MERS-COV (28): QATAR, SAUDI ARABIA (HAIL)

Posted on 25TH MAY 2017
tagged MERS-CoV, Saudi Arabia; Qatar

A ProMED-mail post
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ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
[1] Qatar, 1 new case - media report
[2] Saudi Arabia 1 new case - Saudi MOH 20-24 May 2017

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[1] Qatar, 1 new case - media report
Date: Wed 24 May 2017, 9:25 AM
Source: The Peninsula Qatar [edited]
https://thepeninsulaqatar.com/article/24/05/2017/Ministry-announces-new-...

The Ministry of Public Health (MOPH) has announced that a new Middle East Respiratory Syndrome Corona Virus (MERS-CoV) case has been confirmed for a 29 years old, resident in Qatar, marking the 3rd 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 21 cases among whom 7 have died.

The patient is a camel worker and had complaints of fever and dry cough for several days. He sought a medical attention in Hamad General Hospital where an X-Ray investigation suggested a severe pneumonia. Consequently and as he reported an occupational frequent contact with camels, further samples were withdrawn from the patient. He ultimately tested positive for MERS-CoV according to Hamad Medical Corporation laboratories.

Despite his stable condition, the patient was admitted to hospital, in consistence with the national infection prevention and control protocol for confirmed and suspected MERS-CoV cases to ensure the appropriate medical attention. However, neither a history of contact with similar cases nor a recent travel outside the country was reported for the patient who has no comorbidities.

Once the case has been confirmed, the rapid response team of the Health Protection and Communicable disease Control (HP & CDC) department at the MOPH, accompanied with the team from Animal Health Department, Ministry of Municipality and Environment, have started a field investigation to assess 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. Consequently, all traced contacts will be monitored over a period of 2 weeks, while those who develop suspected symptoms will then be subjected to confirmatory laboratory investigation.

The Ministry of Public Health advises citizens and residents, in particular those with comorbidities or low immunity, to abide to cough etiquette and handwashing with soap and water thoroughly and avoid unnecessary contact with sick animals.

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

[As stated in the above media report, this is the 3rd case of MERS-CoV confirmed in Qatar since 1 Jan 2017, and the 21st case reported from Qatar since MERS-CoV was identified in September 2012. As a reminder, the 2nd confirmed case of illness due to infection with the MERS-CoV was confirmed in the UK in September 2012 in a Qatari national who was medivac'd to the UK for diagnosis and treatment. (see Novel coronavirus - Saudi Arabia (03): UK HPA, WHO, Qatar 20120923.1305982). Previously, investigations into camel herds associated with MERS-CoV infections in humans where the viruses have been sequenced have identified similar MERS-CoVs in both the camels and the humans (a good example of this can be found in Haagmans BL, Al Dhahiry SHS, Reusken CBEM, et al. Middle East respiratory syndrome coronavirus in dromedary camels: an outbreak investigation. Lancet Infect Dis. 2014 Feb;14(2):140-5. Epub 2013 Dec 17. available at: http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(13)70690-X/fulltext where the investigation involved a Qatari human case and a camel herd in Qatar).

Note, the above media report is almost a verbatim report from that available on the Qatar MOH website: https://www.moph.gov.qa/news/ministry-announces-new-mers-cov-case?backAr....

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 1 new case - Saudi MOH 20-24 May 2017
Date: Wed 24 May 2017
Source: Saudi MOH 20-24 May 2017 [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx?PageIndex=1

As of 14:00 [2:00 PM] today [Wed 24 May 2017], there have been a total of:
1612 laboratory-confirmed cases of MERS-CoV infection, including
665 deaths [reported case fatality rate 41.3 percent],
936 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 [Fri 19 May 2017], there have been a total of:
1 newly confirmed case
2 newly reported fatalities, and
1 newly reported recovery.

Information on newly confirmed case (1 case)
Date: Sun 21 May 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-05-21-0...

1 - A 64-year-old Saudi male, non-healthcare worker from Hail [Hail 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.

Information on newly confirmed fatalities (2 fatalities)
Date: Wed 24 May 2017 (2 fatalities)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-05-24-0...

1- A 55-year-old expat male, non-healthcare worker from Riyadh [Riyadh region] with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 14 May 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 currently under investigation. - Mod.MPP]

2- A 71-year-old expat male, non-healthcare worker from Bisha [Asīr region] with a history of pre-existing co-morbidities. [reported as a newly confirmed case on 9 May 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 currently under investigation. - Mod.MPP]

Information on newly confirmed recovery (1 recovery)
Date: Wed 24 May 2017 (1 recovery)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-05-24-0...

- A 25-year-old expat female healthcare worker from Riyadh [Riyadh region] with no co-morbidities. [Reported as a newly confirmed case (infection) on 16 May 2017 presumably as part of contact tracing as she was reported as an asymptomatic case who was in stable condition at the time of report. Classified as a secondary healthcare-acquired case in a healthcare worker. - Mod.MPP]

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Communicated by:
ProMED-mail

[In the 5 days since the last MERS-CoV update, Saudi Arabia has confirmed 1 additional MERS-CoV infection in Hail (Hail region). The most recent previous case reported from Hail was on 27 Feb 2017. Like many of the newly confirmed cases, this case is classified as a primary case pending further information on possible high risk exposures in the 14 days preceding onset of illness. A review of cases reported by Saudi Arabia and classified as "primary" cases (N=560), 27.3 percent had a history of camel exposure, and 72.7 percent were reported as still under investigation for high risk exposures at the time of initial confirmation report.

Maps showing the locations of the newly reported case, fatalities and recovery can be found at the source url. The HealthMap/ProMED map of Saudi Arabia can be found at . - Mod.MPP]

See Also
MERS-CoV (27): Saudi Arabia (RI,AS,QS) nosocomial transmission 20170519.5049088
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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