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http://www.moh.gov.sa/en/CCC/PressReleases/Pages/Statistics-2015-08-21-001.aspx

Middle East Respiratory Syndrome coronavirus (MERS-CoV) – Saudi ArabiaDisease outbreak news 26 August 2015 Between 18 and 21 August 2015, the National IHR Focal Point for the Kingdom of Saudi Arabia notified WHO of 29 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including 6 deaths. Twenty-four (24) of these reported cases are associated with a MERS-CoV outbreak currently occurring in a hospital in Riyadh city. One (1) of these reported cases is associated with a smaller MERS-CoV outbreak currently occurring in another hospital in Riyadh city. Details of the casesA 40-year-old, non-national, female health care worker from Riyadh city developed symptoms on 18 August and, on the same day, was admitted to a different hospital from the one where she works. The hospital where the patient works has been experiencing a MERS-CoV outbreak. She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has no comorbidities, tested positive for MERS-CoV on 20 August. Currently, she is in stable condition in home isolation. Investigation of possible epidemiological links with the MERS-CoV cases admitted to the hospital where the patient works in, or with shared health care workers, is ongoing.A 58-year-old female from Riyadh city developed symptoms on 13 August. On 14 August, the patient visited the emergency room of the hospital that has been experiencing a MERS-CoV outbreak. She was treated symptomatically and sent home. As symptoms worsened, the patient was admitted to hospital on 20 August. She tested positive on 21 August. The patient, who has comorbidities, is currently in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to the hospital that she visited after the onset of symptoms or with shared health care workers is ongoing. Also, investigation of history of exposure to other known risk factors in the 14 days prior to the onset of symptoms is ongoing.A 71-year-old male from Riyadh city developed symptoms on 17 August while admitted to hospital for his chronic conditions since 16 August. This hospital has been experiencing a MERS-CoV outbreak. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 20 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 72-year-old male from Riyadh city developed symptoms on 5 August and, on 9 August, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 19 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.An 87-year-old male from Riyadh city developed symptoms on 17 August while admitted to hospital for his chronic conditions since 13 August. This hospital has been experiencing a MERS-CoV outbreak. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 20 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 109-year-old male from Riyadh city developed symptoms on 13 August while admitted to hospital for his chronic conditions since 3 August. This hospital has been experiencing a MERS-CoV outbreak. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 17 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 40-year-old male from Riyadh city developed symptoms on 17 August and, on 18 August, was admitted to hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 20 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. Investigation of history of exposure to known risk factors in the 14 days prior to the onset of symptoms is ongoing.A 76-year-old female from Riyadh city developed symptoms on 19 August and, on the same day, was admitted to hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 20 August. Currently, she is in stable condition in a negative pressure isolation room on a ward. Investigation of history of exposure to known risk factors in the 14 days prior to the onset of symptoms is ongoing.An 87-year-old male from Riyadh city developed symptoms on 30 July and, on 2 August, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 19 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 59-year-old, female health care worker developed symptoms on 11 August and, on 12 August, was admitted to the same hospital where she works. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 18 August. Currently, she is in critical condition in ICU. Investigation of possible epidemiological links with the MERS-CoV cases admitted to her hospital or with shared health care workers is ongoing.A 34-year-old male from Riyadh city developed symptoms on 16 August and, on the same day, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. The patient visited the emergency room of the same hospital on 6 August for fever and headache he developed on the same day and was treated symptomatically. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has no comorbidities, tested positive for MERS-CoV on 18 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 35-year-old male from Riyadh city developed symptoms on 2 August and, on 4 August, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. He had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. As his condition improved, the patient was discharged on 13 August. On 17 August, he relapsed and, on the same day, was admitted to the same hospital. The patient, who had comorbidities, tested positive for MERS-CoV on 19 August and passed away on 20 August. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 60-year-old female from Riyadh city developed symptoms on 7 August and, on the same day, she was admitted to the hospital that has been experiencing a MERS-CoV outbreak. She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. As her condition improved, the patient was discharged on 14 August. On 18 August, she developed further symptoms and, on the same day, was admitted to the same hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 19 August. Currently, she is in critical condition in ICU. Investigation of possible epidemiological links with the MERS-CoV cases admitted to her hospital or with shared health care workers is ongoing.A 64-year-old female from Riyadh city developed symptoms on 13 August while admitted to hospital for an unrelated medical condition since 24 July. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 17 August. Currently, she is in stable condition in a negative pressure room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to her hospital or with shared health care workers is ongoing.A 60-year-old female from Riyadh city developed symptoms on 15 August while admitted to hospital for an unrelated medical condition since 24 July. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 17 August. Currently, she is in stable condition in a negative pressure room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to her hospital or with shared health care workers is ongoing.A 63-year-old male from Riyadh city developed symptoms on 15 August while admitted to hospital for an unrelated medical condition since 2 August. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 17 August. Currently, he is in stable condition in a negative pressure room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 77-year-old female from Riyadh city developed symptoms on 16 August while admitted to hospital for her chronic conditions since 6 August. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 17 August. Currently, she is in critical condition in ICU. Investigation of possible epidemiological links with the MERS-CoV cases admitted to her hospital or with shared health care workers is ongoing.An 86-year-old male from Riyadh city developed symptoms on 16 August while admitted to hospital for an unrelated medical condition since 8 August. This hospital has been experiencing a MERS-CoV outbreak. The patient had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who had comorbidities, tested positive for MERS-CoV on 18 August and, on the same day, passed away. