CIDRAP

 

Details of the cases

• A 24-year-old, non-national male from Buraidah city developed symptoms on 19 February and, on the same day, was admitted to the hospital where the current MERS-CoV outbreak is occurring. While hospitalized, he developed further symptoms on 5 March. The patient, who has no comorbidities, tested positive for MERS-CoV on 7 March. Currently, he is in critical condition in ICU. Investigation of epidemiological link with MERS-CoV cases admitted to this hospital or with shared health care workers is ongoing. The patient has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.
• A 56-year-old, non-national male from Buraidah city developed symptoms on 6 February and, on the same day, was admitted to the hospital where the current MERS-CoV outbreak is occurring. While hospitalized, the patient developed further symptoms on 7 March. He was admitted to ICU and passed away on the same day. The patient, who had comorbidities, tested positive for MERS-CoV on 8 March. Investigation of epidemiological links with MERS-CoV cases admitted to this hospital or with shared health care workers is ongoing. The patient has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.
• A 68-year-old female from Buraidah city developed symptoms on 2 March and, on 5 March, was admitted to the hospital where the current MERS-CoV outbreak is occurring. The patient, who has comorbidities, tested positive for MERS-CoV on 7 March. Currently, the patient is in stable condition in a negative pressure isolation room. Investigation of exposure to the known risk factor in the 14 days prior to the onset of symptoms is ongoing.
• A 41-year-old male from Alzulfi city developed symptoms on 25 February and, on 4 March, was admitted to hospital. The patient, who has no comorbidities, tested positive for MERS-CoV on 6 March. Currently, he is in stable condition in a negative pressure isolation room. Investigation of exposure to the known risk factor in the 14 days prior to the onset of symptoms is ongoing.
• An 81-year-old male from Buraidah city was first admitted to the hospital where the current MERS-CoV outbreak is occurring, between 5 and 28 February. After discharge, he developed further symptoms on 1 March and was readmitted to the same hospital on 4 March. The patient, who has comorbidities, tested positive for MERS-CoV on 6 March. Currently, he is in critical condition in ICU. Investigation of epidemiological links with MERS-CoV cases admitted to this hospital or with shared health care workers is ongoing. The patient has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.
• A 42-year-old male from Buraidah city developed symptoms on 26 February and, on 4 March, was admitted to the hospital where the current MERS outbreak is occurring. The patient, who has no comorbidities, tested positive for MERS-CoV on 6 March. Currently, the patient is in stable condition in a negative pressure isolation room. The patient has a history of frequent contact with camels and consumption of their raw milk. He has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. The Ministry of Agriculture was notified and is now conducting investigations.
• A 36-year-old, non-national male from Buraidah city (working at the hospital where the current MERS-CoV outbreak is occurring) developed symptoms on 28 February and, on 4 March, was admitted to the same hospital. The patient, who has no comorbidities, tested positive for MERS-CoV on 6 March. Currently, he is in stable condition in a negative pressure isolation room. Investigation of epidemiological links with MERS-CoV cases admitted to this hospital is ongoing. The patient has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.
• A 68-year-old male from Alrass city developed symptoms on 3 March and, on 5 March, was admitted to hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 7 March. Currently, he is in stable condition in a negative pressure isolation room. The patient has a history of frequent contact with camels and consumption of their raw milk. He has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms. The Ministry of Agriculture was notified and is now conducting investigations.
• A 76-year-old male from Buraidah city was admitted to the hospital where the current MERS-CoV outbreak is occurring on 4 February, due to his chronic comorbid conditions. While hospitalized, he developed further symptoms on 3 March. The patient tested positive for MERS-CoV on 5 March. Currently, he is in stable condition in a negative pressure isolation room. Investigation of epidemiological links with MERS-CoV cases admitted to this hospital or with shared health care workers is ongoing. The patient has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.
• A 62-year-old, non-national male from Buraidah city, working as a physician in the hospital where the current MERS-CoV outbreak is occurring, developed symptoms on 3 March and, on 4 March, was admitted to the same hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 5 March. Currently, he is in stable condition in a negative pressure isolation room. Investigation of epidemiological links with MERS-CoV cases hospitalized in this hospital is ongoing. The patient has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.
• A 49-year-old male from Riyadh city developed symptoms on 1 March and, on 5 March, was admitted to the hospital. The patient, who has no comorbidities, tested positive for MERS-CoV on 6 March. Currently, he is in stable condition in a negative pressure isolation room. The patient has a history of frequent contact with camels and consumption of their raw milk. He has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms. The Ministry of Agriculture was notified and is now conducting investigations.
• A 70-year-old male from Buraidah city developed symptoms on 10 February and, on 17 February, was admitted to the hospital where the current MERS outbreak is occurring. The patient, who has comorbidities, first tested negative for MERS-CoV on 20 February, but later tested positive on 4 March after worsening of symptoms. Currently, he is in stable condition in a negative pressure isolation room. Investigation of epidemiological links with MERS-CoV cases hospitalized in this hospital or with shared health care workers is ongoing. The patient has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.
