Thursday, March 27, 2014

UAE - MERS-CoV : Omani patient succumbs to infection, while man from Abu Dhabi in critical condition

Earth Watch Report  -  Biological Hazards


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UAE sees two new cases of Mers coronavirus infection

Omani patient succumbs to infection, while man from Abu Dhabi in critical condition
    • By Samihah Zaman, Staff Reporter
    • Published: 21:30 March 27, 2014
    • Gulf News

Abu Dhabi: Two new cases of infection by the Middle East Respiratory Syndrome coronavirus (Mers-CoV) in the UAE have been reported to international authorities over the past week, with one of the patients succumbing to the disease.
The victim was a 40-year-old man from Oman, who died on Monday (March 24) at an Abu Dhabi hospital, according to reports submitted by UAE authorities to the World Health Organisation (WHO). He had had underlying medical conditions, and was first admitted to a hospital in Muscat. On March 17, he was admitted to an Abu Dhabi facility. The patient has not recently travelled outside Oman and the UAE, and had no recorded contacts with animals or other Mers-CoV patients.
The second patient is a 49-year-old man from Abu Dhabi whose condition is currently critical. The patient had been admitted to hospital in late February, and was discharged after a few days because his condition had improved. On March 16, he was readmitted, and laboratory tests confirmed Mers-CoV infection.
Although the patient has not travelled recently, he is said to have been in contact with a 68-year-old farm owner from Abu Dhabi who was diagnosed with Mers earlier and is now stable.

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Biological Hazard - Oman, Governorate of Muscat, Muscat

 

Earth Watch Report  -  Biological Hazards

 Electron micrograph of MERS-CoV
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Biological HazardOmanGovernorate of Muscat, MuscatDamage levelDetails

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Description
A 40-year-old man from Oman with underlying medical conditions. He was 1st admitted to a hospital in Muscat on [15 Feb 2014] and was then readmitted to hospital in Abu Dhabi on (17 Mar 2014). His condition deteriorated, and he died on (24 Mar 2014). Laboratory-confirmation was done on (21 Mar 2014). The patient had no history of recent travel outside of Oman and the UAE and had no reported contact with animals or a laboratory-confirmed case. Further epidemiological investigation in ongoing.
Biohazard name:MERS-COv
Biohazard level:4/4 Hazardous
Biohazard desc.:Viruses and bacteria that cause severe to fatal disease in humans, and for which vaccines or other treatments are not available, such as Bolivian and Argentine hemorrhagic fevers, H5N1(bird flu), Dengue hemorrhagic fever, Marburg virus, Ebola virus, hantaviruses, Lassa fever, Crimean-Congo hemorrhagic fever, and other hemorrhagic or unidentified diseases. When dealing with biological hazards at this level the use of a Hazmat suit and a self-contained oxygen supply is mandatory. The entrance and exit of a Level Four biolab will contain multiple showers, a vacuum room, an ultraviolet light room, autonomous detection system, and other safety precautions designed to destroy all traces of the biohazard. Multiple airlocks are employed and are electronically secured to prevent both doors opening at the same time. All air and water service going to and coming from a Biosafety Level 4 (P4) lab will undergo similar decontamination procedures to eliminate the possibility of an accidental release.
Symptoms: 
Status:confirmed

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Omani dies of MERS virus in Abu Dhabi hospital


Muscat -
A 40 year old Omani man with 'underlying medical conditions' died of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in Abu Dhabi on Monday.
The World Health Organization (WHO) said that the man was first admitted in a hospital in Muscat on February 15, and then readmitted to a hospital in Abu Dhabi on March 17. “His condition deteriorated and he died on March 24,” the WHO added in a statement.

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World Health Organization

Middle East respiratory syndrome coronavirus (MERS-CoV) – update

Disease Outbreak News
On 23 March 2014, the National IHR Focal Point of the United Arab Emirates (UAE) notified WHO of an additional laboratory-confirmed case of infection with Middle East respiratory syndrome coronavirus (MERS-CoV).