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 63-year-old male from Riyadh city developed symptoms on 16 August while admitted to hospital due to his chronic conditions since 27 July. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 17 August. Currently, he is in critical condition in ICU. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 71-year-old, non-national male from Riyadh city developed symptoms on 14 August while admitted to hospital due to his chronic conditions since 26 June. This hospital has been experiencing a MERS-CoV outbreak. The patient had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who had comorbidities, tested positive for MERS-CoV on 15 August and passed away on 17 August. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 71-year-old male from Riyadh city developed symptoms on 13 August and, on the same day, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. The patient, who had comorbidities, tested positive for MERS-CoV on 15 August. He visited the emergency room of the same hospital in the 14 days prior to the onset of symptoms due to his chronic conditions. The patient had no history of exposure to other known risk factors in the 14 days prior to onset of symptoms. He passed away on 20 August. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.An 80-year-old male from Riyadh city developed symptoms on 14 August while admitted to hospital due to his chronic conditions since 1 August. This hospital has been experiencing a MERS-CoV outbreak. The patient had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who had comorbidities, tested positive for MERS-CoV on 15 August and passed away on 19 August. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 51-year-old female from Riyadh city developed symptoms on 14 August and was admitted to hospital on 16 August. The patient, who has comorbidities, tested positive for MERS-CoV on 17 August. Currently, she is in stable condition in a negative pressure isolation room on a ward. The patient is a contact of a laboratory-confirmed MERS-CoV case (see DON published on 21 August – case no. 4). She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms.A 33-year-old male from Riyadh city developed symptoms on 14 August and was admitted to hospital on 15 August. The patient, who has no comorbidities, tested positive for MERS-CoV on 17 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. The patient visited a relative at the hospital that has been experiencing a MERS-CoV outbreak. He has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.A 28-year-old male from Riyadh city developed symptoms on 14 August and was admitted to hospital on 15 August. The patient, who has comorbidities, tested positive for MERS-CoV on 17 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. The patient is a contact of a laboratory-confirmed MERS-CoV case (see DON published on 21 August – case no. 19). He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms.A 65-year-old female from Riyadh city developed symptoms on 15 August and, on 16 August, was admitted to hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 17 August. Currently, she is in stable condition in a negative pressure isolation room on a ward. The patient is a contact of a laboratory-confirmed MERS-CoV case (see DON published on 21 August – case no. 12). He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms.A 48-year-old female from Riyadh city developed symptoms on 15 August and, on 16 August, was admitted to hospital. The patient, who has no comorbidities, tested positive for MERS-CoV on 17 August. Currently, she is in stable condition in a negative pressure isolation room on a ward. The patient is a contact of a laboratory-confirmed MERS-CoV case (see DON published on 12 August – case no. 14). She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms.A 35-year-old, non-national, female health care worker from Riyadh city developed symptoms on 11 August and, on 14 August, was admitted to the same hospital where she works . The patient, who has no comorbidities, tested positive for MERS-CoV on 16 August. Currently, she is in critical condition in ICU. Investigation of history of exposure to known risk factors in the 14 days prior to the onset of symptoms is ongoing.An 86-year-old male from Riyadh city developed symptoms on 9 August while admitted to hospital due to his chronic conditions since 6 July. This hospital has been experiencing a small MERS-CoV outbreak. The patient had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The patient, who had comorbidities, tested positive for MERS-CoV on 11 August and passed away on 21 August. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.Contact tracing of household and healthcare contacts is ongoing for these cases. The National IHR Focal Point for the Kingdom of Saudi Arabia also notified WHO of the death of 1 MERS-CoV case that was reported in a previous DON on 21 August (case no. 6). Globally, since September 2012, WHO has been notified of 1,461 laboratory-confirmed cases of infection with MERS-CoV, including at least 514 related deaths. WHO adviceBased on the current situation and available information, WHO encourages all Member States to continue their surveillance for acute respiratory infections and to carefully review any unusual patterns. Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in health care facilities. It is not always possible to identify patients with MERS-CoV early because like other respiratory infections, the early symptoms of MERS-CoV are non-specific. Therefore, health-care workers should always apply standard precautions consistently with all patients, regardless of their diagnosis. Droplet precautions should be added to the standard precautions when providing care to patients with symptoms of acute respiratory infection; contact precautions and eye protection should be added when caring for probable or confirmed cases of MERS-CoV infection; airborne precautions should be applied when performing aerosol generating procedures. Until more is understood about MERS-CoV, people with diabetes, renal failure, chronic lung disease, and immunocompromised persons are considered to be at high risk of severe disease from MERS‐CoV infection. Therefore, these people should avoid close contact with animals, particularly camels, when visiting farms, markets, or barn areas where the virus is known to be potentially circulating. General hygiene measures, such as regular hand washing before and after touching animals and avoiding contact with sick animals, should be adhered to. Food hygiene practices should be observed. People should avoid drinking raw camel milk or camel urine, or eating meat that has not been properly cooked. WHO remains vigilant and is monitoring the situation. Given the lack of evidence of sustained human-to-human transmission in the community, WHO does not recommend travel or trade restrictions with regard to this event. Raising awareness about MERS-CoV among travellers to and from affected countries is good public health practice. Public health authorities in host countries preparing for mass gatherings should ensure that all recommendations and guidance issued by WHO with respect to MERS-CoV have been appropriately taken into consideration and made accessible to all concerned officials. Public health authorities should plan for surge capacity to ensure that visitors during the mass gathering can be accommodated by health systems. http://www.who.int/csr/don/26-august-2015-mers-saudi-arabia/en/

