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PostPosted: Thu May 01, 2014 8:26 am 
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Posts: 48981
Location: Pittsburgh, PA USA
An Overview of the Health Status of the Cases:
Two cases haven’t developed any symptoms.
Six stable cases, receiving the proper treatment.
Two cases in Intensive Care units.
The Health Situation of the Cases in Detail:

A) In Riyadh:

1.A 31-year-old man. He has been in contact with a confirmed case and has not developed any symptoms.
2.A 50-year-old man. He developed respiratory syndrome on 19/4/2014. Then, he was admitted to a government hospital on 27/4/2014. Now, he is being treated in the ICU.
3.A 29-year-old woman. She has been in contact with a confirmed case and has not developed any symptoms.
B) In Jeddah:
1.A 50-year-old woman. She was suffering from respiratory syndrome on 12/4/2014. She was admitted to a government hospital on 16/4/2014. Her condition is stable.
2.A 53-year-old woman. She was suffering from respiratory syndrome on 24/4/2014. On 27/4/2014, she was admitted to a government hospital. Her condition is stable.
3.A 55-year-old man. He displayed respiratory symptoms on 19/4/2014. He was admitted to a private hospital on 22/4/2014. His condition is stable.
4.A 75-year-old woman. She displayed respiratory symptoms on 22/4/2014. She was admitted to a private hospital on 24/4/2014. Her condition is stable.
C) In Makkah:
1.A 40-year-old man. He displayed respiratory symptoms on 19/4/2014. On 26/4/2014, he was admitted to a government hospital. His condition is stable.
2.A 34-year-old man. He developed respiratory syndrome on 13/4/2014. He was admitted to a government hospital on 27/4/2014. Now, he is in the ICU.
3.A 49-year-old woman. She was admitted to a government hospital on 13/4/2014 for her diabetes. On 26/4/2014, she displayed respiratory symptoms. Her condition is stable.

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PostPosted: Thu May 01, 2014 6:59 pm 
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Posts: 48981
Location: Pittsburgh, PA USA
Saudis report 10 more MERS cases; Jordan adds one

Robert Roos | News Editor | CIDRAP News | May 01, 2014
The MERS-CoV (Middle East respiratory syndrome coronavirus) siege that began in late March rolled on into May today as Saudi Arabia reported 10 more cases in three cities and Jordan added one.

The new reports came as the World Health Organization (WHO) started an investigation of the MERS outbreak in Jeddah, Saudi Arabia, the epicenter of the country's recent MERS activity. The cause of the increase in cases remains unclear.

In a statement, the Saudi Ministry of Health (MOH) reported 4 cases in Jeddah, 3 in Riyadh, and 3 in Mecca. Two of the patients have no symptoms, 6 are in stable condition, and 2 are being treated in intensive care units. No deaths were reported among the latest patients or previously reported ones.

No healthcare workers

As was true of other new Saudi cases this week, none of the patients were described as healthcare workers (HCWs). Most of the previous reports in the past month have included some patients in that category.

Just two of the new patients, both in Riyadh, are reported to have had contact with other case-patients, and there is no mention of any contact with animals.

The patients range in age from 29 to 75 years. Four are in the 25 to 44 range, 5 are between 45 and 64, and the 75-year-old is the only elderly one.

The 10 new cases boosted the country's MERS tally to 371 cases, of which 107 have been fatal.

In Jordan, the new case was reported by the news agency Petra. It said the patient is an HCW who had contact with a Saudi patient in Jordan who tested positive for the virus last week. That apparently refers to a 25-year-old man who, the WHO said on Apr 23, sought treatment in Jordan after leaving a Saudi hospital against medical advice.

The report gave no other details except to say that the new case is Jordan's seventh confirmed one.

Details on case in Egypt

In other news, the WHO offered some new details on Egypt's first MERS case, involving a 27-year-old man who has been living in Riyadh the past 4 years. The agency said he had contact with two other MERS patients—his uncle, who died of MERS on Apr 19, and his uncle's neighbor, who is still being treated in a Jeddah hospital.

