Jordan Ministry of Health

Amman, Jordan

Jordan Ministry of Health

Amman, Jordan
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Al-Abdallat M.M.,Jordan Ministry of Health | Rha B.,Centers for Disease Control and Prevention | Alqasrawi S.,Jordan Ministry of Health | Payne D.C.,Centers for Disease Control and Prevention | And 14 more authors.
Journal of Clinical Virology | Year: 2017

Background The emergence of Middle East Respiratory Syndrome coronavirus (MERS-CoV) has prompted enhanced surveillance for respiratory infections among pilgrims returning from the Hajj, one of the largest annual mass gatherings in the world. Objectives To describe the epidemiology and etiologies of respiratory illnesses among pilgrims returning to Jordan after the 2014 Hajj. Study design Surveillance for respiratory illness among pilgrims returning to Jordan after the 2014 Hajj was conducted at sentinel health care facilities using epidemiologic surveys and molecular diagnostic testing of upper respiratory specimens for multiple respiratory pathogens, including MERS-CoV. Results Among the 125 subjects, 58% tested positive for at least one virus; 47% tested positive for rhino/enterovirus. No cases of MERS-CoV were detected. Conclusions The majority of pilgrims returning to Jordan from the 2014 Hajj with respiratory illness were determined to have a viral etiology, but none were due to MERS-CoV. A greater understanding of the epidemiology of acute respiratory infections among returning travelers to other countries after Hajj should help optimize surveillance systems and inform public health response practices. © 2017


Lamers M.M.,Erasmus Medical Center | Raj V.,Erasmus Medical Center | Shafei M.,Jordan Ministry of Health | Ali S.S.,Jordan Ministry of Health | And 9 more authors.
Emerging Infectious Diseases | Year: 2016

We characterized Middle East respiratory syndrome coronaviruses from a hospital outbreak in Jordan in 2015. The viruses from Jordan were highly similar to isolates from Riyadh, Saudi Arabia, except for deletions in open reading frames 4a and 3. Transmissibility and pathogenicity of this strain remains to be determined. © 2016, Centers for Disease Control and Prevention (CDC). All rights reserved.


Cohen D.,Tel Aviv University | Gargouri N.,Jordan Ministry of Health | Ramlawi A.,Bank of The West | Abdeen Z.,Al-Quds University | And 9 more authors.
Epidemiology and Infection | Year: 2010

In late 2002, health professionals from the ministries of health and academia of Jordan, the Palestinian Authority and Israel formed the Middle East Consortium on Infectious Disease Surveillance (MECIDS) to facilitate trans-border cooperation in response to infectious disease outbreaks. The first mission of MECIDS was to establish a regional, laboratory-based surveillance network on foodborne diseases. The development of harmonized methodologies and laboratory capacities, the establishment of a common platform of communication, data sharing and analysis and coordination of intervention steps when needed were agreed upon. Each of the three parties selected the microbiological laboratories that would form the network of sentinel laboratories and cover the different districts of each country and also designated one laboratory as the National Reference Laboratory (NRL). Data analysis units have been established to manage the data and serve as a central point of contact in each country. The MECIDS also selected a regional data analysis unit, the Cooperative Monitoring Centre (CMC) located in Amman, Jordan, and established a mechanism for sharing data from the national systems. Joint training courses were held on interventional epidemiology and laboratory technologies. Data collection started in July 2005 with surveillance of salmonellosis as the first target. This network of collaboration and communication established in an area of continuous dispute represents an important step towards assessing the burden of foodborne diseases in the region and is expected to be fundamental for coordination of public health interventions and prevention strategies. Copyright © 2010 Cambridge University Press.


Leventhal A.,Ministry of Health | Leventhal A.,Hebrew University of Jerusalem | Ramlawi A.,Bank of The West | Belbiesi A.,Jordan Ministry of Health | And 5 more authors.
Emerging Health Threats Journal | Year: 2013

Formed before international negotiations of the revised International Health Regulations (IHR), the Middle East Consortium for Infectious Disease Surveillance (MECIDS) is a regional collaboration aimed at facilitating implementation of the revised IHR and, more broadly, improving the detection and control of infectious disease outbreaks among neighboring countries in an area of continuous dispute. Initially focused on enhancing foodborne disease surveillance, MECIDS has expanded the scope of its work to also include avian and pandemic influenza and other emerging and re-emerging infectious diseases. Here, we describe the history and governance of MECIDS, highlighting key achievements over the consortium's seven-year history, and discuss the future of MECIDS. © 2013 Alex Leventhal et al.


