MERS situation update: November 2022

Fig. 2. Community versus hospital acquired MERS cases in Eastern Mediterranean Region, January 2014 – November 2022 Community acquired Hospital acquired 0 50 100 150 200 250 300 N u m b er o f ca se s 2014 2015 2016 2017 2018 2019 2020 2021 2022 Fig. 5. Age and fatality distribution of primary and secondary cases of MERS reported from Saudi Arabia June 2012 – November 2022 00-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90&> 90 % A ge G ro u p Survived Died Primary Secondary Fig. 3. MERS cases per week of onset in Saudi Arabia, June 2012 – November 2022 Survived Died 0 20 40 60 80 100 120 N um be r of M ER S ca se s Epi week Table. 2. Epidemiological characteristics of MERS cases reported globally between June 2017 – November 2017 and June 2022 – November 2022 Characteristic Number Median age in years Gender (% male) % of Primary Cases % of Secondary cases (%) of Unknown Contact History % of HCW % Fatal June 17 - Nov 17 246 55 72 73 26 1 11 33 June 18 - Nov 18 252 51 72 60 40 0 18 29 June 19 - Nov 19 210 53 79 57 43 0 10 30 June 20 - Nov 20 129 56 82 80 20 0 9 31 June 21 - Nov 21 16 52 81 88 13 0 13 44 June 22 - Nov 22 17 58 94 100 0 0 0 29 Fig. 1. Distribution of MERS reported cases from Eastern Mediterranean Region by week of onset, June 2012 – November 2022 Tunisia United Arab Emirates Bahrain Egypt Iran (Islamic republic of) Jordan Kuwait Lebanon Oman Qatar Yemen Saudi Arabia 0 20 40 60 80 100 120 140 N um be r of c as es Epi week The aim of this situation update is to provide the epidemiological status of MERS in the Region in order to aid better planning, coordination and response. The information in this document has been reported to WHO by Ministries of Health. For further information, contact: Tel + 20-2-22765492, Fax + 20-2-2765456 E-mail: emrgohspoutbreak@who Published by World Health Organization Regional Office for the Eastern Mediterranean Monazamet El Seha El Alamia Str,Extension of Abdel Razak El Sanhouri Street P.O. Box 7608, Nasr City Cairo 11371, Egypt www.emro.who.int © World Health Organization 2022 Highlights MERS SITUATION UPDATE | NOVEMBER 2022 From April 2012 till November 2022, a total of 2601 laboratory-confirmed cases of Middle East respiratory syndrome (MERS) were reported globally, with 935 associated deaths at a case-fatality ratio (CFR) of 36%. The majority of these cases were reported from Saudi Arabia, with 2194 cases and 854 related deaths (CFR: 39%). During the month of November 2022, one new case was reported. The demographic and epidemiological characteristics of reported cases do not show any significant differences when compared with the same corresponding period between 2016 and 2022. Among primary cases, 50–59 year-olds are at the highest risk for acquiring infection and among secondary cases the 30–39 year-olds are at the highest risk. Among both primary and secondary cases, CFR is higher within the age group of 70–79 years-olds. . . . . SUMMARY 2601 Laboratory-confirmed cases reported since April 2012 935 Deaths reported since April 2012 27 Countries reported cases globally 12 Countries reported cases since April 2012 in the Eastern Mediterranean Region Table. 3. Characteristics of MERS cases reported from Saudi Arabia, June 2012 - November 2022 Type of case Primary Secondary Grand Total 2012 4 1 5 2013 71 91 162 2014 292 371 663 2015 234 219 453 2016 163 85 248 2017 148 88 236 2018 102 39 141 2019 128 77 205 2020 49 10 59 2021 18 0 18 2022 4 0 3 Grand Total 1213 981 2194 Document number: WHO-EM/CSR/587/E Survived2022 Died January February March April May June July August September October November Total 0 0 1 3 0 0 1 0 1 0 1 7 0 0 0 1 0 0 0 0 0 0 0 1 Fig. 4. Cases of MERS in healthcare workers reported from Saudi Arabia, January 2013 – November 2022 0 50 100 150 200 250 N u m b er o f ca se s Month Non-HCW HCW Table. 1. Number of MERS cases in the Easter Mediterranean Region by month and outcome in 2022 2025 15 10 5 0 5 10 15 20 25 11172329354147 1 7 13192531374349 3 9 15212733394551 5 1117232935414753 6 12182430364248 2 8 14202632384450 4 1016222834404652 6 12182430364248 2 8 14202632384450 3 9 15212733394551 5 11172329354147 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 22 30 38 46 2 10 18 26 34 42 50 6 14 22 30 38 46 2 10 18 26 34 42 50 5 13 21 29 37 45 1 9 17 25 33 41 49 5 13 21 29 37 45 1 9 17 25 33 41 49 5 13 21 29 37 45 53 8 16 24 32 40 48 4 12 20 28 36 44 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022