The 27-year-old got sick on Apr 22, returned to Egypt 3 days later, and tested positive on Apr 26, the WHO noted. He is in stable condition.

The WHO also noted that Saudi Arabia has supplied it with information on 138 MERS cases identified between Apr 11 and 26. The agency did not list its count of MERS cases and deaths today but promised to update the tally to reflect the Saudi data as soon as possible.

The WHO's MERS tally recently has lagged far behind counts maintained by others, such as FluTrackers and the European Centre for Disease Protection and Control. The total currently listed by FluTrackers, an infectious disease message board, is 453.

WHO to look at fomites

Also today, the WHO said it began its new investigation of MERS in Saudi Arabia with a visit to healthcare facilities in Jeddah. The agency released on Facebook some photos of its personnel meeting with HCWs there.

More than 100 people in the Jeddah area have tested positive for MERS since mid-March, and 31 have died, the WHO said via Facebook. Most of those cases have occurred in healthcare facilities.

During its investigation, the WHO team will look into whether MERS-CoV can be transmitted by contaminated fomites (physical objects), according to a series of Twitter comments today by WHO spokesman Gregory Hartl.

"We know MERS spreads via droplets. But we need to look both at h2h [human-to-human] spread via droplets, and droplets on fomites," Hartl said. "And for MERS in droplets on fomites, we still have to understand how long the virus can survive."

Elsewhere, the Egyptian government advised vulnerable people not to go on religious pilgrimages to Saudi Arabia this year, given the MERS situation, according to an AhramOnline report yesterday. The advice was for children under age 15, elderly people, pregnant women, and people with chronic diseases.

See also:

May 1 MOH statement on 10 cases

Saudi MOH MERS page with case count

May 1 Petra report on case in Jordan

May 1 WHO statement on Egypt's first case

WHO Facebook photos

Gregory Hartl's Twitter feed

Apr 30 AhramOnline story

http://www.cidrap.umn.edu/news-perspect ... n-adds-one

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PostPosted: Fri May 02, 2014 2:27 pm 
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Joined: Wed Aug 19, 2009 10:42 am
Posts: 48981
Location: Pittsburgh, PA USA
Published Date: 2014-05-02 06:49:06
Subject: PRO/AH/EDR> MERS-CoV - Eastern Mediterranean (47): Saudi Arabia, Jordan, Egypt, WHO
Archive Number: 20140502.2442560

MERS-COV - EASTERN MEDITERRANEAN (47): SAUDI ARABIA, JORDAN, EGYPT, WHO
***********************************************************************
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] Saudi Arabia, 10 new cases: MOH, 1 May 2014
[2] Jordan, 1 new case: Petra Government press release, 1 May 2014
[3] Egypt, Saudi Arabia: WHO, 1 May 2014

******
[1] Saudi Arabia, 10 new cases: MOH, 1 May 2014
Date: Thu 1 May 2014
Source: Saudi Arabia Ministry of Health [edited]
http://www.moh.gov.sa/en/CoronaNew/Pres ... 1-001.aspx


MOH: 10 new MERS-CoV cases recorded in the Kingdom's regions
------------------------------------------------------------
Daily situation report on cases of MERS-CoV infection [30 Apr 2014]

Total number of the confirmed cases over the past 24 hours: 10 cases

Distribution of MERS-CoV cases according to the Kingdom's regions: [see map available at the source URL above]

Overview of the health status of the cases:
- 2 cases haven't developed any symptoms;
- 6 stable cases, receiving the proper treatment;
- 2 cases in intensive care units.

Details of the health situation of the cases:
Riyadh
------
- A 31-year-old man who has been in contact with a confirmed case and has not developed any symptoms.
- A 50-year-old man who developed a respiratory syndrome on [19 Apr 2014]. He was admitted to a government hospital on [27 Apr 2014] and is now being treated in the ICU.
- A 29-year-old woman who has been in contact with a confirmed case and has not developed any symptoms.

