Case 2: A 22 year-old male student with a recent history of travel to the Islamic Republic of Iran between 6 and 20 February. He stayed in Qom city, Qom Province for three days, in Tehran city for two days, in Kerman city, Kermanshah Province for two days and in Mashhad, Razavi Khorasan Province, for three days where he developed symptoms (fever, headache, runny nose, and body aches) on 18 February. On 20 February, he returned to Karachi, Sindh Province, Pakistan. On 25 February, he developed symptoms of postnasal drip and cough. On 26 February, he was admitted to an isolation ward in Karachi hospital. The patient is currently in a stable condition. Thirteen close contacts (parents, sister and 11 contacts) are being monitored at an isolation facility in hospital in Karachi.

The rapid spread within China and the exportation of cases to several countries have demonstrated the potential for international spread. Additional cases of COVID-19 infection imported by travellers are reported by other countries.

2020-02-27

North Macedonia

Infectious

PHEIC

The rapid spread within China and the exportation of cases to several countries have demonstrated the potential for international spread. Additional cases of COVID-19 infection imported by travellers are reported by other countries.

A total number of 26 confirmed cases of COVID-19 were reported.

There have been no cases of local transmission of the virus.

Case 2:  a Bahraini national female with a travel history to Iran via Dubai, United Arab Emirates (UAE). She travelled with her husband and her sister-in-law.

On 25 February, Ministry of Health of Bahrain announced 21 additional cases: 17 Bahrainis (9 female and 8 male) and 4 female Saudi nationals. All cases arrived from the Islamic Republic of Iran through Dubai and Sharjah, UAE.

On 26 February, the Ministry of Health announced three additional cases, all Bahraini national females who arrived in the country on indirect flights from the Islamic Republic of Iran.

The rapid spread within China and the exportation of cases to several countries demonstrate the potential for international spread. Additional cases of COVID-19 infection imported by travellers are reported by other countries.

The rapid spread within China and the exportation of cases to other countries demonstrates the potential for international spread. Additional cases of COVID-19 imported by travellers are reported by other countries. Exported COVID-19 cases are expected to occur, particularly given the degree of international travel from China and the trans-border commuting in Europe. Sustained human to human transmission has been described, thus further spread of the disease cannot be excluded.

Of the three suspected cases, one has been reported positive to the novel coronavirus (SARS-CoV-2) via diagnostic kits (RT-PCR) in CPHL on 24th February 2020. The confirmed case is a 35-year old man who visited Qom city of Iran during the past 14 days.

The rapid spread within China and the exportation of cases to several countries demonstrate the potential for international spread. Additional cases of COVID-19 imported by travellers have been reported by other countries.Exported COVID-19 cases are expected to occur, particularly given the degree of international travel from China.  Sustained human to human transmission has been described, thus further spread of the disease cannot be excluded.

The rapid spread within China and the exportation of cases to other countries demonstrates the potential for international spread. Additional cases of COVID-19 imported by travellers are reported by other countries. Exported COVID-19 cases are expected to occur, particularly given the degree of international travel from China. Sustained human to human transmission has been described, thus further spread of the disease cannot be excluded.

Laboratory testing has identified DENV-1 and DENV -2 as the dengue serotypes circulating in 2019 and 2020.

Guadeloupe: Between, epidemiological week (EW) 42 of 2019 and EW 7 of 2020, there have been a total of 5,840 cases of dengue, with no severe cases or deaths reported. Of the total cases, 2,540 have been reported since the beginning of January 2020. Most of the cases were reported in the following communes: Saint-François, Le Gosier, Petit-Canal, Le Moule, Pointe-Noire, Petit-Bourg, and Basse-Terre and the isle of Marie-Galante (eastern and central part of the main island).

In 2019, laboratory testing has identified DENV-2 as the predominant dengue serotype, which is currently circulating and has been reported in all of the affected areas.

Martinique: Between epidemiological week (EW) 27 of 2019 and EW 7 of 2020, there have been a total of 2,470 suspected cases of dengue and 575 cases confirmed by the NS1 antigen test and/or RT-PCR, including 2 severe cases and 1 death. Of these,  1,155 have been reported since the beginning of January 2020. The most affected parts of the island are located in the South and in Central Martinique.

In 2020, laboratory testing has identified DENV-2 and DENV-3 as the dengue.

Saint-Martin: Between epidemiological week (EW) 3 and EW 7 of 2020, there have been a total of 530 suspected cases of dengue, including 1 severe case (fatal).

Laboratory testing has identified DENV-1 as the predominant dengue serotype currently circulating. However, in 2019 and 2020, both DENV-1 and DENV-3 have been circulating.

 Saint-Barthélemy: Between epidemiological week (EW) 49 of 2019 and EW 7 of 2020, there have been a total of 530 suspected cases of dengue including 20 cases confirmed by NS1 antigen test and/or RT-PCR.

Laboratory testing has identified DENV-1 and DENV-2 as the circulating serotypes.

On 21 February, 13 new cases, including two deaths were reported. Seven cases were from Qom City, four cases from Tehran, and two from Gilan. The six cases residing in Tehran and Gilan had a recent travel history to Qom City.

On 22 February, an additional 10 new cases including one death was reported. Eight cases were from Qom City and two, including one death, from Tehran. There is no information available on contacts and travel history of the two cases from Tehran.

On 23 February, 15 new cases were reported, including three deaths. Seven cases were from Qom City, four from Tehran, two from Gilan Province, one from Markazi Province, and one from Tonekabon, in Mazandaran Province. There is no information yet available on contacts and travel history of the cases.

Cases reported outside the Islamic Republic of Iran, with travel history to Qom City:
– On 20 February, Canada notified a COVID-19 case in a Canadian resident who had a history of recent travel to the Islamic Republic of Iran. The case travelled from Canada to the Islamic Republic of Iran on 26 January, and stayed in Rasht, Gilan Province, Islamic Republic of Iran. On 15 February, he took a flight out of Tehran, Islamic Republic of Iran to Canada through Istanbul, Turkey.
–On 21 February, the Minister of Health of Lebanon reported the first confirmed case in Lebanon, a forty-five year old female, who flew from Qom City on 20 February. The Minister also reported two suspected cases were in quarantine who were on the same plane as the confirmed case.

–On 22 February, United Arab Emirates MOH reported two new confirmed cases in a 70 year-old Iranian visitor and his 64 year-old wife who were living in Rasht, in Gilan Province. The man’s health condition is unstable, and he is in the Intensive Care Unit (ICU).

The rapid spread within China and the exportation of cases to several countries demonstrate the potential for international spread.  Additional cases of COVID-19 infection imported by travellers are reported by other countries. Human to human transmission has been described, thus further spread of the disease cannot be excluded.