Wednesday, July 11, 2018

PRO/AH/EDR> MERS-CoV (23): Saudi Arabia, WHO, RFI

MERS-COV (23): SAUDI ARABIA, WHO, REQUEST FOR INFORMATION
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A ProMED-mail post
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ProMED-mail is a program of the
International Society for Infectious Diseases
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Date: Tue 10 Jun 2018
Source: WHO/EMRO Situation Update [edited]
<http://www.emro.who.int/pandemic-epidemic-diseases/mers-cov/mers-situation-update-june-2018.html>


MERS situation update, June 2018
---------------------
Highlights:
- At the end of June 2018, a total of 2229 laboratory-confirmed cases
of Middle East respiratory syndrome (MERS), including 791 associated
deaths (case-fatality rate: 35.5%) were reported globally; the
majority of these cases were reported from Saudi Arabia (1853 cases,
including 717 related deaths with a case-fatality rate of 38.7%).

- During the month of June [2018], a total of 4 laboratory-confirmed
cases of MERS were reported in Saudi Arabia including 1 associated
death (case-fatality rate: 25%). No healthcare associated transmission
or hospital outbreak was reported during this month.

- The demographic and epidemiological characteristics of reported
cases, when compared during the same corresponding period of 2013 to
2018, do not show any significant difference or change. Owing to
improved infection prevention and control practices in hospitals, the
number of hospital-acquired cases of MERS has dropped significantly
since 2015.

- The age group 50-59 years continues to be at highest risk for
acquiring infection of primary cases. The age group 30-39 years is
most at risk for secondary cases. The number of deaths is higher in
the age group 50-59 years for primary cases and 70-79 years for
secondary cases.

More detailed graphs and tables can be found on the actual situation
update document available at:
<http://applications.emro.who.int/docs/EMROPub_2018_EN_20337.pdf?ua=1>.

Table: Epidemiological characteristics of MERS cases reported globally
between January-June 2013 and January-June 2018:

Characteristic: Jan-Jun 13 / Jan-Jun 14 / Jan-Jun 15 / Jan-Jun 16 /
Jan-Jun 17 / Jan-Jun 18
Number: 69 / 656 / 420 / 160 / 154 / 94
Median age in years: 51 / 47 / 55 / 54 / 51 / 54
Gender (% male): 62 / 63 / 68 / 71 / 73 / 80
% of primary cases: 25 / 19 / 10 / 26 / 30 / 32
% of secondary cases: 68 / 42 / 27 / 31 / 46 / 27
(%) of unknown contact history: 7 / 32 / 19 / 7 / 5 / 0
% of HCW: 12 / 28 / 6 / 18 / 24 / 5
% of Fatal: 5 / 37 / 32 / 31 / 22 / 28

Table: Characteristics of MERS cases reported from Kingdom of Saudi
Arabia, June 2012-June 2018
Type of case: 2012 / 2013 / 2014 / 2015 / 2016 / 2017 / 2018 // Grand
Total
Primary: 3 / 36 / 164 / 52 / 74 / 71 / 29 // 429
Secondary: 2 / 93 / 264 / 222 / 60 / 90 / 25 // 756
Missing: 0 / 1 / 15 / 102 / 103 / 68 / 38 // 327
Unknown: 0 / 28 / 219 / 78 / 11 / 5 / 0 // 341
Total: 5 / 158 662 / 454 / 248 / 234 / 92 // 1853

--
Communicated by:
ProMED-mail
<promed@promedmail.org>
and
ProMED-mail Rapporteur Mary Marshall

[According to the May 2018 MERS-CoV update from the WHO/EMRO, there
were a reported total of 2220 laboratory-confirmed cases of MERS-CoV
infection reported, including 790 associated deaths (case-fatality
rate: 35.6%). The majority of these cases were reported from Saudi
Arabia (1844 cases, including 716 related deaths with a case-fatality
rate of 38.8%) (see
<http://www.emro.who.int/pandemic-epidemic-diseases/mers-cov/mers-situation-update-may-2018.html>
contained and discussed in ProMED-mail post MERS-CoV (21): EMRO/WHO
update May 2018 http://promedmail.org/post/20180612.5852927).

While this month's update (June 2018) states that there were only 4
newly confirmed cases of MERS-CoV reported during the month, and all
were reported from Saudi Arabia; the cited numbers from May to June
2018 suggest that there were 9 newly confirmed cases, all from Saudi
Arabia. Unfortunately, the Saudi MOH MERS-CoV website is still
undergoing revision, so I have been unable to evaluate this apparent
inconsistency; perhaps there were delayed reports of MERS-CoV
infections in earlier months that were added to the global tally.
Information from knowledgeable sources in the region and Saudi Arabia
would be gratefully appreciated.

An epidemic curve of the MERS-CoV infections reported to WHO since
September 2012 can be found at the source URL for the full situation
update. Looking at the tables from the report, it is clear that there
has been a decrease in healthcare worker infections, with a fall to
only 5 percent of cases this year [2018] in healthcare workers.