Details of the case provided to WHO are as follows:

  • A 40 year-old man from Oman with underlying medical conditions. He was first admitted to a hospital in Muscat on 15 February and was then readmitted to hospital in Abu Dhabi on 17 March. His condition deteriorated and he died on 24 March 2014. Laboratory-confirmation was done on 21 March. The patient had no history of recent travel outside of Oman and the UAE, and had no reported contact with animals or a laboratory-confirmed case. Further epidemiological investigation in ongoing.

Globally, from September 2012 to date, WHO has been informed of a total of 200 laboratory-confirmed cases of infection with MERS-CoV, including 85 deaths.

WHO advice

Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns.
Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in health care facilities. Health-care facilities that provide for patients suspected or confirmed to be infected with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus from an infected patient to other patients, health-care workers and visitors. Health care workers should be educated, trained and refreshed with skills on infection prevention and control.
It is not always possible to identify patients with MERS-CoV early because some have mild or unusual symptoms. For this reason, it is important that health-care workers apply standard precautions consistently with all patients – regardless of their diagnosis – in all work practices all the time.
Droplet precautions should be added to the standard precautions when providing care to all patients with symptoms of acute respiratory infection. Contact precautions and eye protection should be added when caring for probable or confirmed cases of MERS-CoV infection. Airborne precautions should be applied when performing aerosol generating procedures.
Patients should be managed as potentially infected when the clinical and epidemiological clues strongly suggest MERS-CoV, even if an initial test on a nasopharyngeal swab is negative. Repeat testing should be done when the initial testing is negative, preferably on specimens from the lower respiratory tract.
Health-care providers are advised to maintain vigilance. Recent travellers returning from the Middle East who develop SARI should be tested for MERS-CoV as advised in the current surveillance recommendations. All Member States are reminded to promptly assess and notify WHO of any new case of infection with MERS-CoV, along with information about potential exposures that may have resulted in infection and a description of the clinical course. Investigation into the source of exposure should promptly be initiated to identify the mode of exposure, so that further transmission of the virus can be prevented.
People at high risk of severe disease due to MERS-CoV should avoid close contact with animals when visiting farms or barn areas where the virus is known to be potentially circulating. For the general public, when visiting a farm or a barn, general hygiene measures, such as regular hand washing before and after touching animals, avoiding contact with sick animals, and following food hygiene practices, should be adhered to.
WHO does not advise special screening at points of entry with regard to this event nor does it currently recommend the application of any travel or trade restrictions.

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MERS-Coronavirus claims life of 40-year-old Omani citizen in UAE

 
 
Muscat: A 40-year-old Omani died in UAE due to Middle East Respiratory Syndrome Coronavirus (MERS-CoV), according to World Health Organisation (WHO).
The WHO said that the citizen was first admitted to a hospital in Muscat on February 15 and was then readmitted to hospital in Abu Dhabi on March 17. "His condition deteriorated in Abu Dhabi hospital and he died on March 24," the WHO said.
A laboratory-confirmation was done on March 21. The patient had no history of recent travel outside of Oman and the UAE, and had no reported contact with animals or a laboratory-confirmed case. "Further epidemiological investigation is going on," the WHO said.
Globally, from September 2012, WHO has been informed of a total of 200 laboratory-confirmed cases of infection with MERS-CoV, including 85 deaths.
In Oman, the MERS-CoV has claimed life of two people.
A 59-year-old patient who was under treatment died on December and the Sultanate's first MERS coronavirus patient died on November 10, 2013.
The first MERS-CoV victim, who was admitted to the hospital in Nizwa was suffering from diabetes and high blood pressure while the second victim died of lung failure.

