MERS-COV (41): SAUDI ARABIA (RIYADH, ASH SHARQIYAH)

Posted on 20TH 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: Thu 15 Jun 2017
Source: Saudi MOH 16-18 Jun 2017 [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx

As of 21:00 [9:00 PM GMT-4] today [Mon 19 Jun 2017], there have been a total of:
1667 laboratory-confirmed cases of MERS-CoV infection, including
673 deaths [reported case fatality rate 40.4 percent],
954 recoveries, and
40 currently active cases/infections.
[these figures cover the period 16-18 Jun 2017. Information on 19 Jun 2017 still pending. - Mod.MPP]

[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 [Thu 15 Jun 2017], there have been a total of:
4 newly confirmed cases/infections
3 newly reported fatalities, and
10 newly reported recoveries.

Information on newly confirmed cases (4 cases)
Date: Sun 18 Jun 2017 (2 cases)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-06-18-0...

1 - A 71-year-old Saudi male, non-healthcare worker from Hufoof [Ash Sharqiyah region] currently in critical condition. Classified as a primary case with high risk exposure history in the 14 days preceding onset of illness still under investigation.

2 - A 22-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region], currently in stable condition. Classified as a primary case with high risk exposure history in the 14 days preceding onset of illness still under investigation.

Date: Sat 17 Jun 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-06-17-0...

3 - A 41-year-old expat female, healthcare worker from Riyadh [Riyadh region], currently in 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.

Date: Fri 16 Jun 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-06-16-0...

4 - A 68-year-old expat male, non-healthcare worker, from Riyadh [Riyadh region] noted to have died at the time of initial confirmation report. Classified as a secondary healthcare acquired case in a patient. [see fatality no. 3 below].

Information on newly confirmed fatalities (3 fatalities)
Date: Sat 17 Jun 2017 (2 fatalities)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-06-17-0...

1- A 29-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region], with a history of pre-existing co-morbidities. [Reported as a newly confirmed case on 15 Jun 2017 at which time he was noted to be in critical condition. Classified as a secondary healthcare acquired case in a patient. - Mod.MPP]

2- A 45-year-old expat male from Hufoof [Ash Sharqiyah region], with no history of co-morbidities. [Reported as a newly confirmed case on 6 Jun 2017 at which time he was noted to be in stable condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness. - Mod.MPP]

Date: Fri 16 Jun 2017 (1 case)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-06-16-0...

3- A 68-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 16 Jun 2017 (see case no. 4 above), at which time he had been reported to have died. Classified as a secondary healthcare acquired case in a patient. - Mod.MPP]

Information on newly confirmed recoveries (10 recoveries)
Date: Sun 18 Jun 2017 (2 recoveries)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-06-18-0...

- both from Riyadh
- both Saudi nationals
- both healthcare workers
- both asymptomatic contacts of previously confirmed cases
- both classified as secondary healthcare acquired cases in healthcare workers

1- A 27-year old male, with no co-morbidities. [Reported as a newly confirmed case/infection on 4 Jun 2017. - Mod.MPP]

2- A 48-year old male, with no co-morbidities. [Reported as a newly confirmed case/infection on 6 Jun 2017. - Mod.MPP]

Date: Sat 17 Jun 2017 (7 recoveries)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-06-17-0...

- all from Riyadh
- all secondary cases

3- A 66-year old Saudi female, non-healthcare worker with a history of pre-existing co-morbidities. [Reported as a newly confirmed case/infection on 5 Jun 2017 at which time she was noted to be in stable condition, having been identified as an asymptomatic contact of a confirmed MERS-CoV infected individual. Classified as a secondary case in a household contact. - Mod.MPP]

4- A 32-year-old expat female, healthcare worker with no co-morbidities. [Reported as a newly confirmed case/infection on 5 Jun 2017 at which time she was noted to be in 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. - Mod.MPP]

5- A 35-year old Saudi female, non-healthcare worker with no co-morbidities. [Reported as a newly confirmed case/infection on 7 Jun 2017 at which time she was noted to be in stable condition, having been identified as an asymptomatic contact of a confirmed MERS-CoV infected individual. Classified as a secondary case in a household contact. - Mod.MPP]

6- A 26-year-old expat female, healthcare worker with no co-morbidities. [Reported as a newly confirmed case/infection on 9 Jun 2017 at which time she was noted to be in 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. - Mod.MPP]

7- A 31-year-old expat female, healthcare worker with no co-morbidities. [Reported as a newly confirmed case/infection on 8 Jun 2017 at which time she was noted to be in 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. - Mod.MPP]

8- A 48-year-old expat female, healthcare worker with no co-morbidities. [Reported as a newly confirmed case/infection on 9 Jun 2017 at which time she was noted to be in 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. - Mod.MPP]

9- A 35-year-old expat male, healthcare worker with no co-morbidities. [Reported as a newly confirmed case/infection on 11 Jun 2017 at which time he was noted to be in 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. - Mod.MPP]

Date: Fri 16 Jun 2017 (1 recovery)
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2017-06-16-0...

10- A 31-year-old expat female, healthcare worker with no co-morbidities. [Reported as a newly confirmed case/infection on 9 Jun 2017 at which time she was noted to be in 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. - Mod.MPP]

--
Communicated by:
ProMED-mail

[During the period 16-18 Jun 2017, there were a total of 4 newly confirmed cases, 2 of whom were attributed to the nosocomial transmission ongoing in Riyadh -- one in a patient and one in a healthcare worker. The other 2 cases included an individual from Hufoof and an individual from Riyadh, both of whom were classified as primary cases but still under investigation for possible high risk exposures. In this same period there were 3 newly reported fatalities, 2 of whom were classified as secondary healthcare acquired cases in patients, associated with the nosocomial transmission in Riyadh. The 3rd fatality was reported from Hufoof in an individual with a history of direct exposure to camels in the 14 days preceding onset of illness.

While it appears as though the nosocomial transmission cycles in Riyadh may be slowing down, it is too early to make definitive statements.

Maps showing the locations within Saudi Arabia of the cases identified in the summary report above 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]

See Also
MERS-CoV (40): animal reservoir, camels, review, FAO 20170619.5115999
MERS-CoV (39): Saudi Arabia (RI), nosocomial transmission 20170615.5108781
MERS-CoV (38): Saudi Arabia (RI), nosocomial transmission, WHO 20170613.5102806
MERS-CoV (37): Saudi Arabia (RI), nosocomial transmission, fatal 20170611.5098598
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 (20): Qatar, Saudi Arabia, WHO 20170404.4947466
MERS-CoV (10): Saudi Arabia (SH, MK) 20170202.4811346
MERS-CoV (04): Saudi Arabia (MK, QS), nosocomial outbreak, RFI 20170110.4754928
MERS-CoV (02): Saudi Arabia (QS) nosocomial transmission 20170107.4748974
MERS-CoV (01): Saudi Arabia (QS,RI,MD), RFI 20170105.4744802
2016
----
MERS-CoV (123): Saudi Arabia (MK, AS) new cases 20161231.4734758
MERS-COV (01): Oman, Saudi Arabia 20160105.3911188
2015
----
MERS-COV (167): acute management and long-term survival 20151231.3904300
MERS-CoV (01): Saudi Arabia, new cases, new death 20150104.3069383
2014
----
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
----
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
----
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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