MERS-COV (22): UNITED ARAB EMIRATES (ABU DHABI) SAUDI ARABIA (RIYADH, MAKKAH) QATAR, REQUEST FOR INFORMATION

Posted on 16TH APR 2017
tagged MERS-CoV, United Arab Emirates; 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] UAE, 1 new case - Abu Dhabi
[2] Saudi Arabia - 5 new cases
[3] Qatar, additional information on previously reported case - EpiCore Surveillance Project

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[1] UAE, 1 new case - Abu Dhabi
Date: Tue 11 Apr 2017 07:55 PM
Source: The National [edited]
http://www.thenational.ae/uae/health/new-mers-coronavirus-case-discovere...

Health measures are being stepped up after a patient in the capital tested positive for the potentially fatal Middle East respiratory syndrome coronovirus. The case was the 1st in the UAE since June last year [2016], and the patient is currently receiving medical care to limit the spread of the virus, which has been linked to camels.

"Health Authority - Abu Dhabi is coordinating with the Ministry of Health and Prevention and other relevant governmental entities," a Haad spokesman said. "Haad has taken all necessary measures as per standards and recommendations from the World Health Organization. To help prevent respiratory illnesses the [ministry] has advised the public to wash hands often with soap and water, If not available, use hand sanitizer, cover nose and mouth with a tissue when coughing or sneezing and then throw the tissue in the trash."

Details of the latest patient infected have not been released. Symptoms of the virus are fever and respiratory problems such as coughing and shortness of breath.

In June last year [2016], a 37 year old Bangladeshi laborer living in Abu Dhabi developed symptoms and was admitted to hospital in a critical condition. Although rare in the UAE, 6 months earlier a 73 year old man who had frequent contact with camels died after contracting the virus, and another 85 year old woman also tested positive for the virus.

Last week, WHO reported that 10 people had caught MERS after an outbreak in the hemodialysis unit of a hospital in Saudi Arabia. Of those cases, the 1st [cases] was 1st reported at the end of February [2017] at Wadi Al Dawasir, in Riyadh province. A 32 year old woman and a 31 year old man showed symptoms and were treated in hospital in the 1st few days of March [2017]. Both were later confirmed to have MERS.

Since the 1st reported cases in September 2012, 1935 people have been confirmed as having MERS and there have been at least 690 related deaths, according to WHO. The largest outbreak so far occurred in 2015 in South Korea, where 186 cases were recorded in just 2 months and they are believed to have originated from a man who travelled in the Arabian Gulf.

MERS generally kills about 36 per cent of sufferers. The US Centers for Disease Control and Prevention said it had provided up-to-date information for travellers to the region. "CDC is working with partners to better understand the risks of this virus, including the source, how it spreads and how infections might be prevented," a spokesman said. "CDC has provided information for travellers and is working with health departments, hospitals and other partners to prepare for additional cases." For more information on MERS, visit the CDC MERS website at .

[byline: Nick Webster]

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communicated by:
ProMED-mail

[This newly confirmed case represents the 85th confirmed case of MERS-CoV infection reported by the UAE since 2012. (These summary data come from a compilation of data from the 15 October 2015 ECDC Rapid Risk Assessment of MERS-CoV http://ecdc.europa.eu/en/publications/Publications/MERS-rapid-risk-asses... and cases reported since the publication of the ECDC Rapid Risk Assessment and published on ProMED-mail). In 2016, 3 MERS-CoV infections were confirmed and reported by the UAE, 2 symptomatic cases and 1 asymptomatic infection identified through contact tracing (see prior ProMED-mail posts MERS-CoV (70): Saudi Arabia (MK), UAE, WHO, RFI 20160621.4300452, MERS-CoV (12): UAE, Oman, Saudi Arabia, WHO 20160126.3967808, and MERS-CoV (06): UAE (AZ) 20160114.3937314).

According to the most recent report by WHO, as of [Tue 4 Apr 2017], there have been a total of 1936 laboratory confirmed cases of infection with MERS-CoV including at least 690 related deaths reported to WHO. Since then, there have been 5 additional newly confirmed cases reported from Saudi Arabia (see section [2] below) and this currently case reported by the UAE. An epidemic curve of reported MERS-CoV cases as of [Thu 30 Mar 2017] can be found at page 10 of the Communicable Disease Threats report available at: http://ecdc.europa.eu/en/publications/Publications/communicable-disease-....

More information on results of the epidemiologic investigation into this most recent case would be greatly appreciated.

