of MERS–CoV is not known. It was first reported in Saudi Arabia in 2012. MERS-CoV has been found in camels in Qatar, Oman, Egypt and Saudi Arabia, and a bat in Saudi Arabia. Camels in few other countries have also been tested positive for antibodies to MERS-CoV, indicating that the camels were previously infected with this virus . Humans possibly got infected from camels.
 


 

Which countries are affected so far?

The following countries have reported cases of MERS: Jordan, Kuwait, Oman, Qatar, Saudi Arabia, the United Arab Emirates, and Yemen (Middle East); France, Germany, Greece, Italy, and the United Kingdom (Europe); Tunisia and Egypt (Africa); Malaysia and the Philippines (Asia); and the United States of America .

Is MERS contagious?

Yes, But virus does not pass easily from one person to another unless there is close contact and infection prevention and control measures are inadequate.

What is Incubation Period:?

The incubation period is between 9 and 12-days. In majority of cases it is less than a week although it may exceed one week but is less than two weeks.

How can people get infected with MERS?

Infected person can spread virus to close contacts which includes health care workers , family members and any other person who was exposed to that patient during incubation period. In few cases source of infection was not found.
 


Who are at Risk?

Disease is mostly affecting old age as the median age of cases is 51 years (Range 14 months to 94 years).Males are predominant among reported cases (65%) as well as deaths. Persons with co-morbidities like liver ,heart or kidney diseases , Diabetics and immune - compromised patients are more at risk as compare to health individuals.

What are the symptoms of MERS?

It can present as fever, cough, shortness of breath and Pneumonia.  Gastrointestinal symptoms, like diarrhea, have also been reported. The virus appears to cause more severe disease in people with weakened immune systems, older people, and those with such chronic diseases as diabetes, cancer, and chronic lung disease.  Severe illness can cause ARDS &respiratory failure that might need mechanical ventilation.

What is the treatment?

Treatment is supportive and based on the patient’s clinical condition. Steroids should be avoided. Currently no vaccine or anti Viral therapy is available.

What is Mortality rate of MERS?

It is around 27 – 30%. In some people, infection did not cause any symptoms. Such persons have been found because they were tested for MERS-CoV during follow‐up studies of contacts of people with MERS infection.

What should I do if I had close contact with someone who has recently travelled to Arabian Peninsula.?

 If you have had close contact within 14 days of person’s travel from a country in the Arabian Peninsula and the traveler is confirmed or suspected case of MERS, you should monitor your health for 14 days, starting from the day you were last exposed to the ill person. If you develop respiratory illness, you should see your doctor. While sick, try to stay at home to reduce the possibility of spreading illness to others.

 Who should be tested for MERS?

Any one who develops  fever, cough or shortness of breath, within 14 days after travel from a country in or near the Arabian Peninsula or if have had close contact with suspected or confirmed case of MERS, or has respiratory illness like pneumonia or ARDS which is not explained by any other cause should be tested for MERS-CoV

 What kind of Tests are available?

  Two types of tests are available

   RT-PCR(Real time polymerase chain reaction)–Detects Viral RNA

If it detects viral RNA it means person has active infection with MERS-CoV. Lower respiratory specimens (sputum, bronchoalveolar lavage, endotracheal aspirates) are a preferred respiratory specimen for RT-PCR testing. Nasopharyngeal and Oropharyngeal specimens can be collected. If initial testing of a nasopharyngeal swab is negative in a patient who is strongly suspected to have MERS-CoV infection, patients should be retested using a lower respiratory specimen or a repeat nasopharyngeal specimen

  Serology –Detects antibodies against virus

Blood samples are collected to detect antibodies against MERS-CoV that would indicate a person had been previously infected with the virus and developed an immune response.

Sample Collection and Transportation in Pakistan

According to ministry of health Pakistan

  • Specimens being sent for MERS-CoV testing should preferably be tested at local facility to exclude the presence of other known respiratory pathogens before dispatch.

  • Exercising standard, contact, droplet and airborne precautions, samples must be transported to NIH; duly labeled / packed in triple packaging to the Department of Virology, Public Health Laboratories Division, National Institute of Health, Islamabad along with detailed clinical information and travel / contact history.

  • For any likely delay in reaching referral laboratory, the respiratory tract specimens or serum may be frozen on dry ice.

Is it safe to travel to the Middle East / perform Umerah or Hajj ?

WHO does not recommend the application of any travel or trade restrictions or entry screening related to MERS-CoV.

