Posted on 23RD SEP 2017
tagged MERS-CoV, United Arab Emirates; Saudi Arabia

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

In this update:
[1] UAE - WHO 21 Sep 2017
[2] Saudi Arabia 12-21 Sep 2017

[1] UAE - WHO 21 Sep 2017
Date: Thu 21 Sep 2017
Source: WHO, Emergencies preparedness, response, Disease Outbreak News [edited]

Middle East respiratory syndrome coronavirus (MERS-CoV) - United Arab Emirates [21 Sep 2017]
On 23 August 2017, the national IHR focal point of the United Arab Emirates (UAE) reported one additional case of Middle East Respiratory Syndrome (MERS-CoV) infection.

Details of the case
MERS-CoV case reported on 23 August 2017

Date of notification to WHO / Reporting country / City of residence / Age / Sex / Health care worker / Comorbidities / Exposure to camels / Camel milk consumption / Exposure to MERS-CoV cases / Date of symptoms onset / Date of 1st hospitalization / Date of laboratory confirmation / Status
2017-08-23 / United Arab Emirates / Al Ain / 78 / M / No / Yes / NA / NA / No / NR / 2017-08-11 / 2017-08-22 / Alive

Globally, 2081 laboratory-confirmed cases of infection with MERS-CoV including at least 722 related deaths have been reported to WHO.

Public health response
The Ministry of Health has identified and is following health care and household contacts. Laboratory testing for symptomatic and high-risk family contacts and health care workers is underway.

Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[This is now the 2nd case reported from Al Ain, United Arab Emirates (UAE) to WHO in the past 3 months. On 28 Aug 2017, WHO reported on a 54-year-old male from Al Ain who also had no identifiable known high risk exposures. Date of report to WHO of that individual was 29 Jul 2017 (see MERS-CoV (56): UAE, Saudi Arabia (JF, HA, RI), WHO 20170829.5280997 for details).

The current case, reported by WHO on 21 Sep 2017 is a 78-year-old male from Al Ain, who also had no identifiable known high risk exposures. The date of report to WHO of this individual was 23 Aug 2017.

Counting this newly reported case, there have now been 6 cases of MERS-CoV infection identified in the UAE this year (2017), Other reported cases in 2017 include the other case from Al Ain reported by WHO in August 2017, 2 previous cases in May 2017 from Al Ain, and 2 additional previous cases from Abu Dhabi reported in April 2017, bringing the total number of cases reported by the UAE since 2012 up to 85.

So an obvious question is, what is the high risk exposure ongoing in Al Ain, UAE? As both patients had a history of pre-existing co-morbidities, is contact with the health care environment where the transmission is occurring, with patients having contact with others who are shedding the virus but not being diagnosed as having MERS-CoV infection?

A HealthMap/ProMED map of the United Arab Emirates can be found at: - Mod.MPP]

[2] Saudi Arabia 12-21 Sep 2017
Date: Fri 22 Sep 2017
Source: Saudi MOH 12-21 Sep 2017 [edited]

As of [Thu 21 Sep 2017], there have been a total of:
1716 laboratory-confirmed cases of MERS-CoV infection, including
694 deaths [reported case fatality rate 40.4 percent],
1006 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. One complication is the reporting of cases as either recoveries or deaths that cannot be confirmed as previously reported newly confirmed cases. Note that during this period since the last update, reporting on the MOH website has been significantly delayed. - Mod.MPP]

Since the last ProMED-mail update [11 Sep 2017], there have been a total of:
0 newly confirmed case,
4 newly reported fatalities, and
2 newly reported recoveries.

Communicated by:

[The most recent newly confirmed case from Saudi Arabia was reported on [Fri 8 Sep 2017] - 2 weeks ago, suggesting there are no identified chains of transmission ongoing in the country at this time. It's nice to have a "no cases" for 2 weeks report from Saudi Arabia.

For the HealthMap/ProMED map of Saudi Arabia, see - Mod.MPP

See Also

MERS-CoV (59): Oman, Saudi Arabia, WHO 20170913.5313874
MERS-CoV (58): Saudi Arabia (RI, SH), WHO 20170907.5302261
MERS-CoV (57): Saudi Arabia (HA, JF) 20170902.5291366
MERS-CoV (56): UAE, Saudi Arabia (JF, HA, RI), WHO 20170829.5280997
MERS-CoV (55): Saudi Arabia (MK, MD, BA), WHO 20170819.5260102
MERS-CoV (54): Saudi Arabia (JF) nosocomial transmission 20170811.5244266
MERS-CoV (53): Saudi Arabia (JF), nosocomial transmission 20170810.5242142
MERS-CoV (52): Saudi Arabia (JF,AS,MD) nosocomial transmission 20170808.5235847
MERS-CoV (51): Saudi Arabia (HA, JF) 20170808.5234663
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
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
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
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MERS-CoV (01): Bangladesh, KSA, Algeria, UAE, Iran, WHO, RFI 20140616.2541707
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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