Middle East Respiratory Syndrome coronavirus (MERS-CoV) – Saudi ArabiaDisease outbreak news 21 August 2015 Between 13 and 17 August 2015, the National IHR Focal Point for the Kingdom of Saudi Arabia notified WHO of 19 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including 1 death. Fifteen (15) of these reported cases are associated with a MERS-CoV outbreak currently occurring in a hospital in Riyadh. Details of the casesA 70-year-old male from Riyadh city developed symptoms on 12 August while admitted to hospital for an unrelated medical condition since 20 April. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history of exposure to other known risk factors in the 14 days prior to onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 13 August. Currently, he is in critical condition in ICU. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 61-year-old female from Riyadh city developed symptoms on 9 August and, on 12 August, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. The patient visited the emergency room of the same hospital due to her chronic conditions in the 14 days prior to the onset of symptoms. She has no history of exposure to other known risk factors in the 14 days prior to onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 13 August. Currently, she is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to her hospital or with shared health care workers is ongoing.A 75-year-old male from Riyadh city developed symptoms on 30 July and, on the same day, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. The patient has no history exposure to other known risk factors in the 14 days prior to onset of symptoms. On 8 August, while hospitalized, he developed further symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 13 August. Currently, he is in critical condition in ICU. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 98-year-old female from Riyadh city developed symptoms on 9 August and, on 10 August, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. The patient visited the emergency room of the same hospital in the 14 days prior to the onset of symptoms due to her chronic conditions. The patient, who has comorbidities, tested positive for MERS-CoV on 11 August. She has no history of exposure to other known risk factors in the 14 days prior to onset of symptoms. Currently, the patient is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to her hospital or with shared health care workers is ongoing.A 63-year-old male from Riyadh city developed symptoms on 9 August and, on 10 August, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. The patient visited the emergency room of the same hospital in the 14 days prior to the onset of symptoms due to his chronic conditions. He has no history exposure to other known risk factors in the 14 days prior to onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 11 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 65-year-old male from Riyadh city developed symptoms on 4 August and was admitted to hospital on 5 August. On 8 August, while hospitalized, he developed further symptoms. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history of exposure to other known risk factors in the 14 days prior to onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 10 August. Currently, he is in critical condition in ICU. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 39-year-old, male health care worker from Riyadh city developed symptoms on 11 August and, on 12 August, was admitted to the same hospital where he works. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history exposure to other known risk factors in the 14 days prior to onset of symptoms. The patient, who has no comorbidities, tested positive for MERS-CoV on 13 August. Currently, he is in critical condition in ICU. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 55-year-old male from Riyadh city developed symptoms on 11 August while admitted to hospital for his chronic conditions since 2 August. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history exposure to other known risk factors in the 14 days prior to onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 13 August. Currently, he is in critical condition in ICU. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 74-year-old male from Riyadh city developed symptoms on 8 August and, on 9 August, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. He visited the emergency room of the same hospital due to his chronic conditions. The patient has no history of exposure to other the known risk factors in the 14 days prior to onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 10 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 31-year-old female from Riyadh city developed symptoms on 13 August and, on 14 August, was admitted to hospital. The patient, who has no comorbidities, tested positive for MERS-CoV on 15 August. Currently, the patient is in stable condition in home isolation. She visited the emergency room of the hospital that has been experiencing a MERS-CoV outbreak in the 14 days prior to the onset of symptoms. Investigation of possible epidemiological links with the MERS-CoV cases admitted to her hospital or with shared health care workers is ongoing.A 41-year-old male from Riyadh city developed symptoms on 8 August and, on 11 August, was admitted to the hospital that has been experiencing a MERS-CoV outbreak. He visited the same hospital due to an unrelated medical condition in the 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 12 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 90-year-old male from Riyadh city developed symptoms on 7 August while admitted to hospital for unrelated medical conditions since 2 August. This hospital has been experiencing a MERS-CoV outbreak. The patient, who had comorbidities, tested positive for MERS-CoV on 9 August. He passed away on 13 August. Investigation of possible epidemiological links with the MERS-CoV cases admitted to his hospital or with shared health care workers is ongoing.A 64-year-old, non-national, male health worker from Najran city developed symptoms on 9 August and was admitted to the same hospital where he works on 11 August. The patient, who has comorbidities, tested positive for MERS-CoV on 12 August. Currently, he is in stable condition in a negative pressure isolation room in a ward. Investigation of history of exposure to the known risk factors in the 14 days prior to the onset of symptoms is ongoing.A 63-year-old female from Riyadh city developed symptoms on 8 August and, on the same day, was admitted to hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 14 August. She visited the emergency room of the hospital that has been experiencing a MERS-CoV outbreak in the 14 days prior to the onset of symptoms due to an unrelated medical condition. Currently, the patient is in stable condition in home isolation. Investigation of possible epidemiological links with the MERS-CoV cases admitted to her hospital or with shared health care workers is ongoing.A 2-year-old boy from Riyadh city developed symptoms on 12 August and was admitted to hospital on 13 August. The patient, who has no comorbidities, tested positive for MERS-CoV on 14 August. Currently, he is in stable condition in a negative pressure isolation room on a ward. The patient is a contact of a laboratory-confirmed MERS-CoV case (see DON published on 18 August – case n. 2). He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms.A 28-year-old female from Riyadh city developed symptoms on 12 August and was admitted to hospital on 13 August. The patient, who has no comorbidities, tested positive for MERS-CoV on 14 August. Currently, she is in stable condition in a negative pressure isolation room on a ward. The patient is a contact of a laboratory-confirmed MERS-CoV case (see DON published on 18 August – case n. 2). She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms.A 47-year-old, non-national female from Riyadh city developed symptoms on 12 August and, on the same day, was admitted to hospital. The patient, who has no comorbidities, tested positive for MERS-CoV on 13 August. Currently, she is in stable condition in a negative pressure isolation room in a ward. The patient is a contact of a laboratory-confirmed MERS-CoV case (see DON published on 18 August – case n. 3) and has a history of visiting this case at the hospital that has been experiencing a MERS-CoV outbreak in the 14 days prior to the onset of symptoms. She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms.A 57-year-old male from Riyadh city developed symptoms on 5 August and was admitted to hospital on 9 August. The patient, who has comorbidities, tested positive for MERS-CoV on 11 August. Currently, he is in stable condition in a negative pressure isolation room in a ward. Investigation of history of exposure to known risk factors in the 14 days prior to the onset of symptoms is ongoing.An 81-year-old female from Riyadh city developed symptoms on 6 August while admitted to hospital for unrelated medical conditions since 24 July. This hospital has been experiencing a MERS-CoV outbreak. The patient has no history of exposure to other known risk factors in 14 days prior to the onset of symptoms. The patient, who has comorbidities, tested positive for MERS-CoV on 8 August. Currently, she is in critical condition in ICU. Investigation of possible epidemiological links with the MERS-CoV cases admitted to her hospital or with shared health care workers is ongoing.Contact tracing of household and healthcare contacts is ongoing for these cases. The National IHR Focal Point for the Kingdom of Saudi Arabia also notified WHO of the death of 4 MERS-CoV case that was reported in a previous DON on 18 August (case n. 2, 3, 4, 10). Globally, since September 2012, WHO has been notified of 1,432 laboratory-confirmed cases of infection with MERS-CoV, including at least 507 related deaths. WHO adviceBased on the current situation and available information, WHO encourages all Member States to continue their surveillance for acute respiratory infections and to carefully review any unusual patterns. Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in health care facilities. It is not always possible to identify patients with MERS-CoV early because like other respiratory infections, the early symptoms of MERS-CoV are non-specific. Therefore, health-care workers should always apply standard precautions consistently with all patients, regardless of their diagnosis. Droplet precautions should be added to the standard precautions when providing care to patients with symptoms of acute respiratory infection; contact precautions and eye protection should be added when caring for probable or confirmed cases of MERS-CoV infection; airborne precautions should be applied when performing aerosol generating procedures. Until more is understood about MERS-CoV, people with diabetes, renal failure, chronic lung disease, and immunocompromised persons are considered to be at high risk of severe disease from MERS‐CoV infection. Therefore, these people should avoid close contact with animals, particularly camels, when visiting farms, markets, or barn areas where the virus is known to be potentially circulating. General hygiene measures, such as regular hand washing before and after touching animals and avoiding contact with sick animals, should be adhered to. Food hygiene practices should be observed. People should avoid drinking raw camel milk or camel urine, or eating meat that has not been properly cooked. WHO remains vigilant and is monitoring the situation. Given the lack of evidence of sustained human-to-human transmission in the community, WHO does not recommend travel or trade restrictions with regard to this event. Raising awareness about MERS-CoV among travellers to and from affected countries is good public health practice. Public health authorities in host countries preparing for mass gatherings should ensure that all recommendations and guidance issued by WHO with respect to MERS-CoV have been appropriately taken into consideration and made accessible to all concerned officials. Public health authorities should plan for surge capacity to ensure that visitors during the mass gathering can be accommodated by health systems. http://www.who.int/csr/don/21-august-2015-mers-saudi-arabia/en/