Jeddah
------
- A 50-year-old woman suffering from respiratory syndrome on [12 Apr 2014]. She was admitted to a government hospital on [16 Apr 2014]. Her condition is stable.
- A 53-year-old woman suffering from respiratory syndrome on [24 Apr 2014]. On [27 Apr 2014], she was admitted to a government hospital. Her condition is stable.
- A 55-year-old man who displayed respiratory symptoms on [19 Apr 2014]. He was admitted to a private hospital on [22 Apr /2014]. His condition is stable.
- A 75-year-old woman who displayed respiratory symptoms on [22 Apr 2014]. She was admitted to a private hospital on [24 Apr 2014]. Her condition is stable.

Makkah
------
- A 40-year-old man who displayed respiratory symptoms on [19 Apr 2014]. On [26 Apr 2014], he was admitted to a government hospital. His condition is stable.
- A 34-year-old man who developed respiratory syndrome on [13 Apr 2014]. He was admitted to a government hospital on [27 Apr 2014]. Now, he is in the ICU.
- A 49-year-old woman who was admitted to a government hospital on [13 Mar 2014] for her diabetes. On [26 Apr 2014], she displayed respiratory symptoms. Her condition is stable.

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

[The newly laboratory confirmed infections with MERS-CoV above raise the total number of laboratory confirmed MERS-CoV infections reported by Saudi Arabia to 371, including 107 deaths. The individuals with confirmed asymptomatic infections have been tested as part of contact tracing and represent probable person-to-person transmission. It would be useful to know what proportion/percent of the reported asymptomatic infections progress to symptomatic respiratory (or non-respiratory) infections during what would be considered the accepted incubation period for the disease, and what proportion of these individuals remain asymptomatic throughout the entire period until they no longer have evidence of active viral infection. Some of the information gaps in understanding MERS-CoV infections include the natural history of infections, including true proportion of symptomatic to asymptomatic infections and what is the period of high transmissibility of the virus (are there asymptomatic virus transmitters? Or does transmission primarily occur after symptoms occur?).

This moderator erroneously stated that it appeared as though all newly confirmed infections reported on 30 Apr 2014 (MERS-CoV - Eastern Mediterranean (45): Saudi Arabia 20140430.2437089) were person-to-person transmission. The actual thought process was that over the past several days, there has been no mention of history of travel or history of contact with animals (and especially camels or camel products), suggesting that perhaps most of the newly confirmed infections were felt to be due to either direct person-to-person transmission or indirect person-to-person transmission both in the healthcare environment and or community. The same thought process applies to those newly reported infections above. We await more detailed information on studies of apparent chains of transmission of the MERS-CoV confirmed since the middle of March 2014.

For a map of the location of the newly confirmed infections with MERS-CoV in Saudi Arabia see the source URL above. - Mod.MPP]

******
[2] Jordan, 1 new case: Petra Government press release, 1 May 2014
Date: Thu 1 May 2014
Source: Jordan News Agency, Petra Government [edited]
http://www.petra.gov.jo/Public_News/Nws ... =Homeype=1


Jordan reports 7th case of coronavirus
--------------------------------------
A new patient tested positive for coronavirus on Thursday [1 May 2014], bringing to 7 the total number of patients affected by Middle East Respiratory Syndrome (MERS) in Jordan since 2012, the Ministry of Health announced.

The patient, who is a healthcare worker, had come in contact with a Saudi patient who had tested positive for coronavirus last week [week of 21 Apr 2014].

