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3 million pilgrims 1.7 million foreign pilgrims Egypt, India, Pakistan and Indonesia high volume About 12,000 from US

Hajj: Oct 13 – 18, 2013. 3 million pilgrims 1.7 million foreign pilgrims Egypt, India, Pakistan and Indonesia high volume About 12,000 from US

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3 million pilgrims 1.7 million foreign pilgrims Egypt, India, Pakistan and Indonesia high volume About 12,000 from US

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  1. Hajj: Oct 13 – 18, 2013 • 3 million pilgrims • 1.7 million foreign pilgrims • Egypt, India, Pakistan and Indonesia high volume • About 12,000 from US • KSA Ministry of Health recommended that elderly, children, pregnant women, and those with chronic diseases, weakened immune systems and terminal illnesses not attend Hajj this year

  2. Travel-related MERS-CoV Planning for Hajj • Public health communications for inbound and outbound travelers • Electronic messaging on airport monitors • Travel notice on CDC Travel website • Social messaging– using Travel Tweets and CDC Travel Facebook postings • Outreach to Hajj/Umrahtravel agencies, business orgs., education, CBOs

  3. Global Activities • Collaboration with WHO, Jordan, KSA, Tunisia. • Supplied diagnostic reagents widely • Eastern Mediterranean Acute Resp Infection Surveillance • Tests negative to date: > 4,000 Egypt, > 500 Jordan

  4. CDC rRT-PCR Assay Deployment: International CDC GDD Kenya GDD Thailand CPHL Egypt GDD Bangladesh GDD Bangladesh CPHL India (NCDC) PAHO Brazil CPHL Chile CPHL Canada CPHL Mexico CPHL Trinidad CARPHA AFRO Nigeria CPHL Ethiopia CPHL Algeria CPHL/Pasteur DoD/GEIS Kenya (USAMRU-K) Germany (Landstuhl, LRMC) Egypt (NAMRU-3) US-CA, San Diego (NHRC) US-TX, Brooke (AMC) US-HI, Tripler (AMC) US-MD, Walter Reed (AMC) US-MD, USAMRID US-OH, Wright Patterson (USAFSAM) Other Vietnam, Ho Chi Minh City (PI-HCMC NIC) Vietnam, Hanoi (NIHE NIC) Indonesia (Research Facility) India (NCDC) India (NIV-Pune) Indonesia CPHL EMRO Region Bahrain CPHL Egypt CPHL Jordan CPHL KSA CPHL Oman CPHL Pakistan CPHL West Palestine CPHL Lebanon CPHL Morocco CPHL Tunisia CPHL Libya CPHL Qatar CPHL Iran CPHL Sudan CPHL UAE CPHL Yemen CPHL Syria CPHL CPHL = Central Public Health Laboratory

  5. Summary- MERS coronavirus • Cases have occurred in multiple locations over 1 year • Clear evidence for person-to-person spread (not sustained) • No clear environmental source • No clear treatment or vaccine available • Healthcare worker illness is very concerning, reminiscent of SARS 2003 • Illnesses in returning travelers also concerning • Businesses can be partners in educating travelers

  6. http://www.cdc.gov/coronavirus/mers

  7. Acknowledgments Susan I. Gerber Mark Pallansch Dean D. Erdman, Lia Haynes Aron Hall Aaron Curns Stephanie Bialek Ying Tao Sue Tong Jeanette St. Pierre Karen Mason Ray Arthur SudhirBunga Lisa Rotz Nicki Pesik Gary Brunette Nichole Cohen Chris Van Beneden Gayle Langley David Kuhar Jeff Hageman Michael Bell David Bell Kevin Ryan Anne Schuchat Kris Sheedy Beth Schweitzer Carol Rubin Tom Gomez • Many, many, others

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