43 Cases of MERS-CoV in Saudi Arabia are Reported to WHO

Between Feb. 8, 2015 and Feb. 19, 2015, the IHR National Focal Point for the Kingdom of Saudi Arabia notified the World Health Organization (WHO) of 43 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including 14 deaths.

Details of the cases are as follows:

An 84-year-old male from Khober city developed symptoms on Feb. 16 while admitted to a hospital since Jan. 25 due to unrelated medical conditions. The patient was treated in the same unit and attended by the same healthcare worker as three laboratory-confirmed MERS-CoV cases. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. He was admitted to ICU and is currently in critical condition.

An 85-year-old male from Riyadh city developed symptoms on Feb. 15 and was admitted to a hospital on Feb. 17. The patient has comorbidities. He has no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition in a negative pressure isolation room on a ward.

A 58-year-old male from Khober city developed symptoms on Feb. 16, while admitted to a hospital since Dec. 27 due to an unrelated medical condition. The patient was treated in the same unit and at the same time as three laboratory-confirmed MERS-CoV cases. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. He was admitted to ICU and is currently in critical condition.

A 41-year-old male from Jubail city developed symptoms on Feb. 14 and was admitted to a hospital on Feb. 15. The patient has no comorbidities but has history of contact with camels and consumption of raw milk in the 14 days prior to the onset of symptoms. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition in a negative pressure isolation room on a ward.

A 37-year-old male from Riyadh city developed symptoms on Feb. 10 and was admitted to a hospital on Feb. 15. The patient is a smoker but has no comorbidities and no history of exposure to any of the known risk factors in the 14 days prior to the onset of symptoms. Currently, he is in stable condition in a negative pressure isolation room on a ward.

A 75-year-old male from Buridah city developed symptoms on Feb. 11, while admitted to a hospital since Jan. 19 due to an unrelated medical condition. The patient was treated in the same unit where a laboratory-confirmed MERS-CoV case was treated. He had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient died on Feb. 15.

A 65-year-old male from Taima city developed symptoms on Feb. 11 and was admitted to a hospital on Feb. 14. The patient had comorbidities and history of contact with camels and consuming their raw milk in the 14 days prior to the onset of symptoms. He had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient died on Feb. 18.

A 60-year-old, non-national male from Riyadh city developed symptoms on Feb. 9 February and was admitted to a hospital on Feb. 11. The patient had no comorbidities and no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. The patient died on Feb. 18.

A 38-year-old, non-national, male healthcare worker from Dammam city developed symptoms on Feb. 14. The patient has no comorbidities. He is a healthcare contact of three laboratory-confirmed MERS–CoV cases. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, he is in stable condition and isolated at home.

A 34-year-old, non-national female from Riyadh city developed symptoms on Feb. 1 and was admitted to a hospital on Feb. 12. The patient has no comorbidities but has history of travelling to Jeddah in the 14 days prior to the onset of symptoms; however, during her travel, she was not exposed to any known risk factors. The patient has no history of exposure to other risk factors in the 14 days prior to the onset of symptoms. Currently, she is in critical condition admitted to ICU.

An 83-year-old male from Riyadh city developed symptoms on Feb. 13 and was admitted to a hospital on Feb. 14. The patient had comorbidities but no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. He died  on Feb. 19.

A 43-year-old, non-national female from Jeddah city developed symptoms on Feb. 12  and was admitted to a hospital on Feb. 13. The patient has no comorbidities. She is a contact of a laboratory-confirmed MERS-CoV case. Currently, the patient is in stable condition in a negative pressure isolation room on a ward.

A 58-year-old female from Aljouf city developed symptoms on 13 February and was admitted to hospital on the same day. The patient has comorbidities but no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition in a negative pressure isolation room on a ward.

A 54-year-old female from Riyadh city developed symptoms on Jan. 28 and was admitted to a hospital on Feb. 11. The patient has comorbidities. She is a contact of a MERS-CoV case that was reported on Feb. 11. The patient has history of contact with camels and consumption of raw milk but no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition admitted to a negative pressure isolation room on a ward.

