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| Man with potentially deadly virus transferred to London isolation unit | Man with potentially deadly virus transferred to London isolation unit |
| (30 days later) | |
| A man in critical condition with a potentially deadly viral disease has been transferred from a Glasgow hospital to a specialist unit in London. | A man in critical condition with a potentially deadly viral disease has been transferred from a Glasgow hospital to a specialist unit in London. |
| The 38-year-old man was diagnosed with Crimean-Congo haemorrhagic fever when he returned to Glasgow on Tuesday from Kabul, Afghanistan. He travelled back to Scotland on a connecting flight from Dubai, Emirates flight EK027, which landed at Glasgow airport at 12.35pm on Tuesday. | The 38-year-old man was diagnosed with Crimean-Congo haemorrhagic fever when he returned to Glasgow on Tuesday from Kabul, Afghanistan. He travelled back to Scotland on a connecting flight from Dubai, Emirates flight EK027, which landed at Glasgow airport at 12.35pm on Tuesday. |
| The man was treated in isolation at Gartnavel General hospital's Brownlee centre, which specialises in infectious diseases. | The man was treated in isolation at Gartnavel General hospital's Brownlee centre, which specialises in infectious diseases. |
| On Friday morning he was flown to London's Royal Free hospital in isolation facilities with the support of the Scottish ambulance service and the RAF. | On Friday morning he was flown to London's Royal Free hospital in isolation facilities with the support of the Scottish ambulance service and the RAF. |
| NHS Greater Glasgow and Clyde said it had contacted three passengers who were sitting near him on the flight from Dubai. It said it had no evidence that the infection had been passed on but the three passengers would be monitored. The risk to all other passengers on the flight from Dubai is "extremely low", it said. | NHS Greater Glasgow and Clyde said it had contacted three passengers who were sitting near him on the flight from Dubai. It said it had no evidence that the infection had been passed on but the three passengers would be monitored. The risk to all other passengers on the flight from Dubai is "extremely low", it said. |
| Dr Syed Ahmed, the health board's consultant in public health who is co-ordinating investigations into the case, said: "The risk of person-to-person transmission of Crimean-Congo viral haemorrhagic fever is extremely low as it can only be transmitted by direct contact with infected blood or body fluids. | Dr Syed Ahmed, the health board's consultant in public health who is co-ordinating investigations into the case, said: "The risk of person-to-person transmission of Crimean-Congo viral haemorrhagic fever is extremely low as it can only be transmitted by direct contact with infected blood or body fluids. |
| "It is not a virus which is transmitted through the air. As such, the risk to those who were in close contact with him is minimal. We have already made contact with all the patient's close contacts and they are being followed up appropriately. | "It is not a virus which is transmitted through the air. As such, the risk to those who were in close contact with him is minimal. We have already made contact with all the patient's close contacts and they are being followed up appropriately. |
| "The decision to transfer the patient to the high-security unit at the Royal Free was taken in line with the national protocol for the management of cases such as this." | "The decision to transfer the patient to the high-security unit at the Royal Free was taken in line with the national protocol for the management of cases such as this." |
| Moving the patient is in line with the UK-wide protocol for managing diseases of this severity and rarity, the health board said. The man was admitted to hospital within three hours of his arrival in Glasgow and all appropriate infection control measures were put in place, the health board said. | Moving the patient is in line with the UK-wide protocol for managing diseases of this severity and rarity, the health board said. The man was admitted to hospital within three hours of his arrival in Glasgow and all appropriate infection control measures were put in place, the health board said. |
| The disease is especially common in east and west Africa. It is fatal in around 30% of human cases. Outbreaks can usually be traced to a person having had contact with blood or body fluids from infected animals or people. | The disease is especially common in east and west Africa. It is fatal in around 30% of human cases. Outbreaks can usually be traced to a person having had contact with blood or body fluids from infected animals or people. |
| Ahmed said the disease was endemic in parts of eastern and southern Europe, central Asia, Africa, the Middle East and the Indian subcontinent. It is caused by infection with a tick-borne virus, nairovirus in the family Bunyaviridae. | Ahmed said the disease was endemic in parts of eastern and southern Europe, central Asia, Africa, the Middle East and the Indian subcontinent. It is caused by infection with a tick-borne virus, nairovirus in the family Bunyaviridae. |
| The onset is sudden with initial symptoms being headache, high fever, vomiting and back, joint and stomach pain. Other symptoms are red eyes, a flushed face, red throat, jaundice and red spots on the roof of the mouth. In severe cases, changes in mood and sensory perception are common. | The onset is sudden with initial symptoms being headache, high fever, vomiting and back, joint and stomach pain. Other symptoms are red eyes, a flushed face, red throat, jaundice and red spots on the roof of the mouth. In severe cases, changes in mood and sensory perception are common. |
| As the illness progresses, large areas of severe bruising, nosebleeds and uncontrolled bleeding at injection sites can be seen, beginning on about the fourth day of illness and lasting for about two weeks. | As the illness progresses, large areas of severe bruising, nosebleeds and uncontrolled bleeding at injection sites can be seen, beginning on about the fourth day of illness and lasting for about two weeks. |
| The Royal Free hospital houses the national specialist centre for the management of patients with hazardous infections. The man is being treated in the high-security infectious diseases unit, which is maintained and run by specialists and is located in a purpose-designed area sealed and separated from other public and ward areas. It is a self-contained unit with its own filtered air supply and outlets. | The Royal Free hospital houses the national specialist centre for the management of patients with hazardous infections. The man is being treated in the high-security infectious diseases unit, which is maintained and run by specialists and is located in a purpose-designed area sealed and separated from other public and ward areas. It is a self-contained unit with its own filtered air supply and outlets. |
| An NHS 24 helpline number has been set up for anyone on flight EK027 to call if they have concerns. It is 0800 858 531 and is open between 8am and 10pm seven days a week. | An NHS 24 helpline number has been set up for anyone on flight EK027 to call if they have concerns. It is 0800 858 531 and is open between 8am and 10pm seven days a week. |
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