Other disease related maps
- The Spread of Ebola Outbreaks
- The Worldwide Outbreak of SARS
- Mad Cow Disease
- U.S. Fungal Meningitis Outbreak

Other Interactive Maps on History
Try one of the many other Interactive Maps of Explorers and Historic Events at MyReadingMapped. (http://myreadingmapped.blogspot.com/)

What is Middle East Respiratory Syndrome (MERS)?
Check out this Centers for Disease Control web page for a complete description of what MERS is.                 (http://www.cdc.gov/coronavirus/mers/overview.html)

Is MERS like SARS?
According to the CDC: (http://www.cdc.gov/coronavirus/mers/overview.html)
No. MERS-CoV is not the same coronavirus that caused severe acute respiratory syndrome (SARS) in 2003. However, like the SARS virus, MERS-CoV is most similar to coronaviruses found in bats. CDC is still learning about MERS.

What do MERS, SARS, and Ebola, 3 of the worse outbreaks in modern times, have in common?
How bats in remote locations are a threat to globalization's health.
Wikipedia Commons / Charlotte Roemer

MERS Bat connection confirmed
http://healthland.time.com
Single Bat with MERS Virus Discovered Near Original Outbreak Site
While other animals, including the camel, have been fingered as possible carriers, none of the viruses isolated from these animals were a complete match with those extracted from infected people. But the MERS harbored by the Egyptian tomb bat proved to be a 100% match, say researchers from Columbia University’s Mailman School of Public Health, EcoHealth Alliance and the Ministry of Health of the Kingdom of Saudi Arabia, who announced their findings in the U.S. Centers for Disease Control journal Emerging Infectious Diseases.                                                                                                                               (http://topics.time.com/animals/)

Range of the Desert Long-eared Bat
The range of the Desert Long-eared Bat (Otoncteris Hemprichii) matches up with MERS outbreak locations in Saudi Arabia, Tunsia, Jordan, and Quatar. But at this date, that assumption by me has not been proposed by the experts. Are MERS the result of what happens when a threatened species of bat mates with another species of bat, like Ebola's fruit bats in the Sudan?
Source: Red List of Threatened Species. (http://www.iucnredlist.org/details/15663/0)

Range of the Kuhl's pipistrelle bat
Wikipedia Commons / Carlosblh (http://commons.wikimedia.org/wiki/User:Carlosblh)

Range of the Common Bent-wing Bat
To date, all the MERS affected areas in the Middle East and North Africa are within the range of the Common Bent-wing Bat.
Wikipedia: (http://en.wikipedia.org/wiki/Common_bent-wing_bat)
The common bent-wing bat can be found in the following countries:Afghanistan, Albania, Algeria, Armenia, Australia, Austria, Azerbaijan, Bosnia and Herzegovina, Bulgaria, Cameroon, China, Croatia, Republica Dominicana, possibly Ethiopia, France, Georgia, Gibraltar, Greece, Guinea, Hungary, India, Indonesia, Iran, Iraq, Israel, Italy, Japan, Jordan, possibly Kenya, North Korea, South Korea, Laos, Lebanon, Liberia, Libya, Republic of Macedonia, Malaysia, Malta, Montenegro, Morocco, Myanmar, Nepal, Nigeria, Pakistan, Palestine, Papua New Guinea, Philippines, Portugal, Romania, Russian Federation, San Marino, Saudi Arabia, Serbia, Sierra Leone, Slovakia, Slovenia, Solomon Islands, Spain, Sri Lanka, Switzerland, Syrian Arab Republic, Taiwan, Tajikistan, Thailand, Tunisia, Turkey, Turkmenistan, Vietnam, and Yemen.

How bats in remote locations are a threat to globalization's health.
Commercial jet flight patterns.
Note how much air traffic there is between Europe and Saudi Arabia, Qatar, Morocco, Lebanon, UAE, and Tunisia; and how well it matches up with the MERS cases in Europe, and bat migration patterns in the Middle East and North Africa.
Wikipedia Commons / Jpatoka

Camels infected with MERS
medicaldaily.com
MERS Outbreak May Be Infecting Camels; Experts Find Possible Source Of Deadly Virus
Researchers believe they have identified the source of the deadly Middle East respiratory syndrome (MERS) outbreak: one-humped camels that are used in Saudi Arabia for meat, milk, transportation, and racing. The preliminary study revealed test results that confirmed a virus, similar to MERS, is circulating in the animals. The virus is either MERS or a similar respiratory case, bringing researchers one step closer to identifying the route of MERS' initial spread.

Saudi Arabia warns of MERS risk from camels as cases rise
reuters.com
Saudi Arabia said people handling camels should wear masks and gloves to prevent spreading Middle East Respiratory Syndrome (MERS), issuing such a warning for the first time as cases of the potentially fatal virus neared 500 in the kingdom.

Scientists presume that contact with camel nasal mucosa transmits the disease to humans.
haaretz.com
(http://www.haaretz.com/news/middle-east/1.588799)
Researchers found that viruses from infected humans and Arabian camels from the same geographical region have nearly identical DNA sequences.
"This indicates transmission between animals and man, a process referred to as zoonosis," said Norbert Nowotny of the Institute of Virology, University of Veterinary Medicine in Austria.
Virus levels were surprisingly high in the nasal mucosa and conjunctiva of the camels tested and scientists presume that contact with the mucosa is what transmits the disease to humans.
---
It does not say how the camel contacted the disease.

Mers vaccine helps mice fight off deadly virus
www.wired.co.uk
Now, a team from the University of Maryland andbiopharmaceutical company Novavax says its vaccine candidate has successfully induced neutralising antibodies that effectively block the virus from infecting cells in mice.
Vaccine development is typically very slow, and two papers were only just published identifying a few natural human antibodies that could serve as a basis for new vaccine models targeting Mers. However, Novavax has developed a technique it believes has the potential to be the undoing -- if pursued -- of coronaviruses likes Mers and Sars. They achieve this by building a vaccine containing nanoparticles that mimic the virus structure.
"Both Sars-Cov and Mers-Cov contain a major surface spike protein," Gale Smith, vice president of vaccine development, told Wired.co.uk. In a coronavirus, these S proteins spark the production of neutralising antibodies in the body and also help the virus bind to target cells. If we could induce those antibodies prior to infection, we could theoretically create protection from the coronavirus.

April 2012 = Zarqa, Jordan
applications.emro.who. (http://applications.emro.who.int/)
ABSTRACT In April 2012, an outbreak of acute respiratory illness occurred in a public hospital in Zarqa city, in Jordan; 8 health care workers were among the 11 people affected, 1 of who later died. The cause of the outbreak was
unknown at the time and an epidemiological investigation including laboratory testing carried out immediately after the outbreak was inconclusive. Following the discovery of novel coronavirus infection (nCoV) in the Arabian peninsula in September 2012, stored respiratory and serum samples of patients from this outbreak were retested and the diagnosis of nCoV was confirmed in 2 deceased patients. This paper describes the epidemiological findings of retrospective investigation carried out in November 2012 and highlights the likelihood of nosocomial transmission of nCoV infection in a health-care setting. A total of 2 laboratory-confirmed and 11 probable cases were identified from this outbreak of whom 10 were HCWs and 2 were family members of cases.

June 2012 = Jeddah, Saudi Arabia
virologyj.com (http://www.virologyj.com/content/10/1/66)
The first reported case was in a 60-year old Saudi man. He was admitted to hospital in the port city of Jeddah on 13th June 2012 with a 7-day history of fever, cough and shortness of breath. He died 11-days later of progressive respiratory and renal failure [2]. Laboratory investigations for common causes of respiratory illness, including influenza, parainfluenza, adenovirus and respiratory syncytial virus were all negative [2].

