Wednesday 16 April 2014

2 Middle East respiratory syndrome coronavirus (MERS-CoV) cases emerge in the Philippines and Malaysia [UPDATED]

In a surprising pair of temporally related announcements, there has been an imported and fatal case of MERS occurring in a 54-year old man (54M) originally from Johor, Malaysia [1] and a distinct case in a  recently returned 45-year old [5] Filipino male nurse working in the United Arab Emirates (UAE).[2,3,4]
  • 54M had returned from performing an Umrah pilgrimage ("mini-Hajj")  at Mecca (Makkah), Saudi Arabia on 29-March , becoming ill 8-9-Apr, dying of pneumonia secondary to his MERS-CoV infection, 13-Apr.[8]
    • Passengers on board the same flights are urged to contact the Health Ministry for testing but he was not symptomatic while in transit [8]
    • Diabetic (a comorbidity) [6]
    • Had visited a camel farm but source of infection remains unknown [6]
  • 45M, currently in quarantine with his family, was a friend of the recent fatal MERS case in a Filipino paramedic
    • The nurse was asymptomatic
    • Returning from vacation in the Philippines when retrospective testing results were released to Philippines embassy by UAE authorities  [5]
    • Testing was conducted in the UAE, referred to as a "blood test" ?serology not PCR-based?
    • Source of infection remains unknown
In 2013, Kingdom of Saudi Arabia's (KSA) Health Minister Abdullah Al-Rabeeah, said that 4,800,000 pilgrims visited to perform Umrah and not one left having had MERS-CoV infection. That will not be the case in 2014.


  1. FluTrackers thread on fatal MERS-CoV case in 54M, Malaysia
  2. FluTrackers on Filipino nurse positive for MERS-CoV
  4. OFW who returned home from UAE tests positive for MERS-CoV – DOH chief| article
  5. OFW with MERS arrives in Manila
  6. Health Ministry Confirms Umrah Pilgrim Died Of MERS-CoV
  7. MERS Coronavirus Makes First Appearance In Asia: Malaysia, Philippines Report MERS-CoV Cases
  8. First Mers death recorded in Asia
  9. Mike Coston on Malaysia imported case
  10. Mike Coston on Philippines imported case

No comments:

Post a Comment

Note: only a member of this blog may post a comment.