MERS-COV (27): SAUDI ARABIA (RIYADH, ASIR, AL QASIM) NOSOCOMIAL TRANSMISSION

Posted on 20TH MAY 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: Fri 19 May 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 19 May 2017], there have been a total of:
1611 laboratory-confirmed cases of MERS-CoV infection, including
663 deaths [reported case fatality rate 41.2 percent],
935 recoveries, and
13 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 [Sun 14 May 2017], there have been a total of:
7 newly confirmed cases, [1 is reported to be asymptomatic]
1 newly reported fatality, and
3 newly reported recoveries.

Information on newly confirmed cases (7 cases)
Date: Fri 19 May 2017 (2 cases)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-05-19-0...

1 - A 63-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region] currently in stable condition. Classified as a primary case with high risk exposure history in the 14 days preceding onset of illness currently under investigation.

2- A 43-year-old Saudi male, non-healthcare worker from Almuhannab [Al Qaṣīm 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: Wed 17 May 2017 (2 cases)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-05-17-0...

3- A 57-year-old expat male, healthcare worker from Bisha [Asir region] currently reported as being in stable condition although categorized as asymptomatic. Classified as a secondary healthcare acquired case in a healthcare worker.

4 - A 38-year-old expat male, non-healthcare worker from Riyadh [Riyadh region] currently in critical condition. Classified as a secondary healthcare acquired case in a patient.

Date: Tue 16 May 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-05-16-0...
5 - A 25-year-old expat female, healthcare worker from Riyadh [Riyadh region] currently reported as being in stable condition although categorized as asymptomatic. Classified as a secondary healthcare acquired case in a healthcare worker.

Date: Mon 15 May 2017 (2 cases)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-05-15-0...

6 - A 33-year-old expat male, healthcare worker from Riyadh [Riyadh region], currently reported as being in stable condition although categorized as asymptomatic. Classified as a secondary healthcare acquired case in a healthcare worker.

7- A 30-year-old expat female, healthcare worker from Riyadh [Riyadh region], currently reported as being in stable condition although categorized as asymptomatic. Classified as a secondary healthcare acquired case in a healthcare worker.

Information on newly reported fatalities (1 fatality)
Date: Tue 16 May 2017 (1 fatality)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-05-16-0...

- A 54-year-old Saudi male, non-healthcare worker from Bisha [Asir region] with a history of pre-existing co-morbidities [reported as a newly confirmed case on 13 May 2016 at which time he was noted to be in critical condition. Classified as a secondary healthcare acquired case in a patient. - Mod.MPP]

Information on newly reported recoveries (3 recoveries)
Date: Fri 19 May 2017 (2 recoveries)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-05-19-0...

1- A 60-year-old Saudi male, non-healthcare worker from Mahail-Aseer [Asir region] with a history of pre-existing co-morbidities [reported as a newly confirmed case on 28 Apr 2017 at which time he was noted 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]

2- An 86-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region] with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 19 Apr 2017 at which time he was noted to be in stable condition. Classified as a primary case with high risk exposure history still under investigation. - Mod.MPP]

Date: Mon 15 May 2017 (1 recovery)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-05-15-0...

3- A 40-year-old Saudi female, non-healthcare worker from Hufoof [Ash Sharqīyah region] with a history of pre-existing co-morbidities [reported as a newly confirmed case on 8 May 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 onset of illness still under investigation. - Mod.MPP]

--
Communicated by:
ProMED-mail

[In the past 5 days since the last update (on 14 May 2017) there have been 7 newly confirmed cases of MERS-CoV infection reported by Saudi Arabia. Of these 7 newly confirmed infections, 4 are mentioned to be asymptomatic infections of healthcare workers, presumably detected as part of contact tracing. 3 of the 4 healthcare workers were from Riyadh, and one was from Bisha in 'Asīr region. Of the 3 newly confirmed infections in symptomatic individuals, one was classified as a secondary healthcare acquired case in a patient in Riyadh, and the remaining 2 were classified as primary cases, one with a history of direct exposure to camels and the other still pending investigation of possible high risk exposures.

So it appears as though there is recent nosocomial transmission occurring in both Riyadh and Bisha. In Riyadh, there have been 4 cases (3 asymptomatic infections in healthcare workers and one symptomatic case in a patient), and in Bisha there has been one asymptomatic infection in a healthcare worker and one symptomatic infection in a patient.

Since the beginning of May 2017, there have been 14 newly confirmed MERS-CoV infections in Saudi Arabia, compared with 8 newly confirmed cases in the 1st 19 days of April 2017.

So, MERS-CoV is not going away, it is still being confirmed in Saudi Arabia. It still has nosocomial transmission, and there are still a majority of cases for which the transmission route remains unidentified.

Maps showing the locations of the cases mentioned above can be found at the source URLs. A HealthMap/ProMED map of Saudi Arabia can be found at http://healthmap.org/promed/p/131. - Mod.MPP]

See Also

MERS-COV (26): Saudi Arabia, EMRO update, RFI 20170514.5032286
MERS-CoV (25): Saudi Arabia, Qatar, WHO 20170428.5002073
MERS-CoV (24): UAE (AZ), Saudi Arabia (RI), WHO 20170425.4993929
MERS-CoV (23): Saudi Arabia (AS) animal reservoir, human contact, OIE, RFI 20170421.4986081
MERS-CoV (22): UAE (AZ), Saudi Arabia (RI,MK) Qatar, RFI 20170415.4971825
MERS-CoV (21): Egypt, animal reservoir, camel, ex Sudan, control, RFI 20170405.4948727
MERS-CoV (20): Qatar, Saudi Arabia, WHO 20170404.4947466
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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