An outbreak of Middle East Respiratory Syndrome (MERS) due to coronavirus in Al-Ahssa Region, Saudi Arabia, 2015.
Identifieur interne : 000F43 ( PubMed/Corpus ); précédent : 000F42; suivant : 000F44An outbreak of Middle East Respiratory Syndrome (MERS) due to coronavirus in Al-Ahssa Region, Saudi Arabia, 2015.
Auteurs : H E El Bushra ; M N Abdalla ; H. Al Arbash ; Z. Alshayeb ; S. Al-Ali ; Z Al-Abdel Latif ; H. Al-Bahkit ; O. Abdalla ; M. Mohammed ; H. Al-Abdely ; M. Chahed ; A L Lohiniva ; A Bin SaeedSource :
- Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit [ 1020-3397 ] ; 2016.
English descriptors
- KwdEn :
- MESH :
- epidemiology : Coronavirus Infections, Saudi Arabia.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- Disease Outbreaks, Humans, Incidence, Interviews as Topic, Medical Audit, Qualitative Research.
Abstract
Between 19 April and 23 June 2015, 52 laboratory-confirmed cases of Middle East Respiratory Syndrome due to coronavirus (MERS) were reported from Al-Ahssa region, eastern Saudi Arabia. The first seven cases occurred in one family; these were followed by 45 cases in three public hospitals. The objectives of this investigation were to describe the epidemiological characteristic of the cluster and identify potential risk factors and control measures to be instituted to prevent further occurrence of MERS. We obtained the medical records of all confirmed cases, interviewed the members of the affected household and reviewed the actions taken by the health authorities. All the cases were connected. The index case was a 62-year-old man with a history of close contact with dromedary camels; three of the seven infected family members and 18 people in hospitals died (case-fatality rate, 40.4%). The median incubation period was about 6 days. The cluster of cases appeared to be due to high exposure to MERS, delayed diagnosis, inadequate risk communication and inadequate compliance of hospital health workers and visitors with infection prevention and control measures.
PubMed: 27714741
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Al Arbash</name><affiliation><nlm:affiliation>Saudi Field Epidemiology Program, Ministry of Health, Riyadh, Al-Ahssa, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alshayeb, Z" sort="Alshayeb, Z" uniqKey="Alshayeb Z" first="Z" last="Alshayeb">Z. Alshayeb</name><affiliation><nlm:affiliation>Saudi Field Epidemiology Program, Ministry of Health, Riyadh, Al-Ahssa, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Al Ali, S" sort="Al Ali, S" uniqKey="Al Ali S" first="S" last="Al-Ali">S. 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Mohammed</name><affiliation><nlm:affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Al Abdely, H" sort="Al Abdely, H" uniqKey="Al Abdely H" first="H" last="Al-Abdely">H. Al-Abdely</name><affiliation><nlm:affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Chahed, M" sort="Chahed, M" uniqKey="Chahed M" first="M" last="Chahed">M. Chahed</name><affiliation><nlm:affiliation>WHO Country Office, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Lohiniva, A L" sort="Lohiniva, A L" uniqKey="Lohiniva A" first="A L" last="Lohiniva">A L Lohiniva</name><affiliation><nlm:affiliation>WHO Country Office, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Saeed, A Bin" sort="Saeed, A Bin" uniqKey="Saeed A" first="A Bin" last="Saeed">A Bin Saeed</name><affiliation><nlm:affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27714741</idno><idno type="pmid">27714741</idno><idno type="wicri:Area/PubMed/Corpus">000F43</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000F43</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">An outbreak of Middle East Respiratory Syndrome (MERS) due to coronavirus in Al-Ahssa Region, Saudi Arabia, 2015.