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Published Date: 2016-01-26 18:16:29
Subject: PRO/AH/EDR> MERS-CoV (12): UAE, Oman, Saudi Arabia, WHO
Archive Number: 20160126.3967808
MERS-COV (12): UAE, OMAN, SAUDI ARABIA, WHO
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A ProMED-mail post
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ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
In this update:
[1] UAE, 2 cases - WHO
[2] Oman, epidemiologic investigation - MOH
[3] Saudi Arabia - WHO
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[1] UAE, 2 cases - WHO
Date: 26 Jan 2016
Source: WHO Global Alert and Response Disease Outbreak News [edited]
http://who.int/csr/don/26-january-2016-mers-are/en/
Between [11 and 14 Jan 2016], the National IHR Focal Point of the United Arab Emirates notified WHO of 2 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including one death.
Details of the cases
1- A 73-year-old male from Abu Dhabi developed symptoms on [27 Dec 2015] and visited a health care clinic in Abu Dhabi. He was treated symptomatically and sent home on the same day. On [31 Dec 2015], the patient travelled to Oman with family members and returned back to Abu Dhabi on [1 Jan 2016]. On the same day, he developed symptoms and was admitted to hospital. The patient, who had no comorbidities, tested positive for MERS-CoV on [10 Jan 2016]. He passed away on [25 Jan 2016]. The patient had a history of frequent contact with camels. He consumed raw camel milk once in the 14 days prior to the onset of symptoms. He had no history of exposure to other risk factors in Abu Dhabi and in Oman in the 14 days prior to onset of symptoms.
2- An 85-year-old female from Abu Dhabi was detected through the tracing of contacts. The patient is a contact of a laboratory-confirmed MERS-CoV case (see above). She has no history of exposure to other risk factors in the 14 days prior to detection. The patient, who has comorbidities, tested positive for MERS-CoV on [13 Jan 2016]. Currently, she is asymptomatic and admitted to a negative pressure isolation room on a ward.
Contact tracing of household and healthcare contacts is ongoing for these cases.
Globally, since September 2012, WHO has been notified of 1632 laboratory-confirmed cases of infection with MERS-CoV, including at least 587 related deaths.
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Communicated by:
ProMED-mail Rapporteur Marianne Hopp
[This is the WHO report with more details on the case(s) reported in MERS-CoV (06): UAE (AZ) 20160114.3937314. The common thread in recently reported cases seems to be that the index case has a history of contact with camels, and then asymptomatic infected contacts are occasionally identified.
The HealthMap/ProMED map of the United Arab Emirates can be found at: http://healthmap.org/promed/p/132. - Mod.MPP]
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[2] Oman, epidemiologic investigation - MOH
Date: 26 Jan 2016
From: Seif Al-Abri <salabri@gmail.com> [edited]
We conducted the public health investigation [in Oman, and] there is no link between the 2 recent cases reported from Oman; they both live in different areas and have been admitted to 2 different hospitals, 200 km away from each other.
The PCR screening of all the contacts from the newly diagnosed patient who is currently in Thailand are all negative.
All 3 Omani patients with MERS-CoV infection in the past 12 months (75 year old diagnosed in Thailand in June 2015, 44 year old diagnosed in Oman in early January 2016, and the 71 year old diagnosed in Thailand from 24 Jan 2016) had a history of direct contact with camels.
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Dr Seif Al-Abri
Director General
Directorate General for Disease Surveillance and Control
Ministry of Health,
Sultanate of Oman
<salabri@gmail.com>
[ProMED-mail would like to thank Dr. Seif Al-Abri for providing information on the epidemiologic investigation's findings in Oman on this newly reported case of MERS-CoV infection currently admitted to a hospital in Thailand (see MERS-CoV (10): Saudi Arabia (MK), Thailand ex Oman, RFI 20160125.3964309, MERS-COV (08): Thailand ex Oman, Saudi Arabia corr 20160124.3962172).
Again, a common observation is that recently confirmed cases have a history of contact with camels and have not been associated with nosocomial transmission.