September 2012 = Doha, Qatar
World Health Organiztion (http://www.who.int/csr/don/2012_09_23/en/index.html)
The case is a previously healthy, 49 year-old male Qatari national that presented with symptoms on 3 September 2012 with travel history to Saudi Arabia prior to onset of illness. On 7 September he was admitted to an intensive care unit (ICU) in Doha, Qatar. On 11 September, he was transferred to the UK by air ambulance from Qatar. The Health Protection Agency of the UK (HPA) conducted laboratory testing and has confirmed the presence of a novel coronavirus.

November 2012 = Riyadh, Saudi Arabia
promedmail.org (http://www.promedmail.org/direct.php?id=20121104.1391285)
...one of our hospitalized citizens has been confirmed to have pneumonia caused by novel Coronavirus (nCoV).

March 2013 = Birmingham, UK
avianflutalk.com (http://www.avianflutalk.com/ncov-new-death_topic28513.html)
Birmingham grandad Abid Hussain has become the UK’s second victim to the new Sars-like bug Coronavirus.
The tragedy comes as Mr Hussain’s wife and daughter were in Pakistan after burying his son Khalid, 38, who had also fallen victim to the killer disease.
The dad-of-two, in his 60s, of Winson Green, was being treated at Wythenshawe Hospital, in Manchester, and seemed to be improving.
But he took a turn for the worse and lost his battle on Tuesday.

March 2013 = Abu Dhabi
gibiru.com
The patient is a 73-year-old man from the United Arab Emirates who was first treated in an Abu Dhabi hospital on Mar 19, another German news source, TZ Online, reported today.

March 2013 = Munich, Germany
gibiru.com
The German media and Saudi Arabia's health ministry have reported two new novel coronavirus (NCoV) cases, one in a patient hospitalized in Munich and the other a mild illness in a Saudi Arabian resident. According to an early report today in German from Abendzeitung, a news source based in Munich, the German patient arrived in Germany from the Middle East by medical transport. It says the patient is in isolation in the intensive care unit (ICU) at Munich Municipal Hospital. The patient is a 73-year-old man from the United Arab Emirates who was first treated in an Abu Dhabi hospital on Mar 19, another German news source, TZ Online, reported today. It said medical authorities are monitoring about 50 people who had contact with the patient. The case appears to be Germany's second NCoV case. In October a Qatari man was hospitalized and treated in Germany but has since recovered. The man's NCoV infection wasn't detected until almost a month after he was hospitalized, and so far no evidence of infection has been found in any of that case-patient's German contacts.

April 2013 = Valenciennes, France
polivereview
France announced its first case on Thursday after laboratory tests confirmed a 65 year old Frenchman had novel coronavirus. The man had travelled to Dubai in mid-April and entered a hospital in the city of Valenciennes on April 23. He was later transferred to another hospital in Douai, in the northwest of France, on April 23rd. A doctor, nurse, and hospital roommate who had come into contact with the patient are suspected to have contracted the virus.

April 2013 = Lille, France
allvoices.com
France formally recorded two cases of the virus NcoV. The first patient, a man aged 65 years, had lived in Dubai. From April 9 to 17, had been under surveillance, in a hospital in Lille. Reuters reports French edition.
The second patient, a man aged 50 years, diagnosed and reported Wednesday. Previously this was the second patient in the room with the first patient in hospital patients NCoV Valenciennes-north, on April 27 to 29. The second patient is placed in isolation RS Lille, disease transmission parts department, was transferred to the intensive care unit because of deteriorating health, on Sunday noon.

May 2013 = Al Ahsa, Saudi Arabia
cidrap.umn.edu
The WHO said today that the death toll in the Al-Ahsa outbreak has increased to 10 with the death of a patient whose case was announced earlier. The WHO gave no other information about the patient, and it wasn't immediately clear if the death is the same one that was noted by the Saudi MOH in a May 20 statement.

May 2013 = Al Hofuf, Saudi Arabia
polivereview
There have been 23 confirmed cases of the virus in Saudi Arabia, all centered around Al-Moosa hospital in the city of Hofuf in Ahsa governate in the Eastern Province.
There have been two additional cases of the virus reported by Saudi Arabia this week, in a 48-year-old man and a 58-year-old man , bringing the global total to 33 cases. There have been 18 deaths caused by the virus. WHO reports the two men are part of the Al-Moosa cluster of infections.

Illness in Staff Members at Hospital A
The New England Journal of Medicine:
Hospital Outbreak of Middle East Respiratory Syndrome Coronavirus
One of the 124 health care worker contacts of patients with confirmed MERS-CoV infection reported a 48-hour history of febrile illness without respiratory symptoms beginning on May 5; testing for MERS-CoV was not performed. On May 8, MERS-CoV infection developed in a nurse administrator (Patient R), who was not known to have been exposed to any patients identified as having MERS-CoV infection. She was in the ICU during two simultaneous cardiac resuscitations on April 15 and had face-to-face contact on May 5 with the febrile health care worker described above. No other potential exposures were identified.

Illness in Family Members
The New England Journal of Medicine:
Hospital Outbreak of Middle East Respiratory Syndrome Coronavirus
A total of 217 household contacts of patients with confirmed cases were followed up, including 120 adults (median age, 26 years; range, 18 to 100) and 97 children. MERS-CoV infection developed in 5 adult family members who were hospital visitors of Patients A, G, and N; 3 were confirmed cases (in patients M, O, and S) and 2 were probable (Figure 2, and Fig. S2 and Table S1 in the Supplementary Appendix .

Illness in Patients at Hospital A
The New England Journal of Medicine:
Hospital Outbreak of Middle East Respiratory Syndrome Coronavirus
On April 5, 2013, Patient A was admitted to the medical ward with dizziness and diaphoresis. On hospital day 4, fever and progressive pulmonary infiltrates developed. The patient was not tested for MERS-CoV, but his son (Patient O) subsequently had a confirmed case of MERS-CoV infection (Fig. S2 and Table S1 in the Supplementary Appendix.
On April 4, Patient B was admitted to the ICU with a diagnosis of stroke. On hospital day 6, fever developed, and a throat-swab specimen was obtained, which was negative for MERS-CoV. When pneumonia developed in the patient, MERS-CoV was identified on repeat testing. No epidemiologic link between Patients A and B could be established.
Patient C, who had been undergoing long-term hemodialysis, was admitted to Hospital A on April 6 to the room adjacent to Patient A. He was still in that room on April 8, which was the day on which fever developed in Patient A. Fever developed in Patient C 3 days later. He underwent dialysis in the hospital's outpatient hemodialysis unit twice after the onset of symptoms — on April 11 and April 13.
Between April 14 and April 30, MERS-CoV infection was confirmed in nine additional patients, who were undergoing hemodialysis in Hospital A (Fig. S2 in the Supplementary Appendix. Six of these patients (Patients D, E, F, G, H, and I) underwent hemodialysis at times that overlapped with the times Patient C was undergoing hemodialysis on either April 11 or April 13; three of them underwent the procedure in beds adjacent to Patient C's bed. Two patients (Patients K and P) underwent hemodialysis at times that overlapped with the times Patient F was undergoing hemodialysis after the onset of his symptoms, and one patient (Patient L) underwent hemodialysis in a bed adjacent to symptomatic Patient E. Eight additional probable cases occurred among patients undergoing hemodialysis between April 15 and April 30. There were no links between individual dialysis nurses or machines and case patients.