</title><author><name sortKey="El Bushra, H E" sort="El Bushra, H E" uniqKey="El Bushra H" first="H E" last="El Bushra">H E El Bushra</name><affiliation><nlm:affiliation>Saudi Field Epidemiology Program, Ministry of Health, Riyadh, Al-Ahssa, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Abdalla, M N" sort="Abdalla, M N" uniqKey="Abdalla M" first="M N" last="Abdalla">M N Abdalla</name><affiliation><nlm:affiliation>Saudi Field Epidemiology Program, Ministry of Health, Riyadh, Al-Ahssa, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Al Arbash, H" sort="Al Arbash, H" uniqKey="Al Arbash H" first="H" last="Al Arbash">H. Al Arbash</name><affiliation><nlm:affiliation>Saudi Field Epidemiology Program, Ministry of Health, Riyadh, Al-Ahssa, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alshayeb, Z" sort="Alshayeb, Z" uniqKey="Alshayeb Z" first="Z" last="Alshayeb">Z. Alshayeb</name><affiliation><nlm:affiliation>Saudi Field Epidemiology Program, Ministry of Health, Riyadh, Al-Ahssa, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Al Ali, S" sort="Al Ali, S" uniqKey="Al Ali S" first="S" last="Al-Ali">S. Al-Ali</name><affiliation><nlm:affiliation>Al-Ahssa Health Directorate, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Latif, Z Al Abdel" sort="Latif, Z Al Abdel" uniqKey="Latif Z" first="Z Al-Abdel" last="Latif">Z Al-Abdel Latif</name><affiliation><nlm:affiliation>Al-Ahssa Health Directorate, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Al Bahkit, H" sort="Al Bahkit, H" uniqKey="Al Bahkit H" first="H" last="Al-Bahkit">H. Al-Bahkit</name><affiliation><nlm:affiliation>Al-Ahssa Health Directorate, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Abdalla, O" sort="Abdalla, O" uniqKey="Abdalla O" first="O" last="Abdalla">O. Abdalla</name><affiliation><nlm:affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Mohammed, M" sort="Mohammed, M" uniqKey="Mohammed M" first="M" last="Mohammed">M. Mohammed</name><affiliation><nlm:affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Al Abdely, H" sort="Al Abdely, H" uniqKey="Al Abdely H" first="H" last="Al-Abdely">H. Al-Abdely</name><affiliation><nlm:affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Chahed, M" sort="Chahed, M" uniqKey="Chahed M" first="M" last="Chahed">M. Chahed</name><affiliation><nlm:affiliation>WHO Country Office, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Lohiniva, A L" sort="Lohiniva, A L" uniqKey="Lohiniva A" first="A L" last="Lohiniva">A L Lohiniva</name><affiliation><nlm:affiliation>WHO Country Office, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Saeed, A Bin" sort="Saeed, A Bin" uniqKey="Saeed A" first="A Bin" last="Saeed">A Bin Saeed</name><affiliation><nlm:affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit</title><idno type="ISSN">1020-3397</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Coronavirus Infections (epidemiology)</term><term>Disease Outbreaks</term><term>Humans</term><term>Incidence</term><term>Interviews as Topic</term><term>Medical Audit</term><term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term><term>Qualitative Research</term><term>Saudi Arabia (epidemiology)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Saudi Arabia</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Disease Outbreaks</term><term>Humans</term><term>Incidence</term><term>Interviews as Topic</term><term>Medical Audit</term><term>Qualitative Research</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Between 19 April and 23 June 2015, 52 laboratory-confirmed cases of Middle East Respiratory Syndrome due to coronavirus (MERS) were reported from Al-Ahssa region, eastern Saudi Arabia. The first seven cases occurred in one family; these were followed by 45 cases in three public hospitals. The objectives of this investigation were to describe the epidemiological characteristic of the cluster and identify potential risk factors and control measures to be instituted to prevent further occurrence of MERS. We obtained the medical records of all confirmed cases, interviewed the members of the affected household and reviewed the actions taken by the health authorities. All the cases were connected. The index case was a 62-year-old man with a history of close contact with dromedary camels; three of the seven infected family members and 18 people in hospitals died (case-fatality rate, 40.4%). The median incubation period was about 6 days. The cluster of cases appeared to be due to high exposure to MERS, delayed diagnosis, inadequate risk communication and inadequate compliance of hospital health workers and visitors with infection prevention and control measures.