#MERS Season’s Greetings?

Updated on March 23rd 2016

Four main information to be posted this month:

  1. The last WHO audit in KSA, noticing improvments and may be influencing performances in ICP by preventing nosocomial infection, so far.
  2. Almost all MERS cases are primary cases: difficult today to deny any connection with camels…and no outbreak. (see below)
  3. A Management of change regarding the way KSA is taking care of asymptomatic Mers-CoV tested positive for Camels and consequences
  4. To be noticed is the great improvement of Infection control prevention in health facilities: zero nosocomial case reported so far! Was wrong unfortunately; one nosocomial cluster in Buraidah.

Here we are in winter season; we observe reoccurence of Mers Cases in KSA; as a reminder a question has been raised about possible seasonality of MERS-CoV and so far not answered.

On December 16th 2015, one female,expat and HCW was reported ill in Buraidah; classified as secondary acquired…but by whom and where (nosocomial infection?)

On December 17th, a new Mers case reported in Najran; primary case of a Saudi, 48 y/old in a critical condition.

We shall have to pay attention in the coming days and to monitor the new cases in order to follow up the emergence of possible strain related to seasonality (?).

Mers and calves

Happy Holidays then return to business as usual?

Since January 1st 2016, 4 Fatalities in KSA

Symptomatic cases:

  • 34 primary cases in KSA, 32 secondary:
    • including 7 HCW (Jedah, Buraidah (4 asymptomatic?), Ryadh)
    • 29 cases in Buraidah since 2016=>nosocomial cluster:(26) + source of primary cases (2 for 2015/2016)

      -15 deaths (mortality = 52%)

      -6  HCW

      see Buraidah nosocomial outbreak

  • 2 primary cases in UAE,
  • 1 primary case in Qatar, the 1st recorded but coming from KSA.

Asymptomatic cases:

  • 8 secondary cases, expats, in KSA (near Jedah, Ryadh, Buraidah), including 3 HCW in Buraidah. I take the opportunity to point out and congratulate Saudia MoH for improving not only the daily reporting but to have launched a tracking of Mers cases whenever Mers-CoV identified in camels or during nosocomial infection. On the way to a pro-active management of Mers cases. Good point!
  • 2 household case in link with a previous symptomatic primary case.

Imported cases:

  • 1 case traveling from Oman to Thailand. More details here:

    On 24 January, the National IHR Focal Point of Oman was informed about the case for the necessary follow up on contacts back in Oman and investigation of history of exposure. Investigations revealed that the case had contacts with camels in the 14 days prior to the onset of symptoms. No epidemiological links have been established between this case and the latest case detected in Oman.

    Measures are being taken to trace all contacts of the cases in Oman, during his journey to Thailand, and within Bangkok.

All are in close contacts with camels, not HCW. Interesting isn’t it?

But curiously, referring to the case reported on Dec.16th 2015, no other case has been reported…How did the HCW to be infected? By who and how? Good questions…poor answer.

 

See also “Stay away from young camels”

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