15 died of Mers virus in Saudi this week47 new cases almost entirely in RiyadhBy APPublished Thursday, August 27, 2015Saudi Arabia says 15 more people have died after contracting the Mers virus in the last seven days. (File) Saudi Arabia's Health Ministry says 15 more people have died after contracting the Middle East respiratory syndrome, known as Mers, in the last seven days amid a surge in contractions in the capital Riyadh.The Health Ministry's most recent figures on Thursday show that 498 people have died in Saudi Arabia after contracting the virus since it was first identified in 2012, compared to 483 a week ago.The kingdom also registered 47 new cases in the past seven days, all but two in Riyadh. That brings the total number nationwide to 1,165, with 64 receiving treatment and 603 fully recovered.The Mers virus belongs to the family of viruses known as coronaviruses. MERS can cause symptoms such as fever, breathing problems, pneumonia and kidney failure. http://www.emirates247.com/news/region/15-died-of-mers-virus-in-saudi-this-week-2015-08-27-1.601547

KSA has reported 15 MERS deaths in the past week, largely in Riyadh.

A new MERS case recorded in Jordan Amman, August 26 (Petra) -- A new Middle East respiratory syndrome coronavirus (MERS-CoV) case has been recorded for a Jordanian male (38), who has recently entered the Kingdom from abroad, the Ministry of Health reported on Wednesday. The latest case is the second in less than 24 hours. Since 2012, 14 MERS cases have been recorded in Jordan, according to official data. Primary Health Care Department Director in the ministry, Dr. Bashir Qasir said the patient is receiving treatment in a private hospital and his condition is critical. Yesterday, the Ministry of Health announced that a man in his 60s, who has recently come from Saudi Arabia, was diagnosed to have the Middle East respiratory syndrome coronavirus (MERS-CoV) and he is now in critical condition //Petra// AF 26/8/2015 - 09:13:02 PM http://petra.gov.jo/Public_News/Nws_NewsDetails.aspx?Site_Id=1&lang=2&NewsID=211178