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27714741</PMID><DateCompleted><Year>2017</Year><Month>09</Month><Day>18</Day></DateCompleted><DateRevised><Year>2018</Year><Month>04</Month><Day>14</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Print">1020-3397</ISSN><JournalIssue CitedMedium="Print"><Volume>22</Volume><Issue>7</Issue><PubDate><Year>2016</Year><Month>Oct</Month><Day>02</Day></PubDate></JournalIssue><Title>Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit</Title><ISOAbbreviation>East. Mediterr. Health J.</ISOAbbreviation></Journal><ArticleTitle>An outbreak of Middle East Respiratory Syndrome (MERS) due to coronavirus in Al-Ahssa Region, Saudi Arabia, 2015.</ArticleTitle><Pagination><MedlinePgn>468-475</MedlinePgn></Pagination><Abstract><AbstractText>Between 19 April and 23 June 2015, 52 laboratory-confirmed cases of Middle East Respiratory Syndrome due to coronavirus (MERS) were reported from Al-Ahssa region, eastern Saudi Arabia. The first seven cases occurred in one family; these were followed by 45 cases in three public hospitals. The objectives of this investigation were to describe the epidemiological characteristic of the cluster and identify potential risk factors and control measures to be instituted to prevent further occurrence of MERS. We obtained the medical records of all confirmed cases, interviewed the members of the affected household and reviewed the actions taken by the health authorities. All the cases were connected. The index case was a 62-year-old man with a history of close contact with dromedary camels; three of the seven infected family members and 18 people in hospitals died (case-fatality rate, 40.4%). The median incubation period was about 6 days. The cluster of cases appeared to be due to high exposure to MERS, delayed diagnosis, inadequate risk communication and inadequate compliance of hospital health workers and visitors with infection prevention and control measures.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>El Bushra</LastName><ForeName>H E</ForeName><Initials>HE</Initials><AffiliationInfo><Affiliation>Saudi Field Epidemiology Program, Ministry of Health, Riyadh, Al-Ahssa, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abdalla</LastName><ForeName>M N</ForeName><Initials>MN</Initials><AffiliationInfo><Affiliation>Saudi Field Epidemiology Program, Ministry of Health, Riyadh, Al-Ahssa, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al Arbash</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Saudi Field Epidemiology Program, Ministry of Health, Riyadh, Al-Ahssa, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alshayeb</LastName><ForeName>Z</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Saudi Field Epidemiology Program, Ministry of Health, Riyadh, Al-Ahssa, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al-Ali</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Al-Ahssa Health Directorate, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Latif</LastName><ForeName>Z Al-Abdel</ForeName><Initials>ZA</Initials><AffiliationInfo><Affiliation>Al-Ahssa Health Directorate, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al-Bahkit</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Al-Ahssa Health Directorate, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abdalla</LastName><ForeName>O</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mohammed</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al-Abdely</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chahed</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>WHO Country Office, Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lohiniva</LastName><ForeName>A L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>WHO Country Office, Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saeed</LastName><ForeName>A Bin</ForeName><Initials>AB</Initials><AffiliationInfo><Affiliation>Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>001</GrantID><Agency>World Health Organization</Agency><Country>International</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>10</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>Egypt</Country><MedlineTA>East