MERS-COV (13): SAUDI ARABIA (MAKKAH, RIYADH)

Posted on 20TH 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

Date: Sun 19 Feb 2017
Source: Saudi MOH 14-19 Feb 2017 [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx

As of 14:00 [2:00 PM] today [Sun 19 Feb 2017], there have been a total of:
1556 laboratory-confirmed cases of MERS-CoV infection, including
648 deaths [reported case fatality rate 41.6 percent],
898 recoveries, and
10 currently active cases.

[As previously mentioned, the numbers of deaths, recoveries and currently active cases come from my spreadsheet tallies and differs from those listed on the Saudi MOH website. - Mod.MPP]

Since the last ProMED-mail update [Sat 11 Feb 2017], there have been a total of:
3 newly confirmed cases,
2 newly reported fatalities, and
1 newly reported recovery.

Information on newly reported cases (3 cases)
Date: Sun 19 Feb 2017 (2 cases)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-19-0...

1 - A 54-year-old Saudi male, non-healthcare worker from Jeddah [Makkah region], 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.

2 - A 67-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region], currently in critical condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of symptoms.

Date: 17 Feb 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-17-0...

3 - A 74-year-old Saudi male, non-healthcare worker from Jeddah [Makkah region], noted to be in critical condition at the time of confirmation. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness. [Patient reported as a fatality today [Sun 19 Feb 2017], see fatality no.1 below. - Mod.MPP]

Information on newly reported fatalities (2 fatalities)
Date: Sun 19 Feb 2017 (1 fatality)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-19-0...

4 - A 74-year-old Saudi male, non-healthcare worker from Jeddah [Makkah region] with a history of pre-existing co-morbidities. [Reported as a newly confirmed case on [Fri 17 Feb 2017] at which time he was noted to be in critical condition (see newly confirmed case no.3 above). Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness. - Mod.MPP]

Date: Wed 15 Feb 2017 (1 fatality)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-15-0...

5 - A 74-year-old Saudi female, non-healthcare worker from Al Khurma [Makkah region] with a history of pre-existing co-morbidities. [Reported as a newly confirmed case on 28 Jan 2017 at which time she was noted to be in critical condition. Classified as a primary case with a history of indirect contact with camels in the 14 days preceding onset of illness. - Mod.MPP]

Information on newly reported recovery (1 recovery)
Date: Thu 16 Feb 2017 (1 recovery)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-02-16-0...

6 - A 45-year-old expat male, non-healthcare worker from Madinah [Al Madinah region] with a history of pre-existing co-morbidities. [Reported as a newly confirmed case on [Mon 6 Feb 2017] at which time he was noted to be in stable 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

[In the 6 days since the last ProMED-mail update (on Mon 13 Feb 2017), there have been 3 newly confirmed cases, bringing the total number of MERS-CoV infected individuals reported by Saudi Arabia to 1556, including 648 (bringing the reported case fatality rate to 41.6 percent). Of note is that since the beginning of 2017 there have been a total of 34 newly confirmed cases reported by Saudi Arabia. Of these 34 cases reported this year (2017), 4 were initially reported as secondary cases - 1 in a household contact, and 3 healthcare acquired cases 2 in patients (in Buraidah) and 1 in a healthcare worker in Jeddah. The remaining 30 cases were initially classified as primary cases, 16 of whom were still pending further investigation into possible high risk exposures. Of note is that follow-up reports from WHO confirmed that there were 6 healthcare acquired cases in a small cluster in Buraidah - hence, 4 cases were initially classified as primary cases pending further investigation for high risk exposures and were later reclassified as secondary healthcare associated cases. The remaining 14 cases had a history of direct or indirect exposure to camels in the 14 days preceding onset of illness.

Defining the additional high risk exposures responsible for more than half of the "primary" cases is still pending. What also remains as yet unexplained is why Saudi Arabia and not the surrounding countries where camels are plentiful and human-camel exposure occurs as well.

Maps showing the locations of the cases discussed in the above report 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

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/4044, http://healthmap.org/promed/p/2633.]

See Also
MERS-CoV (12): Saudi Arabia (BA, MD, QS) 20170213.4836328
MERS-CoV (11): Saudi Arabia (NJ, MD, MK), WHO 20170211.4832839
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
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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 (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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