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Volcano Eruption - Ecuador, Andes, [Reventador volcano]

 

Earth Watch Report  -  Volcanic Activity


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RSOE EDIS

Volcano EruptionEcuadorAndes, [Reventador volcano]Damage levelDetails

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Description
The volcano has entered a new eruptive phase since yesterday, Ecuador's Institute of Geophysics (IGP) reported. Starting from 15:00 local time yesterday, increasing tremor was registered and steady ash emissions were observed. At night, incandescent blocks could be seen and heard rolling down from the crater where probably a new lava dome has started to appear. Small pyroclastic flows descended on the eastern, southeastern and southern flanks of the volcano, probably as a result of re-mobilization of fresh lava and tephra deposits. These so-called secondary pyroclastic flows reached lengths of 500 m below the summit. IGP assumes the most likely scenario for the evolution of the new eruptive episode is that activity continues at similar levels for a while. So far, lava avalanches and pyroclastic flows have been confined within the caldera, near the flanks of the main cone. So far, no reports of ash falls became available from communities in the nearby areas, suggesting that the eruption is still small. An important hazard remains in the form of lahars (mud flows), which can be generated by re-mobilization of loose material during heavy rainfall and would most likely threaten the bed and banks of the Quijo river.

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VolcanoDiscovery's start page

Reventador volcano, Ecuador: news & activity updates

Reventador volcano (Ecuador): new eruption

Wednesday Mar 26, 2014 16:36 PM | BY: T

Continuous ash emission and incandescent avalanches on Reventador's eastern flank (image: G. Taipe / IGP)
Continuous ash emission and incandescent avalanches on Reventador's eastern flank (image: G. Taipe / IGP)


... IGP assumes the most likely scenario for the evolution of the new eruptive episode is that activity continues at similar levels for a while. So far, lava avalanches and pyroclastic flows have been confined within the caldera, near the flanks of the main cone. So far, no reports of ash falls became available from communities in the nearby areas, suggesting that the eruption is still small. An important hazard remains in the form of lahars (mud flows), which can be generated by re-mobilization of loose material during heavy rainfall and would most likely threaten the bed and banks of the Quijo river.

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Extreme Weather - State of Arizona, Phoenix : A massive,unseasonably early, haboob swept through Phoenix on Tuesday, lingering above the Arizona capital for hours



Earth Watch Report  -  Extreme Weather


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 March 26 2014 07:00 AMExtreme WeatherUSAState of Arizona, PhoenixDamage levelDetails

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Description
A massive haboob swept through Phoenix on Tuesday, lingering above the Arizona capital for hours and creating an eyesore for residents. The dust storm picked up as a result of the showers and thunderstorms that popped around the state, with gusty outflow winds raising the elements. With another area of low pressure swinging a cold front in tomorrow, weather experts say another storm is likely. Arizona is no stranger to large dust storms, or haboobs, during the summer monsoon period, but meteorologists say Tuesday's storm is unseasonably early. The National Weather Service says a large cloud of dust was first spotted near Eloy about 3:30 p.m. Tuesday.

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Massive haboob dust cloud blankets Phoenix in thunderstorm aftermath... and ANOTHER is forecast for tomorrow

  • Haboob said to have started in Tucson after first being sighted around 4pm
  • Meteorologists say a dry storm with winds of up to 35 mph kicked up the dust in southern Arizona and the cloud moved north to the Phoenix area
  • The cloud lingered for hours
  • There were at least five car crashes
  • A cold front set to swing in tomorrow will likely bring a similar storm

A massive haboob swept through Phoenix on Tuesday, lingering above the Arizona capital for hours and creating an eyesore for residents.
The dust storm picked up as a result of the showers and thunderstorms that popped around the state, with gusty outflow winds raising the elements.
With another area of low pressure swinging a cold front in tomorrow, weather experts say another storm is likely, according to My Fox Phoenix.


