MERS-COV (24): SAUDI ARABIA, MINISTRY OF HEALTH REPORTS

Posted on 07TH AUG 2018
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: 6 Aug 2018
Source: Saudi MOH MERS-CoV updates 2 Jun 2018 to 6 Aug 2018
https://www.moh.gov.sa/en/CCC/events/national/Pages/2018.aspx

[The Saudi MOH MERS-CoV webpages have been unavailable for the past several months, so regular updates on reports from their website have not been available. Updated information for the period 22 May 2018 through 6 Aug 2018 has just become available, and the following information comes from these updated pages. - Mod.MPP]

As of today, 6 Aug 2018, there have been 1864 cases of Middle East respiratory syndrome (MERS)-CoV infection reported by the Saudi Ministry of Health (MOH) to the World Health Organization (WHO). [These figures include the newly available information added to the official WHO reported statistics available through 30 Jun 2018. I expect the EMRO MERS-CoV monthly update for July 2018 should be available in the coming days. - Mod.MPP].

During the period 1 Jun 2018 to 6 Aug 2018, there have been 20 newly confirmed cases of MERS-CoV infection. A summary of information available on these newly confirmed cases follows:

Date of report: Region / City / Age / Sex / Condition / Camel exposure / case classification
01-Jun-18: Najran / Najran / 49 / M / Stable / No / secondary household contact
02-Jun-18: Najran / Najran / 50 / M / Stable / No / secondary household contact
02-Jun-18: Najran / Najran / 33 / M / Stable / No / secondary household contact
03-Jun-18: Najran / Najran / 76 / M / N/A / Yes / primary (direct contact with camels)
08-Jun-18: Najran / Najran / 40 / M / stable / No / secondary household contact)
09-Jun-18: Makkah / Jeddah / 57 / M / Deceased / Yes / primary (direct contact with camels)
11-Jun-18: Riyadh / Riyadh / 76 / M / stable / N/A / primary community acquired
14-Jun-18: Najran / Najran / 54 / F / stable / N/A / primary community acquired
19-Jun-18: Riyadh / Riyadh / 84 / M / stable / Yes / primary (direct contact with camels)
30-Jun-18: Riyadh / Almuzahmia / 70 / M / stable / Yes / primary (direct contact with camels)
07-Jul-18: Al Ḥudud ash Shamaliyah / Arar / 55 / M / Critical / Yes / primary (direct contact with camels)
09-Jul-18: Riyadh / Afeef / 35 / M / Critical / Yes / primary (direct contact with camels)
10-Jul-18: Riyadh / Riyadh / 74 / M / Stable / N/A / primary community acquired
13-Jul-18: Najran / Najran / 29 / M / Stable / Yes / primary (direct contact with camels)
14-Jul-18: Riyadh / Afeef / 45 M / Stable / Yes / primary (contact with camels) [website calls this a secondary case]
19-Jul-18: Al Ḥudud ash Shamaliyah / Arar / 68 / M / Deceased / No / secondary hospital acquired [? patient]
29-Jul-18: Al Qaṣim / Al Asiah / 73 M / Critical / Yes / primary (direct contact with camels)
01-Aug-18: Ash Sharqiyah - Eastern / Hufoof / 55 / M / stable / Yes / primary (direct /contact with camels)
05-Aug-18: Tabuk / Tabuk / 82 / F / Stable / N/A / primary community acquired
05-Aug-18: Ash Sharqiyah - Eastern / Dammam / 41 / M / Stable / Yes / primary (direct contact with camels)

--
communicated by:
Michael Fraser

[I would like to thank Michael Fraser for sending all the above information to us, thereby alerting us to a new URL for current reports on newly confirmed MERS-CoV infections in Saudi Arabia.

Of the 20 newly confirmed cases since 1 Jun 2018, 4 (20 per cent) were secondary household contacts in Najran, a cluster reported by the Saudi MoH at the time [see MERS-CoV (20): Saudi Arabia (NJ) susp. family cluster 20180602.5835120; MERS-CoV (19): Saudi Arabia (NJ) household cluster conf. 20180531.5830431; and MERS-CoV (18): Saudi Arabia (NJ) susp. family cluster, RFI 20180530.5829389 for more details]. A total of 11 (55 per cent) of the 20 cases were associated with contact with camels, 4 (20 per cent) were classified as primary community acquired cases (presumably high-risk exposures not identified at the time of official report of confirmation of case), and one (5 per cent) case was a secondary hospital-acquired case. A total of 2 of the cases were noted to have died preceding the official report. Information on outcomes of the remaining 18 cases was not available.

So, although we have not had many reports on MERS-CoV activity in the past 2 months, there has been continued low-level "sporadic" transmission of the virus, primary associated with contact with camels, in Saudi Arabia with the occasional secondary case.

A map of Saudi Arabia showing the regions can be found at: https://www.researchgate.net/figure/Kingdom-of-Saudi-Arabia-map-showing-....

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

See Also
MERS-CoV (23): Saudi Arabia, WHO, RFI 20180711.5899938
MERS-CoV (22): Saudi Arabia, WHO 20180629.5862285
MERS-CoV (21): EMRO/WHO update May 2018 20180612.5852927
MERS-CoV (20): Saudi Arabia (NJ) susp. family cluster 20180602.5835120
MERS-CoV (19): Saudi Arabia (NJ) household cluster conf. 20180531.5830431
MERS-CoV (18): Saudi Arabia (NJ) susp. family cluster, RFI 20180530.5829389
MERS-CoV (17): UAE (Abu Dhabi) WHO 20180528.5824390
MERS-CoV (16): UAE (AZ), RFI 20180528.5823719
MERS-CoV (15): Saudi Arabia WHO 20180525.5801103
MERS-CoV (14): Israel, animal reservoir, camelids 20180506.5787312
MERS-CoV (13): Saudi Arabia new cases, superspreader 20180418.5754131
MERS-CoV (12): Saudi Arabia 20180402.5724114
MERS-CoV (11): Saudi Arabia 20180322.5702309
MERS-CoV (10): Oman, Saudi Arabia, WHO 20180315.5690014
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 (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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