The Kingdom Saudi Arabia on 13thJul 2013, recommended to postpone the Umrah and Hajj last year for elderly and those suffering from chronic illnesses, like heart, kidney, respiratory diseases, diabetes and people with immune deficiency, as well as children and pregnant women.

What Standard Precautions are recommended ?

Although the source of the virus and the mechanism of transmission is not clearly understood , we should try to reduce the general risk of infection by:

  • Avoiding direct contact with ill persons, and wear masks in crowded locations, maintaining personal hygiene as a whole.N95 masks are recommended for health workers.

  • Washing hands thoroughly with soap and water or disinfectant, especially after coughing and sneezing, and cover while coughing or sneezing; dispose of the waste in a basket; do not touch your eyes, nose, or mouth with your hands

  • Adhering to food safety and hygiene rules such as avoiding undercooked meats, raw fruits and vegetables unless they have been peeled, or unsafe water.

  • Clean and disinfect frequently touched surfaces such as toys and doorknobs

  • Avoiding close contact with live farm or wild animals.

  • Seeking immediate medical attention in case of sickness

 
Polio Drops Timings
08:00 AM to 01:00 PM (Outdoor)
Friday 08:00 AM to 12:00 AM (Outdoor)
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If someone asks money through Omni or etc services
All these things ar Bogus & Fraud
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WORKSHOP ON NEONATAL RESUSCITATION


FOR PAEDIATRICIANS, OBSTETRICIANS, NURSES AND LABOR ROOM STAFF Organizing Secretary:
Prof. Dr. Agha Shabbir Ali
Head of Department of Pediatrics
PGMI / AMC / LGH, Lahore.


Time & Date: 10AM TO 1 PM / 07-03-2017
Venue: DEPARTMENT OF PAEDIATRICS, LGH, Lahore
Registration:CONTACT/SMS
DR RIZWAN GOHAR
03004204215

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PGMI / AMC / LGH oganizing its 7th Annual Symposium as decided in last Academic Council meeting.

Organizing Secretary:
Prof. Agha Shabbir Ali
Head of Department of Pediatrics
PGMI / AMC / LGH, Lahore.

Patron & Chairman:
Prof. Ghias un Nabi Tayyab
Principal, PGMI / AMC / LGH, Lahore.

Venue: 5th Floor, PINS, LGH, Lahore
Date:  15th - 16th - March 2017.

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The Administration of LGH has cancelled the MOU
with NTS Authority regarding recuritment of staff

Applications submitted through NTS will not be
entertained.LGH will soon announce the date of
receipt of applications.
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March for Army Public School(Peshwar)
Chief Organizer:
Prof. Khalid Mehmood
Principal PGMI/AMC/LGH
Chief Guest:

Guest of Honour:
Mr. Khawaja Salman Rafique (Advisor to CM on Health)
Date:14th December 2015
Venue:
From PGMI to Shadman Chowk
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Workshop on Lysosomal Storage Diseases (LSDs)
Chief Organizer:
Prof. Agha Shabbir Ali
Head of Pediatrics Department
Venue:
Conference Room Pediatric Ward , LGH, Lahore.

Date:Tuesday, 5th January 2016th,
Time:9:00 AM 12:00
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Walk on World Diabetes Day
Chief Organizer:
Prof. Ghias Un Nabi Tayyab
Prof. of Medicine.
Organising secretary:
Dr. Muhammad Imran Hasan
Associate Prof. of Medicine PGMI/LGH
Organize By:
DEMC/PGMI/LGH, Medical Unit-I, LGH, Lahore.
Chief Guest:
Mr. Sohail Ahmed (Azizi).
Date:14th November 2015
Time:
11:00 AM
Venue:
From LGH Emergency Gate to Stall Area
Last date for registration:
26-10-2015
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Diabetes Education Workshop
Chief Organizer:
Prof. Ghias Un Nabi Tayyab
Prof. of Medicine.
Organising secretary:
Dr. Muhammad Imran Hasan
Associate Prof. of Medicine.
Venue:
Gastro Auditorium, Medical Unit-I, LGH, Lahore.
Date:30th - 31st October 2015
Contact:
0332-2368486
Last date for registration:
26-10-2015
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15th Workshop on Dengue Fever
Chief Organizer:
Prof. Agha Shabbir Ali
Head of Pediatrics Department
Venue:
Conference Room Pediatric Ward , LGH, Lahore.