Illness with Onset in Other Health Care Facilities
Patient Q, who became infected with MERS-CoV in the ICU of Hospital A, had been undergoing long-term hemodialysis at an outpatient clinic in Hospital C and underwent hemodialysis in that unit while he was symptomatic. MERS-CoV infection developed in two additional patients (Patients T and W) at Hospital C. Patient T regularly traveled from home to the dialysis unit with Patient Q. Patient W underwent hemodialysis in the same 13-bed room and during the same shift as Patient Q.
Eight patients (Patients B, E, F, G, H, I, K, and L) with confirmed MERS-CoV infection were transferred to Hospital D between April 18 and April 27. MERS-CoV infection developed in two patients (Patients X and Y) who were hospitalized on the same ward as Patient G and in a physician (Patient V) who cared for Patient K. Overall, two laboratory-confirmed cases occurred among more than 200 health care worker contacts who were followed after exposure.

May 2013 = Al Munastîr, Tunisia
99fm.com.na (http://www.99fm.com.na/ncov-virus-enters-africa/)
But the World Health Organisation (WHO) says NCoV and Sars are distinct from each other.
It appears likely that the virus can be passed between people in close contact, it adds.
The Tunisian man, a diabetic, had been complaining of breathing problems since he returned from Saudi Arabia and he died in hospital in the coastal city of Monastir, AFP news agency reports.
Two of his children also contracted the virus, but had responded to treatment, the health ministry said, in a statement.

May 2013 = Tuscany, Italy
Wikipedia
On 31 May 2013, the Italian health ministry announced its first case of MERS-CoV in a 45 year-old man who had traveled to Jordan. The patient is being currently treated in a hospital in Tuscany and his condition is reported as not life threatening.

May 2013 = Rabat, Morocco
recombinomics
The above translations describe a MERS-CoV case in Rabat, Morocco (see map). Although one report  Indicates the case is an Emirati resident on tour in Morocco, while the other claims the case is a Moroccan who works in the Gulf, both reports strongly suggest the coronavirus was contracted in the Middle East and then transported to Morocco via commercial airline.

June 2013 = Riyadh and Eastern Region,Saudi Arabia
World Health Organization (http://www.who.int/csr/don/2013_06_26/en/index.html)
Four cases have been detected among contacts of confirmed cases in Riyadh and the Eastern Region. They range in age from seven to 15 years, and all were asymptomatic. Two further asymptomatic cases have been record among female healthcare workers in the Eastern Region and Al-Ahsa. A seventh case has been detected in a 50 year-old female in the Eastern Region. She is currently hospitalized with pulmonary disease and her condition is considered stable.

June 2013 = Riyadh, Saudi Arbia
World Health Organization (http://www.who.int/csr/don/2013_07_05/en/index.html)
The new cases are a 69 year-old male and a 66 year-old male from Riyadh. Both were admitted to hospital on the 28 June 2013 and are currently in critical condition in an intensive care unit.
In addition, the two deaths in previously confirmed cases are a 63 year-old female from Riyadh and a 75 year-old male from Al Ahsa.

July 2013 = Al Ahsa, Saudi Arabia
World Health Organization (http://www.who.int/csr/don/2013_07_05/en/index.html)
In addition, the two deaths in previously confirmed cases are a 63 year-old female from Riyadh and a 75 year-old male from Al Ahsa.

July 2013 = Al Ahsa, Saudi Arabia
who.int (http://www.who.int/csr/don/2013_07_21/en/)
Both the cases are currently critically ill and hospitalized in ICUs. The first case is a 41-year-old Saudi male in Riyadh who presented to the hospital with symptoms on 15 July. The second patient is a 59-year-old Saudi female in the Al-Ahsa governorate. She presented with symptoms on 11 July.

July 2013 = Hafr Al- Batin, Saudia Arabia
who.int (http://www.who.int/csr/don/2013_07_07/en/)
The new case is a 56 year-old female from Hafr Al- Batin city, North-eastern region. She is a health care worker with contact of a previously reported laboratory confirmed MERS-CoV case who subsequently recovered and was discharged.

July 2013 = Asir, Saudi Arabia
who.int (http://www.who.int/csr/don/2013_07_11/en/)
The patient is a 66 year-old man from Asir region with an underlying health condition. He is currently in critical but stable condition.

July 2013 = UAE
The patient is an 82-year-old man with underlying medical conditions and is currently in critical condition.

July 2013 = Asir, Saudi Arabia
The patient is an 83-year-old man from Assir region who became ill on 17 July 2013 and is currently hospitalized.

August 2013 = Riyadh, Saudi Arabia
www.who.int (http://www.who.int/csr/don/2013_08_01/en/)
The first patient is a 67-year-old woman from Riyadh with underlying medical conditions. She became ill on 25 July 2013. She has no known exposure to animals or to a case confirmed with MERS-CoV infection. She is currently hospitalized.
The other two patients are health care workers, both women, from Assir and Riyadh regions . Both of them have mild symptoms and were exposed to patients who were laboratory-confirmed cases.

August 2013 = Qatar
who.int
The patients include a 59-year old man with an underlying medical condition who became ill on 15 August 2013. He is currently hospitalised and is in stable condition.
The second patient is a 29-year-old man with an underlying medical condition who had no history of recent travel outside the country.

August 2013 = Riyadh, Saudi Arabia
- a 50-year-old woman with an underlying medical condition, from Riyadh, who became ill on 1 August 2013 and is currently hospitalized, now off mechanical ventilation;
- a 59-year-old woman with underlying medical conditions, from Riyadh, who became ill on 23 July 2013 and is currently hospitalized in intensive care unit and is in critical condition;
- a 50-year-old woman with underlying medical conditions, from Riyadh, who is currently hospitalized in intensive care unit;
- a 70-year-old man with underlying medical conditions, from Riyadh, who is currently hospitalized in intensive care unit;
- a 31-year-old man with underlying medical conditions, from Asir, who is currently hospitalized in intensive care unit; and
- a 55-year-old man from Asir who is a contact of a confirmed case, and is asymptomatic.

August 2013 - Medina, Saudi Arabia
The first patient is a 55-year-old man with an underlying medical condition from Medina who became ill on 17 August 2013 and is currently hospitalised

August 2013 = Hafr Al- Batin, Saudia Arabia
The second patient is a 38-year-old man with an underlying medical condition from Hafar al-Batin who became ill on 8 August 2013 and died on 17 August 2013.
The third and the fourth cases are family contacts of the second patient. Both the cases, a 16-year-old boy and a seven year-old girl, tested positive for the MERS-CoV virus. They are both healthy and do not have any symptoms of illness.

September 2013 = Riyadh, Saudi Arabia
The first case is a 41 year-old female healthcare worker from Riyadh with no known underlying medical conditions and who became ill on 15 August, 2013. Her condition deteriorated and she passed away at the end of August. No known exposure to animals, or to a confirmed MERS-CoV case, has been identified and investigations into the source of infection are on-going.
The second case is a 30 year-old Saudi male healthcare worker from Riyadh, working in the same hospital as the above confirmed case. He developed severe pneumonia on 1 September, 2013, and is currently in critical condition.