It's not summertime yet, but a dust storm imoved through the Phoenix metropolitan area on Tuesday, blanketing the area in thick smoke
It's not summertime yet, but a dust storm imoved through the Phoenix metropolitan area on Tuesday, blanketing the area in thick smoke


The Arizona Department of Public Safety said the storm caused at least five crashes along I-10, with the first storm hitting about 4pm
The Arizona Department of Public Safety said the storm caused at least five crashes along I-10, with the first storm hitting about 4pm

Arizona is no stranger to large dust storms, or haboobs, during the summer monsoon period, but meteorologists say Tuesday's storm is unseasonably early.
The National Weather Service says a large cloud of dust was first spotted near Eloy about 3:30 p.m. Tuesday.
 Meteorologists say a dry storm with winds of up to 35 mph kicked up the dust in southern Arizona and the cloud moved north to the Phoenix area.
A dust storm warning was first issued for the Interstate 10 corridor between Tucson and Casa Grande, just south of Phoenix.
State Department of Public Safety officials say blowing dust along I-10 north of Picacho Peak resulted in at least five crashes

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Dust Storm

   



Published on Mar 25, 2014
A dust storm blew in while on vacation in Gilbert, Az. I flew my DJI Phantom up to get a view of the inbound storm. I didn't keep it up there long as it started getting quite windy. Filmed on a GoPro 3.

To use this video in a commercial player or in broadcasts, please email licensing@storyful.com
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A man in Canada who was suspected of having Ebola has tested negative for viral hemorrhagic fevers, according to the World Health Organization and Canadian health officials.

Earth Watch Report  -  Biological Hazards

Ebola virus
CDC
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Biological HazardCanadaProvince of Saskatchewan, SaskatoonDamage levelDetails

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RSOE EDIS

Description
Saskatchewan health officials say a man who recently travelled to western Africa is seriously ill in hospital and one of the possible diagnoses they are considering is Ebola hemorrhagic fever. Dr. Denise Werker, deputy chief medical health officer, said there is fear an outbreak of the Ebola virus has spread to Liberia, where the man was travelling. "All we know at this point is that we have a person who is critically ill who travelled from a country where these diseases occur," she said. She says hemorrhagic fevers are spread through contact with a sick person’s bodily fluids - one of the final symptoms is bleeding from the mouth and eyes. "Ebola hemorrhagic fever is not a highly infectious disease. People need to be in close contact with blood and bodily fluids and so that would be close household contacts of people who are taking care of these individuals," she said. "There is no risk to the general public at all about this." African health officials announced Monday that an outbreak of Ebola is believed to have killed at least 59 people in Guinea and may already have spread to neighbouring Liberia. Health workers in Guinea are trying to contain the spread of the disease. In Liberia, health officials said they are investigating five deaths after several people crossed the border from Guinea in search of medical treatment. Werker says the man showed no signs of illness on his return journey.
Biohazard name:Ebola (Viral Fever) - Susp.
Biohazard level:4/4 Hazardous
Biohazard desc.:Viruses and bacteria that cause severe to fatal disease in humans, and for which vaccines or other treatments are not available, such as Bolivian and Argentine hemorrhagic fevers, H5N1(bird flu), Dengue hemorrhagic fever, Marburg virus, Ebola virus, hantaviruses, Lassa fever, Crimean-Congo hemorrhagic fever, and other hemorrhagic or unidentified diseases. When dealing with biological hazards at this level the use of a Hazmat suit and a self-contained oxygen supply is mandatory. The entrance and exit of a Level Four biolab will contain multiple showers, a vacuum room, an ultraviolet light room, autonomous detection system, and other safety precautions designed to destroy all traces of the biohazard. Multiple airlocks are employed and are electronically secured to prevent both doors opening at the same time. All air and water service going to and coming from a Biosafety Level 4 (P4) lab will undergo similar decontamination procedures to eliminate the possibility of an accidental release.
Symptoms: 
Status:suspected

