MERS-COV (02): SAUDI ARABIA

Posted on 10TH JAN 2018
tagged MERS-CoV, Saudi Arabia

A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

Date: Tue 9 Jan 2018
Source: Saudi MOH 2-9 Jan 2018 [edited]
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx

As of Tue 9 Jan 2018, there have been a total of:
1764 laboratory-confirmed cases of MERS-CoV infection, including
713 deaths [reported case fatality rate 40.4 per cent],
1031 recoveries, and
20 currently active cases/infections.

[As previously mentioned, the numbers of deaths, recoveries, and currently active cases come from my spreadsheet tallies and differ from those listed on the Saudi MOH website; my spreadsheet counts asymptomatic infections as they are reported. One complication is the reporting of cases as either recoveries or deaths that cannot be confirmed as previously reported newly confirmed cases. Another complication is delayed reporting of cases which occurred during this period. On 3 Jan 2018, there was no official report available on the English language page. As there were reports available on the Arabic language page, this information was translated for inclusion in this report. - Mod.MPP]

Since the last ProMED-mail update, through 1 Jan 2018, there have been a total of:
8 newly confirmed cases,
3 newly reported fatalities, and
0 newly reported recoveries.

Information on newly confirmed cases: (8 cases)
Date: 9 Jan 2018 (2 cases)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-01-09-...

1 - A 32-year-old Saudi male, non-healthcare worker from Malayjah Ash Sharqīyah - Eastern region] noted to be in stable condition. Classified as a primary case with high risk exposure history still under investigation.

2- A 37-year-old expat female, healthcare worker from Riyadh [Riyadh region] noted to be in stable condition. Classified as a secondary healthcare acquired case in a healthcare worker.

Date: 8 Jan 2018 (2 cases)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-01-08-...

3- A 60-year-old Saudi female, non-healthcare worker from Buraidah [Al Qaṣīm region] noted to be in critical condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness.

4- A 69-year-old Saudi male, non-healthcare worker from Najran [Najran region] noted to be in critical condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness.

Date: 7 Jan 2018 (1 case)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-01-07-...

5- A 36-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region] noted to be in critical condition. Classified as a primary case with high risk exposure history still under investigation.

Date: 5 Jan 2018 (1 case)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-01-05-...

6- A 48-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region] noted to be in stable condition. Classified as a primary case with history of direct contact with camels in the 14 days preceding onset of illness.

Date: 3 Jan 2018 (1 case)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-01-03-...

7- An 80-year-old expat male, non-healthcare worker from Riyadh [Riyadh region] noted to be in stable condition. Classified as a primary case with high risk exposure history still under investigation [information obtained from Arabic language page and translated by Mod.MPP].

Date: 2 Jan 2018 (1 case)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-01-02-...

8- A 57-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region] noted to be in critical condition. Classified as a primary case with high risk exposure history still under investigation [reported as a fatality on 4 Jan 2018, see newly reported fatality no. 3 below. - Mod.MPP].

Information on newly reported fatalities (3 fatalities):
Date: 8 Jan 2018 (1 fatality)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-01-08-...

1- A 60-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region] with a history of pre-existing co-morbidities. [most likely the newly confirmed case reported on 28 Dec 2017 at which time, the case was noted to be in stable condition, but could also be the 60-year-old Saudi male from Almajmaah/Riyadh reported as a newly confirmed case in critical condition on 1 Nov 2017 still pending outcome information. - Mod.MPP]

Date: 6 Jan 2018 (1 fatality)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-01-06-...

2- A 55-year-old expat male, non-healthcare worker from Khamis Mushayet [`Asīr region] with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 30 Dec 2017 at which time he was noted to be in critical condition. Classified as a primary case with high risk exposure history still under investigation. - Mod.MPP]

Date: 4 Jan 2018 (1 fatality)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-01-04-...

3- A 57-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region] with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 2 Jan 2018 (see information on newly confirmed case no.8 above)].

