MERS-COV (43): SAUDI ARABIA, WHO

Posted on 29TH 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 - WHO update 28 Jun 2017 (11-15 Jun 2017)
[2] Saudi Arabia - Saudi MOH 28 Jun 2017

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[1] Saudi Arabia - WHO update 28 Jun 2017 (11-15 Jun 2017)
Date: Wed 28 Jun 2017
Source: WHO Emergencies preparedness, response [edited]
http://www.who.int/csr/don/28-june-2017-mers-saudi-arabia/en/

Middle East respiratory syndrome coronavirus (MERS-CoV) - Saudi Arabia [28 Jun 2017]
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Between [16 and 23 Jun 2017], the national IHR Focal Point of Saudi Arabia reported 7 additional cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection, including 2 deaths, and 4 deaths among previously reported cases.

Details of the cases
Three of the 7 newly reported cases are associated with clusters 1 and 3 as reported in the Disease Outbreak News published on [13 Jun 2017 and 19 Jun 2017].

Cluster 1
An additional 2 cases have been reported in this cluster in Riyadh City, Riyadh Region. In total, 34 laboratory-confirmed cases reported to WHO are associated with this cluster.

Cluster 2
No newly reported cases are associated with cluster 2 as reported in the Disease Outbreak News published on [13 Jun 2017].

Cluster 3
An additional case has been reported in this cluster in Riyadh City, Riyadh Region. Thus far, this cluster involves 9 laboratory-confirmed patients.

Globally, 2036 laboratory-confirmed cases of infection with MERS-CoV including at least 710 related deaths have been reported to WHO.

Public health response
The Ministry of Health is evaluating each case and their contacts and is still implementing the measures to limit further human-to-human transmission and bring these outbreaks to a control as described in the DON published on [19 Jun 2017].

Line listing of newly confirmed cases from 11-15 Jun 2017
Case no. / Date report WHO / City of residence / Age / Sex / HCW / Co-morbidities / Camel exposure / Camel milk / Exposure to other cases / Date of onset of symptoms / Date of hospitalization / Date of lab confirmation / Status / Date of outcome

1 / 2017-06-16 / Riyadh / 68 / M / No / Yes / No / No / Yes† / 2017-06-13 / 2017-05-28** / 2017-06-15 / Deceased / 2017-06-16
2 / 2017-06-17 / Riyadh / 41 / F / Yes / No / No / No / Yes† / NA / NA / 2017-06-17 / Alive
3 / 2017-06-18 / Hofouf 71 / M / No / Yes / NA / NA / NA / 2017-06-10 / 2017-06-15 / 2017-06-17 / Alive
4 / 2017-06-18 / Thadiq City / 22 / M / No / No / NA / NA / NA / 2017-06-16 / 2017-06-17 / 2017-06-18 / Alive
5 / 2017-06-19 / Riyadh / 42 / M / No / No / No / No / Yes† / NA / NA / 2017-06-18 / Alive
6 /2017-06-22 / Yanbu City / 85 / M / No / Yes / NA / NA / NA / 2017-06-16 / 2017-06-19 / 2017-06-21 / Deceased / 2017-06-22
7 / 2017-06-23 / Baha / 70 / M / No / Yes / NA / NA / NA / 2017-06-22 / 2017-06-16 / 2017-06-23 / Alive

†Case was detected through contact tracing of a previous MERS-CoV case.
**Hospitalized for other unrelated condition prior to symptom onset.

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Communicated by:
ProMED-mail Rapporteur Marianne Hopp

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[2] Saudi Arabia - Saudi MOH 28 Jun 2017
Date: Wed 28 Jun 2017
Source: Saudi MOH 28 Jun 2017 [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-06-28-0...

Date: Tue 27 Jun 2017
Source: Saudi MOH 19-27 Jun 2017 [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx?PageIndex=1

As of today [Tue 27 Jun 2017], there have been a total of:
1671 laboratory-confirmed cases of MERS-CoV infection, including
677 deaths [reported case fatality rate 40.5 percent],
970 recoveries, and
24 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.]

Since the last ProMED-mail update [27 Jun 2017], there have been a total of:
0 newly confirmed cases/infections
0 newly reported fatalities, and
2 newly reported recoveries.

Information on newly reported recoveries:
- both were from Riyadh
- both were involved in the nosocomial transmission clusters
- both were non-Saudi nationals
- both were asymptomatic contacts of previously confirmed cases

1- A 29-year-old male, non-healthcare worker, with no co-morbidities, reported on 5 Jun 2017. Classified as secondary healthcare acquired case in a patient.
2- A 45-year-old female, healthcare worker, with no co-morbidities, reported on either 7 or 12 Jun 2017. Classified as secondary healthcare acquired case in a healthcare worker.

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Communicated by:
ProMED-mail

[According to the above WHO update, as of 23 Jun 2017, there have been a total of 2036 laboratory confirmed cases of infection with MERS-CoV reported to WHO, including at least 710 related deaths. It appears as though clusters 1 and 3 of the nosocomial outbreaks have continued to report new cases. albeit at a significantly reduced pace than previously. Cases were reported from additional cities outside of Riyadh city, including Hufoof in Ash Sharqiyah region, Yanbu City in Al Madinah region and Baha city in Riyadh Region. Of note is confirmation that the case reported from Thadiq City on 18 Jun 2018 was the case reported from Riyadh by the MOH. Of note is that case no. 2 from the WHO update above was reported to have been a recovery on 21 Jun 2017.

In the past 24 hours, there have been no newly confirmed MERS-CoV infections.

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

See Also

MERS-CoV (42): Saudi Arabia (RI, SH, MD), WHO 20170628.5136101
MERS-CoV (41): Saudi Arabia (RI, SH) 20170620.5117143
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
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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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