MERS-COV (10): OMAN, SAUDI ARABIA, WHO

Posted on 16TH MAR 2018
tagged MERS-CoV, Oman; Saudi Arabia

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

In this update:
[1] Oman, 1 new case, WHO, 15 Mar 2018
[2] Saudi Arabia, 2 new cases 6-13 Mar 2018

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[1] Oman, 1 new case, WHO, 15 Mar 2018
Date: 15 Mar 2018
Source: WHO Emergencies preparedness, response, Disease Outbreak News (DONs) [edited]
http://www.who.int/csr/don/15-march-2018-mers-oman/en/

Middle East respiratory syndrome coronavirus (MERS-CoV) - Oman 15 Mar 2018
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On [4 Mar 2018], the National IRH focal point of Oman reported 1 additional case of Middle East respiratory syndrome coronavirus (MERS-CoV).

The patient was a 74-year-old male Omani national, living in Batinah, who had symptom onset on [23 Feb 2018]. The patient had neither recently travelled nor had any contact with any person with respiratory symptoms or with a known MERS-CoV case. The patient took care of camels that were reportedly ill. The investigation of the patient's exposure in the 14 days prior to the onset of symptoms is still ongoing.

Prior to this patient, the last laboratory-confirmed case of MERS-CoV from Oman was reported in November 2017.

Globally, 2144 laboratory-confirmed cases of MERS-CoV, including at least 750 related deaths, have been reported to WHO.

Details of the case:
Case no./ Date of notification to WHO / Reporting country / City of residence / Age / Sex / Health care worker / Comorbidities / Exposure to camels / Camel milk consumption / Exposure to MERS-CoV cases / Date of symptoms onset / Date of 1st hospitalization / Date of laboratory confirmation / Status / Date of outcome
1 / 4 Mar 2018 / Oman / Batinah / 74 / M / No / No / Yes / NA / No / 23 Feb 2018 / 23 Feb 2018 / 1 Mar 2018 / Alive

*Data subject to change due to ongoing investigations. Fields related to the final status of the case are updated as information is available.
NA = Not available

Public health response
Identification, tracing and follow up of family and health care workers contacts is ongoing, including MERS-CoV screening. All identified contacts will be monitored for 14 days from the last possible date of exposure.

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Communicated by:
ProMED-mail

[This is the 1st laboratory confirmed case of MERS-CoV infection reported by Oman in 2018, bringing the total number of laboratory confirmed cases reported by Oman to 11. During 2017, there were 2 cases reported by Oman. One on 5 Nov 2018 (see MERS-CoV (69): Oman, Saudi Arabia (RI, QS) RFI 20171105.5425993) and one reported to WHO on 30 Aug 2017, and reported by WHO on 12 Oct 2017 (see MERS-CoV (59): Oman, Saudi Arabia, WHO 20170913.5313874). In addition, there have been 2 cases reported in Omani citizens travelling to Thailand and confirmed by Thailand. A common observation in the cases reported by Oman is a history of contact with camels in the 14 days preceding onset of illness.

In total, there have been 2144 laboratory-confirmed cases of MERS-CoV reported to WHO since September 2012, including at least 750 related deaths (reported case fatality rate 35.0 percent). (This total includes cases reported by Saudi Arabia up through 11 Jan 2018).

The HealthMap/ProMED map of Oman can be found at: http://healthmap.org/promed/p/124. - Mod.MPP]

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[2] Saudi Arabia, 2 new cases 6-13 Mar 2018
Date: 15 Mar 2018
Source: Saudi MOH 6-13 Mar 2018 [edited]
https://www.moh.gov.sa/en/ccc/pressreleases/pages/default.aspx?PageIndex=1

As of today [15 Mar 2018], information on reported cases, fatalities and recoveries was available through [13 Mar 2018] at which time, according to the Saudi MOH MERS-CoV website (see URL above), there have been a total of:

1815 laboratory confirmed cases of MERS-CoV infection including:
736 reported fatalities
1071 reported recoveries and
8 currently active cases

[in contrast, according to the spreadsheet that I have been maintaining, there have been a total of:
1810, laboratory confirmed cases including
733 reported fatalities (case fatality rate of 40.5 percent)
1060 reported recoveries and
16 currently active cases

I have tried to reconcile the counts but I have been unable to do so successfully other than to repeat my previous disclaimers "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." - Mod.MPP]

Information on newly confirmed cases (2 cases):
- both are Saudi males
- both are not healthcare workers
- both were noted to be in stable condition

1- reported on 8 Mar 2018: A 56-year-old from Jeddah [Makkah region]. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of symptoms.
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-03-08-...

2- reported on 7 Mar 2018: A 60-year-old from Riaydh [Riyadh region]. Classified as a secondary healthcare associated case in a patient.
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-03-07-...

Information on newly reported fatalities (1 fatality):
- reported on 7 Mar 2018: An 82-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 25 Feb 2018 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]
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-03-07-...

Information on newly reported recoveries (3 recoveries)
- all 3 were Saudi males
- all 3 were not healthcare workers
- all 3 were noted to be in stable condition at the time of initial confirmation report

1- reported on 13 Mar 2013: A 66-year-old from Riyadh [Riyadh region] with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 20 Feb 2018. Classified as a primary case with high risk exposure history still under investigation. - Mod.MPP]
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-03-13-...

2- reported on 9 Mar 2018: A 74-year-old from Najran [Najran region] with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 3 Mar 2018. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness. - Mod.MPP]
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-03-09-...

3- reported on 8 Mar 2018: A 45-year-old from Riyadh [Riyadh region] with no history of co-morbidities. [reported as a newly confirmed case on 24 Feb 2018. Classified as a primary case with high risk exposure history still under investigation. - Mod.MPP]
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2018-03-08-...

--
Communicated by:
ProMED-mail

[Since the last update (MERS-CoV (09): Saudi Arabia, WHO 20180308.5671037) there have been a total of 2 newly confirmed cases of MERS-CoV infection reported from Saudi Arabia. One in Riyadh, the other in Jeddah (Makkah region). The former, part of the ongoing nosocomial cluster of cases reported from Riyadh, bringing the total number of reported cases with nosocomial transmission in Riaydh to 5 since 26 Feb 2018.

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

See Also
MERS-CoV (09): Saudi Arabia, WHO 20180308.5671037
MERS-CoV (08): Saudi Arabia, RFI 20180214.5623644
MERS-CoV (07): Saudi Arabia 20180128.5590493
MERS-CoV (06): Saudi Arabia, WHO 20180126.5587442
MERS-CoV (05): Saudi Arabia 20180124.5581936
MERS-CoV (04): Saudi Arabia (RI) genomic evidence of camel role in transmission 20180116.5564064
MERS-CoV (03): Saudi Arabia, new cases, research 20180112.5556427
MERS-CoV (02): Saudi Arabia 20180109.5548385
MERS-CoV (01): Malaysia (ex KSA), Saudi Arabia, UAE (ex Oman) 20180102.5532148
2017
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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
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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
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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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