September 2013 - Hafar Al-Batin, Medina & Riyadh
19 SEPTEMBER 2013 - WHO has been informed of an additional 18 new laboratory-confirmed cases including three deaths with Middle East respiratory syndrome coronavirus (MERS-CoV) infection in Saudi Arabia.
The patients are reported from Hafar Al-Batin, Medina and Riyadh. Their ages ranging from three to 75 years old. These cases were announced by the Ministry of Health in Saudi Arabia on 1, 5, 8, 10 and 11 September 2013.

September 2013 = Tunisia
who.int
The first case was notified by the Ministry of Health in Tunisia. The patient was a 66-year-old man who became ill on 1 May 2013 and died on 10 May 2013. The patient was earlier announced as a probable case while his daughter and son were laboratory-confirmed with MERS-CoV (DON published on 22 May 2013). Laboratory-confirmation on the case was recently conducted by the US Centers for Disease Control and Prevention.

October 2013 = Riyadh, Saudi Arabia
The six new patients are from Riyadh region with ages from 14 to 79 years old, of which three are women and three men. The dates of onset of the patients range from 15 to 26 September 2013. One patient has mild symptoms while the others are hospitalized. Three patients are contacts of previously confirmed cases with MERS-CoV, two are reported to have had no exposure to animals or a confirmed case, and there is no information on exposure of one patient.

October 2013 = Riyadh, Saudi Arabia
The patients, both men, aged 55 and 78, were from Riyadh region. They became ill at the end of September 2013 and died in the beginning of October 2013. Both the patients were reported to have had no contact to a known laboratory-confirmed case with MERS-CoV.

October 2013 = Al Dahkliya region of Oman
The patient in Oman is a 68-year-old man from Al Dahkliya region who became ill on 26 October 2013 and was hospitalized on 28 October 2013. Preliminary epidemiological investigations revealed that he did not recently travel outside the country. However, investigations are currently ongoing to determine what exposures might be responsible for his infection.

October 2013 = Medinah and Riyadah, Saudi Arabia
Of the five laboratory-confirmed cases, two died. The ages of the five patients range from 35 to 83 years old; four men and one woman; two from Medinah and three Riyadh. Four patients had underlying medical conditions. Two patients reported having no contact with a laboratory-confirmed case or with animals prior to becoming ill.

October 2013 = Qatar
who.int (http://www.who.int/csr/don/2013_10_29a/en/)
The patient is a 23-year-old man who was identified as a close contact of a previously laboratory-confirmed case as part of the epidemiological investigation. He is a worker in the animal barn owned by the previously laboratory-confirmed case. The man developed mild symptoms of illness and is in good condition. Preliminary investigations revealed that he did not recently travel outside the country.

October 2013 = Qatar
who.int
The patient is a 61-year-old man with underlying medical conditions who was admitted to a hospital on 11 October 2013. He is currently hospitalized and is in a stable condition. The patient was tested positive for MERS-CoV infection in Qatar and was confirmed by the reference laboratory of Public Health England yesterday.

November 2013 = Qatar
The patient is a 48-year-old man with underlying medical conditions. He became ill on 25 October 2013 and was admitted to a hospital on 31 October 2013. He is in currently in a critical condition. Preliminary investigations reveal that he frequently visited animal barns. The patient did not recently travel and has had no contact with a previously laboratory-confirmed case with MERS-CoV.

November 2013 = Jeddah, Saudia Arabia
who.int (http://www.who.int/csr/don/2013_11_11_coronavirus/en/)
The second patient is a 43-year-old man from Jeddah. He became ill on 27 October 2013 and has been hospitalised since 3 November 2013.

November 2013 = UAE
The patient reported from the United Arab Emirates is a national of Oman. He is 75 years old, with underlying medical conditions. He became ill on 1 October 2013, was hospitalized on 12 October 2013 and died on 10 November 2013.

November 2013 = Kuwait
who.in (http://www.who.int/csr/don/2013_11_18/en/)
The first patient is a 47 year-old man who became ill on 30 October 2013 and was hospitalised on 7 November 2013. He is in critical condition. The second patient is a 52-year-old man with underlying medical conditions. He became ill on 7 November and was hospitalised on 10 November 2013. He is in critical condition.

November 2013 = Riyadh, Saudi Arabia
who.int/ (http://www.who.int/csr/don/2013_11_11_coronavirus/en/)
The first patient is a 72-year-old man from Riyadh with underlying medical conditions. He became ill on 23 October 2013, and has been hospitalised since 31 October 2013.

November 2013 = Riyadh, Saudi Arabia
The first patient is a 73-year-old woman with underlying medical conditions from Riyadh who became ill on 12 November 2013, was hospitalized on 14 November 2013 and died on 18 November 2013.
The third patient is a 37-year-old man from Riyadh who became ill on 9 November 2013, was hospitalized on 13 November 2013 and died on 18 November 2013. None of the three patients had exposure to animals or contact to a previously laboratory-confirmed case with MERS-CoV.

November 2013 = Jawf region, Saudi Arabia
The second patient is a 65 year-old man with an underlying medical condition from Jawf region who became ill on 4 November 2013 and was hospitalized on 14 November 2013.

December 2013 = Riyadh, Saudi Arabia
Two cases are female health workers from Riyadh who have not reported any symptoms.
The third case is a 53 year-old male from Ryadh with underlying chronic diseases. He was hospitalized on November 26 and is currently receiving treatment in an intensive care unit. He had no exposure to animals and no travel history outside Riyadh region. He had contact with a confirmed case.
The fourth case is a 73 year-old male from Riyadh with underlying chronic diseases who died on December 18, three days after being hospitalized. He had exposure to animals but no travel history.

December 2013 = Riyadh, Saudi Arabia
One of the cases is a 57 year-old male from Riyadh who was hospitalized on 17 December, 2013 and is currently in an Intensive Care Unit (ICU). He was laboratory confirmed on 19 December, 2013. He has underlying chronic diseases. There are no known exposures to animals or a laboratory-confirmed case, and the case has no history of traveling outside Riyadh region.
Second case is a 73 year-old male national, from Riyadh who developed respiratory symptoms and was transferred to an intensive care unit on 25 November 2013, and died on 17 December 2013. On 19 December 2013, he was laboratory confirmed for MERS-CoV. There are no known exposures to animals or a laboratory-confirmed case. In addition, he has no history of travel outside of Riyadh.
Three additional cases (two males and one female) are health care workers who have not reported any symptoms.

December 2013 = UAE
The three cases belong to a family in Abu Dhabi – a mother (32 years old) who died 2 December 2013*, father (38 years old) and son (8 years old). The earliest onset of illness was 15 November 2013. The father is in a critical condition in hospital. The mother and father had no travel history, no contact with a known confirmed case and no history of contact with animals. While hospitalized, the mother gave birth to a newborn child. The 8 year old son, who has mild respiratory symptoms, was detected from epidemiological investigation of family contacts, and is being kept in hospital isolation. Further investigations into close contacts of the family, the newborn baby, and healthcare workers are on-going.
Additionally, two previously laboratory-confirmed cases from Qatar died on 15 and 21 November 2013**.

December 2013 = Jawf province, Saudi Arabia
The first case is a 51 year-old female from Saudi Arabia, living in Jawf province with onset of symptoms on 20 November 2013. She has underlying chronic disease and was transferred to Riyadh for treatment in an intensive care unit. She had no reported contact with animals. The epidemiological investigation is ongoing. The second case is a 26 year-old female who is a non-Saudi healthcare worker in Riyadh. She is asymptomatic. She had reported contact with a 37 year-old male laboratory confirmed case that was reported to WHO on 21 November 2013.