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

[While the clinical status, age, or gender of this newly confirmed MERS-CoV infection in a contact of a recently confirmed MERS-CoV case are not mentioned, a media report mentioned that the case is a 28-year-old male medic who took care of the Saudi case admitted to Zarqa Hospital (see http://www.rappler.com/world/regions/mi ... infections). The contact case mentioned in the press release above is a Saudi citizen who had previously been admitted to a hospital in Saudi Arabia, left the hospital, and sought medical care in Zarqa Jordan (see MERS-CoV - Eastern Mediterranean (40): Saudi Arabia, UAE, Jordan ex KSA, WHO, RFI 20140424.2424017 for more details). As a reminder, the 1st documented nosocomial outbreak of MERS-CoV infections occurred in Zarqa in 2012.

For a map of Jordan, see http://healthmap.org/promed/p/91. - Mod.MPP]

******
[3] Egypt, Saudi Arabia: WHO, 1 May 2014
Date: Thu 1 May 2014
Source: WHO Global Alert and Response (GAR), Disease Outbreak News [edited]
http://who.int/csr/don/2014_05_01_mers/en/


Middle East respiratory syndrome coronavirus (MERS-CoV) -- update 1 May 2014
----------------------------------------------------------------------
On [26 Apr 2014], the Ministry of Health of Egypt reported the 1st laboratory-confirmed case of infection with Middle East respiratory syndrome coronavirus (MERS-CoV) in the country.

The patient is a 27-year-old man who has been living in Riyadh, Saudi Arabia for the past 4 years. The patient had contact with a previously laboratory-confirmed case (his uncle) who died on [19 Apr 2014], and another laboratory-confirmed case (neighbour of his uncle) who is still under treatment in a hospital in Jeddah, Saudi Arabia. The patient became ill on [22 Apr 2014], returned to Egypt on [25 Apr 2014] and was laboratory-confirmed with MERS-CoV on [26 Apr 2014]. The patient is currently in a stable condition.

WHO has mobilized a team to support Saudi Arabia to review the current situation, identify information gaps to better understand the public health risk associated with the current upsurge in cases, particularly in health-care settings, and to determine the type of further investigations to be conducted, in order to understand the transmission chain and health care associated transmission.

Saudi Arabia has provided information on 138 cases identified between [11 to 26 Apr 2014] in the country, including preliminary details of cases and deaths associated with the outbreak in Jeddah. WHO will update the global total of laboratory-confirmed cases of infections with MERS-CoV, including deaths, based on official information provided by Saudi Arabia as quickly as possible.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[The WHO update above provides details of the case in an Egyptian national who had been living in Riyadh, Saudi Arabia (see MERS-CoV - Eastern Mediterranean (43): Saudi Arabia, Egypt, UAE, WHO 20140427.2431453 for the earlier ProMED-mail report on this case) and returned to Egypt for treatment of MERS-CoV infection.

Of note is that the WHO report mentions 138 laboratory confirmed cases of MERS-CoV infection reported by Saudi Arabia to WHO during the period 11-26 Apr 2014. According to Saudi MOH updates posted on the Saudi MOH website, since 26 Apr 2014 there have been an additional 32 laboratory confirmed cases of MERS-CoV infection.

For a map of Egypt, see http://healthmap.org/promed/p/55. - Mod.MPP]