Mediterr Health J</MedlineTA><NlmUniqueID>9608387</NlmUniqueID><ISSNLinking>1020-3397</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007407" MajorTopicYN="N">Interviews as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008485" MajorTopicYN="N">Medical Audit</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065207" MajorTopicYN="N">Middle East Respiratory Syndrome Coronavirus</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="Y">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012529" MajorTopicYN="N">Saudi Arabia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="ara"><AbstractText>فاشية للمتلازمة التنفسية الشرق أوسطية بسبب فيروس كورونا في منطقة الأحساء بالمملكة العربية السعودية، 2015.</AbstractText><AbstractText>حسن المهدي البرى، محمد نجيب عبد الله، حسن الأربش، زينب الشايب، سامي عبد الوهاب العي، زكي العبد اللطيف، حسن البخيت، عثان محمد عبد الله، معتز عبد الباقي محمد، هايل العبدلي، محمد شاهد، آنا لينا لوهينيفا، عبد العزيز عبد الله بن سعيد.</AbstractText><AbstractText>ما بن 19 أبريل/نيسان و 23 يونيو/حزيران من عام 2015 تم الإباغ عن 52 حالة مؤكدة مختبرياً من المتلازمة التنفسية الرق أوسطية بسبب فروس كورونا من منطقة الأحساء، شرق المملكة العربية السعودية. حدثت الحالات السبعة الأولى في عائلة واحدة، وأعقب ذلك 45 حالة في ثلاثة مستشفيات عامة. وكانت أهداف هذا الاستقصاء وصف الخصائص الوبائية للعنقود وتحديد عوامل الخطر المحتملة وتدابر المكافحة التي يتعن وضعها للوقاية من حدوث مزيد من حالات المتلازمة التنفسية الرق أوسطية بن العاملن. حصلنا عى السجلات الطبية لجميع الحالات المؤكدة، وأجرينا مقابات مع أفراد الأسر المصابة، واستعرضنا الإجراءات التي اتخذتها السلطات الصحية. ووجدنا أن جميع الحالات كانت مرتبطة ببعضها. وكانت الحالة الدالة لرجل يبلغ من العمر 62 عاماً لديه تاريخ تماس وثيق مع جمال وحيدة السنام، توفي ثلاثة من أفراد الأسرة المصابن السبعة و 18 شخصاً في المستشفيات (معدل الوفيات ما بن الحالات، % 40.4 ). وكان متوسط فرة الحضانة حوالي 6 أيام. ويبدو أن عنقود الحالات يرجع إلى التعرض الكبر للفروس، وعدم كفاية الإباغ عن المخاطر، وعدم كفاية امتثال العاملن الصحين في المستشفيات والزوار لتدابر الوقاية من العدوى ومكافحتها.</AbstractText></OtherAbstract><OtherAbstract Type="Publisher" Language="fre"><AbstractText>Arabie saoudite : flambée de syndrome respiratoire du Moyen-Orient (MERS) causé par le coronavirus dans la région d’Al-Ahssa en 2015.</AbstractText><AbstractText>Entre le 19 avril et le 23 juin 2015, 52 cas confirmés en laboratoire de syndrome respiratoire du Moyen- Orient (MERS) causé par le coronavirus ont été notifiés dans la région d’Al-Ahssa, partie orientale de l’Arabie saoudite. Les sept premiers cas sont survenus dans une seule famille ; ils ont été suivis de 45 cas déclarés dans trois hôpitaux publics. Cette investigation avait pour objectifs de détailler les caractéristiques épidémiologiques de ce groupe de cas et d’identifier les facteurs de risque potentiels ainsi que les mesures de lutte à mettre en place afin d’empêcher la survenue de nouveaux cas de MERS. Nous avons consulté les dossiers médicaux de l’ensemble des cas confirmés, avons interrogé les membres des foyers touchés et passé en revue les interventions entreprises par les autorités sanitaires. Tous les cas étaient reliés entre eux. Le cas indicateur était un homme de 62 ans ayant eu des contacts étroits avec des dromadaires ; trois des sept membres infectés de la famille et 18 patients hospitalisés sont décédés (taux de létalité : 40,4 %). La période d’incubation médiane était d’environ 6 jours. Le groupe de cas était vraisemblablement dû à une forte exposition au MERS, associée à un diagnostic tardif, une communication sur les risques inappropriée et une mauvaise observance des mesures de prévention et de lutte contre les infections par les personnels de santé de l’hôpital et les visiteurs.</AbstractText></OtherAbstract></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>05</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>09</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>10</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>10</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27714741</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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