The HealthMap/ProMED map of Oman can be found at: http://healthmap.org/promed/p/124. - Mod.MPP
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[3] Saudi Arabia - WHO
Date: 26 Jan 2016
Source: WHO Global Alert and Response Disease Outbreak News [edited]
http://who.int/csr/don/26-january-2016-mers-saudi-arabia/en/
Between [27 Dec 2015 and 13 Jan 2016], the National IHR Focal Point for the Kingdom of Saudi Arabia notified WHO of 4 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection.
Details of the cases
1- A 50-year-old male from Madinah city developed symptoms on [3 Jan 2016] and, on [10 Jan 2016], was admitted to hospital in Madinah. The patient, who has comorbidities, tested positive for MERS-CoV on [12 Jan 2016]. Currently, he is in critical condition in ICU. The patient has a history of frequent contact with camels and consumption of their raw milk. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms.
2- An 85-year-old male from Bisha city developed symptoms on [3 Jan 2016]. On the same day, the patient visited a hospital where he was treated symptomatically and sent home. On [9 Jan 2016], the patient travelled by airplane to Riyadh to seek medical care. Once in Riyadh, he was admitted to hospital. The patient, who has comorbidities, tested positive for MERS-CoV on [11 Jan 2016]. Currently, he is in stable condition in a negative pressure isolation room on a ward. The patient has a history of frequent contact with camels and consumption of their raw milk. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. [This case was reported as having recovered today (26 Jan 2016) on the Saudi MOH website. - Mod.MPP]
3- A 59-year-old male from Onizah city developed symptoms on [18 Dec 2015] and, on [27 Dec 2015], was admitted to hospital. The patient, who is a heavy smoker and has comorbidities, tested positive for MERS-CoV on [28 Dec 2015]. Currently, he is in critical condition in ICU. The patient has a history of frequent contact with camels and consumption of their raw milk. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms [reported as having recovered on 19 Jan 2016. - Mod.MPP].
4- A 54-year-old male from Jeddah city developed symptoms on [14 Dec 2015] and, on [24 Dec 2015], was admitted to hospital. The patient, who has comorbidities, tested positive for MERS-CoV on [26 Dec 2015]. Currently, he is in stable condition in a negative pressure isolation room on a ward. The patient has a history of frequent contact with camels.
Globally, since September 2012, WHO has been notified of 1630 laboratory-confirmed cases of infection with MERS-CoV, including at least 586 related deaths.
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Communicated by:
ProMED-mail Rapporteur Marianne Hopp
[As of today, 26 Jan 2016, there have been a total of 1632 laboratory confirmed cases of MERS-CoV infection including at least 586 deaths reported to WHO (reported case fatality rate 35.9 percent). The above reported cases from Saudi Arabia provide additional details from previous reports (see prior ProMED-mail reports below).
It appears as though the common theme in today's [26 Jan 2016] updates is that recently reported cases of MERS-CoV infection are primarily associated with contact with camels. Hopefully, there will not be recurrent nosocomial outbreaks as seen in the past.
The HealthMap/ProMED map of Saudi Arabia can be found at http://healthmap.org/promed/p/131. - Mod.MPP]
See Also
MERS-CoV (11): Saudi Arabia, animal reservoir, camel, vaccination, comment 20160126.3966528MERS-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
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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 (90): South Korea, Saudi Arabia, Thailand, Philippines, WHO 20150713.3505516
MERS-CoV (82): South Korea, Saudi Arabia, Thailand, RFI 20150629.3472461
MERS-CoV (76): South Korea, Saudi Arabia, Thailand, WHO 20150624.3459401
MERS-CoV (75): South Korea, Saudi Arabia, Thailand 20150623.3457227
MERS-CoV (74): South Korea, Saudi Arabia, Thailand ex Oman 20150621.3454450
MERS-CoV (73): South Korea, Saudi Arabia, Thailand, WHO, RFI 20150620.3453094
MERS-CoV (72): South Korea, Saudi Arabia, Thailand, WHO, RFI 20150619.3451230
MERS-cOv (71) Thailand ex Oman, South Korea, Saudi Arabia, UAE 20150618.3447481
MERS-CoV (70) - Thailand ex Oman, 1st report, RFI 20150618.3447631
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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