PubMed | University of Jordan and Jordan Ministry of Health
Type: | Journal: The International journal of health planning and management | Year: 2016

Policy makers are on quest for estimates of health costs to achieve maximum efficiency and sustainability. In Jordan, there is a scarcity of information on hospital service costs.The purpose of this study was to estimate the direct cost of hospital services in one of the biggest public hospitals in Amman, Jordan.A retrospective analysis forms a 400-bed public urban hospital. Costs were estimated in Jordanian dinars (JD) (exchange rate was US$1.41).Inpatient costs contributed to 50% of all costs whilst outpatient clinics consumed 17%. Average cost per admission was JD 481.6 (US$674.2), JD 106.7 (US$149.3) per inpatient day and JD 63.1 (US$88.3) per bed day. The average cost per visit to emergency room was JD 14.1s (US$19.7). Cost per visit to ambulatory care services ranged between JD 37.3 and 473 (US$52.6-662.2). The average cost per surgery was JD 322.1 (US$454.2).With high health costs, areas for improvements in efficiency and cost savings must be identified and discussed with managers and policy makers. A larger-scale study is advocated to understand the costs of various health providers such as military, teaching and private hospitals.


Payne D.C.,National Center for Immunization and Respiratory Diseases | Payne D.C.,Centers for Disease Control and Prevention | Iblan I.,Jordan Field Epidemiology Training Program | Alqasrawi S.,Communicable Diseases Directorate | And 39 more authors.
Journal of Infectious Diseases | Year: 2014

We conducted an epidemiologic investigation among survivors of an outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in Jordan. A second-trimester stillbirth occurred during the course of an acute respiratory illness that was attributed to MERS-CoV on the basis of exposure history and positive results of MERS-CoV serologic testing. This is the first occurrence of stillbirth during an infection with MERS-CoV and may have bearing upon the surveillance and management of pregnant women in settings of unexplained respiratory illness potentially due to MERS-CoV. Future prospective investigations of MERS-CoV should ascertain pregnancy status and obtain further pregnancy-related data, including biological specimens for confirmatory testing. © 2014 The Author 2014.


Al-Abdallat M.M.,Jordan Ministry of Health | Payne D.C.,Centers for Disease Control and Prevention | Alqasrawi S.,Jordan Ministry of Health | Rha B.,Centers for Disease Control and Prevention | And 15 more authors.
Clinical Infectious Diseases | Year: 2014

In April 2012, the Jordan Ministry of Health investigated an outbreak of lower respiratory illnesses at a hospital in Jordan; 2 fatal cases were retrospectively confirmed by real-time reverse transcription polymerase chain reaction (rRT-PCR) to be the first detected cases of Middle East respiratory syndrome (MERS-CoV). Methods. Epidemiologic and clinical characteristics of selected potential cases were assessed through serum blood specimens, medical record reviews, and interviews with surviving outbreak members, household contacts, and healthcare personnel. Cases of MERS-CoV infection were identified using 3 US Centers for Disease Control and Prevention serologic tests for detection of anti-MERS-CoV antibodies. Results. Specimens and interviews were obtained from 124 subjects. Seven previously unconfirmed individuals tested positive for anti-MERS-CoV antibodies by at least 2 of 3 serologic tests, in addition to 2 fatal cases identified by rRT-PCR. The case-fatality rate among the 9 total cases was 22%. Six subjects were healthcare workers at the outbreak hospital, yielding an attack rate of 10% among potentially exposed outbreak hospital personnel. There was no evidence of MERS-CoV transmission at 2 transfer hospitals having acceptable infection control practices. Conclusions. Novel serologic tests allowed for the detection of otherwise unrecognized cases of MERS-CoV infection among contacts in a Jordanian hospital-associated respiratory illness outbreak in April 2012, resulting in a total of 9 test-positive cases. Serologic results suggest that further spread of this outbreak to transfer hospitals did not occur. Most subjects had no major, underlying medical conditions; none were on hemodialysis. Our observed case-fatality rate was lower than has been reported from outbreaks elsewhere. © 2014 The Author.


Payne D.C.,Centers for Disease Control and Prevention | Iblan I.,Amman | Rha B.,Centers for Disease Control and Prevention | Alqasrawi S.,Jordan Ministry of Health | And 9 more authors.
Emerging Infectious Diseases | Year: 2016

To determine how long antibodies against Middle East respiratory syndrome coronavirus persist, we measured long-term antibody responses among persons serologically positive or indeterminate after a 2012 outbreak in Jordan. Antibodies, including neutralizing antibodies, were detectable in 6 (86%) of 7 persons for at least 34 months after the outbreak. © 2016, Centers for Disease Control and Prevention (CDC). All rights reserved.

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