The HealthMap/ProMED map of the United Arab Emirates can be found at: http://healthmap.org/promed/p/132. - Mod.MPP]

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[2] Saudi Arabia - 5 new cases
Date: Fri 14 Apr 2017
Source: Saudi MOH [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx?PageIndex=1

As of 14:00 [2:00 PM] today [Fri 14 Apr 2017], there have been a total of:
1588 laboratory-confirmed cases of MERS-CoV infection, including
656 deaths [reported case fatality rate 41.3 per cent],
922 recoveries, and
10 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. - Mod.MPP]

Since the last ProMED-mail update [Mon 27 Mar 2017], there have been a total of:
5 newly confirmed cases, [note that there was delayed reporting of case 13 from WHO update in [2] above]
0 newly reported fatalities, and
7 newly reported recoveries.

Information on newly confirmed cases (5 cases)
Date: Fri 14 Apr 2017 (2 cases)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-04-14-0...?

1 - a 61 year old Saudi female, non-healthcare worker from Turaba [Makkah region] currently in a stable condition. Classified as a primary case with possible high risk exposure history in the 14 days preceding onset of illness still under investigation.

2 - an 86 year old Saudi male, non-healthcare worker from Taif [Makkah region] currently in a stable condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness.

Date: Tue 11 Apr 2017 (2 cases)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-04-11-0...?

3 - a 72 year old Saudi male, non-healthcare worker from Riyadh [Riyadh region] currently in a stable condition. Classified as a primary case with possible high risk exposure history in the 14 days preceding onset of illness still under investigation.

4 - a 60 year old expat male, non-healthcare worker from AlHawiya [Makkah region] currently in a critical condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness.

Date: 6 Apr 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-04-06-0...?

5 - a 62 year old Saudi male, non-healthcare worker from Riyadh, currently in critical condition. Classified as a primary case with a history of indirect contact with camels in the 14 days preceding onset of illness.

Information on newly reported recoveries (7 recoveries)
Date: 14 Apr 2017 (2 recoveries)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-04-04-0...?

1 - a 63 year old Saudi male, non-healthcare worker from Abqiq [Ash Sharqīyah region] with a history of pre-existing co-morbidities [reported as a newly confirmed case on [Thu 30 Mar 2017] at which time he was noted to be in a 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].

2 - a 31 year old Saudi male, healthcare worker from Abqiq [Ash Sharqīyah region] with no co-morbidities [most likely the 31 year old Saudi male healthcare worker from Damman in Ash Sharqīyah region that was reported as a newly confirmed infection on [Sun 2 Apr 2017] at which time he was noted to be asymptomatic. Classified as a secondary healthcare acquired case in a healthcare worker. - Mod.MPP].

Date: Thu 13 Apr 2017 (1 recovery)

[Cases continue to be reported from Saudi Arabia with 7 newly confirmed cases reported since the beginning of April 2017 (7 cases in 14 days). Of interest is that of the 7 newly confirmed cases this month [April 2017], 2 were from Ash Sharqīyah region (both from Dammam), 2 from Riyadh region (both from Riyadh), and 3 were from Makkah region (1 each from AlHawiya, Turaba and Taif). Of these 7 cases, 3 were classified as primary cases but high risk exposure histories were still under investigation, 2 had a history of direct contact, one had a history of indirect contact with camels and one was a secondary healthcare acquired case in a healthcare worker. According to the Saudi MOH website, 45 per cent of newly confirmed cases are classified as primary cases (non-healthcare or known household contact acquired). Since [Sun 1 Jan 2017], 23 newly confirmed cases were classified as primary cases with pending histories of known high risk exposures out of 67 cases that were reported (34.3 per cent).

Maps showing the locations of the newly confirmed cases in this 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]

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[3] Qatar, additional information on previously reported case - EpiCore surveillance project
Date: Wed 12 Apr 2017
From: EpiCore surveillance project [edited]

The patient was reported to be employed as driver, living in a bachelor shared accommodation near an industrial area in Doha. No recent history of travel [outside of Doha], no [identified] contact with camels.

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communicated by:
EpiCore Global Surveillance Project

[The information that the patient worked as a driver is intriguing as one wonders if he might have had contact with a client who was infected with MERS-CoV, perhaps from a neighboring country such as Saudi Arabia. We await further information on the results of further investigations.

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

See Also

MERS-CoV (21): Egypt, animal reservoir, camel, ex Sudan, control, RFI 20170405.4948727
MERS-CoV (20): Qatar, Saudi Arabia, WHO 20170404.4947466
MERS-CoV (19): Saudi Arabia (SH, QS) 20170402.4942800
MERS-CoV (18): Africa, animal reservoir, camels, 2015, research 20170331.4939980
MERS-CoV (17): Saudi Arabia (RI) 20170327.4929414
MERS-CoV (16): Qatar, Saudi Arabia (SH, MD, RI) 20170322.4918921
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 (70): Saudi Arabia (MK), UAE, WHO, RFI 20160621.4300452
MERS-CoV (12): UAE, Oman, Saudi Arabia, WHO 20160126.3967808
MERS-CoV (06): UAE (AZ) 20160114.3937314
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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