MERS-COV (32): SAUDI ARABIA (RIYADH, AL MADINAH)

Posted on 05TH JUN 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: Sun 4 Jun 2017
Source: Saudi MOH 3-4 Jun 2017 [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx?PageIndex=1

As of 14:00 [2:00 PM] today [Sun 4 Jun 2017], there have been a total of:
1625 laboratory-confirmed cases of MERS-CoV infection, including
667 deaths [reported case fatality rate 41.1 per cent],
942 recoveries, and
16 currently active cases/infections.

[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; my spreadsheet counts asymptomatic infections. - Mod.MPP]

Since the last ProMED-mail update [with information current through 2 Jun 2017], there have been a total of:
6 newly confirmed cases/infections
2 newly reported fatalities, and
0 newly reported recoveries.

Information on newly confirmed cases (6 cases/infections)
Date: 4 Jun 2017 (3 cases/infections)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-06-04-0...

1 - a 46 year old expat male, non-healthcare worker from Riyadh [Riyadh region] currently listed in a stable condition, having been identified as an asymptomatic contact of a confirmed MERS-CoV infected individual. Classified as a secondary hospital acquired case in a patient.

2 - a 27 year old Saudi male, healthcare worker from Riyadh [Riyadh region] currently listed in a stable condition, having been identified as an asymptomatic contact of a confirmed MERS-CoV infected individual. Classified as a secondary healthcare acquired case in a healthcare worker.

3 - a 73 year old Saudi male, non-healthcare worker from Madinah [Al Madinah region] currently listed in a stable condition. Classified as a primary case with a history of direct exposure to camels in the 14 days preceding onset of illness.

Date: 3 Jun 2017 (3 cases)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-06-03-0...

4 - a 65 year old expat male, non-healthcare worker from Riyadh [Riyadh region] reported as having died at the time of initial confirmation report. Classified as a secondary hospital acquired case in a patient.

5 - a 46 year old Saudi male, non-healthcare worker from Riyadh [Riyadh region], currently listed as in a critical condition. Classification not given as high risk exposures were still under investigation.

6 - a 24 year old expat male, non-healthcare worker from Riyadh [Riyadh region] reported as having died at the time of initial confirmation report. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness.

Information on newly confirmed fatalities (2 fatalities)
Date: 3 Jun 2017
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-06-03-0...

1 - 65 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 3 Jun 2017; see case no.4 above. Classified as a secondary hospital acquired case in a patient. - Mod.MPP]

2 - 24 year old expat male, non-healthcare worker from Riyadh [Riyadh region] with no history of co-morbidities. [reported as a newly confirmed case on 3 Jun 2017; see case no.6 above. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness. - Mod.MPP]

--
communicated by:
ProMED-mail

[There was a delayed posting of the reports from 3 Jun 2017, making the reports of 6 newly confirmed cases/infections overnight a surprise. It appears that there are now reports of 10 healthcare acquired infections in Riyadh since the middle of May 2017. These 10 cases include one case in a hospital visitor, 7 cases in healthcare workers and 2 cases in patients (one of whom is a fatality).

In the 1st 4 days in June 2017, there have been a total of 11 newly confirmed cases/infections with the MERS-CoV in Saudi Arabia, compared with a total of 17 newly confirmed cases/infections during the entire month of May 2017. Of these 11 cases, 9 were reported from Riyadh (7 reported as nosocomial, one under investigation, and one with history of direct contact with camels).

As this period of increased incidence coincides with Ramadan, one can't help but wonder whether there has been a change in both animal husbandry, as well as in healthcare settings related to staffing. We do not know whether these nosocomial cases are from one healthcare institution, or whether they involve more than one institution.

No, MERS-CoV is not disappearing the way SARS-CoV did.

Maps showing the locations of the newly confirmed cases/infections 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

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/5767, http://healthmap.org/promed/p/24449.]

See Also

MERS-CoV (31): Saudi Arabia (MK,RI) nosocomial transmission 20170604.5082194
MERS-CoV (30): Saudi Arabia (RI,MD,MK) 20170602.5077920
MERS-CoV (29): Qatar, animal reservoir, camels 20170527.5066519
MERS-CoV (28): Qatar, Saudi Arabia (HA) 20170524.5059234
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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