Posted on 14TH OCT 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, 1 new case - Saudi MOH 12-13 Oct 2018
[2] EMRO September 2018 update

[1] Saudi Arabia, 1 new case - Saudi MOH 12-13 Oct 2018
Date: Sat 13 Oct 2018
Source: Saudi MOH 12-13 Oct 2018 [edited]

Date of report: 13 Oct 2018
Case no. 18-1759
MERS in Aldwadmi city: 64-year-old male in Aldwadmi city, Riyadh region
Contact with camels: yes
Case classification: primary, community acquired
Current status: hospitalized

Communicated by:

[In the 2 days since the last update (11 Oct 2018), there was a single newly confirmed case reported from Riyadh region. Notably this case had a history of contact with camels as the high-risk exposure. Since the beginning of October 2018, there have now been 4 newly confirmed cases of MERS-CoV infection reported from 3 different regions in Saudi Arabia (Riyadh, 2 cases; Najran and Makkah, 1 case each). Three of the 4 newly confirmed cases were primary cases associated with camel contact; the 4th case was in a household contact of a previously confirmed case. - Mod.MPP]

[2] EMRO September 2018 update
Date: Thu 11 Oct 2018
Source: WHO, EMRO (Eastern Mediterranean Regional Office) September MERS update [edited]

- At the end of September 2018, a total of 2260 laboratory-confirmed cases of Middle East respiratory syndrome (MERS), including 803 associated deaths (case-fatality rate: 35.5%) were reported globally; the majority of these cases were reported from Saudi Arabia (1882 cases, including 729 related deaths with a case-fatality rate of 38.7%).

- During the month of September [2018], a total of 14 laboratory-confirmed cases of MERS were reported globally; 13 laboratory-confirmed cases were reported in Saudi Arabia, including 6 associated deaths, and 1 laboratory-confirmed case was reported in Republic of Korea. The cases from Saudi Arabia included 5 secondary infections: 2 symptomatic household contacts and 3 hospital-acquired infections.

- The demographic and epidemiological characteristics of reported cases, when compared during the same corresponding period of 2013 to 2018, do not show any significant difference or change. Owing to improved infection prevention and control practices in hospitals, the number of hospital-acquired cases of MERS has dropped significantly since 2015.

- The age group 50-59 years continues to be at highest risk for acquiring infection of primary cases. The age group 30-39 years is most at risk for secondary cases. The number of deaths is higher in the age group 50-59 years for primary cases and 70-79 years for secondary cases.

Communicated by:
ProMED-mail Rapporteur Mary Marshall

[MERS-CoV continues to circulate in Saudi Arabia with the occasional spillover into humans from camel exposure, or close contact with other cases. It clearly is an infection that has transmission enhanced in the healthcare environment when there are breaches in infection-control practices. While Saudi Arabia is clearly the epicenter for human cases, the virus is circulating in the dromedary population elsewhere in the Middle East, North Africa, and Pakistan.

During the month of September 2018, there were 13 newly confirmed cases in Saudi Arabia and 1 newly confirmed case in South Korea, the latter in an individual who had traveled to Saudi Arabia for business, with onset of illness occurring upon return to South Korea. Six of these 14 newly confirmed cases had fatal outcomes. Classifications of type of transmission involved for these 6 fatal cases included 1 with a history of camel exposure, 2 primary community acquired with no history of camel exposure, 2 following further investigation found to be healthcare associated, and 1 remaining unknown.

For those who are interested in drilled-down data on the MERS-CoV epidemiology, I highly recommend going to the URL link for this Situation Report where there are graphics and tables with more detailed information supporting the above given numbers.

It is hard to reconcile total number of cases from the variety of reports. The August situation report stated there had been a total of 2248 cases including 798 associated deaths. The current September report total is up to 2260 cases, including 803 associated deaths. Hence, that's 12 newly confirmed cases and 5 newly reported fatalities. - Mod.MPP

HealthMap/ProMED-mail maps:
Saudi Arabia:
South Korea:]

See Also
MERS-CoV (41): Saudi Arabia (NJ, MK) Pakistan serosurvey 20181012.6086164
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
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