Jordan reporting another imported MERS case, 38M

Jordan reports travel-linked MERS case, Riyadh outbreak total growsFiled Under: MERS-CoVLisa Schnirring | News Editor | CIDRAP News | Aug 26, 2015Share Tweet LinkedIn Email Print & PDFjordanmap.jpgPopartic/ iStockJordan's health ministry yesterday announced a MERS-CoV detection in a man who had recently traveled from Saudi Arabia, where the number of newly confirmed cases grew by three, including two that are likely part of a large hospital-linked outbreak in Riyadh. The apparently travel-linked illness in Jordan comes at a time when global health officials are on edge for spread of the virus in the wake of a travel-related case in May that triggered a large hospital outbreak in South Korea and as Saudi health officials battle a large hospital outbreak in Riyadh that began toward the end of July. In related developments, the World Health Organization (WHO) today released details about 29 recently reported Middle East respiratory syndrome coronavirus (MERS-CoV) infections reported by Saudi Arabia, 24 of them linked to Riyadh's hospital outbreak. Jordan announced imported caseJordan's latest imported MERS-CoV case involves a man in his 60s who was admitted to a private hospital with symptoms that included breathing problems and fever, according to a report yesterday from Petra, Jordan's news agency. The report, which cited Jordan's health ministry, didn't say where in Saudi Arabia the man traveled from, when he arrived in Jordan, or how he arrived in the country. The man's illness lifts Jordan's MERS-CoV total to 13, according to the report. Jordan confirmed its last MERS-CoV cases in May. Riyadh total grows by twoMeanwhile, Saudi Arabia's Ministry of Health (MOH) today reported three more MERS-CoV cases, two from Riyadh and one from Hofuf, a city in the northeastern part of the country that experienced an outbreak in May and June. The two cases from Riyadh may be associated with an outbreak linked to King Abdulaziz Medical City, with an exposure under review for one of the patients and contact with a confirmed case in the community or hospital noted for the other. The patients include a 60-year-old Saudi man who is hospitalized in critical condition and a 32-year-old Saudi man who is a healthcare worker and is listed in stable condition. The country's third newest lab-confirmed patient is a 65-year-old Saudi man from Hofuf who is hospitalized in critical condition. The MOH said 56 people are still being treated for their illnesses and six more are in home isolation. Five more people, all from Riyadh, have recovered from their MERS-CoV infections, the MOH said, boosting the number of people who have recovered since the virus was first detected in 2012 to 603. Saudi Arabia's latest MERS-CoV detections lift its overall total to 1,165 cases, 498 of them fatal. WHO update details hospital connectionsA new update from the WHO today shed more light on the Riyadh outbreak, covering 29 cases from the city reported by Saudi Arabia between Aug 18 and Aug 21, including 24 linked to the main hospital outbreak and one linked to a smaller hospital outbreak in Riyadh. Last week an official from the WHO said five MERS-CoV cases had been detected at another hospital but that the outbreak had been contained. All of the patients are adults ranging in age from 28 to 109 years old. Seventeen are men and 12 are women. Illness onsets ranged from Jul 30 through Aug 19. Four of the patients covered in the report are contacts of earlier confirmed cases. Three are healthcare workers, two of them foreigners: a 40-year-old woman and a 35-year-old woman. The third is a 59-year-old woman. Four people were infected with MERS-CoV while hospitalized for an unrelated medical condition. Three others had visited the emergency department (ED) of a hospital experiencing an outbreak before they got sick. Six patients died from their illnesses. All were seniors, except for a 35-year-old man. However, all six had underlying medical conditions. Also, the WHO said it had been informed by Saudi Arabia of an additional death in a previously reported patient. Eighteen of the patients are hospitalized in stable condition, and five are listed as critical. Globally, the WHO said it has received reports of 1,461 lab-confirmed MERS-CoV cases, at least 514 of them fatal. See also: Aug 25 Petra story Aug 26 Saudi MOH update Aug 26 WHO update http://www.cidrap.umn.edu/news-perspective/2015/08/jordan-reports-travel-linked-mers-case-riyadh-outbreak-total-grows

New MERS virus case registered in Jordan, patient criticalBy Petra - Aug 25,2015 - Last updated at Aug 25,2015 0 3 googleplus0 0 0AMMAN — The Kingdom has registered a new Middle East Respiratory Syndrome (MERS) coronavirus-related infection, the Health Ministry said on Tuesday. A Jordanian in his sixties, who works in Saudi Arabia and who recently entered the Kingdom, was diagnosed with the virus and is receiving treatment at a private hospital, where he was listed in critical condition, Bashir Qaseer, head of the Health Ministry’s primary health directorate, said. Mohammad Abdallat, director of the ministry’s communicable diseases control department, said 13 coronavirus-related infections have been recorded in Jordan so far, including two in 2012 and 10 in 2014, besides the case announced Tuesday. - See more at: http://www.jordantimes.com/news/local/new-mers-virus-case-registered-jordan-patient-critical#sthash.SwaLHKWX.dpuf

Jordan records coronavirus case of national coming from Saudi Arabia Amman, August 25 (Petra) -- A new Middle East respiratory syndrome coronavirus (MERS-CoV) case has been recorded for a man who has recently come from Saudi Arabia, the country where most cases of this disease are reported. The man, who is in his 60s, was admitted to a private hospital suffering from breathing difficulty, coughing and fever, the ministry of health said. He was diagnosed to have the Middle East respiratory syndrome coronavirus (MERS-CoV) and he is now in critical condition, the ministry added. Since 2012, 13 MERS cases have been recorded in Jordan, according to official data. //Petra// AA 25/8/2015 - 08:54:08 PM http://petra.gov.jo/Public_News/Nws_NewsDetails.aspx?Site_Id=1&lang=2&NewsID=210968&CatID=-1

Jordan reports new MERS case, 60'sM imported from KSA.

