MERS-COV (59): OMAN, SAUDI ARABIA (RIYADH, AL QASIM) REQUEST FOR INFORMATION

Posted on 06TH NOV 2017
tagged MERS-CoV, Oman; 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] Oman, 1 new case - media report
[2] Saudi Arabia 5 new cases - MOH 31 Oct - 5 Nov 2017

******
[1] Oman, 1 new case - media report
Date: 4 Nov 2017
Source: Muscat Daily [edited]
http://www.muscatdaily.com/Archive/Oman/Ministry-confirms-MERS-CoV-case-...

The Ministry of Health (MoH) has confirmed the diagnosis of a new case with the Middle East respiratory syndrome coronavirus (MERS-CoV).

The patient is in his 20s and currently in a stable condition at one of the referral hospitals.

In a statement, the ministry has stressed the readiness of all referral hospitals to deal with such cases through the effective applicable epidemiological surveillance system.

--
Communicated by:
ProMED-mail from HealthMap Alerts

[This case is now the 2nd case of laboratory confirmed MERS-CoV infection reported by Oman in 2017. The previous case this year (2017) was reported to WHO on 30 Aug 2017, and reported by WHO on 12 Oct 2017 (see MERS-CoV (59): Oman, Saudi Arabia, WHO 20170913.5313874). With the addition of this case, it is now the 10th laboratory confirmed case from Oman, in addition to 2 cases from Oman that were confirmed and reported by Thailand.

More detailed information on this newly confirmed case would be greatly appreciated, including age, date of onset, date of laboratory confirmation, high risk exposure history and travel history in the 14 days preceding onset of illness and results of contact tracing/studies.

The HealthMap/ProMED map of Oman can be found at: http://healthmap.org/promed/p/124. - Mod.MPP]

******
[2] Saudi Arabia 5 new cases - MOH 31 Oct - 5 Nov 2017
Date: 5 Nov 2017
Source: Saudi MOH 31 Oct - 5 Nov 2017 [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/default.aspx?PageIndex=1?

As of Sun 5 Nov 2017, there have been a total of:
1735 laboratory-confirmed cases of MERS-CoV infection, including
700 deaths [reported case fatality rate 40.3 percent],
1016 recoveries, and
19 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 as they are reported. One complication is the reporting of cases as either recoveries or deaths that cannot be confirmed as previously reported newly confirmed cases. - Mod.MPP]

Since the last ProMED-mail update [30 Oct 2017], there have been a total of:
5 newly confirmed cases,
1 newly reported fatality, and
2 newly reported recoveries.

Information on newly confirmed cases (5 cases):
Date: 5 Nov 2017 (2 cases)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-11-05-...

Both are from Riyadh [Riyadh region].
Both are Saudi nationals.
Neither are healthcare personnel.
Both were noted to be in stable condition.
Both were classified as primary cases with high risk exposures still under investigation.

1- A 65-year-old male
2- A 64-year-old male

Date: 2 Nov 2017 (1 case)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-11-02-...

3- A 42-year-old Saudi female, non-healthcare worker from Riyadh [Riyadh region], noted to be in stable condition. Classified as primary case with high risk exposure history still under investigation.

Date: 1 Nov 2017 (1 case)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-11-01-...

4- A 60-year-old Saudi male, non-healthcare worker from Almajmaah [Riyadh region], noted to be in critical condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness.

31 Oct 2017 (1 new case)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-10-31-...

5- A 49-year-old Saudi male from Unaizah [Al Qaṣīm region], noted to be in critical condition. Classified as a primary case with a history of indirect contact with camels in the 14 days preceding onset of illness.

Information on newly reported fatality (1 fatality)
Date: 1 Nov 2017 (1 fatality)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-11-01-...

- A 77-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region] with a history of pre-existing co-morbidities. [most likely the 78-year-old Saudi male reported as a newly confirmed case on 6 Sep 2017, at which time he was noted to be in stable condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness. - Mod.MPP]

Information on newly reported recoveries (2 recoveries)
Date: 4 Nov 2017 (1 recovery)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-11-04-...

1- A 25-year-old expat male, non-healthcare worker from Riyadh [Riyadh region], with no history of co-morbidities [reported as a newly confirmed case on 15 Oct 2017, at which time he was noted to be in stable condition. Classified as a primary case with a history of direct contact with camels in the 14 days preceding onset of illness. - Mod.MPP]

Date: 1 Nov 2017 (1 recovery)
https://www.moh.gov.sa/en/CCC/PressReleases/Pages/statistics-2017-11-01-...