See Also
MERS-CoV - Eastern Mediterranean (46): Saudi Arabia, animal reservoir, camel 20140430.2440228
MERS-CoV - Eastern Mediterranean (45): Saudi Arabia 20140430.2437089
MERS-CoV - Eastern Mediterranean (44): Saudi Arabia 20140428.2433859
MERS-CoV - Eastern Mediterranean (43): Saudi Arabia, Egypt, UAE, WHO 20140427.2431453
MERS-CoV - Eastern Mediterranean (42): Saudi Arabia, genome sequencing, Jeddah 20140426.2432140
MERS-CoV - Eastern Mediterranean (40): Saudi Arabia, UAE, Jordan ex KSA, WHO, RFI 20140424.2424017
MERS-CoV - Eastern Mediterranean (39): Qatar (RY) animal res., camel, OIE 20140424.2426491
MERS-CoV - Eastern Mediterranean (38): animal reservoir, camel, Saudi Arabia, RFI 20140423.2424953
MERS-CoV - Eastern Mediterranean (37): Saudi Arabia, UAE 20140422.2420072
MERS-CoV - Eastern Mediterranean (36): Greece ex Saudi Arabia, WHO 20140421.2417384
MERS-CoV - Eastern Mediterranean (35): Greece, Saudi Arabia, UAE, RFI 20140419.2415087
MERS-CoV - Eastern Mediterranean (34): animal reservoir, camel, Saudi Arabia, RFI 20140419.2414479
MERS-CoV - Eastern Mediterranean (33): Saudi Arabia 20140418.2413921
MERS-CoV - Eastern Mediterranean (32): Saudi Arabia, UAE, Malaysia, WHO, RFI 20140417.2411430
MERS-CoV - Eastern Mediterranean (31): Saudi Arabia, Malaysia, UAE, Philippines 20140416.2406647
MERS-CoV - Eastern Mediterranean (30): Saudi Arabia, UAE, WHO, RFI 20140414.2403986
MERS-CoV - Eastern Mediterranean (29): Saudi Arabia, Yemen, UAE, RFI 20140413.2401723
MERS-CoV - Eastern Mediterranean (28): Jordan, UAE, Saudi Arabia 20140412.2398280
MERS-CoV - Eastern Mediterranean (27): Saudi Arabia, UAE, WHO, screening 20140410.2395733
MERS-CoV - Eastern Mediterranean (26): Saudi Arabia 20140409.2392763
MERS-CoV - Eastern Mediterranean (25): Saudi Arabia, UAE, RFI 20140408.2390003
MERS-CoV - Eastern Mediterranean (24): Saudi Arabia, RFI 20140406.2385665
MERS-CoV - Eastern Mediterranean (23): Saudi Arabia 20140404.2378035
MERS-CoV - Eastern Mediterranean (22): UAE, WHO 20140401.2373381
MERS-CoV - Eastern Mediterranean (18): Saudi Arabia 20140321.2347610
MERS-CoV - Eastern Mediterranean (17): Kuwait, UAE, Saudi Arabia, WHO, RFI 20140320.2345849
MERS-CoV - Eastern Mediterranean (16): Saudi Arabia, WHO 20140318.2340740
MERS-CoV - Eastern Mediterranean (15): Saudi Arabia, WHO, RFI 20140317.2338519
MERS-CoV - Eastern Mediterranean (14): Saudi Arabia, RFI 20140314.2333773
MERS-CoV - Eastern Mediterranean (13): Saudi Arabia, UAE, WHO 20140313.2330878
MERS-CoV - Eastern Mediterranean (12): Saudi Arabia 20140306.2317828
MERS-CoV - Eastern Mediterranean (11): Saudi Arabia, WHO 20140301.2308415
MERS-CoV - Eastern Mediterranean (08): Saudi Arabia 20140220.2289977
MERS-CoV - Eastern Mediterranean (07): Saudi Arabia 20140215.2280653
MERS-CoV - Eastern Mediterranean (06): UAE (Abu Dhabi) 20140208.2264161
MERS-CoV - Eastern Mediterranean (05): Saudi Arabia, WHO 20140203.2252192
MERS-CoV - Eastern Mediterranean (04): Saudi Arabia, Jordan, WHO 20140128.2235722
MERS-CoV - Eastern Mediterranean (03): Oman, WHO 20140109.2162284
MERS-CoV - Eastern Mediterranean (02): animal reservoir, camel, UAE, serology 20140104.2151807
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 (102): Dubai, fatal 20131221.2128612
