MERS-COV (11): SAUDI ARABIA (NAJRAN, MADINAH, MAKKAH), WHO

Posted on 12TH FEB 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

In this update:
[1] Saudi Arabia, 3 new cases, 3 deaths - MOH 3-11 Feb 2017
[2] Saudi Arabia - WHO update 10 Feb 2017

******
[1] Saudi Arabia, 3 new cases, 3 deaths - MOH 3-11 Feb 2017
Date: Sat 11 Feb 2017
Source: Saudi MOH 3-11 Feb 2017 [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx

As of 14:00 [2:00 PM] today [Sat 11 Feb 2017], there have been a total of:
1550 laboratory-confirmed cases of MERS-CoV infection, including
646 deaths [reported case fatality rate 41.6 percent],
896 recoveries, and
8 currently active cases.

Since the last ProMED-mail update [Thu 2 Feb 2017], there have been a total of:
3 newly confirmed cases,
3 newly reported fatalities, and
1 newly reported recovery.

Information on newly reported cases (3 cases)
Date: Thu 9 Feb 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-09-0...

1 - A 60-year-old Saudi male, non-healthcare worker from Makkah, noted to be in critical condition at time of confirmation report. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness.

Date: 6 Feb 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-06-0...

2 - A 45-year-old Expat male, non-healthcare worker from Al Madinah, currently in stable condition. Classified as a primary case with a history of high risk exposures in the 14 days preceding onset of symptoms still under investigation.

Date: Fri 3 Feb 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-03-0...

3 - A 54-year-old Expat male, non-healthcare worker from Najran, currently in stable condition. Classified as a primary case with a history of high risk exposures in the 14 days preceding onset of symptoms still under investigation.

Information on newly reported fatalities (3 fatalities)
Date: Sat 11 Feb 2017 (2 fatalities)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-11-0...

1 - A 59-year-old Saudi male, non-healthcare worker from Turaba [Makkah region] with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 26 Jan 2017 at which time he was noted to be in critical condition. Classified as a primary case with a history of direct exposure to camels in the 14 days preceding onset of illness. - Mod.MPP]

2 - A 60-year-old Expat male, non-healthcare worker from Makkah with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 9 Feb 2017 (see newly confirmed case no.1 above) at which time he was noted to be in critical condition. Classified as a primary case with a history of direct exposure to camels in the 14 days preceding onset of illness. - Mod.MPP]

Date:Fri 3 Feb 2017 (1 fatality)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-03-0...

3 - A 58-year-old Saudi male, non-healthcare worker from Taif [Makkah region] with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 23 Jan 2017 at which time he was noted to be in critical condition. Classified as a primary case with a history of direct exposure to camels in the 14 days preceding onset of illness. - Mod.MPP]

Information on newly reported recovery (1 recovery)
Date: Sat 11 Feb 2017 (1 recovery)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-11-0...

- A 59-year-old Saudi female, non-healthcare worker from Riyadh with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 11 Jan 2017 at which time she was noted to be in critical condition. Classified as a primary case with high risk exposure history in the 14 days preceding onset of illness still under investigation. - Mod.MPP]

--
Communicated by:
ProMED-mail

[Reporting of newly confirmed cases by the Saudi MOH seems to have slowed down with a total of 4 newly confirmed cases reported since 1 Feb 2017 as compared with 12 newly confirmed cases reported during the 1st 11 days of January 2017. In this currently update, there were 3 newly confirmed cases reported in the past 9 days, 1 each from Najran, Madinah, and Makkah. During this slowdown, the MOH has not been posting daily reports, with the presumption on my part that the missing days were days with no newly confirmed cases nor reports of deaths nor recoveries. That being said, the numbers I have on the total number of currently active cases, fatalities and recoveries differs from those maintained on the Saudi MOH.

Maps of Saudi Arabia showing the locations of the newly confirmed cases, reported fatalities and recoveries can be found at the source URLs. - Mod.MPP]

******
[2] Saudi Arabia - WHO update 10 Feb 2017
Date: Fri 10 Feb 2017
Source: WHO Emergencies preparedness, response

Middle East respiratory syndrome coronavirus (MERS-CoV) - Saudi Arabia 10 Feb 2017
----------------------------------------------------------------------------------
Between 10 Jan 2017 and 3 Feb 2017 the National International Health Regulations Focal Point of Saudi Arabia reported seventeen (17) additional cases of Middle East Respiratory Syndrome (MERS) including four (4) fatal cases. Three (3) deaths among previously reported MERS cases (case no. 1 and 2 in DON published on 26 January 2017 and case no. 6 in DON published on 17 January 2017) were also reported.

