Posted on 07TH SEP 2018
tagged MERS-CoV, Saudi Arabia

A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases

In this update:
[1] Saudi Arabia, Al Qasim increase in cases - MOH
[2] Saudi Arabia, outcome updates - MOH

[1] Saudi Arabia, Al Qasim increase in cases - MOH
Date: Thu 6 Sep 2018
From: Abdallah Assiri [edited]

Recent MERS activity in Saudi Arabia
Human MERS activity in Saudi Arabia increased in the last few days, specifically in Qaseem region. Sporadic cases were reported from different hospitals in the region. They were not healthcare related and not epidemiologically linked, except one case that we think acquired MERS in a dialysis unit. This case shared one dialysis session with another case that had a respiratory illness but was MERS-negative initially and later proved to be MERS-positive.

Infection Control Rapid Response Team (RRT) visited the hospital. High-risk contacts were assessed and found asymptomatic, and nasopharyngeal swabs were negative for MERS in all of them. Follow-up will continue for 14 days after the last exposure. At this moment, we believe that the risk of further secondary transmission is very low.

At this time of year, we usually experience a gradual rise in MERS activity. We alerted hospitals, healthcare workers, and people working with animals. Infection-control audits are ongoing, with a special emphasis on emergency departments and hemodialysis units.

Abdallah Assiri
Assistant deputy minister for preventive health
Saudi Arabia

[ProMED-mail would like to thank Dr. Assiri for a rapid response to our query related to the observed increase in reports of laboratory confirmation of MERS-CoV-infected individuals in Al Qaseem region. Hopefully there aren't more cases associated with this dialysis unit in the coming days. - Mod.MPP

HealthMap/ProMED-mail maps:
Saudi Arabia:
Al Qassim Saudi Arabia:]

[2] Saudi Arabia, outcome updates - MOH
Date: Wed 5 Sep 2018
Source: Saudi MOH [edited]

Additional outcome information on recently reported cases:
Case 18-1741
Initial confirmation report: 30 Aug 2018
Reporting location: Al Zulfi, Riyadh region
Age: 77
Gender: male
Date of outcome report: 5 Sep 2018
Outcome: recovered

Case 18-1745
Initial confirmation report: 3 Sep 2018
Reporting location: Buraidah, Al Qasim region
Age: 66
Gender: male
Date of outcome report: 5 Sep 2018
Outcome: died

Case 18-1746
Initial confirmation report: 4 Sep 2018
Reporting location: Buraidah, Al Qasim region
Age: 52
Gender: male
Date of outcome report: 5 Sep 2018
Outcome: died

Communicated by:

[Of the 3 cases on whom outcomes were reported yesterday, Wed 5 Sep 2018, case no. 18-1746 had not been originally classified and was under investigation. It is always dangerous to assume, but one does wonder if this case is the individual who had contact with a MERS-CoV-infected patient in a dialysis unit, as per Dr. Assiri's information. - Mod.MPP]

See Also
MERS-CoV (33): Saudi Arabia: (QS) RFI 20180904.6006491
MERS-CoV (32): Saudi Arabia (QS) 20180903.6004712
MERS-CoV (31): Saudi Arabia (RI, QS), UK (England) ex Saudi Arabia, WHO 20180901.6002235
MERS-CoV (30): Saudi Arabia (RI) new case 20180830.5998414
MERS-CoV (29): UK (England) ex Saudi Arabia, Risk Assessment ECDC: 20180830.5996187
MERS-CoV (28): UK (England) ex Middle East, RFI, corr 20180824.5985568
MERS-CoV (28): UK (England) ex Middle East, RFI 20180823.5983079
MERS-CoV (27): Saudi Arabia clarification, outcome update, WHO 20180820.5977355
MERS-CoV (26): Saudi Arabia, abattoir workers (Nigeria), primary camel exposure 20180818.5972601
MERS-CoV (25): risk assessment, WHO 20180808.5954813
MERS-CoV (24): Saudi Arabia, MoH reports 20180807.5950858
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 (10): Oman, Saudi Arabia, WHO 20180315.5690014
MERS-CoV (01): Malaysia (ex KSA), Saudi Arabia, UAE (ex Oman) 20180102.5532148
MERS-CoV (77): Saudi Arabia, camels, human, epidemiology, assessment 20171222.5520561
MERS-CoV (01): Saudi Arabia (QS, RI, MD) RFI 20170105.4744802
MERS-CoV (123): Saudi Arabia (MK, AS) new cases 20161231.4734758
MERS-COV (01): Oman, Saudi Arabia 20160105.3911188
MERS-COV (167): acute management and long-term survival 20151231.3904300
MERS-CoV (01): Saudi Arabia, new cases, new death 20150104.3069383
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
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
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