December 2013 = UAE
A 68 year-old male with onset of illness on 13 December, was admitted to hospital on 14 December 2013 for Joint replacement, he was also complaining of cough and transferred to the intensive care unit on 16 December due to rapid deterioration. On 19 December 2013, the diagnosis was laboratory confirmed for MERS-CoV. The patient has underlying medical conditions. Preliminary investigations reveal that he had no recent travel history and no contact with animals, and no contact with laboratory confirmed case. Investigation among family and healthcare contacts is ongoing.

January 2014 = Dubai, UAE
The case is a 33 year-old male healthcare worker in Dubai who was in contact with the confirmed MERS-CoV case reported to WHO on 20 December. He developed symptoms on 27 December, and was hospitalized on 28 December with bilateral pneumonia, acute renal failure and thrombocytopenia. The patient has underlying history of bronchial asthma and chronic kidney disease. The case was laboratory confirmed for MERS-CoV on 29 December 2013. The patient is in critical but stable condition.

January 2014 = North Batinha, Oman
The case is a 59 year-old man who became sick with fever, cough and shortness of breath on 20 December 2013 and was admitted to hospital in North Batinha Governorate on 24 December. On 28 December his condition deteriorated and he was transferred to an intensive care unit and was diagnosed with pneumonia. The patient died on 30 December. A laboratory confirmation of MERS-CoV was made on 1 January 2014. The patient had a history of daily exposure to camels and other farm animals and also participated in camel race events. In addition, the man was a heavy smoker.

January 2014 = Riyadh, Saudi Arabia
who.int (http://www.who.int/csr/don/2014_01_27mers/en/)
WHO was notified of one case by the Ministry of Health of Saudi Arabia. The case is a 54 year old man from Riyadh who developed respiratory illness symptoms on 29 December, 2013 and was hospitalized on 4 January, 2014. The patient received medical treatment in an intensive care unit. He died on 14 January 2014. Samples tested positive for MERS-CoV after his death. The patient was a health care worker. He had a history of chronic disease and had no history of contacts with animals or contact with known cases of MERS-CoV. In addition, he had no travel history. The investigation is ongoing.

January 2014 = Jordan
who.int (http://www.who.int/csr/don/2014_01_27mers/en/)
WHO was notified of one case by the Ministry of Health of Jordan on 23 January, 2014. The case is a 48 year old man who became ill on 31 December, 2013 and developed fever, dry cough, difficulty in breathing, abdominal pain and vomiting, and was admitted to a hospital on 9 January, 2014. While there, his condition worsened and on 16 January he was placed on mechanical ventilation. The patient died on 23 January. A sample taken from the patient on 21 January tested positive by PCR for MERS-CoV.
The patient had underlying health conditions and he had travelled to the United Kingdom from 12 November to 25 December 2013 seeking treatment for his underlying conditions. The patient had no history of animal contact and is believed to have not attended any large social events in the last 30 days. It is reported that he had received 2 guests from Kuwait between 25 December and 31 December, 2013.

February 2014 = Kuwait
who.int (http://www.who.int/csr/don/2014_03_20_mers/en/)
A 60 year-old Syrian national who was admitted to a hospital in Kuwait on 13 February and died on 6 March. He had underlying health conditions. The patient was confirmed with MERS-CoV on 9 March. All close contacts of the patients are being followed up.

February 2014 = Riyadh, Saudi Arabia
who.int (http://www.who.int/csr/don/2014_02_04mers/en/)
The case is a 60-year-old man from Riyadh who became ill on 19 January and who had underlying medical conditions. He was hospitalized on 24 January and died on 28 January. Respiratory specimens were collected and sent to the central laboratory in Riyadh and confirmed positive for MERS-CoV on 28 January. Details of his possible contact with animals are unknown, and he has no history of contact with a laboratory-confirmed case.

February 2014 = Riyadh, Saudi Arabia
A 67-year-old man from Riyadh. He became ill on 23 January and was hospitalised on 25 January. The patient had an underlying medical condition. He had no reported history of contact with animals or with a previously laboratory-confirmed case.

February 2014 = Abu Dhab, UAE
The case is a 66 year-old male UAE national, residing in Abu Dhabi. He had onset of symptoms on 20 January 2014 with an upper respiratory tract illness and was admitted to hospital on 24 January 2014 with pneumonia and renal failure. He had underlying medical conditions.

February 2014 = Eastern Region, Saudi Arabia
A 22-year-old man from the Eastern Region. He became ill on 3 February and was hospitalised on 9 February and died on 12 February 2014. The patient had an underlying medical condition. He had no reported history of contact with animals or a previously laboratory-confirmed case.

March 2014 = Al-Ahsa, Saudi Arabia
The first case is a 58 year-old man from Al-Ahsa province. He became ill on 2 February and was hospitalised on 4 February. He recovered from the infection and was discharged from hospital on 24 Febraury. The patient suffered from multiple chronic diseases, and was reported to have had contact with animals.

March 2014 = Riyadh region, Saudi Arabia
The second case is an 81 year-old woman from the Riyadh region. She had multiple underlying medical conditions, and was hospitalised on 2 February, where she developed symptoms of MERS on 5 February. The patient died on 8 February. She had no reported contact with animals prior to falling ill.

March 2014 = Riyadh, Saudi Arabia
www.who.int (http://www.who.int/csr/don/2014_03_18/en/)
- An 83 year-old man from Riyadh region with underlying medical conditions. He became ill on 24 February, was hospitalized on 1 March and is currently in a critical condition. He has no history of exposure to animals or contact with a previously laboratory-confirmed case.
- A 19 year-old man from Riyadh region with underlying medical conditions. He became ill on 1 March, was hospitalised on 7 March and died shortly afterwards. He had a history of exposure to animals, including camels.
- A 22 year-old woman from Riyadh region. She developed mild illness on 10 March and is in a stable condition. She had contact with the above mentioned 19 year-old case.
- An 18 year-old woman from Riyadh region. She developed mild illness on 14 March and has recovered. She had contact with the above mentioned 19 year-old case.
- A 53 year-old man from Riyadh region. He has no symptom of illness. He had contact with the above mentioned 19 year-old case.

March 2014 = Riyadh, Saudi Arabia
www.who.int (http://www.who.int/csr/don/2014_03_27_mers/en/)
- A 71 year-old man from the Riyadh region with underlying medical conditions. He became ill on 24 February and was admitted to hospital on 5 March. He is currently in a critical condition. The patient had a history of exposure to animals, including camels.
- A 66 year-old man from the Riyadh region with underlying medical conditions. He became ill on 9 March and was admitted to hospital on 11 March. He is currently in a critical condition. The patient had no history of exposure to animals.
- An 86 year-old man from the Riyadh region. He became ill on 11 March and passed away on 19 March. He had no history of exposure to animals.
- A 75 year-old man from the Riyadh region with underlying medical conditions. He became ill on 23 February and was admitted to hospital on 26 February. He is currently in a critical condition. The patient has a history of exposure to animals, including camels.
- A 56 year-old man from the Riyadh region with underlying medical conditions. He became ill on 6 March and was admitted to hospital on 13 March. He is currently in a critical condition. The patient has a history of exposure to animals, including camels.
- A 45 year-old man from the Riyadh region with underlying medical conditions. He became ill on 5 March and was admitted to hospital on 15 March. He is currently in a critical condition. The patient has no history of exposure to animals.

March 2014 = Jeddah, Saudi Arabia
who.int (http://www.who.int/csr/don/2014_04_10_mers/en/)
- A 26 year-old man from Jeddah. He became ill on 22 March, was hospitalised on 23 March, and died on 6 April.
- A 26 year-old man from Jeddah. He became ill on 16 March and has been hospitalised since 25 March.

