Mahan realized not only the strategic importance of the region, but also of its center, the Persian Gulf. The Middle East, if I may adopt a term which I have not seen, will some day need its Maltaas well as its Gibraltar ; it does not follow that either will be in the Persian Gulf. Naval force has the quality of mobility which carries with it the privilege of temporary absences; but it needs to find on every scene of operation established bases of refit, of supply, and in case of disaster, of security. The British Navy should have the facility to concentrate in force if occasion arise, about AdenIndia, and the Persian Gulf.
Where have cases of MERS been identified?
Cases identified outside the Middle East are people who were infected in the Middle East and travelled to areas outside the Middle East. On rare occasions, small outbreaks have occurred in areas outside the Middle East.
Latest information on MERS outbreaks 3. How do people get infected with the MERS virus? The MERS virus is transmitted primarily from animals to people, but transmission from people to people is also possible.
Scientific evidence suggests that people are infected through direct or indirect contact with infected dromedary camels. It is possible that other animal reservoirs exist, however animals including goats, cows, sheep, water buffalo, swine, and wild birds have been tested for MERS-CoV and the virus has not been found.
Between people MERS-CoV does not Middle east easily between people unless there is close contact, such as the provision of clinical care to an infected patient without strict hygiene measures.
Transmission between people has been limited to-date, and has Middle east identified among family members, patients, and health care workers. While, the majority of reported MERS cases to date have occurred in health care settings, thus far, no sustained human to human transmission has been documented anywhere in the world.
What are the symptoms of MERS?
How severe is it? Pneumonia is common, however some people infected with the MERS virus have been reported to be asymptomatic. Gastrointestinal symptoms, including diarrhoea, have also been reported.
Severe cases of MERS can include respiratory failure that requires mechanical ventilation and support in an intensive-care unit. Some patients have had organ failure, especially of the kidneys, or septic shock. The virus appears to cause more severe disease in people with weakened immune systems, older people, and people with chronic diseases as renal disease, diabetes, cancer, and chronic lung disease.
What is the treatment? No vaccine or specific treatment for MERS is currently available.
It is not always possible to identify people infected with the MERS virus because early symptoms of the disease are non-specific and are often mistaken for other respiratory diseases.
For this reason, all health care facilities should have standard infection prevention and control practices in place. It is also important to investigate the travel history of people with respiratory infection to determine if they have recently visited countries with active MERS-CoV circulation or have had contact with dromedary camels.
Yes, but human to human transmission has been limited. The virus does not seem to pass easily from person to person unless there is close contact, such as occurs when providing unprotected care for a patient. There have been clusters of cases in health care facilities, where human-to-human transmission appears to be more efficient, especially when infection prevention and control practices are inadequate.
The largest health care associated outbreaks have occurred in Saudi Arabia and the Republic of Korea. What is contact tracing and why is it important? Those in close contact with someone who has MERS are at higher risk of infection, and of potentially infecting others if they begin to show symptoms.
Closely watching such persons for 14 days from the last day of exposure to a confirmed case will help that person to get care and treatment and will prevent further transmission of the virus to others.
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This monitoring process is called contact tracing, which can be broken down into three basic steps: Once a case is confirmed, contacts are identified by asking about the activities of the case and the activities and roles of the people around the case since onset of illness.
Contacts can be family members or anyone who has been in contact with the case, for example, people encountered at work, social events or in health care facilities. All persons considered to have contact with the confirmed case should be listed as contacts.Commentary and Analysis on Radical Islam and the Middle East, by Daniel Pipes.
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Middle East: Middle East, the lands around the southern and eastern shores of the Mediterranean Sea, extending from Morocco to the Arabian Peninsula and Iran and, by some definitions, sometimes beyond.
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