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Updated:Tuesday, 25 March, 2014 at 04:45 UTC
Description
Saskatchewan health officials say a man who recently travelled to Liberia in Western Africa is "seriously ill" in a Saskatoon hospital with a high fever and other symptoms. Officials have not yet identified the nature of the illness, but Deputy Chief Medical Health Officer Dr. Denise Werker, said at a news conference on Monday that the man is being examined for a suspected case of viral hemorrhagic fever. "Viral hemorrhagic fever is a generic name for a number of rather exotic diseases that are found in Africa," said Werker. These diseases include Ebola hemorrhagic fever, Lassa fever, Crimean-Congo hemorrhagic fever and yellow fever. Liberia is currently dealing with an outbreak of Ebola after the virus killed more than 59 people in neighbouring Guinea. "All we know at this point is that we have a person who is critically ill who travelled from a country where these diseases occur," Werkersaid. Tests have already been sent to the Public Health Agency of Canada’s National Microbiology Laboratory in Winnipeg, said Werker. Results are expected Tuesday. "Measures have been taken to isolate the patient to ensure the illness is not transmitted," Saskatchewan health officials said in a statement. "Public health officials believe the risk to the public is low, and are investigating." The Canadian patient showed no signs of the illness on his return to Saskatchewan, said Werker. There is no vaccine for the Ebola virus, which leads to severe hemorrhagic fever. Werker said the virus is not as contagious as some might believe, and that it is transferrable through saliva and other bodily fluids. One of the final symptoms is bleeding from the eyes and mouth. "People need to be in close contact with blood and bodily fluids so that would be close household contacts of people who are taking care of these individuals," said Werker. "There is no risk to the general public at all about this."

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A man is in hospital in Canada with symptoms of a haemorrhagic fever resembling the Ebola virus, a health official has said. The man had recently returned from Liberia in the west African region, currently suffering a deadly outbreak of an unidentified haemorrhagic fever. He is in isolation in critical condition in Saskatoon, the largest city in Saskatchewan province. A provincial medical official said there was no risk to the public. Dr Denise Werker, the province's deputy chief medical officer, declined to say how long the man had been in Africa but said he only fell ill after returning to Canada. She said that was in line with the profile of common deadly haemorrhagic fever viruses Lassa fever and Ebola, which have an incubation period of up to 21 days. She said the people most at risk were healthcare workers who do not protect themselves from contact with the patient's bodily secretions. "There is no risk to the general public," she said. "We recognise that there is going to be a fair amount of concern and that is why we wanted to go public with this as soon as possible." A virus resembling Ebola has struck in Guinea, with cases also reported in Liberia. As many as 61 people have died of the disease in the remote forests of southern Guinea. But health officials in the Guinean capital, Conakry, have said the virus is not Ebola. In Saskatchewan, Dr Werker said the man's diagnosis had not yet been confirmed and that a laboratory in Winnipeg was testing a biological specimen from the man.

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Updated:Tuesday, 25 March, 2014 at 16:53 UTC
Description
A suspected case of the deadly Ebola virus in Saskatchewan has tested negative. Tests also came back negative for Lassa, Marburg and Crimean Congo. The World Health Organization (WHO) tweeted the results Tuesday from its verified Twitter account. Canada's deputy chief public health officer said in a release that tests at the Public Health Agency of Canada's National Microbiology Laboratory confirmed the ill man does not have Ebola or any other hemorrhagic viruses. Dr. Gregory Taylor's statement said ruling out those four hemorrhagic viruses "significantly reduces the risk to the people who have been in close contact with the patient while the patient has exhibited symptoms." Taylor added there has never been a confirmed case of a hemorrhagic virus in Canada, and that testing continues to determine the man's illness. "If a case were ever confirmed in Canada, the Public Health Agency of Canada would alert Canadians immediately and put measures in place to protect the public," the PHAC said in a statement. Hartl suggested the case "is apparently a severe case of malaria." A top Saskatchewan public health official announced Monday that the man in question, who was recently in the West African country of Liberia, was critically ill and isolated in a Saskatoon hospital with what was believed to be viral hemorrhagic fever (VHF). Included in the general class of VHFs are Ebola fever, Lassa fever, Crimean Congo hemorrhagic fever, yellow fever, dengue fever, and Marburg hemorrhagic fever. Health care workers sent the patient’s specimens to the national microbiology laboratory in Winnipeg for a diagnosis, said deputy chief medical health officer Dr. Denise Werker. Rampant spread of hemorrhagic fevers in Africa, including a current outbreak in Guinea of Ebola, can be linked back to poor infection control in hospitals, Werker said.

