ECDC - Epidemiological update: Middle East respiratory syndrome coronavirus (MERS-CoV)

[tetano]

Since April 2012, and as of 18 August 2015, 1 449 cases of MERS-CoV, including 551 deaths, have been reported by health authorities worldwide (Figure 1 and Table 1).Figure 1. Distribution of confirmed cases of MERS by month* and probable place of infection acquisition, March 2012?18 August 2015 (n=1 449)

Since the last update of the ECDC Rapid Risk Assessment on MERS-CoV published on 31 July 2015 (including data as of 21 July 2015) 57 new cases and 13 deaths have been reported globally. All these cases and deaths were reported in Saudi Arabia (Table 1).
South Korea has not reported any additional cases since 4 July 2015.
Table 1. Confirmed MERS cases and deaths, by country of reporting, March 2012?18 August 2015 [TABLE="border: 1, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
Reporting country
Cases
Deaths
[/TR]
[TR]
[TD] Middle East
[/TD]
[TD] 1 236
[/TD]
[TD] 504
[/TD]
[/TR]
[TR]
[TD] Saudi Arabia
[/TD]
[TD] 1 105
[/TD]
[TD] 475
[/TD]
[/TR]
[TR]
[TD] United Arab Emirates
[/TD]
[TD] 81
[/TD]
[TD] 11
[/TD]
[/TR]
[TR]
[TD] Jordan
[/TD]
[TD] 19
[/TD]
[TD] 6
[/TD]
[/TR]
[TR]
[TD] Qatar
[/TD]
[TD] 13
[/TD]
[TD] 5
[/TD]
[/TR]
[TR]
[TD] Oman
[/TD]
[TD] 6
[/TD]
[TD] 3
[/TD]
[/TR]
[TR]
[TD] Iran
[/TD]
[TD] 6
[/TD]
[TD] 2
[/TD]
[/TR]
[TR]
[TD] Kuwait
[/TD]
[TD] 3
[/TD]
[TD] 1
[/TD]
[/TR]
[TR]
[TD] Egypt
[/TD]
[TD] 1
[/TD]
[TD] 0
[/TD]
[/TR]
[TR]
[TD] Yemen
[/TD]
[TD] 1
[/TD]
[TD] 1
[/TD]
[/TR]
[TR]
[TD] Lebanon
[/TD]
[TD] 1
[/TD]
[TD] 0
[/TD]
[/TR]
[TR]
[TD] Europe
[/TD]
[TD] 15
[/TD]
[TD] 8
[/TD]
[/TR]
[TR]
[TD] United Kingdom
[/TD]
[TD] 4
[/TD]
[TD] 3
[/TD]
[/TR]
[TR]
[TD] Germany
[/TD]
[TD] 3
[/TD]
[TD] 2
[/TD]
[/TR]
[TR]
[TD] France
[/TD]
[TD] 2
[/TD]
[TD] 1
[/TD]
[/TR]
[TR]
[TD] Netherlands
[/TD]
[TD] 2
[/TD]
[TD] 0
[/TD]
[/TR]
[TR]
[TD] Greece
[/TD]
[TD] 1
[/TD]
[TD] 1
[/TD]
[/TR]
[TR]
[TD] Turkey
[/TD]
[TD] 1
[/TD]
[TD] 1
[/TD]
[/TR]
[TR]
[TD] Austria
[/TD]
[TD] 1
[/TD]
[TD] 0
[/TD]
[/TR]
[TR]
[TD] Italy
[/TD]
[TD] 1
[/TD]
[TD] 0
[/TD]
[/TR]
[TR]
[TD] Asia
[/TD]
[TD] 191
[/TD]
[TD] 37
[/TD]
[/TR]
[TR]
[TD] China
[/TD]
[TD] 1
[/TD]
[TD] 0
[/TD]
[/TR]
[TR]
[TD] Malaysia
[/TD]
[TD] 1
[/TD]
[TD] 1
[/TD]
[/TR]
[TR]
[TD] Philippines
[/TD]
[TD] 3
[/TD]
[TD] 0
[/TD]
[/TR]
[TR]
[TD] South Korea
[/TD]
[TD] 185
[/TD]
[TD] 36
[/TD]
[/TR]
[TR]
[TD] Thailand
[/TD]
[TD] 1
[/TD]
[TD] 0
[/TD]
[/TR]
[TR]
[TD] Rest of the world
[/TD]
[TD] 7
[/TD]
[TD] 2
[/TD]
[/TR]
[TR]
[TD] Algeria
[/TD]
[TD] 2
[/TD]
[TD] 1
[/TD]
[/TR]
[TR]
[TD] Tunisia
[/TD]
[TD] 3
[/TD]
[TD] 1
[/TD]
[/TR]
[TR]
[TD] United States of America
[/TD]
[TD] 2
[/TD]
[TD] 0
[/TD]
[/TR]
[TR]
[TD] Total
[/TD]
[TD] 1 449
[/TD]
[TD] 551
[/TD]
[/TR]
[/TABLE]

All cases reported from outside the Middle East had either had a recent travel history to the Middle East or could be linked to a chain of transmission originating from a case with a travel history to the Middle East (Figure 2).
Figure 2. Distribution of confirmed MERS cases by probable place of infection acquisition, as of 18 August 2015 (n=1 449)


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