MERS-CoV - Eastern Mediterranean (101): animal reservoir, camel, goat 20131219.2126531
MERS-CoV - Eastern Mediterranean (100): Saudi Arabia, WHO 20131219.2126258
MERS-CoV - Eastern Mediterranean (99): animal reservoir, camel, Qatar 20131217.2120936
MERS-CoV - Eastern Mediterranean (98): animal reserv/camel, Jordan, Saudi Arabia 20131213.2114362
MERS-CoV - Eastern Mediterranean (95): animal reservoir, camel, Qatar 20131129.2082942
MERS-CoV - Eastern Mediterranean (94): UAE (Abu Dhabi), Qatar 20131129.2082330
MERS-CoV - Eastern Mediterranean (93): animal res., camel conf, Qatar (RY) OIE 20131129.2082115
MERS-CoV - Eastern Mediterranean (91): Saudi Arabia, WHO 20131127.2078860
MERS-CoV - Eastern Mediterranean (90): Saudi Arabia, Qatar fatal 20131120.2064667
MERS-CoV - Eastern Mediterranean (88): Kuwait, WHO, Spain 20131119.2062587
MERS-CoV Eastern Mediterranean (87): animal res. camel susp. precautions 20131113.2053932
MERS-CoV - Eastern Mediterranean (86): Kuwait, 1st rep, susp, RFI 20131113.2052320
MERS-CoV - Eastern Mediterranean (85): animal reservoir, camel, susp, official 20131112.2051424
MERS-CoV - Eastern Mediterranean (84): Saudi Arabia, Oman, deaths, WHO, RFI 20131112.2049026
MERS-CoV - Eastern Mediterranean (82): Qatar, RFI 20131110.2047575
MERS-CoV - Eastern Mediterranean (81): Saudi Arabia, UAE ex Oman, RFI 20131108.2044846
MERS-CoV - Eastern Mediterranean (70): Saudi Arabia, WHO 20130913.1936342
MERS-CoV - Eastern Mediterranean (60): Qatar, new case, RFI 20130827.1904425
MERS-CoV - Eastern Mediterranean (51): Saudi Arabia, WHO, RFI 20130801.1857286
MERS-CoV - Eastern Mediterranean (40): Saudi Arabia, WHO 20130709.1813691
MERS-CoV - Eastern Mediterranean (15): Saudi Arabia, Italy ex Jordan, WHO, RFI 20130601.1749096
MERS-CoV - Eastern Mediterranean (12): Saudi Arabia, France 20130528.1741836
MERS-CoV - Eastern Mediterranean (05): Tunisia ex Saudi Arabia/Qatar, fatal, RFI 20130520.1725864
Novel coronavirus - Eastern Mediterranean (24): France, 2nd case 20130512.1707305
Novel coronavirus - Eastern Mediterranean (20): France ex UAE, WHO, Saudi Arabia 20130508.1700034
Novel coronavirus - Eastern Mediterranean (14): Germany ex UAE, WHO, fatal 20130326.1604564
Novel coronavirus - Eastern Mediterranean (12): KSA, UK fatality, RFI 20130323.1600113
Novel coronavirus - Eastern Mediterranean (11): UK, pers to pers transm 20130316.1588808
Novel coronavirus - East. Med. (07): Saudi Arabia, UK, Germany 20130221.155410
Novel coronavirus - Eastern Med. (04): UK, pers to pers trans susp 20130213.1541531
Novel coronavirus - Eastern Med. (02): UK ex Saudi Arabia, Pakistan 20130212.1539086
2012
----
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 (14): KSA MOH 20121022.1358297
Novel coronavirus - Saudi Arabia (12): RFI 20121019.1353615
Novel coronavirus - Saudi Arabia (04): RFI, Jordan, April 2012 20120925.1308001
Novel coronavirus - Saudi Arabia (03): UK HPA, WHO, Qatar 20120923.1305982
Novel coronavirus - Saudi Arabia (02): additional cases, RFI 20120923.1305931
Novel coronavirus - Saudi Arabia: human isolate 20120920.1302733
.................................................mpp/mj/jw

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