Detailed information concerning these cases can be found in a separate document (see link below). One of the cases reported is a health care worker (case no. 5). The limited outbreak in Buridah, Saudi Arabia reported in the previous DON (published on 26 January 2017) is now over. A total of 6 cases were linked to this hospital outbreak. All contacts have been followed for the 14 day period and no further cases have been identified.

(Chart from WHO data [added addition outcome history reported by MOH - Mod.MPP])
Case no. Date report WHO/ City of residence/ Age /Sex / HCW/ Comorbidities/ Camel Exposure / Camel milk / Exposure other cases/ Date of onset symptoms/ Date of hospitalization / Date of lab confirm / Status / Date of outcome

1 - 2017-02-03 Najran 54 M No Yes NA NA NA 2017-01-30 2017-02-01 2017-02-02 Alive 2017-02-10
2 - 2017-02-02 Hafar Al-Batin 57 M No Yes NA NA NA 2017-01-28 2017-01-31 2017-02-02 Alive 2017-02-10
3 - 2017-01-28 Taif 74 F No Yes Yes NA NA 2017-01-20 2017-01-26 2017-01-28 Deceased 2017-01-31 2017-02-10
4 - 2017-01-28 Alkhurmah 75 M No Yes Yes Yes NA 2017-01-23 2017-01-26 2017-01-28 Alive 2017-02-10
5- 2017-01-27 Jeddah 30 M Yes No NA NA Yes** 2017-01-24 2017-01-25 2017-01-26 Alive 2017-02-10
6 - 2017-01-26 Taif 59 M No Yes Yes Yes NA 2017-01-21 2017-01-23 2017-01-25 Alive 2017-02-10 [reported as from Turaba, died 11 Feb 2017 - Mod.MPP]
7 - 2017-01-25 Jeddah 48 M No Yes Yes Yes NA 2017-01-18 2017-01-24 2017-01-25 Deceased 2017-01-29 2017-02-10
8 - 2017-01-24 Riaydh 41 F No Yes NA NA NA 2017-01-18 2017-01-21 2017-01-23 Alive 2017-02-10
9 - 2017-01-23 Taif 58 M No Yes Yes Yes NA 2017-01-12 2017-01-21 2017-01-22 Deceased 2017-02-03 2017-02-10
10 - 2017-01-22 Alqararh 55 M No No Yes Yes NA 2017-01-11 2017-01-20 2017-01-22 Alive 2017-02-10
11 - 2017-01-21 Jubail 27 M No No NA NA NA 2017-01-15 2017-01-19 2017-01-20 Alive 2017-02-10
12 - 2017-01-14 Najran 66 M No Yes Yes Yes NA 2017-01-04 2017-01-11 2017-01-13 Alive 2017-02-10 [recovered 24 Jan 2017]
13 - 2017-01-13 Hofouf 57 M No Yes NA NA NA 2017-01-07 2017-01-11 2017-01-12 Alive 2017-02-10 [died 19 Jan 2017 - Mod.MPP]
14 - 2017-01-13 Hofouf 61 M No Yes Yes Yes NA 2017-01-03 2017-01-11 2017-01-12 Alive 2017-02-10 [recovered 24 Jan 2017]
15 - 2017-01-11 Riyadh 59 F No Yes NA NA NA 2017-01-08 2017-01-09 2017-01-11 Alive 2017-02-10 [recovered 11 Feb 2017 - Mod.MPP]
16 - 2017-01-10 Buridah 67 F No Yes NA NA NA 2017-01-07 2017-01-04*** 2017-01-09 Deceased 2017-01-11 2017-02-10
17 - 2017-01-10 Jeddah 50 F No No Yes NA NA 2017-01-03 2017-01-07 2017-01-09 Alive 2017-02-10 [recovered 24 Jan 2017 - Mod.MPP]

Globally, since September 2012, 1905 laboratory-confirmed cases of infection with MERS-CoV including at least 677 related deaths have been reported to WHO.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[As mentioned in the above WHO update, there have been a total of 1905 laboratory confirmed cases of MERS-CoV infection reported to WHO since September 2012. As of 3 Feb 2017, Saudi Arabia had reported 1548 cases, representing 81.3 percent of the cases reported worldwide.

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

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/131.]

See Also
MERS-CoV (10): Saudi Arabia (SH, MK) 20170202.4811346
MERS-CoV (09): Saudi Arabia (MK) WHO 20170127.4797694
MERS-CoV (08): Saudi Arabia (MK, RI) 20170125.4792072
MERS-CoV (06): Saudi Arabia, WHO 20170119.4775249
MERS-CoV (05): Saudi Arabia (NJ, SH, RI), RFI 20170114.4766221
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/ec/dk