March 2014 = Riyadh, Saudi Arabia
who.in (http://www.who.int/csr/don/2014_04_10_mers/en/)
- A 77 year-old woman from Riyadh region. She became ill on 25 March and is currently in a stable condition. She is not known to have a history of exposure to animals.
- A 59 year-old man from Riyadh region who became ill on 22 March, 2014. He is not known to have contact with animals or a known case.

March 2014 = Abu Dhabi, UAE
who.int (http://www.who.int/csr/don/2014_04_10_mers/en/)
- A 64 year-old man from Abu Dhabi with underlying medical conditions. He became ill on 21 March, was hospitalised on 25 March and died on 30 March. He had underlying medical conditions. He did not have contact with a previously laboratory-confirmed case, but has had exposure to animals. The patient visited a camel farm in Harb city in Saudi Arabia on 10 March and visited Nezwa city in Oman for a day on 20 March. He owned an animal farm in the UAE with poultry and sheep, but had no recent visit to the farm. Investigation into the family and health care contacts is ongoing.

March 2014 = Jordan
The patient is a 52 year-old man with underlying medical conditions. He visited Saudi Arabia from 20 to 29 March. He became ill on 25 March and visited a hospital in Jeddah. He returned to Jordan on 29 March and visited a hospital in Amman on the same day and on 2 April. He is currently in a stable condition.
The concerned authorities in Jordan are in contact with the concerned authorities in Saudi Arabia to follow up on all close contacts of the case.

April 2014 = Sanaa, Yemen
Reuters
Yemen reported its first case of the deadly MERS coronavirus on Sunday in a further spread of the deadly strain in the Middle East two years after its outbreak in neighboring Saudi Arabia.
"Medical personnel have recorded one case of the coronavirus in Sanaa and the victim is a Yemeni man who works as an aeronautics engineer," the semi-official al-Thawra newspaper quoted Public Health Minister Ahmed al-Ansi as saying.

April 2014 = Batu Pahat Malaysia
thestar.com
PUTRAJAYA: The Middle East Respiratory Syndrome-coronavirus (MERS-CoV) has killed its first victim in Asia, a Malaysian man who developed respiratory complications after returning from Mecca.
The 54-year-old man, from Batu Pahat, Johor, had arrived in Malaysia on March 29 after performing the umrah.
He died on Apr 13 after being admitted to the Hospital Sultanah Nora Ismail for three days, following complaints of fever, cough and breathing difficulties.
Passengers onboard the Turkish Airlines flights TK93 and TK60 on the Jeddah-Istanbul-Kuala Lumpur route on March 29 are urged to contact the Health Ministry for a health screening, said Health Minister Datuk Seri Dr S. Subramaniam.

April 2014 = Abu Dhabi, UAE
A cluster of four health-care workers were identified through screening of contacts of a previously laboratory-confirmed case from Abu Dhabi who died on 10 April 2014. These include:
- A 44 year-old man from Abu Dhabi who was screened on 13 April. He had no illness and is reported to have no underlying medical condition.
- A 30 year-old man from Abu Dhabi who was screened on 13 April. He had no illness and is reported to have no underlying medical condition.
- A 34 year-old man from the Philippines who resides in Abu Dhabi. He was screened on 13 April without any illness and is reported not to have any underlying medical condition.
- A 28 year-old man from Abu Dhabi who became ill on 14 April 2014. He is reported to have no underlying medical condition.

April 2014 = Riyadh, Saudi Arabia
huffingtonpost.com
RIYADH, April 20 (Reuters) - Saudi Arabia confirmed 20 new cases of Middle East Respiratory Syndrome (MERS)on Saturday and Sunday, adding up to 49 infections in six days, a sudden increase of a disease that kills about a third of the people infected and has no cure.

April 2014 = Greece
WHO (http://www.who.int/csr/don/2014_04_20_mers/en/)
The patient is a 69 year-old male Greek citizen residing in Jeddah, Saudi Arabia, who travelled back to Greece on 17 April. While in Jeddah, the patient consulted a hospital on 8 and 10 April for a febrile illness with diarrhoea, and was given a probable diagnosis of typhoid fever. Of note, he regularly visited his wife who was hospitalised from 31 March to 5 April in the same hospital for a confirmed typhoid fever.
The patient sought medical care upon arrival in Greece on 17 April. The evaluation revealed a bilateral pneumonia and the diagnosis of MERS-CoV infection was made at the National Reference Laboratory for Influenza. The patient is in stable condition and is receiving appropriate treatment.

April 2014 = Al Grayat City, Saudi Arabia
WHO (http://www.who.int/csr/don/2014_04_24_mers/en/)
The patient is a 25 year-old man from Al Grayat City [also Al Qurayyat], Saudi Arabia. He became ill on 9 April, was admitted to a hospital in Saudi Arabia on 10 April and discharged from the hospital on 15 April, against medical advice. As his condition did not improve, he sought medical care at another hospital in Zarka City, Jordan on 19 April, where he was tested positive for MERS-CoV. The patient has underlying medical conditions and has a history of travel to Abha Mecca and Jeddah, Saudi Arabia from 3 to 8 April. He has history of contact with camels and is also reported to have consumed camel milk.

April 2014 = Mecca, Saudi Arabia
news.yahoo.com/
The 65-year-old Turkish pilgrim is among six new cases reported in Mecca, where millions of Muslims from around the world descend year-round. That's raised concerns that the virus could spread among pilgrims.

April 2014 = Medina, Saudi Arabia
news.yahoo.com
The ministry said the youngest cases from the newest batch of infections are two 13 year olds, one in the city of Medina and another in Jiddah.

April 2014 = Cairo, Egypt
On 26 April 2014, the Ministry of Health of Egypt reported the first laboratory-confirmed case of infection with Middle East respiratory syndrome coronavirus (MERS-CoV) in the country.
The patient is a 27 year-old man who has been living in Riyadh, Saudi Arabia for the past 4 years. The patient had contact with a previously laboratory-confirmed case (his uncle) who died on 19 April, and another laboratory-confirmed case (neighbour of his uncle) who is still under treatment in a hospital in Jeddah, Saudi Arabia. The patient became ill on 22 April, returned to Egypt on 25 April and was laboratory-confirmed with MERS-CoV on 26 April. The patient is currently in a stable condition.

April 2014 = Munster, Indiana, USA
reuters.com
A healthcare worker who had traveled to Saudi Arabia was confirmed as the first U.S. case of Middle East Respiratory Virus (MERS), an often fatal illness, raising new concerns about the rapid spread of such diseases, the U.S. Centers for Disease Control and Prevention said on Friday.
The male patient traveled via a British Airways flight on April 24 from Riyadh to London, where he changed flights at Heathrow airport to fly to the United States. He landed in Chicago and took a bus to an undisclosed city in Indiana.
On April 27, he experienced respiratory symptoms, including fever, cough and shortness of breath. According to the Indiana State Department of Health, the man visited the emergency department at Community Hospital in Munster, Indiana, on April 28 and was admitted that same day.

April 2014 = Philippines
gmanetwork.com
Last week's death was the second reported MERS-related fatality involving a Filipino in the Middle East. A Filipina nurse died from the infection in August 2013.
Five other Filipinos who were reported to have contracted the MERS in the UAE have been quarantined and are now doing well and recovering, according to the Department of Foreign Affairs (DFA).

