MERS-COV (37): SAUDI ARABIA (RIYADH), NOSOCOMIAL TRANSMISSION, FATAL

Posted on 12TH 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

In this update:
[1] Saudi Arabia, 6 newly confirmed cases/infections - MOH 10-11 Jun 2017
[2] Saudi Arabia - media report

******
[1] Saudi Arabia, 6 newly confirmed cases/infections - MOH 10-11 Jun 2017
Date: Sun 11 Jun 2017
Source: Saudi MOH 10-11 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 11 Jun 2017], there have been a total of:
1654 laboratory-confirmed cases of MERS-CoV infection, including
669 deaths [reported case fatality rate 40.4 percent],
943 recoveries, and
42 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 [Fri 9 Jun 2017], there have been a total of:
6 newly confirmed cases/infections [including 3 asymptomatic infections in contacts]
1 newly reported fatality, and
0 newly reported recoveries.

Information on newly confirmed cases (6 cases/infections)
Date: Sun 11 Jun 2017 (5 cases/infections)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-06-11-0...

- all expat healthcare workers
- all from Riyadh
- all classified as secondary healthcare acquired cases in healthcare workers

1 - A 35-year-old male, currently in stable condition, identified as an asymptomatic contact of previously confirmed MERS-CoV infected individual.

2 - A 57-year-old male currently in stable condition.

3 - A 42-year-old female currently in stable condition.

4 - A 54-year-old female currently in stable condition, identified as an asymptomatic contact of previously confirmed MERS-CoV infected individual.

5 - A 39-year-old male currently in stable condition, identified as an asymptomatic contact of previously confirmed MERS-CoV infected individual.

Date: Sat 10 Jun 2017 - 1 newly confirmed fatal case
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-06-11-0...

- A 32-year-old Saudi male noted to have died at the time of initial confirmation report. History of pre-existing co-morbidities. Classified as a secondary healthcare acquired case in a patient.

--
Communicated by:
ProMED-mail

[The nosocomial outbreak(s) in Riyadh continue. Over the past 2 days there have been 6 newly confirmed MERS-CoV infections in Riyadh. All 6 were classified as secondary healthcare acquired cases with one in a patient and the remaining 5 in healthcare workers. All of the healthcare workers were listed as expatriates, while the affected patient was a Saudi nationality. Of these 6 cases, 1 involved a fatality (the case in a patient), 2 were reported to be stable condition and 3 were reported to be asymptomatic individuals identified through contact tracing.

We do not have more details on the actual number of healthcare facilities involved with nosocomial transmission at this time, nor do we know the division of the cases/infections reported to date by healthcare facility. That being said, since the beginning of May 2017 there have been a total of 44 newly confirmed MERS-CoV infections in Riyadh of whom 30 (68.2 percent) were reported to have been asymptomatic contacts of other known MERS-CoV infected individuals. Five of the 44 cases were classified as primary cases with an additional case not as yet classified, and only one case had a history of direct contact with camels. Two of the cases were in household contacts and the remaining 36 cases were classified as secondary healthcare acquired cases with 10 occurring in patients, and 26 occurring in healthcare workers. Of note, 4 of the 44 (9 percent) were reported to have died, 5 (11 percent) were reported to have recovered, and the remaining 35 are still active cases with outcome information still pending. We do not know if any of the reported "asymptomatic" infected individuals have gone on to have clinical disease consistent with MERS-CoV infection.

Note that I've included the media report on this increase in reported cases/infections with MERS-CoV as an indication of the concern the country is experiencing as 35 cases reported in 15 days is a significant departure from the previous "trickle" of reported cases.

We await further details on this outbreak (or these outbreaks).

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

See Also

MERS-CoV (36): Saudi Arabia (RI), nosocomial transmission
MERS-CoV (35): Saudi Arabia (RI), nosocomial and household transmission 20170608.5093008
MERS-CoV (34): Saudi Arabia, UAE, Qatar, WHO 20170606.5087888
MERS-CoV (33): Saudi Arabia (RI), nosocomial transmission 20170605.5085681
MERS-CoV (32): Saudi Arabia (RI,MD) 20170604.5083353
MERS-CoV (31): Saudi Arabia (MK,RI) nosocomial transmission 20170604.5082194
MERS-CoV (30): Saudi Arabia (RI,MD,MK) 20170602.5077920
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 (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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