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Nosocomial MERS Cluster Deaths In Jubail Raise Concerns
Recombinomics Commentary 11:00
November 1, 2013

Saw the province of Jubail within ten days of the Declaration of the first case infected with Corona's death three cases were confirmed infected with the virus, while still one of the infected cases lying in intensive care at a hospital, and that there are cases awaiting laboratory results, and this number becomes the province of Jubail second highest mortality in the Kingdom After Al Ahsa.

Mohammed: The cousin is coming from the city of Riyadh, and at the age of 54 years old, and was visiting his family in Al Khobar, then moved to the city of Jubail before Eid al-Adha, and added he did not know that he has the virus , where raided some of the symptoms I think she entered several flu clinics in Riyadh and Khobar before coming to Jubail, but he was prejudiced against himself, even intensified by the disease, where it was introduced intensive care and died five days later

The above translation confirms that additional cases in Jubail (see map) are awaiting lab confirmation of a MERS infection and provides detail on the index (54M), who died last week.  Although the Kingdom of Saudi Arabia Ministry of Health (KSA-MoH) and WHO have confirmed MERS in this case (as well as his travel from Riyadh to the eastern province, neither have acknowledged his death, which has been widely reported in local media last week, prior to the announcement of four additional confirmed MERS case in the eastern province, including the death of two (83F and 54F).

One death (83F) was announced one day after the confirmation of MERS was cited by the KSA-MoH, while the other was announced after the patient (54F) died.

The withholding of the death of the index case raises serious transparency concerns, as does the above translation which cites additional hospitalized patients which have not been lab confirmed.

The report also noted that one of the fatal cases (83F) had been hospitalized for deep vein thrombosis well in advance of developing MERS symptoms, further supporting the nosocomial nature of the outbreak.

More detail on the fatal, confirmed, and suspect cases would be useful.

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