May 2014 = Dr. Phillips Hospital, Orlando, Florida, USA
abcnews.go.com
A man with Middle East Respiratory Syndrome may have exposed 100 people to the deadly MERS virus at two Florida hospitals, health officials said today.
The 44-year-old man, who works as a healthcare provider in Saudi Arabia, was admitted to Dr. P. Phillips Hospital in Orlando May 8, a week after developing symptoms of MERS mid-flight from Jeddah, Saudi Arabia to London.
The man, whose name and nationality have not been released, traveled through Boston and Atlanta before arriving in Orlando, where he was visiting family, officials said.
The agency would not identify the man, but said he is a resident of Saudi Arabia, not an American. He was a health care worker in Saudi Arabia, which has been the center of the outbreak, and is now in an Orlando Hospital.
The person traveled to the USA from Jeddah, Saudi Arabia, on May 1, to visit family in Orlando, traveling through London, Boston and Atlanta on the way. All the passengers on the U.S. legs of the patient's journey are being notified today to look for possible symptoms of the virus, though the risk of transmission is considered very slight.
At least 20 hospital workers who were in contact with the man at Dr. P. Phillips Hospital and Orlando Regional Medical Center have been placed in home isolation for the virus’s 14-day incubation period and are awaiting MERS test results.
One hospital worker, who developed symptoms of the virus 24 hours after being exposed, has been placed in isolation at Dr. P. Phillips Hospital, Dr. Antonio Crespo said at a media briefing today.

May 2014 = Saudi Arabia: Farmers flout Mers warning by kissing camels
bbc.com (http://www.bbc.com/news/blogs-news-from-elsewhere-27393045)
People are taking photos and videos of themselves kissing camels in defiance of a warning from Saudi health authorities not to go near the animals, which have been linked to the deadly Mers virus.

May 2014 = Kerman, Iran
Who.int
Iran reported its first laboratory-confirmed MERS-CoV cases on 26 May 2014. The first two cases
were sisters who had no history of travel, or contact with camels, but who had close contact with an individual with influenza-like-symptoms who had recently travelled to KSA to perform Umrah.
Investigations are currently ongoing in Iran to determine if the close contact has been tested for
MERS-CoV. One additional case, a 35 year old female health care worker caring for the first reported Iran case, was identified on 4 June.

May 2014 = Lebanon
Lebanon reported its first case on 8 May 2014 in a health care worker who no reported contact with
a known MERS-CoV case, had not travelled to the Middle East within the 14 days prior to symptom
onset and did not have contact with animals or animal products. The patient is known to travel to
several countries in the Gulf region, but his most recent travel was five weeks prior to symptom
onset. Investigations are ongoing in the source of his infection.

6/3/2014 = Saudi Arabia Review Finds Higher Number Of MERS Cases
www.huffingtonpost.com
DUBAI, United Arab Emirates (AP) — Saudi Arabia, which is grappling to contain the spread of a frequently deadly respiratory virus, announced Tuesday that a review of the illness led authorities to sharply revise upward the number of confirmed infections and deaths from the disease.
The surprise disclosure followed the unexpected firing of the kingdom's deputy health minister, heightening concerns about the country's ability to halt the spread of the Middle Eastern respiratory virus. He was the second senior Saudi health official to lose his job in less than two months.
A report by the official Saudi Press Agency said authorities have registered a total of 688 confirmed infections and 282 deaths as a result of MERS since the virus was first identified in 2012. Of those infected, 53 were reported to still be receiving treatment.
The Saudi Health Ministry's most recent tally of cases listed 575 cases and 190 deaths, meaning that over 100 cases had previously gone unreported.

May 2014 = The Netherlands
The Netherlands reported two MERS-CoV cases among siblings who travelled to Medina and Mecca  KSA between 26 April and 10 May 2014. Investigations are ongoing to identify the source of  exposure, however it is known that the male patient, 70 years-old, visited medical care facilities in Medina or Mecca while in KSA. The sister, 73 years-old, was identified as a case through contact tracing investigation. Both cases had underlying conditions that have been shown to pre dispose to severe disease. A total of 78 close contacts (among which were the travel group, relatives and flight contacts) were monitored for a period of 14 days, and no additional cases of MERS-CoV infection were identified during this period.

May 2014 = Al Taif
Since the last update of 8 May 2014, 163 laboratory-confirmed cases, including 38 deaths, were  reported to WHO. These include 138 cases reported by KSA (including cases from Riyadh, Jeddah,  Medina, Mecca, Qunfudhah, Al Jawf, Al Taif, Damman, Dilam, Hafar Al Batin, Kharj and Rumah)

May 2014 = Damman
Since the last update of 8 May 2014, 163 laboratory-confirmed cases, including 38 deaths, were reported to WHO. These include 138 cases reported by KSA (including cases from Riyadh, Jeddah, Medina, Mecca, Qunfudhah, Al Jawf, Al Taif, Damman, Dilam, Hafar Al Batin, Kharj and Rumah)

May 2014 = Qunfudhah
Since the last update of 8 May 2014, 163 laboratory-confirmed cases, including 38 deaths, were reported to WHO. These include 138 cases reported by KSA (including cases from Riyadh, Jeddah, Medina, Mecca, Qunfudhah, Al Jawf, Al Taif, Damman, Dilam, Hafar Al Batin, Kharj and Rumah)

May 2014 - Dilam
Since the last update of 8 May 2014, 163 laboratory-confirmed cases, including 38 deaths, were reported to WHO. These include 138 cases reported by KSA (including cases from Riyadh, Jeddah,  Medina, Mecca, Qunfudhah, Al Jawf, Al Taif, Damman, Dilam, Hafar Al Batin, Kharj and Rumah)

May 2014 = Kharj
Since the last update of 8 May 2014, 163 laboratory-confirmed cases, including 38 deaths, were reported to WHO. These include 138 cases reported by KSA (including cases from Riyadh, Jeddah,  Medina, Mecca, Qunfudhah, Al Jawf, Al Taif, Damman, Dilam, Hafar Al Batin, Kharj and Rumah)

May 2014 = Rumah
Since the last update of 8 May 2014, 163 laboratory-confirmed cases, including 38 deaths, were reported to WHO. These include 138 cases reported by KSA (including cases from Riyadh, Jeddah, Medina, Mecca, Qunfudhah, Al Jawf, Al Taif, Damman, Dilam, Hafar Al Batin, Kharj and Rumah)

June 2014 = Algeria
Algeria has reported its first laboratory-confirmed cases on 1 June 2014. Both cases had separately
travelled to Saudi Arabia for pilgrimage in May and sought treatment upon returning to Algeria. It is
unknown whether these two cases had contact with a known MERS-CoV case, visited a health care health care facility or had contact with animals while in KSA. Investigations among contacts of the  two cases while in Saudi Arabia and in Algeria are currently ongoing.

July 2014 - Kerman, Iran
WHO International (http://www.who.int/csr/don/2014_07_23_mers/en/)
On 12 July 2014, the National IHR Focal Point of the Islamic Republic of Iran reported to WHO an additional laboratory-confirmed case of infection with Middle East respiratory syndrome coronavirus (MERS-CoV).
The patient is a 67-year-old woman from Kerman Province. The patient had Chronic Obstructive Pulmonary Disease (COPD) and was admitted to a hospital on 6 June 2014 due to a COPD exacerbation. The patient was discharged on 14 June 2014 and continued treatment at home. She was in a stable condition until she developed severe acute respiratory symptoms and was readmitted to a hospital on 25 June 2014. The patient was laboratory-confirmed with MERS-CoV on 5 July 2014 and died on the same day. The patient had no history of travel and no known history of contact with animals or consumption of raw camel milk products in the 14 days prior to becoming ill. The patient did not have known contact with a previously reported MERS-CoV case. However, during her first hospitalisation, the patient had close contact with another patient with severe acute respiratory infection.