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Isolate detailIsolate name: A/chicken/Ghana/15VIR2588-9/2015 Isolate ID: EPI_ISL_193674 Passage details/history: original sample Type: A / H5N1 Lineage: Sample information Collection date: 2015 (Month and day unknown) Host Chicken Additional host information: Domestic status: Domestic Is vaccinated: Location: Ghana Additional location information: Health status: Specimen source: Strain or commercial product name used for vaccination: Institute information Originating lab: Sample ID given by the sample provider: Address: Submitting lab: Istituto Zooprofilattico Sperimentale Delle Venezie Sample ID given by the submitting laboratory: Authors: Joseph,Awuni; Alice,Fusaro; Luca,Tassoni; Alessia,Schivo; Silvia,Ormelli; Giovanni,Cattoli; Isabella,Monne Address: Istituto Zooprofilattico Sperimentale Delle Venezie viale dell'Universita 10 35020 Legnaro (PD) Italy PublicationPublication In vivo antiviral resistance PhenotypeGenotypeUnspecifiedAntiviral resistance tested by experimental procedures Adamantanes: Unknown Oseltamivir: Unknown Zanamivir: Unknown Peramivir: Unknown Other: Unknown Additional informationAntigenic characterization: Note: Sequence segmentidentifierlengthaccession #INSDCSequence HA A/chicken/Ghana/15VIR2588-9/2015 1705 EPI632942 Submitter information Submitter: Fusaro, Alice Submission Date: 2015-08-25 Last modifier: Fusaro, Alice Last modified: 2015-08-25 Address: Istituto Zooprofilattico Sperimentale Delle Venezie viale dell'Universita 10 35020 Legnaro (PD) Italy

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segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI559084A/duck/Vietnam/NCVD-KA300/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI545429A/duck/Khanhhoa/CVVI-04/2013 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI545426A/duck/Khanhhoa/CVVI-01/2013 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI425923A/duck/Vietnam/NCVD-1547/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI425312A/duck/Vietnam/NCVD-1904/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI425304A/duck/Vietnam/NCVD-1902/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI425272A/duck/Vietnam/NCVD-1901/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI425152A/duck/Vietnam/NCVD-1935/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI425136A/duck/Vietnam/NCVD-1899/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI425128A/duck/Vietnam/NCVD-1872/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI425112A/duck/Vietnam/NCVD-1943/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI424992A/duck/Vietnam/NCVD-1607/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI424728A/duck/Vietnam/NCVD-1898/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI424720A/duck/Vietnam/NCVD-1897/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI424712A/duck/Vietnam/NCVD-1896/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI424704A/duck/Vietnam/NCVD-1869/2012 (A/H5N1) segment 4 (HA)2979.80.000000e+001665/1691 (98%)EPI425640A/duck/Vietnam/NCVD-1931/2012 (A/H5N1) segment 4 (HA)2976.10.000000e+001664/1691 (98%)EPI621165A/chicken/Jiangsu/927/2013 (A/H5N1) segment 4 (HA)2974.20.000000e+001665/1692 (98%)EPI621163A/chicken/Jiangsu/2540/2014 (A/H0) segment 4 (HA)2974.20.000000e+001665/1692 (98%)EPI559108A/muscovy duck/Vietnam/NCVD-KA395/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI559081A/duck/Vietnam/NCVD-KA262/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI545445A/duck/Khanhhoa/CVVI-20/2013 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI545437A/chicken/Khanhhoa/CVVI-12/2013 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI545435A/duck/Khanhhoa/CVVI-10/2013 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI545430A/duck/Khanhhoa/CVVI-05/2013 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI545427A/chicken/Khanhhoa/CVVI-02/2013 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI425931A/duck/Vietnam/NCVD-1544/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI425688A/duck/Vietnam/NCVD-1602/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI425672A/duck/Vietnam/NCVD-1905/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI425648A/duck/Vietnam/NCVD-1936/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI425632A/duck/Vietnam/NCVD-1928/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI425160A/duck/Vietnam/NCVD-1937/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI425024A/duck/Vietnam/NCVD-1884/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001665/1692 (98%)EPI425016A/duck/Vietnam/NCVD-1878/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI424984A/duck/Vietnam/NCVD-1584/2012 (A/H5N1) segment 4 (HA)2974.20.000000e+001664/1691 (98%)EPI424736A/chicken/Vietnam/NCVD-1927/2012 (A/H5N1) segment 4 (HA)2970.50.000000e+001663/1691 (98%)EPI567037A/muscovy duck/Quang Ninh/48c1-4-1/2013 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI559090A/duck/Vietnam/NCVD-KA345/2012 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI559088A/muscovy duck/Vietnam/NCVD-KA286/2012 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI559082A/chicken/Vietnam/NCVD-KA275/2012 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI545446A/duck/Khanhhoa/CVVI-21/2013 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI545439A/duck/Khanhhoa/CVVI-14/2013 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI545434A/chicken/Khanhhoa/CVVI-09/2013 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI545433A/duck/Khanhhoa/CVVI-08/2013 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI545432A/duck/Khanhhoa/CVVI-07/2013 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI531373A/hill myna/Heilongjiang/0704/2012 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI461488A/duck/Quanh Ninh/53/2013 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI425939A/duck/Vietnam/NCVD-1875/2012 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI425656A/duck/Vietnam/NCVD-1968/2012 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI425144A/duck/Vietnam/NCVD-1933/2012 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI424744A/duck/Vietnam/NCVD-1932/2012 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI408415A/duck/Vietnam/OIE-2202/2012 (A/H5N1) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI405753A/chicken/Vietnam/OIE-2215/2012 (A/H5N2) segment 4 (HA)2968.70.000000e+001663/1691 (98%)EPI559095A/chicken/Vietnam/NCVD-KA432/2013 (A/H5N1) segment 4 (HA)2963.10.000000e+001662/1691 (98%)EPI545448A/duck/Khanhhoa/CVVI-23/2013 (A/H5N1) segment 4 (HA)2963.10.000000e+001662/1691 (98%)EPI545442A/duck/Khanhhoa/CVVI-17/2013 (A/H5N1) segment 4 (HA)2963.10.000000e+001662/1691 (98%)EPI545441A/duck/Khanhhoa/CVVI-16/2013 (A/H5N1) segment 4 (HA)2963.10.000000e+001662/1691 (98%)EPI545440A/duck/Khanhhoa/CVVI-15/2013 (A/H5N1) segment 4 (HA)2963.10.000000e+001662/1691 (98%)EPI545428A/duck/Khanhhoa/CVVI-03/2013 (A/H5N1) segment 4 (HA)2963.10.000000e+001662/1691 (98%)EPI503718A/Japanese white-eye/Taoyuan/Q454/2012 (A/H5N1) segment 4 (HA)2963.10.000000e+001662/1691 (98%)EPI460932A/muscovy duck/Quanh Ninh/49/2013 (A/H5N1) segment 4 (HA)2963.10.000000e+001662/1691 (98%)EPI417807A/duck/Vietnam/OIE-2212/2012 (A/H5N1) segment 4 (HA)2963.10.000000e+001662/1691 (98%)EPI417778A/duck/Vietnam/OIE-2211/2012 (A/H5N1) segment 4 (HA)2963.10.000000e+001662/1691 (98%)EPI559205A/duck/Vietnam/NCVD-KA415/2012 (A/H5N2) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI559091A/chicken/Vietnam/NCVD-KA365/2012 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI545444A/duck/Khanhhoa/CVVI-19/2013 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI545438A/chicken/Khanhhoa/CVVI-13/2013 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI545431A/duck/Khanhhoa/CVVI-06/2013 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI471173A/muscovy duck/Vietnam/LBM436/2013 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI460948A/muscovy duck/Vietnam/LBM399/2013 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI460940A/muscovy duck/Vietnam/LBM398/2013 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI438150A/muscovy duck/Vietnam/LBM295/2012 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI438142A/muscovy duck/Vietnam/LBM315/2012 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI425184A/duck/Vietnam/NCVD-1944/2012 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI424196A/muscovy duck/Vietnam/LBM230/2012 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI424172A/muscovy duck/Vietnam/LBM227/2012 (A/H5N1) segment 4 (HA)2957.60.000000e+001661/1691 (98%)EPI556504A/chicken/Nigeria/15VIR339-2/2015 (A/H5N1) segment 4 (HA)2955.80.000000e+001610/1617 (99%)EPI567003A/duck/Vietnam/LBM360c1-4-1/2013 (A/H5N6) segment 4 (HA)2952.10.000000e+001660/1691 (98%)EPI545447A/duck/Khanhhoa/CVVI-22/2013 (A/H5N1) segment 4 (HA)2952.10.000000e+001661/1692 (98%)

