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In the Name of God, the Compassionate, the Merciful

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In the Name of God, the Compassionate, the Merciful

Address by DR ALA ALWAN REGIONAL DIRECTOR

WHO EASTERN MEDITERRANEAN REGION to the

MEETING WITH MINISTERS OF HEALTH

ON THE MIDDLE-EAST RESPIRATORY SYNDROME CORONAVIRUS (MERS-COV) OUTBREAK

EMRO, Cairo, Egypt, 22 June 2013

Your Excellencies,

I am very pleased to welcome you all to the concluding day of this intercountry meeting on novel corona virus. I wish to express my deep appreciation and sincere thanks to Your

Excellencies for being present here today despite very short notice. Your presence is a demonstration of the personal commitment and importance that you accord to our collective

mission to protect public health from this emerging threat of novel infection.

Your Excellencies,

The current situation takes us back to 2003 when the World Health Organization steered the global response to successful control of severe acute respiratory syndrome (SARS), which was caused by a previously unknown coronavirus.

Almost 10 years later, in June 2012, the discovery of another novel strain of a SARS- like coronavirus has triggered a similar alarm. This virus has now caused unusually severe pneumonia and death in a majority of the patients who were infected. The virus has also shown evidence of limited person-to-person transmission. Local transmission of cases has occurred in four countries in our region. As of` 4 June 2013, another four countries in WHO European Region have reported imported cases of the infection, which may have been acquired in those countries of our region where local transmission has occurred.

As this novel virus has now shown the ability to spread beyond the Eastern Mediterranean Region, we remain at heightened concern. WHO is currently assessing the

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pandemic potential of this newly identified virus. What is critical for global health now is to improve our public health vigilance so that any sign that the virus has earned the pandemic potential to spread widely and rapidly can be detected early. If this can be achieved through enhancing surveillance and other public health measures, we will ensure global health security.

The origin of this virus remains unknown. Early scientific evidence suggests that the virus might already be widespread in animals but much about this virus remains to be understood. Important questions to be answered include the origins of the outbreak, how widespread it is in nature, whether it is a zoonotic infection, and how it emerged in humans as a virulent pathogen. Most important of all is whether infection can be sustained through human- to-human transmission. Its risk to global health will only be fully understood once the scale and evolution of this virus is known. In January this year, experts from WHO and other international health bodies assembled in Cairo at our invitation to discuss what is currently known about this virus. We have made a collective effort to answer important questions about it. Those efforts were the convincing demonstration of the global health community to work together to reduce the public health threat from this novel virus and guide informed public health decisions.

All of the countries that have been affected by the outbreak caused by this virus are assembled here today. We have committed ourselves to engaging and combining the collective strengths from two WHO regions to defeat it and I have full confidence that this inter-regional cooperation will successfully combat the international health threats from this virus within the spirit and framework of the International Health Regulations (2005).

Your Excellencies,

Your presence today shows your determination to work together with WHO and other international health bodies to protect your countries as well as global health. I am sure the recommendations and the concrete action points that have come out of the two-day meeting through a process of consensus will receive your highest consideration and action.

The future global health community will respect the vision, leadership and enduring commitment with which you all faced and tackled this global threat.

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