A map of the Middle East can be found at:
<https://www.infoplease.com/atlas/middle-east>.
The HealthMap/ProMED map of Saudi Arabia can be found at:
<http://healthmap.org/promed/p/131>. - Mod.MPP]

[See Also:
MERS-CoV (22): Saudi Arabia, WHO
http://promedmail.org/post/20180629.5862285
MERS-CoV
(21): EMRO/WHO update May 2018
http://promedmail.org/post/20180612.5852927
MERS-CoV
(20): Saudi Arabia (NJ), susp family cluster
http://promedmail.org/post/20180602.5835120
MERS-CoV
(19): Saudi Arabia (NJ) household cluster conf.
http://promedmail.org/post/20180531.5830431
MERS-CoV
(18): Saudi Arabia (NJ) susp. family cluster, RFI
http://promedmail.org/post/20180530.5829389
MERS-CoV
(17): UAE (Abu Dhabi), WHO
http://promedmail.org/post/20180528.5824390
MERS-CoV
(16): UAE (AZ), RFI
http://promedmail.org/post/20180528.5823719
MERS-CoV
(15): Saudi Arabia, WHO
http://promedmail.org/post/20180525.5801103
MERS-CoV
(14): Israel, animal reservoir, camelids
http://promedmail.org/post/20180506.5787312
MERS-CoV
(13): Saudi Arabia, new cases, superspreader
http://promedmail.org/post/20180418.5754131
MERS-CoV
(12): Saudi Arabia
http://promedmail.org/post/20180402.5724114
MERS-CoV
(11): Saudi Arabia
http://promedmail.org/post/20180322.5702309
MERS-CoV
(10): Oman, Saudi Arabia, WHO
http://promedmail.org/post/20180315.5690014
MERS-CoV
(09): Saudi Arabia, WHO
http://promedmail.org/post/20180308.5671037
MERS-CoV
(08): Saudi Arabia, RFI
http://promedmail.org/post/20180214.5623644
MERS-CoV
(07): Saudi Arabia
http://promedmail.org/post/20180128.5590493
MERS-CoV
(06): Saudi Arabia, WHO
http://promedmail.org/post/20180126.5587442
MERS-CoV
(05): Saudi Arabia
http://promedmail.org/post/20180124.5581936
MERS-CoV
(04): Saudi Arabia (RI) genomic evidence of camel role in
transmission http://promedmail.org/post/20180116.5564064
MERS-CoV
(03): Saudi Arabia, new cases, research
http://promedmail.org/post/20180112.5556427
MERS-CoV
(02): Saudi Arabia
http://promedmail.org/post/20180109.5548385
MERS-CoV
(01): Malaysia (ex KSA), Saudi Arabia, UAE (ex Oman)
http://promedmail.org/post/20180102.5532148
2017
----
MERS-CoV (77): Saudi Arabia, camels, human, epidemiology, assessment
http://promedmail.org/post/20171222.5520561
MERS-CoV
(01): Saudi Arabia (QS,RI,MD), RFI
http://promedmail.org/post/20170105.4744802
2016
----
MERS-CoV (123): Saudi Arabia (MK, AS) new cases
http://promedmail.org/post/20161231.4734758
MERS-COV
(01): Oman, Saudi Arabia
http://promedmail.org/post/20160105.3911188
2015
----
MERS-COV (167): acute management and long-term survival
http://promedmail.org/post/20151231.3904300
MERS-CoV
(01): Saudi Arabia, new cases, new death
http://promedmail.org/post/20150104.3069383
2014
----
MERS-CoV (69): Saudi Arabia, new case, RFI
http://promedmail.org/post/20141230.306305
MERS-CoV
(01): Bangladesh, KSA, Algeria, UAE, Iran, WHO, RFI
http://promedmail.org/post/20140616.2541707
MERS-CoV
- Eastern Mediterranean (82): anim res, camel,
seroepidemiology http://promedmail.org/post/20140613.2537848
MERS-CoV
- Eastern Mediterranean (01): Saudi Arabia, UAE, Oman, WHO
http://promedmail.org/post/20140103.2150717
2013
----
MERS-CoV - Eastern Mediterranean (106): animal reservoir, camel,
Qatar, OIE http://promedmail.org/post/20131231.2145606
MERS-CoV
- Eastern Mediterranean: Saudi Arabia, new case, RFI
http://promedmail.org/post/20130518.1721601
Novel coronavirus - Eastern Mediterranean (29): MERS-CoV, ICTV
nomenclature http://promedmail.org/post/20130516.1717833
Novel coronavirus - Eastern Mediterranean: bat reservoir
http://promedmail.org/post/20130122.1508656
2012
----
Novel coronavirus - Eastern Mediterranean (06): comments
http://promedmail.org/post/20121225.1468821
Novel coronavirus - Eastern Mediterranean: WHO, Jordan, conf., RFI
http://promedmail.org/post/20121130.1432498
Novel coronavirus - Saudi Arabia (18): WHO, new cases, cluster
http://promedmail.org/post/20121123.1421664
Novel coronavirus - Saudi Arabia: human isolate
http://promedmail.org/post/20120920.1302733]
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