MERS-COV (46): SAUDI ARABIA, WHO

Posted on 07TH JUL 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 - MOH 6 Jul 2017
[2] Saudi Arabia - WHO update

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[1] Saudi Arabia - MOH 6 Jul 2017
Date: 6 Jul 2017
Source: Saudi MOH 6 Jul 2017
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx?PageIndex=1

As of today [Fri 7 Jul 2017], there have been a total of:
1673 laboratory-confirmed cases of MERS-CoV infection, including
679 deaths [reported case fatality rate 40.6 percent],
978 recoveries, and
16 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 [5 Jul 2017], there have been a total of:
0 newly confirmed cases/infections
0 newly reported fatalities, and
0 newly reported recoveries.

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Communicated by:
ProMED-mail

[As of the time of preparation of this post [8:00 PM Riyadh time], information for 7 Jul 2017 is not available on the website. Hence this update is current through yesterday, 6 Jul 2017 when there were no new cases/infections, fatalities, nor recoveries reported by Saudi Arabia. - Mod.MPP]

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[2] Saudi Arabia - WHO update
Date: 6 Jul 2017
Source: WHO Emergencies preparedness, response, Disease Outbreak News (DONs) [edited]
http://www.who.int/csr/don/06-july-2017-mers-saudi-arabia/en/

Middle East respiratory syndrome coronavirus (MERS-CoV) - Saudi Arabia 6 Jul 2017
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Between [24 Jun and 3 Jul 2017], the national IHR Focal Point of Saudi Arabia reported 3 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, and 2 deaths among previously reported cases.

Details of the cases
MERS-CoV cases reported between [24 Jun and 3 Jul 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 / 2017-06-24 / Riyadh / 60 / M / No / Yes / NA / NA / NA / 2017-06-16 / 2017-06-21 / 2017-06-23 / Alive
2 / 2017-06-25 / Dammam / 30 / F / No / No / Yes / NA / NA / 2017-06-18 / 2017-06-22 / 2017-06-24 / Alive
3 / 2017-07-01 / Baha / 70 / M / No / Yes / NA / NA / NA / 2017-06-27 / 2017-06-28 / 2017-06-30 / Alive

Globally, 2040 laboratory-confirmed cases of infection with MERS-CoV including at least 712 related deaths have been reported to WHO.

Public health response
The Ministry of Health in Saudi Arabia has identified and is following contacts of the newly reported cases, is investigating the source of infection of each case and has reinforced infection, prevention, and control measures in hospitals where cases have been identified.

Update on previously reported Middle East respiratory syndrome (MERS) clusters in Riyadh
The follow-up period of contacts identified during the investigations of 3 MERS clusters previously reported from Riyadh in the Disease Outbreak News published on 13 Jun 2017 , 19 Jun 2017, and 28 Jun 2017 ended on 30 Jun 2017. No further cases were identified in these clusters.

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Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[With the ending of the nosocomial outbreaks in Saudi Arabia, MERS-CoV transmission seems to be slowing down to sporadic cases, classified as primary cases, some with history of contact with camels, others without well defined histories of known high risk exposures. The prior case in the Lebanese healthcare worker with no known contact with confirmed MERS-CoV infected individuals in the healthcare setting, and no known contact with individuals with respiratory illnesses deserves further attention as he may well serve as a clue to all of the "primary" cases with previously unidentified high risk exposures. The question that constantly recurs to me (and I've mentioned before) is "Why Saudi Arabia?". Other countries in the region have had sporadic cases, yet Saudi Arabia reported cases account for 1672 out of 2040 cases (82 percent) reported to WHO as of 3 Jul 2017.

Of note, case no.1 was not reported through the Saudi MOH MERS-CoV website as yet (and will most likely be reported when the outcome is known).

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

See Also
MERS-CoV (45): Saudi Arabia (HA), Lebanon ex Saudi Arabia, WHO 20170705.5153627
MERS-CoV (44): Lebanon ex Saudi Arabia, Saudi Arabia, exp. antiviral, RFI 20170701.5144892
MERS-CoV (43): Saudi Arabia, WHO 20170628.5137634
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 (30): Saudi Arabia (RI,MD,MK) 20170602.5077920
MERS-CoV (20): Qatar, Saudi Arabia, WHO 20170404.4947466
MERS-CoV (10): Saudi Arabia (SH, MK) 20170202.4811346
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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