MERS-COV (16): QATAR, SAUDI ARABIA (ASH SHARQIYAH, AL MADINAH, RIYADH)

Posted on 22ND MAR 2017
tagged MERS-CoV, QATAR; 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] Qatar, 1 case - Qatar Ministry of Public Health News Release
[2] Saudi Arabia, 4 cases, 12-21 Mar 2017 - Saudi MOH

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[1] Qatar, 1 case - Qatar Ministry of Public Health News Release
Date: Tue 21 Mar 2017
Source: Qatar Ministry of Public Health
https://www.moph.gov.qa/news/moph-announces-new-mers-cov-case?backArt=326

MOPH announced a new Corona case
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The Ministry of Public Health (MOPH) has announced that a new Middle East Respiratory Syndrome Corona Virus (MERS-CoV) case has been confirmed in a 62 years old resident in Qatar, marking the 1st MERS-CoV case to be confirmed in the country this year [2017] and bringing the cumulative number of confirmed MERS-CoV cases since 2012 to 19 cases, among whom, 7 have died.

The patient, with history of comorbid conditions, had fever, night sweating, and abdominal pain several days ago and was seen at Hamad General Hospital where he tested positive for MERS-CoV. The patient is currently in stable condition and receives the necessary medical care in the isolation ward according to the national protocol of the infection prevention and control. The preliminary investigations inform that there was neither a history of contact with a suspected case nor a travel during the recent couple of weeks.

Once the case has been confirmed, the rapid response team of the Health Protection and Communicable disease Control department at the MOPH have started a field investigation to identify the possible source of the infection and to verify whether any of the patient contacts has suspected symptoms according to the WHO standard case definition, all traced contacts will be monitored over a period of 2 weeks.

The Ministry of Public Health advices citizens and residents who have chronic diseases to wash hands with soap and water thoroughly.

MOPH proclaimed that Health Protection & CDC Hotlines 66740948 & 66740951 are accessible 24/7 to respond to any notification or enquiry related to infectious diseases.

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Communicated by:
ProMED-mail

[In the absence of a history of travel or direct contact with camels in the 2 weeks preceding onset of illness, questions that arise are whether there was contact with other individuals who may have been infected but not diagnosed with MERS-CoV infection. We await further information from the Qatar MOPH on results of their investigation. This case may well be a window into the "primary cases" with no known history of high risk exposure that have been reported elsewhere.

As stated above, there have been 18 previous cases of MERS-CoV infected individuals including 7 deaths reported by Qatar, and 2 additional cases reported from Europe in individuals possibly infected in Qatar, including the 2nd recognized case of MERS-CoV internationally treated in the UK (see Novel coronavirus - Saudi Arabia (03): UK HPA, WHO, Qatar 20120923.1305982).

The HealthMap/ProMED map of Qatar can be found at: http://healthmap.org/promed/p/130. - Mod.MPP]

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[2] Saudi Arabia, 4 cases, 12-21 Mar 2017 - Saudi MOH
Date: Wed 22 Mar 2017
Source: Saudi MOH 12-21 Mar 2017 [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx?PageIndex=1

As of 14:00 [2:00 PM] yesterday [Tue 21 Mar 2017], there have been a total of:
1577 laboratory-confirmed cases of MERS-CoV infection, including
656 deaths [reported case fatality rate 41.6 per cent],
907 recoveries, and
14 currently active cases.

[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. In addition, the most recent information available is through yesterday, 21 Mar 2017. - Mod.MPP]

Since the last ProMED-mail update [Mon 6 Mar 2017], there have been a total of:
4 newly confirmed cases,
6 newly reported fatalities, and
5 newly reported recoveries.

Information on newly reported cases (4 cases)
Date: 18 Mar 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-18-0...

1 - A 20 year old expat male, non-healthcare worker from Hafr Albatin [Ash Sharqīyah region], reported as a fatality at the initial confirmation report [see fatality no.1 below. - Mod.MP]. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness.

Date: 16 Mar 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-16-0...

2 - A 63 year old Saudi male, non-healthcare worker from Badr [Al Madinah region], currently in stable condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness.

Date: 13 Mar 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-13-0...

3 - A 36 year old Saudi male, healthcare worker from Wadi Aldawasir [Riyadh region], currently asymptomatic. Classified as a secondary healthcare acquired case in a healthcare worker.

Date: 12 Mar 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-12-0...

