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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Political commitment to MERS-CoV in Saudi Arabia</title>
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<idno type="pmid">24792841</idno>
<idno type="pmc">7138016</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138016</idno>
<idno type="RBID">PMC:7138016</idno>
<idno type="doi">10.1016/S0140-6736(14)60732-7</idno>
<date when="2014">2014</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Political commitment to MERS-CoV in Saudi Arabia</title>
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<series><title level="j">Lancet (London, England)</title>
<idno type="ISSN">0140-6736</idno>
<idno type="eISSN">1474-547X</idno>
<imprint><date when="2014">2014</date>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Lancet</journal-id>
<journal-id journal-id-type="iso-abbrev">Lancet</journal-id>
<journal-title-group><journal-title>Lancet (London, England)</journal-title>
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<issn pub-type="ppub">0140-6736</issn>
<issn pub-type="epub">1474-547X</issn>
<publisher><publisher-name>Elsevier Ltd.</publisher-name>
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<article-meta><article-id pub-id-type="pmid">24792841</article-id>
<article-id pub-id-type="pmc">7138016</article-id>
<article-id pub-id-type="publisher-id">S0140-6736(14)60732-7</article-id>
<article-id pub-id-type="doi">10.1016/S0140-6736(14)60732-7</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Political commitment to MERS-CoV in Saudi Arabia</article-title>
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<contrib-group><contrib contrib-type="author" id="au10"><name><surname>The Lancet</surname>
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<pub-date pub-type="pmc-release"><day>5</day>
<month>5</month>
<year>2014</year>
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<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub" iso-8601-date="2014-05-09"><season>3-9 May</season>
<year>2014</year>
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<pub-date pub-type="epub"><day>5</day>
<month>5</month>
<year>2014</year>
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<volume>383</volume>
<issue>9928</issue>
<fpage>1522</fpage>
<lpage>1522</lpage>
<permissions><copyright-statement>Copyright © 2014 Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>Elsevier Ltd</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
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<body><p id="para10">On April 27, Saudi Arabia reported 16 new cases of infection by the Middle East respiratory syndrome coronavirus (MERS-CoV). Worldwide, from September, 2012, to April 26, 2014, WHO has reported 261 laboratory-confirmed infections, including 93 deaths. According to Nick Phin of Public Health England, and academics involved in the Global Centre for Mass Gatherings Medicine, the recent apparent rise in MERS-CoV infections in Saudi Arabia could have resulted from various factors, including seasonality, increased proactive screening, and poor infection control measures. The rising death toll from MERS-CoV has increased public concern about the spread of the disease and, on occasion, criticism of the Saudi Ministry of Health for its handling of the MERS outbreak. Therefore, the removal of former Health Minister Abdullah Al Rabeeah from his post on April 21, without any detailed explanation, caused speculation about the reasons for Al Rabeeah's departure and its implications for health in Saudi Arabia.</p>
<p id="para20">According to the Saudi Ministry of Health, Al Rabeeah has been “discharged from his current position and appointed as an adviser at the Royal Court (Diwan) at a rank of minister. The Labour Minister—Adel Fakieh—will replace him as Minister for both Labour and Health. As yet unconfirmed, an explanation suggested to <italic>The Lancet</italic>
is that Abdullah Al Rabeeah will devote more time to health reform in the country. If this role is confirmed, Al Rabeeah could consider diabetes a priority for the country's health reform—according to the <ext-link ext-link-type="uri" xlink:href="http://www.idf.org/sites/default/files/EN_6E_Atlas_Full_0.pdf" id="interrefs10">International Diabetes Federation Diabetes Atlas 2013</ext-link>
, the prevalence of diabetes in Saudi Arabia has increased dramatically to 24%, the highest in the Middle East.</p>
<p id="para30">For all countries facing emerging infectious diseases, there needs to be clear, honest, and timely communication between the government and its health departments and the public. For Saudi Arabia, the government can allay fears by explaining the reasons for Al Rabeeah's transfer, and any implications for ongoing management of MERS-CoV. The challenges of public health security in Saudi Arabia, particularly mass gatherings like the Hajj, demand the attention of a full-time Health Minister.</p>
<p id="para40"><fig id="f10"><caption><p>Abdullah Al Rabeeah</p>
</caption>
<graphic xlink:href="fx1_lrg"></graphic>
<permissions><copyright-statement>© 2014 Faisal Nasser/Reuters</copyright-statement>
<copyright-year>2014</copyright-year>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
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