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Updated:Thursday, 27 March, 2014 at 04:12 UTC
Description
Doctors say the man isolated in a Saskatoon hospital after returning home from Africa has an undiagnosed fever of unknown origin. Rod Ogilvie remains in critical condition and is intubated with failing organs according to Denise Werker, Deputy Chief Medical Health Officer. Late Monday night, lab tests resulted negative for the four most serious pathogens of viral hemorrhagic fever: Ebola virus, Marburg virus, Crimean-Congo virus and Lassa virus. Werker said there are other hemorrhagic fevers, like Dangue, but those are not transmissible from person to person. As a precaution, doctors also isolated some of Ogilvie's family members while they investigated the possibility for viral hemorrhagic fevers like Ebola but those people have been released now that it has been ruled out. Doctors still don't know exactly what kind of illness Ogilvie is suffering from so more lab tests are being done into other diseases like Malaria.

"Malaria is not contagious from person to person. If this person has a bacterial infection that has caused an encephalitis or meningitis kind of disease, potentially that could be infectious to close contacts," she said but explained doctors do not think there is any risk to the public. However the first test for Malaria resulted negative but they are doing another review of the test slide just to make sure. "A pathologist looks underneath a microscope and actually has to identify those organisms on the slide, so it could be like looking for a needle in a haystack," said Werker. Ministry of Health gets information about diseases and outbreaks from the World Health Organization (WHO) that is then circulated to Saskatchewan's medical health officers. She said they provide info to physicians in the community to alert their diagnostic suspicion of those diseases. "The fact that viral hemorrhagic fever was considered in this circumstance is a great indication that our systems are working to keep our residents safe," said Werker. Ogilvie returned to Saskatchewan on March 8 but did not start to show symptoms until March 20. Werker stressed there was no risk to public health between that time for people on the aircraft or on public transit because most people only become contagious once they are symptomatic. There would also have to be direct contact between bodily fluids like blood or using his toothbrush.

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By Dana Ford CNN

Canada patient tests negative for Ebola

WHO says testing will continue

UPDATED 10:19 AM CDT Mar 25, 2014
Ebola virus
(CNN) —A man in Canada who was suspected of having Ebola has tested negative for viral hemorrhagic fevers, according to the World Health Organization and Canadian health officials.
Viral hemorrhagic fevers is a generic term that refers to a number of diseases found in Africa, including Ebola hemorrhagic fever, Lassa fever, Crimean-Congo hemorrhagic fever and yellow fever, according to Denise Werker, deputy chief medical health officer at the Saskatchewan Ministry of Health.
Testing on the man continues, WHO spokesman Gregory Hartl said in a tweet. "May be malaria. Will know today."
"The patient in Saskatchewan does not have Ebola, Lassa, Marburg or Crimean Congo virus," said a statement from the Deputy Chief Public Health Office in Saskatchewan.
"The risk to Canadians remains very low. In addition, the ruling out of those four hemorrhagic viruses significantly reduces the risk to people who have been in close contact with the patient while the patient has exhibited symptoms."
Health officials in Canada said Monday they were looking into the case of a man exhibiting symptoms consistent with viral hemorrhagic fevers. He had recently traveled from Liberia.
"There is no risk to the general public at all about this incident. We recognize that there's going to be a fair amount of concern, and that's why we wanted to go public with this as soon as possible and dispel some of those myths that are out there," Werker told reporters Monday.

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