--
Communicated by:
ProMED-mail

[It's been a very active start to the new year with 8 newly confirmed cases reported from Saudi Arabia in the 1st 9 days of 2018. Five of the 8 newly confirmed cases were from Riyadh with one of these cases being in a healthcare worker (see newly confirmed case no. 2 above). The other 3 cases were reported from Buraidah (Al Qaṣīm region), Najran (Najran region) and Mulayjah (Ash Sharquiyah - Eastern region). Seven of the 8 newly confirmed cases were classified as primary cases with 4 of these cases reporting a history of direct contact with camels, and the remaining 3 were still under investigation for high risk exposure history. One of the 8 newly confirmed cases was a healthcare worker reported to have been nosocomially acquired.

The coming days will be important to watch to see whether this is a single case that is nosocomially acquired or whether there is the 1st indicator of a nosocomial outbreak in Riyadh (perhaps explaining some of the other 3 cases reported from Riyadh who were still under investigation for high risk exposures.

Maps showing the locations of the newly confirmed cases can be found at the source URLs.

The HealthMap/ProMED map of Saudi Arabia can be found at: http://healthmap.org/promed/p/131. - Mod.MPP]

See Also
MERS-CoV (01): Malaysia (ex KSA), Saudi Arabia, UAE (ex Oman) 20180102.5532148
2017
---
MERS-CoV (77): Saudi Arabia, camels, human, epidemiology, assessment 20171222.5520561
MERS-CoV (76): Saudi Arabia (MK) WHO 20171222.5518476
MERS-CoV (75): Saudi Arabia (RI, JF, QS) 20171211.5496478
MERS-CoV (74): Saudi Arabia (AS, RI, QS) 20171129.5472838
MERS-CoV (73): Saudi Arabia, gut and transmission 20171121.5455769
MERS-CoV (72): Saudi Arabia (RI, QS) 20171113.5441815
MERS-CoV (71): Oman, Saudi Arabia (QS), WHO 20171110.5437063
MERS-CoV (70): Oman (SN), Saudi Arabia (RI) 20171106.5427278
MERS-CoV (60): UAE, Saudi Arabia, WHO 20170922.5334852
MERS-CoV (59): Oman, Saudi Arabia, WHO 20170913.5313874
MERS-CoV (50): Saudi Arabia 20170806.5232071
MERS-CoV (40): animal reservoir, camels, review, FAO 20170619.5115999
MERS-CoV (30): Saudi Arabia (RI,MD,MK) 20170602.5077920
MERS-CoV (20): Qatar, Saudi Arabia, WHO 20170404.4947466
MERS-CoV (10): Saudi Arabia (SH, MK) 20170202.4811346
MERS-CoV (01): Saudi Arabia (QS,RI,MD), RFI 20170105.4744802
2016
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MERS-CoV (123): Saudi Arabia (MK, AS) new cases 20161231.4734758
MERS-COV (01): Oman, Saudi Arabia 20160105.3911188
2015
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MERS-COV (167): acute management and long-term survival 20151231.3904300
MERS-CoV (01): Saudi Arabia, new cases, new death 20150104.3069383
2014
---
MERS-CoV (69): Saudi Arabia, new case, RFI 20141230.306305
MERS-CoV (01): Bangladesh, KSA, Algeria, UAE, Iran, WHO, RFI 20140616.2541707
MERS-CoV - Eastern Mediterranean (82): anim res, camel, seroepidemiology 20140613.2537848
MERS-CoV - Eastern Mediterranean (32): Saudi Arabia, UAE, Malaysia, WHO, RFI 20140417.2411430
MERS-CoV - Eastern Mediterranean (31): Saudi Arabia, Malaysia, UAE, Philippines 20140416.2406647
MERS-CoV - Eastern Mediterranean (01): Saudi Arabia, UAE, Oman, WHO 20140103.2150717
2013
---
MERS-CoV - Eastern Mediterranean (106): animal reservoir, camel, Qatar, OIE 20131231.2145606
MERS-CoV - Eastern Mediterranean: Saudi Arabia, new case, RFI 20130518.1721601
Novel coronavirus - Eastern Mediterranean (29): MERS-CoV, ICTV nomenclature 20130516.1717833
Novel coronavirus - Eastern Mediterranean: bat reservoir 20130122.1508656
2012
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Novel coronavirus - Eastern Mediterranean (06): comments 20121225.1468821
Novel coronavirus - Eastern Mediterranean: WHO, Jordan, conf., RFI 20121130.1432498
Novel coronavirus - Saudi Arabia (18): WHO, new cases, cluster 20121123.1421664
Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733
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