18 New MERS Cases In Saudi Arabia
Recombinomics Commentary 14:00
May 3, 2014
56 year old man, suffering from diabetes and high blood pressure. He
displayed respiratory symptoms on 21/4/2014. He was admitted to a
government hospital on 24/4/2014. Now, his condition is stable.
70 year old man, suffering from diabetes and high blood pressure. He
displayed respiratory symptoms on 30/4/2014 and was admitted to a
government hospital. Now, his condition is stable.
55 year old man, suffering from diabetes. He displayed respiratory
symptoms on 23/4/2014. He was admitted to a private hospital. Now, his
condition is stable.
37 year old man. He has been in contact with a confirmed case and has
not developed any symptoms.
55 year old woman. She displayed respiratory symptoms on 29/4/2014, she
was admitted to National Guard hospital. Now, her condition is stable.
25 year old man. He displayed respiratory symptoms on 24/4/2014. He was
admitted to a government hospital on 27/4/2014. He passed away on
53 year old man. He has been in contact with a confirmed case and has
not developed any symptoms.
The above list of 7 Jeddah MERS cases are from the May
2 update from the Kingdom of Saudi Arabia (see map above).
The report had 11 other newly reported cases (5 Riyadh, 4 Mecca, 2
Medina), as well as the death of two prior cases. The 18 cases in
one day is the highest reported to date, and the above list of the
Jeddah cases indicates most developed symptoms outside of a hospital
setting and were subsequently confirmed after seeking medical treatment.
The 7 Jeddah cases
extends the explosion of cases, and the development of symptoms
unlinked to hospital exposure is at odds with comments that the Jeddah
cases are due to infection control issues at hospitals.
These comments were made in association with a report on 28 sequences
from samples collected from Jeddah cases in April. Three
sequences were made public (C7149
from hospital A on April 3 and
7, respectively as well as C7569 from hospital B on April 5) and the virtual identity signaled clonal
expansion via human to human transmission. The comments on
infection control strongly suggested that the other 25 sequences
matched the three made public, indicating the explosion of cases was
due to a novel
coronavirus sub-clade ,as was seen for SARS in 2003.
In addition to the explosion of MERS cases in Jeddah, there were
reports of six
Jeddah exports to Jordan twice, Malaysia, Greece, UAE, and
Egypt. These Jeddah exports were followed by an export to Munster,
Indiana by a health care worker who is reported to be from Riyadh.
increases of cases in Jeddah and spread to Mecca and Medina increases
concerns that pilgrims traveling to KSA for Umrah, will extend the
exports, as was seen in Malaysia as was as confirmation of MERS in a
pilgrim from Turkey.
The sequences from the
25 additional cases in Jeddah, as well as recent exports, should be
at Nature Precedings