MERS-CoV - update 23 Jun 2013
The Ministry of Health (MoH) in
One case is a 41-year-old female from
In addition, the MoH has announced the death of a previously reported confirmed case from the Eastern Region who had been admitted to hospital on [26 Apr 2013] [according to the Arabic page of the Saudi MOH press release (in Arabic), this was an 81-year-old male.
Globally, from September 2012 to date, WHO has been informed of a total of 70 laboratory-confirmed cases of infection with MERS-CoV, including 39 deaths.
WHO has received reports of laboratory-confirmed cases originating in the following countries in the Middle East to date:
Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns.
Healthcare providers are advised to maintain vigilance. Recent travellers returning from the
Healthcare facilities are reminded of the importance of systematic implementation of infection prevention and control (IPC). Healthcare facilities that provide care for patients suspected or confirmed with MERS-CoV infection should take appropriate measures to decrease the risk of transmission of the virus to other patients, healthcare workers and visitors.
All Member States are reminded to promptly assess and notify WHO of any new case of infection with MERS-CoV, along with information about potential exposures that may have resulted in infection and a description of the clinical course. Investigation into the source of exposure should promptly be initiated to identify the mode of exposure, so that further transmission of the virus can be prevented.
WHO does not advise special screening at points of entry with regard to this event nor does it currently recommend the application of any travel or trade restrictions.
WHO continues to closely monitor the situation.
[As of 23 Jun 2013, when this global update was released, there were a total of 70 laboratory confirmed cases of MERS-CoV infection including 39 deaths reported to WHO. This tally does not include the additional cases reported on the Saudi MOH website later on in the day on 23 Jun 2013
MOH announces recovery of contacts of novel coronavirus cases and one [death] in the Eastern Region
Within the framework of the epidemiological surveillance of the novel coronavirus (MERS-CoV), the Ministry of Health (MOH) has announced that 4 cases of this virus have been recorded among people [with contact with] confirmed infected patients in Riyadh and the Eastern Region, ranging in ages between 7 and 15 [years]. It is noteworthy that the disease symptoms were not shown in their cases and their health condition is good.
Furthermore, MOH has announced that 2 cases of this virus have been recorded among female health workers in the Eastern Region and Al-Ahsa. Also, the disease symptoms were not shown in their cases [asymptomatic]. That is to be added to another 50-year-old female case recorded in the Eastern Region. Currently, she is hospitalized due to pulmonary disease but her health status is stable.
Thus, the total number of confirmed cases, who didn't show disease symptoms or completely recovered is 20.
The MOH has announced the death of one case, aged 32, in the Eastern Region, who had been previously announced to be infected with this virus and had been suffering from cancer.
[According to the Saudi MOH summary page on coronavirus there are now 62 laboratory confirmed cases of MERS-CoV infection, including 34 deaths in
MERS-CoV: reporting recommendations
Recommendation for MERS-CoV posts: the test method should be included in all posts identifying cases. With the exception of Saudi Arabia's 1st case, which was diagnosed by Dr Ali Zaki using classical viral culture methods, all subsequent cases have been diagnosed by experimental molecular amplification tests (PCR [polymerase chain reaction] or NAAT [nucleic acid amplification] tests). A handful have also been accompanied by positive virus isolations. Therefore posts announcing 'positive' and 'negative' cases, identified only by molecular testing, should be reported as 'PCR-positive' or 'PCR-negative'. It would also be helpful if the genomic target for the molecular test were included. Isolation of the MERS virus might also be included to reinforce the specificity of the molecular test in use. It is still the case that no clinical validation studies have been published on any commercially available molecular tests and it will take time for them to be cleared by regulatory authority. It is also true that molecular tests for MERS-CoV appear to have limitations very similar to what we in
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