MERS-COV (05): SAUDI ARABIA (NAJRAN, ASH SHARQIYAH, RIYADH), REQUEST FOR INFORMATION

Posted on 15TH JAN 2017
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: Sat 14 Jan 2017
Source: Saudi Arabia Ministry of Health [edited], 11-14 Jan 2016
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx

As of 13:00 [1:00 PM] today [14 Jan 2017], there have been a total of:
1537 laboratory-confirmed cases of MERS-CoV infection, including
640 deaths [reported case fatality rate 41.6 percent],
886 recoveries, and
11 currently active cases [including 1 asymptomatic household contact].

Since the last ProMED-mail update [10 Jan 2016], there have been a total of:
4 newly confirmed cases,
1 newly reported fatality, and
1 newly reported recovery.

Information on newly reported cases (4 cases):
Date: 14 Jan 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-01-14-0...

1- A 66-year-old Saudi male, non-healthcare worker from Najran, currently in stable condition. Classified as a primary case with high risk exposure history in the 14 days preceding onset of illness under investigation.

Date: 13 Jan 2017 (2 cases)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-01-13-0...

2- A 61-year-old Saudi male, non-healthcare worker from Hufoof [Ash Sharqīyah (Eastern) region], currently in stable condition. Classified as a primary case with a history of direct exposure to camels in the 14 days preceding onset of illness.

3- A 57-year-old Saudi male, non-healthcare worker from Hufoof [Ash Sharqīyah (Eastern) region], currently in stable condition. Classified as a primary case with high risk exposure history in the 14 days preceding onset of illness under investigation.

Date: 11 Jan 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-01-11-0...

4- A 59-year-old Saudi female, non-healthcare worker from Riyadh, currently in Critical condition. Classified as a primary case with high risk exposure history in the 14 days preceding onset of illness under investigation.

Information on newly reported fatality (1 fatality):
Date: 11 Jan 2017 (1 fatality)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-01-11-0...

- A 67-year-old Saudi female, non-healthcare worker from Buraida [Al Qaṣim region], with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 10 Jan 2017 at which time she was noted to be in critical condition. Classified as a secondary healthcare associated case in a patient. - Mod.MPP]

Information on newly reported recovery (1 recovery)
Date: 12 Jan 2017 (1 recovery)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-01-12-0...

- A 50-year-old Saudi male, non-healthcare worker from Riyadh, history of pre-existing co-morbidities. [reported as a newly confirmed case on 29 Nov 2016, at which time he was noted to be in critical condition. At the time of confirmation was classified as a primary case with high risk exposure history still under investigation. - Mod.MPP]

- A 70-year-old Saudi male, non-healthcare worker from Madinah, history of pre-existing co-morbidities. [reported as a newly confirmed case on 2 Jan 2017, at which time he was noted to be in stable condition. At the time of confirmation was classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness. Erroneously reported by me as a newly reported recovery on 6 Jan 2017 (am still unable to reconcile when that individual was reported as a newly confirmed case) - Mod.MPP]

--
Communicated by:
ProMED-mail

[dkIn the past 4 days since the last update, there have been 4 newly confirmed cases, 1 fatality and 1 recovery reported. Of note, in this same period, the official Saudi MERS-CoV information has added an addition 2 recoveries to the summary count of cases that I have not been able to find information on.

In this 4 day period since the last update, there have been no new reports of cases from Buraidah, suggesting perhaps the nosocomial transmission related to the initial cases and transmission may have been interrupted, although with a 14 day incubation period it is too early to declare transmission is interrupted.

As mentioned in the report of the recovery, on 6 Jan 2017, there had been a recovery reported in a "60-year-old Saudi male from Madinah". As I was unable to find a matching individual on the line listing of newly confirmed cases, I speculated it was a 70-year-old male from Madinah. As today's update contains information on the recovery of a 70 year old male from Madinah, my supposition on 6 Jan 2017 was correct. Hence, the recovery reported on 6 Jan 2017 remains unlinked to previously reported cases. If any of our subscribers has information that would resolve this dilemma, I'd be grateful to receive it.

Noteworthy that of the 4 newly confirmed cases, all are classified as "primary" cases, with 1 having a history of direct contact with camels in the 14 days preceding onset of illness and the remaining 3 are still under investigation for possible high risk exposures.

Maps showing the locations of newly discussed cases, deaths and recoveries can be found at the source URLs. The HealthMap/ProMED map of Saudi Arabia can be found at: http://www.healthmap.org/promed/p/131. - Mod.MPP]

See Also

MERS-CoV (04): Saudi Arabia (MK, QS), nosocomial outbreak, RFI 20170110.4754928
MERS-CoV (03): Saudi Arabia (SH) & clarification 20170108.4750515
MERS-CoV (02): Saudi Arabia (QS) nosocomial transmission 20170107.4748974
MERS-CoV (01): Saudi Arabia (QS,RI,MD), RFI 20170105.4744802
2016
----
MERS-CoV (123): Saudi Arabia (MK, AS) new cases 20161231.4734758
MERS-CoV (122): Saudi Arabia 20161228.4728747
MERS-CoV (121): Saudi Arabia, new cases 20161223.4720359
MERS-CoV (120): Saudi Arabia, new cases, WHO 20161219.4709903
MERS-CoV (110): Saudi Arabia (NJ,MK) new cases 20161108.4614294
MERS-CoV (100): Saudi Arabia (JF) new case, WHO 20160922.4508259
MERS-CoV (90): Saudi Arabia (RI), camel association, UAE 20160808.4402381
MERS-CoV (80): Saudi Arabia (MK), WHO 20160707.4331372
MERS-CoV (70): Saudi Arabia (MK), UAE, WHO, RFI 20160621.4300452
MERS-CoV (60): Saudi Arabia (TB) 20160610.4276126
MERS-CoV (50): Saudi Arabia (RI, NJ) 20160406.4143365
MERS-CoV (40): Egypt, animal reservoir, camel, ex Sudan, susp. 20160316.4097730
MERS-CoV (30): Saudi Arabia (QS) WHO 20160303.4066494
MERS-CoV (20): Saudi Arabia (NJ, RI) 20160212.4016509
MERS-CoV (10): Saudi Arabia (MK), Thailand ex Oman, RFI 20160125.3964309
MERS-COV (01): Oman, Saudi Arabia 20160105.3911188
2015
----
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 (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
----
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
.................................................mpp/dk