A 35-year-old male from Buridah city developed symptoms on Feb. 10 while admitted to a hospital since Jan. 28 due to an unrelated medical condition. The patient was treated in the same unit where a laboratory-confirmed MERS-CoV case was treated; however, they were not attended by the same health workers. The patient had no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. He died on Feb. 19.

A 23-year-old male from Buridah city developed symptoms on Feb. 7 while admitted to a hospital since Jan. 13 due to an unrelated medical condition. The patient was treated in the same unit where a laboratory-confirmed MERS-CoV case was treated; however, they were not attended by the same health workers. The patient had no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. He died on Feb. 19.

A 47-year-old, non-national male from Najran city developed symptoms on Feb. 1 and was admitted to a hospital on Feb. 12. The patient has comorbidities but no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in critical condition admitted to ICU.

A 31-year-old male from Najran city developed symptoms on 8 February and was admitted to hospital on Feb. 12. The patient has no comorbidities. He traveled to Dammam city to visit a laboratory-confirmed MERS-CoV case that was reported on Feb. 16 February. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms in either city. Currently, he is in stable condition admitted to a negative pressure isolation room on a ward.

An 81-year-old male from Alrass city developed symptoms on Feb. 8 and was admitted to a hospital on Feb. 11. The patient has comorbidities but no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition admitted to a negative pressure isolation room on a ward.

A 42-year-old male from Buridah city developed symptoms on Feb. 6 and was admitted to a hospital on Feb. 12. The patient has no comorbidities and no history of contact with camels; however, he has a history of contact with sheep. The patient has a history of travel to Hafer Albatin in the 14 days prior to the onset of symptoms. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms in either city. Currently, the patient is in stable condition admitted to a negative pressure isolation room on a ward.

A 41-year-old, non-national male from Buridah city developed symptoms on Feb. 1 while admitted to a hospital since Jan. 21 due to an unrelated medical condition. The patient had no history of contact with laboratory-confirmed MERS-CoV cases as the hospital that had treated him never had MERS-CoV cases. His family visited him on Feb. 9. None of his family members had respiratory symptoms. He had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient died on Feb. 13.

A 31-year-old, non-national, female healthcare worker from Dammam city developed symptoms on Feb. 12. The patient has no comorbidities. She has a history of contact with a laboratory-confirmed MERS-CoV case that was reported on Feb. 16 and a newly reported MERS-CoV case. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, she is in stable condition isolated at home.

A 54-year-old male from Albadaee city developed symptoms on Feb. 9 while admitted to a hospital since Jan. 31 due to an unrelated medical condition. The patient had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. He died on Feb. 18.

A 70-year-old female from Khober city developed symptoms on Feb. 11 while admitted to a hospital since Oct. 1 due to unrelated medical conditions. The patient was treated in the same ward and by the same health workers as a laboratory-confirmed MERS-CoV case that was reported on Feb. 16. She had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient died on Feb. 19.

A 77-year-old male from Khober city developed symptoms on Feb. 11 while admitted to a hospital since Feb. 2 due to unrelated medical conditions. The patient was admitted to the same ward where a laboratory-confirmed MERS-CoV case that was reported on Feb. 16 was treated. He had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient died on Feb. 17.

An 83-year-old female from Khober city developed symptoms on Feb. 7 while admitted to a hospital since Feb. 20, 2012 due to unrelated medical conditions. The patient was admitted to the same ward where a laboratory-confirmed MERS-CoV case that was reported on Feb. 16 was treated. She had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient died on Feb. 19.

A 49-year-old female from Riyadh city developed symptoms on Feb. 7 and was admitted to a hospital on Feb. 11. The patient has comorbidities but no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, she is in stable condition admitted to a negative pressure isolation room on a ward.

A 46-year-old male national from Buridah city who works in a hospital developed symptoms on Feb. 9 and was admitted to a hospital on Feb. 11. The patient has comorbidities. He had a history of travel to Jeddah but no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms in either city. Currently, the patient is in stable condition admitted to a negative pressure isolation room on a ward.