4 - A 32 year old Saudi female, non-healthcare worker from Wadi Aldawasir [Riyadh region], currently listed as both asymptomatic and in stable condition. Classified as a secondary case in a household contact.

Information on newly reported fatalities (6 fatalities)
Date: 18 Mar 2017 (1 fatality)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-18-0...

1 - A 20 year old Saudi male, non-healthcare worker, from Hafr Albatin [Ash Sharqīyah region], with no history of co-morbidities [reported as a newly confirmed case at the same time he was reported as a fatality on 18 Mar 2017 (see newly confirmed case no. 1 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: 17 Mar 2017 (1 fatality)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-17-0...

2 - A 54 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 19 Feb 2017 at which time he was reported 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. - Mod.MPP]

Date: 16 Mar 2017 (1 fatality)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-16-0...

3 - A 67 year old Saudi male, non-healthcare worker, from Riyadh, with a history of pre-existing co-morbidities [reported as a newly confirmed case on 19 Feb 2017 at which time he was reported 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. - Mod.MPP]

Date: 14 Mar 2017 (2 fatalities)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-14-0...

4 - A 76 year old Saudi female, non-healthcare worker, from Madinah, with a history of pre-existing co-morbidities [reported as a newly confirmed case on 23 Feb 2017 at which time she was reported to be in stable condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness. - Mod.MPP]

5 - A 79 year old Saudi male, non-healthcare worker, from Al Qunfudhah [Makkah region], with a history of pre-existing co-morbidities [reported as a newly confirmed case on 11 Mar 2017 at which time he was reported to be in stable condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness. - Mod.MPP]

Date: 13 Mar 2017 (1 fatality)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-13-0...

6 - A 71 year old Saudi male, non-healthcare worker, from Almukhwah [Al Bāhah region], with a history of pre-existing co-morbidities [reported as a newly confirmed case on 13 Feb 2017 at which time he was reported 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. - Mod.MPP]

Information on newly reported recoveries (5 recoveries)
Date: 20 Mar 2017 (1 recovery)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-20-0...

1 - A 72 year old Saudi male, non-healthcare worker from Wadi Aldwasir [Riyadh region] with a history of pre-existing co-morbidities. [Reported as a newly confirmed case on 10 Mar 2017 at which time he was noted to be in critical condition. Classified as a secondary healthcare acquired case in a patient. - Mod.MPP]

Date: 14 Mar 2017 (2 recoveries)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-14-0...

2 - A 53 year old Saudi male, non-healthcare worker from Khayabar [Al Madinah region] with a history of pre-existing co-morbidities. [Reported as a newly confirmed case on 13 Feb 2017 at which time he 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]

3 - A 74 year old Saudi male, non-healthcare worker from Bisha [`Asīr region] with a history of pre-existing co-morbidities. [Reported as a newly confirmed case on 27 Feb 2017 at which time he was noted to be in stable 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: 12 Mar 2017 (2 recoveries)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-03-12-0...

4 - A 32 year old Saudi female, non-healthcare worker from Wadi Aldwasir [Riyadh region] with a history of pre-existing co-morbidities. [Reported as a newly confirmed case on 5 Mar 2017 at which time she was noted to be in stable condition. Classified as a primary case with high risk exposure history in the 14 days preceding illness still under investigation. - Mod.MPP]

5 - A 39 year old Saudi female, non-healthcare worker from Wadi Aldwasir [Riyadh region] with a history of pre-existing co-morbidities. [Reported as a newly confirmed case on 10 Mar 2017 at which time she was noted to be in stable condition. Classified as a secondary healthcare acquired case in a patient. - Mod.MPP]

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Communicated by:
ProMED-mail

[The number of cases and fatalities reported in Saudi Arabia continues to increase. Since the beginning of 2017, there have been a total of 55 newly confirmed cases of MERS-CoV infection reported and 24 deaths. Of the 55 newly confirmed cases reported in 2017, 22 had a history of contact with camels in the 14 days preceding onset of illness, 9 were confirmed as nosocomial transmitted cases, 3 in household contacts, and the remaining 21 cases were classified as primary cases with high risk exposure histories still under investigation at the time of initial confirmation report.

Maps of Saudi Arabia showing the locations of newly confirmed cases, fatalities and recoveries 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 (15): Saudi Arabia (RI, MK) nosocomial outbreak, WHO, RFI 20170312.4894950
MERS-CoV (14): Saudi Arabia 20170306.4875743
MERS-CoV (13): Saudi Arabia (MK, RI) 20170219.4850389
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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