2- A 58-year-old Saudi male, non-healthcare worker from Riyadh [Riyadh region] with a history of pre-existing co-morbidities [reported as a newly confirmed case on 11 Oct 2017, at which time he was noted to be in critical condition. Classified as a primary case with high risk exposure history still under investigation. - Mod.MPP]

--
Communicated by:
ProMED-mail

[The MERS-CoV continues to circulate in the Middle East with 5 newly confirmed cases reported by Saudi Arabia in the past 6 days and 1 newly confirmed case reported by Oman.

The cases reported by Saudi Arabia involve 4 individuals from Riyadh region and 1 from Al Qasim region. The total number of laboratory confirmed infections with MERS-CoV reported by Saudi Arabia is now 1735 including 700 fatalities with a reported case fatality rate of 40.3%. Notably in the past 2 weeks (since 23 Oct 2017) there have been a total of 9 newly confirmed infections with MERS-CoV reported by Saudi Arabia with 4 of these being reported in the 1st 5 days of November 2017.

While we do not wish to delve into political events internationally, an interesting tidbit of the current events ongoing in Saudi Arabia covered by the media is that the response to the MERS-CoV situation in Saudi Arabia is mentioned as one of the areas under investigation.

Maps showing the locations of the newly confirmed cases, reported fatality and reported recoveries can be found at the source URL. The HealthMap/ProMED map of Saudi Arabia can be found at: http://healthmap.org/promed/p/131. - Mod.MPP]

See Also

MERS-CoV (68): Israel, animal reservoir, camels, serology, surveillance...to be archived
MERS-CoV (67): Saudi Arabia, South Korea, post disease sequelae 20171030.5413665
MERS-CoV (66): Burkina Faso, animal reservoir, camels, FAO, RFI 20171029.5411777
MERS-CoV (65): Saudi Arabia (RI, JZ) 20171017.5387011
MERS-CoV (64): Saudi Arabia, animal reservoir, human, camel milk 20171012.5375933
MERS-CoV (63): Saudi Arabia (QS, TB), WHO 20171009.5369268
MERS-CoV (62): animal reservoir, camels, FAO, OIE, WHO 20171002.5354608
MERS-CoV (61): Saudi Arabia 20171001.5353977
MERS-CoV (60): UAE, Saudi Arabia, WHO 20170922.5334852
MERS-CoV (59): Oman, Saudi Arabia, WHO 20170913.5313874
MERS-CoV (50): Saudi Arabia 20170806.5232071
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
----
MERS-CoV (123): Saudi Arabia (MK, AS) new cases 20161231.4734758
MERS-CoV (116): Oman, additional information 20161201.4669008
MERS-CoV (115): Oman, RFI 20161130.4664043
MERS-CoV (14): Thailand ex Oman, WHO 20160129.3976802
MERS-CoV (12): UAE, Oman, Saudi Arabia, WHO 20160126.3967808
MERS-CoV (10): Saudi Arabia (MK), Thailand ex Oman, RFI 20160125.3964309
MERS-COV (08): Thailand ex Oman, Saudi Arabia corr 20160124.3962172
MERS-COV (02): Oman, WHO 20160107.3918976
MERS-COV (01): Oman, Saudi Arabia 20160105.3911188
2015
----
MERS-COV (167): acute management and long-term survival 20151231.3904300
MERS-CoV (74): South Korea, Saudi Arabia, Thailand ex Oman 20150621.3454450
MERS-CoV (70) - Thailand ex Oman, 1st report, RFI 20150618.3447631
MERS-CoV (71): Thailand ex Oman, South Korea, Saudi Arabia, UAE 20150618.3447481
MERS-CoV (56): South Korea, China, Saudi Arabia, Oman, WHO 20150605.3413986
MERS-CoV (52): Oman, Saudi Arabia, South Korea, WHO, RFI 20150531.3399248
MERS-CoV (14): Saudi Arabia, Oman, WHO 20150124.3114951
MERS-CoV (08): Oman, Saudi Arabia, WHO 20150117.3097488
MERS-CoV (06): Oman, new case, RFI 20150111.3085228
MERS-CoV (04): Oman, Saudi Arabia, RFI 20150108.3079584
MERS-CoV (01): Saudi Arabia, new cases, new death 20150104.3069383
2014
----
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
----
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
----
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
.................................................sb/mpp/msp/lm