A 24-year-old male from Riyadh city developed symptoms on Feb. 7 while admitted to a hospital since Jan. 24 due to an unrelated medical condition. The patient was admitted to the same ward where a laboratory-confirmed MERS-CoV case reported on Feb. 16 was treated; however, they were not attended by the same healthcare workers. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition admitted to the ward in isolation room with negative pressure.

A 79-year-old male from Riyadh city developed symptoms on Feb. 8 and was admitted to a hospital on Feb. 11. The patient had comorbidities. He had no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. The patient died  on Feb. 11.

A 52-year-old male from Dahran city developed symptoms on Jan. 30 and was admitted to a hospital on Feb. 4. The patient has comorbidities. He has no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition admitted to ICU.

A 53-year-old male from Dahran city developed symptoms on Feb. 1 and was admitted to a hospital on Feb. 6. The patient has comorbidities as well as history of visiting a camel farm in Najran city and contact with camels but no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition admitted to ICU.

A 29-year-old male from Riyadh city developed symptoms on Feb. 9 and was admitted to a hospital on Feb. 11. The patient has comorbidities. He has no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition admitted to a negative pressure isolation room on a ward.

A 70-year-old male from Madinah city developed symptoms on Feb. 8 and was admitted to a hospital on Feb. 9. He had comorbidities. The patient had no history of contact with camels; however, he frequently consumed raw camel milk. The patient had a history of travel to Wadi Aldwaser city but had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms in either city. The patient died on Feb. 14.

A 46-year-old, non-national male from Jeddah city developed symptoms on Feb. 1 and was admitted to a hospital on Feb. 10. The patient has comorbidities. He has no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. The patient is in critical condition admitted to ICU.

A 75-year-old, non-national male from Riyadh city developed symptoms on Feb. 10 while admitted to a hospital since Jan. 24 due to unrelated medical conditions. The patient was hospitalized in the same room as a laboratory-confirmed MERS-CoV case that was reported on Feb. 16. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in critical condition admitted to ICU.

A 58-year-old male from Riyadh city developed symptoms on Feb. 1 and was admitted to a hospital on Feb. 10. The patient has comorbidities. He owns a camel farm and has a history of frequent contact with camels as well as frequent consumption of raw camel milk. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in critical condition admitted to ICU.

A 41-year-old male from Riyadh city developed symptoms on Feb. 7 while admitted to hospital since Jan. 27, after being referred from another hospital due to unrelated medical conditions. The patient has no history of contact with laboratory-confirmed MERS-CoV cases in either hospital as none of the facilities had MERS-CoV cases at the time of his visits. He has no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in critical condition admitted to ICU.

A 27-year-old female from Onizah city developed symptoms on Feb. 1 and was admitted to a hospital on Feb. 7. The patient is pregnant and has no comorbidities. She has no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition admitted to ICU.

A 73-year-old, non-national female from Jeddah city developed symptoms on Feb. 2 and was admitted to a hospital on Feb. 5 . She had comorbidities. The patient had a history of travel to Riyadh; however, she had no history of contact with MERS-CoV cases or health care workers during her travel. The patient had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. She died on Feb. 8.

A 31-year-old, non-national, female healthcare worker from Dammam city developed symptoms on Feb. 6 and was admitted to hospital on Feb. 9. The patient has no comorbidities but has had direct contact with a laboratory-confirmed case that was reported on Feb. 16. She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition and isolated in the ward.

A 48-year-old, male health worker from Buridah city developed symptoms on Feb. 7 and was admitted to a hospital on Feb. 9. The patient smokes cigarettes and shisha tobacco and has comorbidities. He has no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in critical condition admitted to ICU.

A 56-year-old male from Dammam city developed symptoms on Jan. 30 and was admitted to a hospital on Feb. 1. The patient has no comorbidities and no history of exposure to any known risk factors in the 14 days prior to the onset of symptoms. Currently, the patient is in stable condition admitted to a negative pressure isolation room on a ward.

Contact tracing of household contacts and healthcare contacts is ongoing for these cases.

Globally, WHO has been notified of 1026 laboratory-confirmed cases of infection with MERS-CoV, including at least 376 related deaths.

Source: WHO