Isolate detailIsolate name: A/duck/Ivory Coast/15VIR-2742-1/2015 Isolate ID: EPI_ISL_193675 Passage details/history: Type: A / H5N1 Lineage: Sample information Collection date: 2015-04-13 Host Duck Additional host information: Domestic status: Domestic Is vaccinated: Location: Cote d'Ivoire Additional location information: Health status: Specimen source: Strain or commercial product name used for vaccination: Institute information Originating lab: Sample ID given by the sample provider: Address: Submitting lab: Istituto Zooprofilattico Sperimentale Delle Venezie Sample ID given by the submitting laboratory: Authors: Diarra,Cisse-Aman; Emmanuel,Coucy-Hymann; Alice,Fusaro; Luca,Tassoni; Alessia,Schivo; Silvia,Ormelli; Giovanni,Cattoli; Isabella,Monne Address: Istituto Zooprofilattico Sperimentale Delle Venezie viale dell'Universita 10 35020 Legnaro (PD) Italy PublicationPublication In vivo antiviral resistance PhenotypeGenotypeUnspecifiedAntiviral resistance tested by experimental procedures Adamantanes: Unknown Oseltamivir: Unknown Zanamivir: Unknown Peramivir: Unknown Other: Unknown Additional informationAntigenic characterization: Note: Sequence segmentidentifierlengthaccession #INSDCSequence HA A/duck/Ivory Coast/15VIR-2742-1/2015 1691 EPI632943 Submitter information Submitter: Fusaro, Alice Submission Date: 2015-08-25 Last modifier: Fusaro, Alice Last modified: 2015-08-25 Address: Istituto Zooprofilattico Sperimentale Delle Venezie viale dell'Universita 10 35020 Legnaro (PD) Italy

Istituto Zooprofilattico Sperimentale Delle Venezie has released 2015 H5 sequences from Ivory Coast and Ghana which match Fujian clade 2.3.2 sequences in Nigeria and eastern Europe.

Emergency injured National Guard director of "Corona" Link: Track - Riyadh Emergency Manager wounded King Abdul Aziz Medical City National Guard in Riyadh Abdul Aziz Abu Hussein Pfyrus Coruna critical condition. He was the father of Hussein has been subjected to injury two weeks ago Balvyrus ask God cured him Agel..ahar to be director of the Preventive Medicine at King Abdulaziz Medical City in Riyadh National Guard Dr. Hanan Balkhi, it had announced on Tuesday the closure of the emergency department at the hospital as a whole. She explained that the decision was taken precautionary closure after a rise in injuries Pfyrus "Corona" at the hospital to 46 injured, noting that 20 other case is still under medical examination and audit, and a sign to the injury of 15 people from the medical staff at the hospital http://www.almasaronline.com/اصابة-مدير-طوارئ-الحرس-الوطني-بكورونا/.

