MERS situation update: April 2022

Fig. 2. Community versus hospital acquired MERS cases in Eastern Mediterranean Region, January 2014 – April 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 – April 2022 25 20 15 10 5 0 5 10 15 20 25 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 – April 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 November 2016 – April 2017 and November 2021 – April 2022 Characteristic Number Median age in years Gender (% male) % of Primary Cases % of Secondary cases (%) of Unknown Contact History % of HCW % Fatal Nov 16 - Apr 17 130 57 76 66 28 7 6 33 Nov 17 - Apr 18 106 58 76 72 28 0 4 35 Nov 18 - Apr 19 149 50 77 40 60 0 12 20 Nov 19 - Apr 20 85 57 80 26 11 63 6 31 Nov 20 - Apr21 12 55 92 78 0 22 0 50 Nov 21 - Apr 22 8 54 100 100 0 0 0 38 Fig. 1. Distribution of MERS reported cases from Eastern Mediterranean Region by week of onset, June 2012 – April 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 | APRIL 2022 From April 2012 till April 2022, a total of 2591 laboratory-confirmed cases of Middle East respiratory syndrome (MERS) were reported globally, with 894 associated deaths at a case-fatality ratio (CFR) of 34.5%. The majority of these cases were reported from Saudi Arabia, with 2184 cases and 813 related deaths (CFR: 37.2%). During the month of April 2022, two new cases and one MERS-associated death were reported from Qatar. These are the first cases of MERS-CoV infection reported from Qatar since 2020 (read here). 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 highest risk for acquiring infection, and among secondary cases the 30–39 year-olds are at highest risk. Among primary cases, CFR is higher within the age group of 50–59 year-olds, and among secondary cases it is higher among the age group of 70–79 year-olds. . . . . SUMMARY 2591 Laboratory-confirmed cases reported since April 2012 894 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 - April 2022 Type of case Missing Primary Secondary Unknown Grand Total 2012 3 2 5 2013 1 36 93 28 158 2014 15 164 264 219 662 2015 102 52 222 78 454 2016 103 75 60 11 249 2017 68 70 90 5 233 2018 52 54 35 1 142 2019 56 57 75 16 204 2020 7 11 9 33 60 2021 4 11 0 2 17 2022 0 0 0 0 0 Grand Total 408 533 850 393 2184 Document number: WHO-EM/CSR/534/E Survived2022 Died January February March April Total 0 0 1 2 3 0 0 0 1 1 Fig. 4. Cases of MERS in healthcare workers reported from Saudi Arabia, January 2013 – April 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 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 13 16 19 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 22273237424752 5 101520253035404550 2 7 121722273237424752 4 9 1419242934394449 2 7 121722273237424752 5 101520253035404550 3 8 1318232833384348 1 6 111621263136414652 5 101520253035404550 3 8 131823283338434853 5 1015 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 11172329354147 1 7 13192531374349 3 9 15212733394551 4 1016222834404652 6 12182430364248 2 8 14202632384450 4 10162228344046 1 7 13192531374349 3 9 15212733394551 5 1117232935414753 6 1218 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022