• A 82-year-old male from Hail city developed symptoms on 10 February and, on 22 February, was admitted to the hospital where the current MERS outbreak is occurring. The patient, who has comorbidities, first tested negative for MERS-CoV on 24 February, but later tested positive on 4 March after worsening of symptoms. Currently, he is in critical condition in ICU. Investigation of epidemiological link with MERS-CoV cases hospitalized in this hospital or with shared health care workers is ongoing. The patient has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.
• A 23-year-old male from Buraidah city was admitted to the hospital where the current MERS outbreak is occurring on 15 February, due to a chronic comorbid condition. On 2 March, while hospitalized, he developed further symptoms, and tested positive for MERS-CoV on 4 March. Currently, the patient is in critical condition in ICU, but not on mechanical ventilation. Investigation of epidemiological link with MERS-CoV cases admitted to this hospital or with shared health care workers is ongoing. The patient has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.
• A 49-year-old male from Jeddah city, working as a physician in a hospital, developed symptoms on 26 February and, on 2 March, was admitted to the same hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 4 March. Currently, he is in stable condition in a negative pressure isolation room. Investigation of history of exposure to the known risk factors in the 14 days prior to the onset of symptoms is ongoing.
• A 67-year-old female from Buraidah city developed symptoms on 28 February and, on 1 March, was admitted to the hospital where the current MERS outbreak is occurring. The patient, who had comorbidities, tested positive for MERS-CoV on 3 March. She was in critical condition in ICU but not on mechanical ventilation, and passed away on 6 March. Investigation of history of exposure to the known risk factors in the 14 days prior to the onset of symptoms is ongoing.
• A 52-year-old female from Riyadh city developed symptoms on 22 February and, on 25 February, was admitted to hospital. The patient, who has comorbidities, first tested negative for MERS-COV on 27 February, but later tested positive on 3 March after worsening of symptoms. Currently, she is in critical condition in ICU but not on mechanical ventilation. Investigation of history of exposure to the known risk factors in the 14 days prior to the onset of symptoms is ongoing.
• A 40-year-old male from Buraidah city first developed symptoms on 22 February and, on the same day was admitted to the hospital where the current MERS outbreak is occurring. While hospitalized, he developed further symptoms on 28 February. The patient, who had comorbidities, tested positive for MERS-CoV on 1 March. He was in critical condition in ICU, and passed away on 4 March. Investigation of epidemiological link with MERS-CoV cases admitted to this hospital or with shared health care workers is ongoing. The case had no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms.
• A 30-year-old, non-national male from Riyadh city developed symptoms on 26 February and, on 27 February, was admitted to hospital. The patient, who has no comorbidities, tested positive for MERS-CoV on 28 February. The patient has a history of contact with two MERS-CoV cases (see DON published on 10 March – case no. 6, and case no. 22 below). He has no history of exposure to the other 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.
• A 68-year-old male from Shaqra city developed symptoms on 15 February and, on 25 February, was admitted to the hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 27 and 28 February (a second sample was tested for further confirmation). Currently, he is in stable condition in a negative pressure isolation room. He has a history of frequent contact with camels and consumption of their raw milk. He has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms. The Ministry of Agriculture was notified and is now conducting investigations.
• A 72-year-old male from Al Artawiyah city developed symptoms on 23 February and, on 27 February, was admitted to hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 28 February. Currently, he is in stable condition in a negative pressure isolation room. He has a history of frequent contact with camels and consumption of their raw milk. He has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms. The Ministry of Agriculture was notified and is now conducting investigations.
• A 30-year-old, non-national male from Riyadh city developed symptoms on 19 February and, on 20 February, was admitted to hospital. The patient, who has comorbidities, first tested negative for MERS-CoV on 21 and 24 February, but after worsening of symptoms, tested positive on 27 February. The patient has a history of contact with a MERS-CoV case (see DON published on 10 March – case no. 6 ). He has no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms. Currently, he is in critical condition in ICU.
• A 50-year-old male from Muhayil city developed symptoms on 19 February and, on 25 February, was admitted to hospital. The patient, who had comorbidities, tested positive for MERS-CoV on 27 February. The patient was in critical condition in ICU, and passed away on 26 February. He had a history of frequent contact with camels and consumption of their raw milk. He had no history of exposure to the other known risk factors in the 14 days prior to the onset of symptoms. The Ministry of Agriculture was notified and is now conducting investigations.
• A 68-year-old male from Riyadh city developed symptoms on 15 February and, on 23 February, was admitted to hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 25 February. Currently, he is in stable condition in a negative pressure isolation room. Investigation of history of exposure to any of the known risk factors in the 14 days prior to the onset of symptoms is ongoing.
• A 72-year-old male from Arruwaidhah city developed symptoms on 17 February and, on 23 February, was admitted to hospital. The patient, who has comorbidities, tested positive for MERS-CoV on 25 February. Currently, he is in critical condition in ICU, but not on mechanical ventilation. Investigation of history of exposure to the known risk factors in the 14 days prior to the onset of symptoms is ongoing.

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