Posted on 16TH OCT 2018
tagged MERS-CoV, Saudi Arabia; South Korea

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

In this update:
[1] Saudi Arabia, (Riyadh), 1 new case
[2] South Korea, outbreak over

[1] Saudi Arabia, (Riyadh), 1 new case
Date: 16 Oct 2018
Source: Saudi MOH 14-16 Oct 2018 [edited]

Date of report: 16 Oct 2018
Case No. 18-1760
MERS in Afeef city: 64-year-old male in Afeef city, Riyadh region
Contact with camels: No
Case classification: Primary, Community acquired
Current status: Hospitalized

Communicated by:

[Cases continue to occur but at a significantly slower pace than when nosocomial outbreaks occurred in Saudi Arabia. This newly confirmed case is from Afeef and is classified as a primary community acquired case without a known history of contact with camels. In the past several weeks, there have been 2 other cases of MERS-CoV infection confirmed in individuals in Afeef. The 1st was reported on 24 Sep 2018, was a fatal case that was classified as a primary community acquired case, also without a known history of contact with camels. The 2nd case was reported on 3 Oct 2018 and was classified as a secondary household contact acquired case who was never hospitalized and remained on home isolation until classified as recovered on 10 Oct 2018.

A HealthMap/ProMED map of Saudi Arabia: - Mod.MPP]

[2] South Korea, outbreak over
Date: 16 Oct 2018
Source: Yonhap news [edited]

South Korea on Tuesday [16 Oct 2018] officially declared an end to the country's 1st Middle East respiratory syndrome (MERS) outbreak in 3 years, health authorities here said.

The announcement made at midnight is in line with guidelines set by the World Health Organization that require no new infections for a minimum of 28 days, which is twice the length of the virus' incubation period, the Korea Centers for Disease Control and Prevention (KCDC) said.

On [8 Sep 2018], a single person was diagnosed with MERS after returning home from a 3-week business trip to Kuwait via the United Arab Emirates. It was the 1st confirmed case of the disease in the country since 2015.

On [21 Sep 2018], the KCDC lowered its alert level to its lowest readiness posture, as 21 people who came into close contact with the patient all tested negative for the disease.

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 Rapporteur Kunihiko Iizuka

[Clearly, much has changed in healthcare seeking and delivery practices in South Korea since the MERS-CoV outbreak in 2015. With early suspicion (and, therefore, testing) combined with early implementation of infection control procedures, a repeat occurrence of nosocomial transmission was avoided, and the definition of outbreak in this situation was limited to a single case.

The HealthMap/ProMED map of South Korea: - Mod.MPP]

See Also
MERS-CoV (42): Saudi Arabia (RI) EMRO September 2018 update 20181013.6089832
MERS-CoV (41): Saudi Arabia (NJ, MK) Pakistan serosurvey 20181012.6086164
MERS-CoV (40): Saudi Arabia (RI) WHO 20181003.6069065
MERS-CoV (39): Saudi Arabia (QS, RI) South Korea 20180929.6060992
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
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