Head of King Abdulaziz Hospital Critical Due To MERS

Ten new Riyadh MERS cases as hospital ED shutteredFiled Under: MERS-CoVLisa Schnirring | News Editor | CIDRAP News | Aug 20, 2015Share Tweet LinkedIn Email Print & PDFhajj_vigil-al_jazeera.jpgOmar Chatriwala / Al Jazeera English / Flickr ccOfficials announced some restrictions for this year's Hajj pilgrimage.The number of MERS-CoV cases in Riyadh's outbreak climbed by 10 today, as Saudi Arabia's Ministry of Health (MOH) made its first statement about a hospital-linked outbreak, which said the facility's emergency department (ED) has been closed to curb the spread of the virus. The MOH has now confirmed 69 MERS-CoV (Middle East respiratory coronavirus) cases in Riyadh this month. Looking at another aspect of the MERS threat, the agency also said sacrifices involving camels—thought to be a reservoir for the virus—will be prohibited in connection with Hajj religious rituals later this year. Two more deaths reportedAll 10 of the new cases reported today in the Saudi MOH's regular update involve Saudi citizens from Riyadh, and authorities are probing exposure sources for all of them. Though the MOH doesn't specify if they are linked to an outbreak at the city's King Abdulaziz Medical City, in weighing in on the event a few days ago the facility said several more suspected cases were under evaluation. One of the patients included on today's list of new cases is a healthcare worker, a 59-year-old woman who is listed in stable condition. One case, that of a 35-year-old man who had an underlying health condition, proved fatal. The MOH also announced the death of a previously reported patient from Riyadh, a 71-year-old man who also had a preexisting medical condition. All of the latest lab-confirmed patients are adults, ranging in age from 34 to 87 year old. Two are hospitalized in critical condition, and seven are listed as stable. According to the MOH, 48 people are still being treated, and three are in home isolation. Cases reported today boost the country's overall total from MERS-CoV to 1,128 infections, 485 of them fatal. So far 592 people have recovered. MOH notes hospital outbreakThe country's health ministry yesterday acknowledged the hospital link in the Riyadh outbreak in a statement in Arabic on its Web site, picked up and translated by Avian Flu Diary, an infectious disease news blog. The MOH said the spread of the virus was relatively limited to one source and that the hospital's ED is closed. It added that authorities are meeting with hospital officials and have plans to be transparent about the outbreak with the public and the media. The statement said that health minister Khalid Al Falih held a press conference, at which he said more cases are likely to be reported and that the virus could spread to other facilities. With the hospital's ED closed, the current focus is on limiting contacts and isolating suspected and confirmed cases. MOH advised the public not to worry and added that school closures and activity bans aren't warranted. It added that people should follow basic hygiene procedures and observe precautions when visiting hospitals. Also, officials said the country had experiences similar outbreaks before, and that strict application of MOH-recommended infection control steps has stemmed them in the past and will be useful in curbing the current outbreak. Camel restrictionIn a separate development reported in the Arabic language media, also translated and posted by Avian Flu Diary, the MOH yesterday announced a ban on sacrificing camels as part of Islamic Hajj rituals this year. The Hajj starts Sep 25 in Saudi Arabia. As part of the pilgrimage, each person must sacrifice or pay for part of the sacrifice of a sheep, goat, cow, or camel. The cooked meat is then shared with the poor. Camels are thought to harbor the virus, and health officials suspect that sporadic zoonotic transmission plays a role in fueling MERS-CoV transmission in the Middle East, especially in Saudi Arabia, the hardest-hit country. Experts monitor developmentsPeter Ben Embarek, PhD, who heads the MERS-CoV response for the World Health Organization, spotlighted the ED closure and added that new cases are being reported daily, ones that were detected some time ago. Earlier this week he said global health officials are in close contact with Saudi Arabia's health officials and that support options were under discussion, including the possibility of a joint mission. Maria Van Kerkhove, PhD, an epidemiologist with the Pasteur Institute Center for Global Health in Paris, has been part of past joint missions to investigate MERS outbreaks in Saudi Arabia and South Korea. She said the characteristics of nosocomial outbreaks in Saudi Arabia and elsewhere are unfortunately similar. Common factors include overcrowding, poor infection control, and lack of awareness that can amplify transmission in hospital settings, she said. "Saudi Arabia has the tools and knowledge to tackle and stop nosocomial outbreaks, including this outbreak in Riyadh," Van Kerkhove added. See also: Aug 20 Saudi MOH statement Aug 19 Avian Flu Diary post on Saudi MOH hospital outbreak statement Aug 20 Avian Flu Diary post on Hajj camel sacrifice ban http://www.cidrap.umn.edu/news-perspective/2015/08/ten-new-riyadh-mers-cases-hospital-ed-shuttered

Suspected MERS case reported in S. Korea2015/08/21 09:01 TweetFacebook ShareGoogle +1ReduceEnlargePrintSEOUL, Aug. 21 (Yonhap) -- A South Korean man is showing suspected symptoms of Middle East Respiratory Syndrome (MERS) following a recent trip to the United Arab Emirates, health authorities said Friday. The 38-year-old man was moved to a hospital in Dongducheon, just north of Seoul, earlier in the day, as he had showed possible symptoms of the disease, such as high fever, they said. He returned home on Thursday after visiting Dubai. If the man tests positive for the disease, the country would have a fresh MERS outbreak case after a 46-day hiatus, boding ill for the country's wish to announce an official end to the outbreak that has claimed 36 lives here so far. South Korea declared a de facto end to the MERS outbreak on July 28, about two months after it reported its first case on May 20. MERS is a viral respiratory disease that was first discovered in Saudi Arabia in 2012. The disease has since affected some 1,300 people throughout the world, killing about 36 percent of those infected. In South Korea, however, the fatality rate of the disease stands at 19.4 percent. [email protected] http://english.yonhapnews.co.kr/business/2015/08/21/0502000000AEN20150821002200320.html

Media reports cite suspect MERS case, 38M, symptomatic after return from Dubai, UAE,