MERS-COV (45): SAUDI ARABIA (TABUK, RIYADH)

Posted on 02ND NOV 2018
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, 2 new cases (Tabuk, Riyadh) - MOH 30 Oct 2018 - 1 Nov 2018
[2] Saudi Arabia, 17 Sep 2018 - 15 Oct 2018 - WHO

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[1] Saudi Arabia, 2 new cases (Tabuk, Riyadh) - MOH 30 Oct 2018 - 1 Nov 2018
Date: Thu 1 Nov 2018
Source: Saudi MOH 30 Oct 2018 - 1 Nov 2018 [edited]
https://www.moh.gov.sa/en/CCC/events/national/Pages/2018.aspx

In the past 3 days, there have been 2 newly confirmed cases of MERS-CoV infection and 2 newly reported fatalities reported.
(1)
Date of confirmation report: 31 Oct 2018
Case no. 18-1764
MERS in Riyadh city: 53-year-old male in Riyadh city, Riyadh region
Contact with camels: no
Status at time of confirmation report: hospitalized
Case classification: primary, community acquired
Date of outcome report: 1 Nov 2018
Outcome: deceased

(2)
Date of confirmation report: 30 Oct 2018
Case no. 18-1763
MERS in Omluj city: 62-year-old male in Omluj city, Tabuk region
Contact with camels: no
Case classification: primary, community acquired
Current status: hospitalized

Fatality of previously reported case:
Date of confirmation report: 29 Oct 2018
Case no. 18-1762
MERS in Almajmaa city: 74-year-old male in Almajmaa city, Riyadh region
Contact with camels: yes
Case classification: primary, community acquired
Status at time of confirmation report: hospitalized
Date of outcome report: 1 Nov 2018
Outcome: deceased

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Communicated by:
ProMED-mail

[During the month of October 2018, there were a total of 9 newly confirmed cases of MERS-CoV infection reported from Saudi Arabia. These 9 cases came from 4 different provinces: Riyadh (6 cases), Najran (1 case), Makkah (1 case), and Tabuk (1 case). Five of these cases were reported to have recovered during the month, 2 were reported today (1 Nov 2018) to have died, and 2 cases are still pending outcome reports. None of the 9 cases were healthcare workers. One of the cases was classified as a secondary household contact case, 5 had a history of contact with camels, and 3 were considered primary community acquired without a known history of camel contact.

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

A map of Saudi Arabia showing regions can be found at http://ontheworldmap.com/saudi-arabia/administrative-divisions-map-of-sa.... - Mod.MPP]

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[2] Saudi Arabia, 17 Sep 2018 - 15 Oct 2018 - WHO
Date: Thu 1 Nov 2018
Source: WHO, Emergencies preparedness, response, Disease Outbreak News [edited]
http://www.who.int/csr/don/01-november-2018-mers-saudi-arabia/en/

From [17 Sep 2018] through [15 Oct 2018], the International Health Regulations (IHR 2005) National Focal Point of Saudi Arabia reported 8 additional cases of MERS-CoV infection, including 3 deaths. Of the 8 cases reported, 3 were hospital contacts from 1 hospital in Dammam, and 2 were household contacts in Riyadh.

Case no: Date of notification to WHO / Region / Age / Sex / Healthcare worker / Comorbidities / Exposure to camels / Camel milk consumption / Contact with a MERS-CoV case / Date of symptoms onset / Date of 1st hospitalization / Date of lab confirmation / Status / Date of outcome
1: 19 Sep 2018 / Buraydah / 66 / M / No / Yes / No / No / Yes / 14 Sep 2018 / 6 Aug 2018** / 18 Sep 2018 / deceased / 19 Sep 2018
2: 24 Sep 2018 / Riyadh / 50 / M / No / Yes / NR / NR / Yes / 15 Sep 2018 / 21 Sep 2018 / 23 Sep 2018 / deceased / 27 Sep 2018
3: 29 Sep 2018 / Al Asiah / 57 / M / No / Yes / No / No / Yes / 26 Sep 2018 / 27 Sep 2018 / 28 Sep 2018 / deceased / 29 Sep 2018
4: 29 Sep 2018 / Buraydah / 65 / M / No / Yes / NR / NR / NR / 25 Sep 2018 / 26 Sep 2018 / 28 Sep 2018 / alive [recovered]
5: 3 Oct 2018 / Riyadh / 22 / M / No / No / NR / NR / Yes / 30 Sep 2018 / 1 Oct 2018 / 2 Oct 2018 / alive [recovered]
6: 4 Oct 2018 / Narjan / 49 / M / No / Yes / NR / NR / NR / 27 Sep 2018 / 1 Oct 2018 / 2 Oct 2018 / alive [recovered]
7: 11 Oct 2018 / Taif / 41 / F / No / Yes / Yes / Yes / No / 1 Oct 2018 / 8 Oct 2018 / 10 Oct 2018 / alive [outcome pending]
8: 13 Oct 2018 / Riyadh / 64 / M / No / Yes / Yes / Yes / NR / 8 Oct 2018 / 10 Oct 2018 / 12 Oct 2018 / alive [recovered]

*Data subject to change due to ongoing investigations. Fields related to the final status of the case are updated as information is available.
**Hospitalized for other unrelated condition prior to symptom onset.

NA = Not available
NR = Not reported

From 2012 through [15 Oct 2018], the total global number of laboratory-confirmed MERS-CoV cases reported to WHO is 2262 with 803 associated deaths.

The global number reflects the total number of laboratory-confirmed cases reported to WHO under IHR 2005 to date [1 Nov 2018]. The total number of deaths includes the deaths that WHO is aware of to date [1 Nov 2018] through follow-up with affected member states.

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Communicated by:
ProMED-mail

[According to the above report, during the period from 2012 through 15 Oct 2018, there have been a total of 2262 newly confirmed cases of MERS-CoV infection reported to WHO, including 803 associated deaths, bringing the reported case fatality rate to 35.5%. New information provided in the above report includes a history of pre-existing co-morbidities for 7 of the 8 cases presented. Outcomes on these cases were available for 7 of the 8 cases: 4 were reported to have recovered, 3 were reported to have died, and 1 is still pending outcome information. New information included identification of case nos. 1, 2, and 3 as healthcare-acquired cases.

While the number of newly confirmed cases reported during this period is less than in prior equal periods, it is not nil. It is safe to say that MERS-CoV is endemic in Saudi Arabia with a majority of primary community-acquired cases, some with history of contact with camels, but others without an identified high-risk exposure, and periodically there are increases due to nosocomial transmission, or intrahousehold transmission. - Mod.MPP]

See Also
MERS-CoV (44): Saudi Arabia (RI) 20181029.6118526
MERS-CoV (43): Saudi Arabia (RI) South Korea, outbreak over 20181016.6094846
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 (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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