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Published Date: 2016-01-27 20:13:34
Subject: PRO/AH/EDR> MERS-CoV (13): Saudi Arabia (RI)
Archive Number: 20160127.3970964

MERS-COV (02): SAUDI ARABIA (RIYADH)
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A ProMED-mail post
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International Society for Infectious Diseases
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Date: 27 Jan 2016
Source: Saudi MOH [edited]
http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2016-01-27-001.aspx


As of 12 Noon today [27 Jan 2016] there have been a total of:
1288 laboratory-confirmed cases of MERS-CoV infection including
551 deaths [reported case fatality rate: 42.8 percent]
733 recoveries, and
4 currently active cases
plus 3 asymptomatic cases

In the past 24 hours there has been 1 newly confirmed case: A 47-year-old Saudi male, non-healthcare worker, from Alkharj with a history of direct contact with camels, who was reported to be in stable condition.

There were no newly reported recoveries or deaths in the past 24 hours.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[This is now the 7th newly reported laboratory-confirmed case of MERS-CoV infection this year (2016) -- 2 of whom were reported to be asymptomatic. All 7 of these individuals had a history of contact with camels (1 indirect and 6 direct).

Of note, in recent days there have been difficulties in reconciling case totals contained on the MOH pages. I've chosen to present the total as the total of the stated number of currently active cases, reported recoveries and reported fatalities.

In late October 2015, the Ministry of Health Command Control Center (CCC) began publishing a weekly monitor report on MERS-CoV which can be linked to via http://www.moh.gov.sa/en/CCC/Pages/Weekly-Monitor.aspx. The most recent issue (Vol.2 Issue, 26 Jan 2016) mentions the risk associated with contact with camels, especially juvenile camels less than 2 years of age.

"The rise in the number of emerging primary cases of MERS has been associated with the breeding season for camels. The 2 seasons when breeding peaks are: the main one during and immediately after the rainy season, lasting from July to September; and another occurring in December and January. The newly born camels have more viruses than the adults; the very young animals pose the greatest threat to humans. People will contract the virus when they come into contact with them or inhale their nasal secretions; e.g., behaviors like kissing camels, drinking raw milk, touching the nostrils and then touching your eyes. About 90 percent of animals became infected by the age of 2 and virus shedding is more common in calves than in adults.

"There is a need to intensify community-based health-educational programs during this camel-breeding season targeting camel herders and workers at the slaughter houses among others. The movements of camels in the Kingdom need to be carefully monitored. Public health laws should bar slaughtering of camels outside designated places. Doctors, especially those working in emergency departments, need to be alerted. Moreover, there is a need to develop and further improve an early warning systems for MERS. Ministries of Agriculture and Health need to maintain active and integrated human and animal epidemiological and genomic surveillance with sensitive indicators to inform and guide effective preparedness and response warrant further research. There is an urgent need to establish an integrated and strategic evidence-based local and nationwide surveillance and response capacity."
http://www.moh.gov.sa/en/CCC/Documents/Volume-2-Issue-4-Tuesday-January-26-2016.pdf

Al-kharj is a city and governate in Riyadh province, 77 miles south of the capital city, Riyadh. A map showing the location of today's newly reported case can be found at the source URL. A HealthMap/ProMED map of Saudi Arabia can be found at: http://healthmap.org/promed/p/131. - Mod.MPP]

See Also

MERS-CoV (12): UAE, Oman, Saudi Arabia, WHO 20160126.3967808
MERS-CoV (11): Saudi Arabia, animal reservoir, camel, vaccination, comment 20160126.3966528
MERS-CoV (10): Saudi Arabia (MK), Thailand ex Oman, RFI 20160125.3964309
MERS-CoV (09): Saudi Arabia, animal reservoir, camel, vaccination considered 20160125.3963370
MERS-COV (08): Thailand ex Oman, Saudi Arabia corr 20160124.3962172
MERS-CoV (07): Saudi Arabia 20160123.3959982
MERS-CoV (06): UAE (AZ) 20160114.3937314
MERS-COV (05): Saudi Arabia (MD) 20160113.3933448
MERS-CoV (04): Saudi Arabia 20160112.3929848
MERS-COV (03): Korea, virus mutation 20160108.3921223
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 (166): Saudi Arabia (AQ) 20151230.3902499
MERS-CoV (165): Saudi Arabia (MK) Jeddah 20151227.3895143
MERS-CoV (164): South Korea, fomite contamination 20151223.3886268
MERS-CoV (163): Saudi Arabia, animal reservoir, camel, research, vaccine 20151219.3873486
MERS-CoV (162): Saudi Arabia (NJ) primary case, comment Buraidah 20151217.3869765
MERS-CoV (161): Saudi Arabia (RI) 20151216.3867868
MERS-CoV (160): Saudi Arabia (RI) 20151216.3867868
MERS-CoV (150): WHO update, Saudi Arabia (RI, AH) MOH, S. Korea quarantine 20151027.3747926
MERS-CoV (140): Saudi Arabia, Jordan, WHO, RFI 20151012.3709062
MERS-CoV (130): Saudi Arabia, animal reservoir, camels, Hajj 20150912.3641457
MERS-CoV (120): Saudi Arabia 20150830.3612300
MERS-CoV (100): Saudi Arabia, South Korea 20150804.3558326
MERS-CoV (01): Saudi Arabia, new cases, new death 20150104.3069383
2014
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MERS-CoV (69): Saudi Arabia, new case, RFI 20141230.3063059
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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Annotations

by : Timothy Muokadisease : Mers Cov place : SAUDI ARABIA Number of cases : unknown
by : Walter Ndegwadisease : Mers Cov place : SAUDI ARABIA Number of cases : 1288
by : Stephen Mutuvidisease : Mers Cov place : SAUDI ARABIA Number of cases : 1288