Date:Saturday, August 29th, 2015
Time:9:00 AM 11:15 AM
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2nd Alumni of PGMI
Venue:
Ali Institute Auditorium, Ferozepur Road, Lahore.
Near Gulab Devi Hospital
Registration (Last Date):Saturday, June 06, 2015
Registration Fee:
Professor Rs.2,000/-
Associate Prof. Rs.1,500/-
Assistant Prof. Rs.1,500/-
Demonstrator/PGR Rs.1,000/-
Date:Wednesday, June 10, 2015
Time:05:00 PM
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2nd THALASSEMIA WORKSHOP
Venue:
Conference Room Pediatric Ward LGH, Lahore.

Date:Thrusday, June 11th, 2015
Time:9:00 AM 02:00 PM
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2nd Workshop on Neonatal Resuscitation
Venue:
Conference Room Pediatric Ward LGH, Lahore.

Date:Saturday, June 13th, 2015
Time:10:00 AM 01:00 PM
Registration Contact:Dr Rizwan gohar Senior registrar
03004204215 email. rizwangohar@gmail.com
Headed By:Prof Agha shabbir ali , Prof Rashid Mehmood
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5th 17th Annual Conference of
Anaesthesiology & Critical Care
Organised by:
Department of Anesthesia, PGMI/AMC/LGH
Supervised by:
Prof. Khalid Bashir,
HOD,Department of Anesthesia, PGMI/AMC/LGH
Venue:
Pearl Continental,Lahore
Date:Friday-Sunday, April 03-05, 2015
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5th Symposium & Live Workshop on Endourology
(PCNL, TVT/TOT, LAPROSCOPIC SURGERY)
Organised by:
Department of Urology, PGMI/AMC/LGH
Supervised by:
Prof. Safdar Ali Shah,
HOD,Department of Urology, PGMI/AMC/LGH
Contact:
0333-8417898
Venue:
Department of Urology, PGMI/AMC/LGH
Date:Monday, February 23, 2015
Time:09:00 AM to 03:00 PM
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5th Annual Scientific Symposium 2015
PGMI/AMC/LGH
Venue:
Neuro Auditorium, LGH, Lahore.
Date:February 18,19 2015
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Fetal Surveillance
(Pre-Conference Workshop)
Antenatal Fetal Surveillance
Intrapartum Fetal Surveillance
NICHD-FHR Classification & Suggested Management
Fetal Surveillance of Surgically Correctable Fetal Anomalies
3rd Trimester Fetal Surveillance by Ultrasound
Organised by:
Department of Obs. & Gynae., PGMI/AMC/LGH
Prof. Nuzhat Khawaja
Prof. of Obs. & Gynae., PGMI/AMC/LGH
Dr. Naela Tarique
Associate Prof. of Obs. & Gynae., PGMI/AMC/LGH
Secretary:
Dr Farzana Latif, Assistant Prof., PGMI/AMC/LGH
Venue:
Neuro Auditorium, LGH, Lahore.
Registration:
Free.
Date:Friday, February 13, 2015
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Basic Knee Arthroscopy Workshop
Organized By:
Department of Orthopaedic Surgery, PGMI/AMC/LGH
Collaboration with:
Pakistan Orthopaedic Association
Venue:
Learning Resource Center
Department of Orthopaedic Surgery, PGMI/AMC/LGH
Registration Fee:Rs. 1000
(Limited seats)
Contact:Mr. Muhammad Akram
0345 4703901
Date:February 11, 2015
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Seminar: Dengue Fever Diagnosis & Management
Organizer:
Prof. Dr. Jawad Zaheer
Prof. of Medicine.
Presenter:
Dr. Kashif Aziz Ahmad
(MD, FCPS)
Venue:
Medical Unit-II, LGH, Lahore.
Date:Monday, January 19, 2015, 10:30 AM
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Award Distribution Cermony
Organized By:
Prof. Irfan Mehboob
Prof. of Orthopaedic.
Venue:
Department of Orthopaedic Surgery, LGH, Lahore.
Date:January 17, 2015
Time:11:30 AM to 12:30 PM
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5thAnnual Scientific Symposium
BLS Workshop
Organised by:
Department of Pediatrics, PGMI/AMC/LGH
Prof. Agha Shabbir Ali
Prof. of Pediatric, PGMI/AMC/LGH
Venue:
Conference Room, Pediatric Department, LGH, Lahore.
Date:Wednesday, January 14, 2015
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