MERS-COV (39): SAUDI ARABIA (AL QASIM, RIYADH) SOUTH KOREA

Posted on 30TH SEP 2018
tagged MERS-CoV, Saudi Arabia; South Korea

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: 4 new cases, 2 fatal (Al Qasim, Riyadh)
[2] South Korea: no additional cases among contacts

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[1] Saudi Arabia: 4 new cases, 2 fatal (Al Qasim, Riyadh)
Date: Sat 29 Sep 2018
Source: Saudi MOH [edited]
https://www.moh.gov.sa/en/CCC/events/national/Pages/2018.aspx

Newly confirmed cases since last ProMED-mail update [16 Sep 2018]: 4 cases

Case No. 18 - 1752
MERS in Buraidah city: 66-year-old male in Buraidah city, Qaseem region
Contact with camels: no
Case classification: unknown
Date of report: 19 Sep 2018
Date of outcome update: 19 Sep 2018
Current status: deceased

Case No: 18 - 1753
MERS in Afeef city: 50-year-old male in Afeef city, Riyadh region
Contact with camels: no
Case classification: primary, community acquired
Date of report: 24 Sep 2018
Date of outcome update: 27 Sep 2018
Current status: deceased

Case No: 18 - 1754
MERS in Alasiah city: 46-year-old male in Alasiah city, Qaseem region
Contact with camels: no
Case classification: under investigation
Date of report: 29 Sep 2018
Date of outcome report: 29 Sep 2018
Current status: deceased

Case No: 18 - 1755
MERS in Buraidah city: 65-year-old male in Buraidah city, Qaseem region
Contact with camels: no
Case classification: primary, community acquired
Date of report: 29 Sep 2018
Date of outcome report: still open
Report status: open
Current status: hospitalized

Other outcome reports since last update: 5
All 5 were recoveries
All 5 were males

- 44-year-old from Riyadh [Riyadh region]: reported as a newly confirmed case on 10 Sep 2018; reported as a recovery on 16 Sep 2018. Classified as a primary community-acquired case with a history of contact with camels.

- 64-year-old from Hufoof [Ash Sharqiyah - Eastern region]: reported as a newly confirmed case on 12 Sep 2018; reported as a recovery on 20 Sep 2018. Classified as a primary community-acquired case with a history of contact with camels.

- 38-year-old from Rumah [Riyadh region]: reported as a newly confirmed case on 16 Sep 2018; reported as a recovery on 27 Sep 2018. Classified as a primary community-acquired case, no history of contact with camels.

- 62-year-old from Buraida [Al Qasim region]: reported as a newly confirmed case on 16 Sep 2016; reported as a recovery on 22 Sep 2018. Classified as a secondary case in a household contact.

- 34-year-old from Riyadh [Riyadh region]; reported as a newly confirmed case on 16 Sep 2016; reported as a recovery on 26 Sep 2018. Classified as a secondary case in a household contact.

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Communicated by:
ProMED-mail

[In the period since the last update on 16 Sep 2018, there have been 4 newly confirmed cases, of which 2 were fatal. Three of the 4 cases were reported from Al Qasim region, and the 4th from Riyadh region. In addition, there were 5 reported recoveries during this period. Since the beginning of September 2018, there have been a total of 13 newly confirmed cases, 8 of which were reported by Al Qasim region, 4 from Riyadh, and 1 from Ash Sharqiyah - Eastern region. Of the 8 confirmed cases from Al Qasim, classifications were as follows: 1 primary community acquired with a history of contact with camels, 3 primary community acquired with no history of contact with camels, 1 secondary household contact, 1 secondary hospital-acquired case, 1 still under investigation, and 1 unknown. The 4 cases in Riayah involved 1 primary case with history of contact with camels, 2 primary community-acquired cases with no history of contact with camels, and 1 secondary household contact. The single case from Ash Sharqiyah - Eastern region was classified as a primary case with history of direct contact with camels.

Of the 13 newly confirmed cases during the month of September [2018], 6 had fatal outcomes, 5 had recovered, and 2 are still hospitalized. - Mod.MPP

HealthMap/ProMED-mail map:
Saudi Arabia: http://healthmap.org/promed/p/131]

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[2] South Korea: no additional cases among contacts
Date: Fri 21 Sep 2018
Source: Yonhap News [edited]
http://english.yonhapnews.co.kr/news/2018/09/21/0200000000AEN20180921008...

South Korea will lower its Middle East Respiratory Syndrome (MERS) alert level to its lowest readiness posture, as 21 people who came into close contact with a patient all tested negative for the disease, health authorities said Friday [21 Sep 2018].

The Korea Centers for Disease Control and Prevention (KCDC) said it has reached the decision to lower the readiness level from "caution" to "attention" starting Saturday [22 Sep 2018].

The KCDC said that people who had been placed under quarantine -- including flight attendants and passengers on the same plane as the patient, medical staff, and immigration officials -- have all been checked and show no symptoms.

They will be released as of midnight Saturday [22 Sep 2018], as the maximum incubation period for secondary cases associated with limited human-to-human transmission of MERS is approximately 14 days, the KCDC said.

Earlier this week, the country's sole MERS patient was released from quarantine after testing negative for the respiratory disease. He was diagnosed with MERS on [8 Sep 2018] after returning home from a 3-week business trip to Kuwait via the United Arab Emirates. It was the 1st case of MERS diagnosed in South Korea since 2015.

The agency said it will lift monitoring of 396 people who came into ordinary contact with the MERS patient. They were not quarantined, but they had to report their health condition every day to officials in charge of monitoring.

MERS is a viral respiratory disease with a fatality rate of 20-46 percent. It is caused by a novel coronavirus carried by camels and can be spread when someone is in close contact with a patient for a sustained period.

The 1st MERS case was recorded in Saudi Arabia, and it has since spread to other countries. As of June this year [2018], the World Health Organization has reported 2229 laboratory-confirmed cases.

South Korea was hit by an outbreak in 2015, resulting in 38 deaths and 186 people testing positive for MERS.

--
Communicated by:
ProMED-mail

[The Korean CDC press release on the case and lowering of threat level is available at http://www.cdc.go.kr/CDC/eng/info/CdcKPress.jsp?menuIds=HOME002-MNU0576-....

In the past few weeks there have been additional suspected cases in returning travellers from the Middle East to South Korea that have been detected at the airport on arrival and referred to a hospital, with isolation precautions pending results of 2 separate tests for MERS-CoV presence (media reports are available on Yonhap News with the most recent report being today, Sat 29 Sep 2018; see http://english.yonhapnews.co.kr/news/2018/09/29/0200000000AEN20180929002...).

The South Korean CDC is to be commended for the intense effort on training personnel how to "think MERS" and how to respond to a suspected case of MERS. - Mod.MPP

HealthMap/ProMED-mail map:
South Korea: http://healthmap.org/promed/p/195]

See Also
MERS-CoV (38): Saudi Arabia (RI, QS) South Korea 20180916.6033021
MERS-CoV (37): Saudi Arabia (SH), South Korea ex Kuwait, WHO 20180912.6025675
MERS-CoV (36): Saudi Arabia, South Korea, contact tracing, WHO 20180911.6023092
MERS-CoV (35): South Korea ex Kuwait 20180908.6016517
MERS-CoV (34): Saudi Arabia (QS) clarification 20180906.6012360
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 (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
2017
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MERS-CoV (77): Saudi Arabia, camels, human, epidemiology, assessment 20171222.5520561
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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