View this map in Google Earth

July 2014 - Najran, Saudi Arabia
http://www.who.int/csr/don/2014_07_04_mers/en/
A 53 year-old pharmacist from Najran city, Najran Region. He became ill on 16 June and was admitted to a hospital on 28 June and is currently in a stable condition. He was laboratory-confirmed with MERS-CoV infection on 30 June 2014. The patient has underlying medical conditions. He has no history of contact with animals or history of consumption of camel products in the last 14 days prior to developing the illness. He travelled to Abha city, Asir region, 20 days before falling ill and stayed there for a day.

July 2014 - Riyadh City, Saudi  Arabia
http://www.who.int/csr/don/2014_07_04_mers/en/
- A 15-year-old boy from Riyadh City, Riyadh Region who became ill on 26 June. He visited a hospital where samples were collected for laboratory test on 28 June. Following laboratory-confirmation with MERS-CoV infection on 30 June, the patient was called back and admitted at the hospital. He is currently in a stable condition.
- A 28 year-old-housewife from Riyadh city, Riyadh Region. She became ill on 23 June, was admitted to a hospital on 29 June, and is currently in a stable condition.

July 2014 - Abu Dubi, UAE
http://www.who.int/csr/don/2014_07_14_mers2/en/
- A 67-year-old man from Abu Dhabi, UAE who became ill on 17 June and was admitted to a hospital on the same day. On 2 July 2014, the patient was critically ill and was admitted to the intensive care unit in a hospital in Abu Dhabi. He was laboratory-confirmed with MERS-CoV infection on 6 July. The patient is reported to have underlying medical conditions. The patient owns a camel farm in the Eastern Region of Saudi Arabia.
- A 50-year-old man residing in Abu Dhabi, UAE, who was identified as part of screening of contacts in a farm where a camel was laboratory-confirmed with MERS-CoV infection. The camel was laboratory-confirmed with MERS-CoV infection, according to the report of the Ministry of Environment and Water on 26 June. The patient was screened for MERS-CoV infection on 3 July. The patient did not have any symptom then. However, he developed a mild cough on 5 July and was laboratory-confirmed with MERS-CoV infection on 6 July. He does not have a history of contact with a previously laboratory-confirmed human case of infection with MERS-CoV. Tracing of contacts of the patient and other contacts of the camel farm are ongoing.

July 2014 - Wadi Addawasir, Saudi Arabia
http://www.who.int/csr/don/2014_07_14_mers/en/
- A 55-year-old woman from Addawaser City, Riyadh Region who became ill on 25 June, was admitted to a hospital on 2 July and is currently in a stable condition. She was laboratory-confirmed with MERS-CoV infection on 3 July. She is reported to have an underlying medical condition. The patient’s husband owns a camel farm which she visits frequently.

July 2014 - Jeddah, Saudi Arabia
- A 52-year-old man residing in Jeddah City, Makkah Region. He became ill on 24 June and visited a private clinic but his condition did not improve. He was admitted to a hospital on 2 July with respiratory problems and renal failure and is currently in a critical condition. The patient was laboratory-confirmed with MERS-CoV infection on 4 July. He does not have a history of travel.

July 2014 - Arar, Saudi Arabia
- A 72-year-old man from Arar City, Northern Bordes Province. He became ill and was admitted to a hospital on 3 July. He was laboratory-confirmed with MERS-CoV infection on 5 July. The patient died on 6 July. He had multiple underlying medical conditions. He had no history of recent travel and did not have contact with a previously laboratory-confirmed case with MERS-CoV infection. The patient has no history of consumption of raw camel products.

July 2014 - Taif, Saudi Arabia
-A 70-year-old man from Taif City, Mecca Region who became ill on 28 June, was admitted to a hospital on 4 July and is currently in intensive care. The patient was laboratory-confirmed with MERS-CoV infection on 6 July. He is reported to have underlying medical conditions. The patient is reported to have no history of travel and no contact with a previously laboratory-confirmed case with MERS-CoV infection. The patient is reported to have consumed raw camel milk a week prior to his illness and has had close contact with goats he raises.

July 2014 - Riyadh, Saudi Arabia
- A 74-year-old man from Riyadh city, Riyadh Region who became ill on 4 July, was admitted to a hospital on 5 July and is currently in a stable condition. He was laboratory-confirmed with MERS-CoV infection on 6 July. The patient is reported not to have any underlying medical condition. He did not have a history of travel 14 days prior to becoming ill and has no known contact with a previously laboratory-confirmed case with MERS-CoV infection. He has no history of contact with animals or consumption of raw camel products.
- A 70-year-old man from Riyadh City, Riyadh Region who became ill on 1 July, admitted to a hospital on 5 July and is currently in a stable condition. He was laboratory-confirmed with MERS-CoV on 6 July. The patient is reported to have an underlying medical condition. He has no history of travel 14 days prior to becoming ill and is not known to have contact with a previously laboratory-confirmed case of infection with MERS-CoV. He has no history of consumption of raw camel products within the 14 days prior to becoming ill and did not have contact with animals.

July 2014 - Hassa, Saudi Arabia
- A 49-year-old man from Hassa City, Eastern Region, who became ill on 28 June, was admitted to a hospital on 8 July and is currently in a stable condition. He was laboratory-confirmed with MERS-CoV infection on 9 July. The patient is reported to have underlying medical conditions. He has no history of travel and did not have contact with a previously laboratory-confirmed case with MERS-CoV infection. The patient has a farm and had direct contact with birds, goats and camels. Samples have been taken from 15 contacts of the patient, the farm workers and camels for laboratory testing.

October 2014 - Vienna, Austria
http://www.who.int/csr/don/02-october-2014-mers-austria/en/
- The case is a 29 year old female citizen of the Kingdom of Saudi Arabia (SAU), who travelled on 22 September 2014 to Vienna, Austria on a flight from Doha, Qatar. She had originally travelled from Affif, SAU, via Riyadh, by car. The case was symptomatic with an upper respiratory infection and fever prior to arrival in Austria.The patient sought medical treatment in Austria on 24 September 2014, and was transferred to a private hospital on 26 September and then, on 28 September 2014, to the reference hospital for highly infectious diseases in Vienna. The patient is currently in a stable condition. No exposure to camels or their products, no prior hospital admission, nor contact to a known MERS-CoV case, nor any sick person has been reported.

October 2014 - Taif, Saudi Arabia
http://www.who.int/csr/don/16-october-2014-mers/en/
- A 69 year old male from Taif City who developed symptoms on 17 September 2014. The patient has comorbidities and his possible contact with animals and consumption of raw camel products is currently under investigation.
- A 77 year old male from Taif City who developed symptoms on 3 October 2014. The patient has comorbidities and became infected while hospitalized.

October 2014 - Al Jubail, Saudi Arabia
http://www.who.int/csr/don/16-october-2014-mers/en/
- A 65 year old male from Jubail City who developed symptoms on 24 September 2014. The patient has comorbidities, frequent contact with camels and frequently consumes raw camel milk.

October 2014 - Al Henakiyah, Saudi Arabia
http://www.who.int/csr/don/16-october-2014-mers/en/
- A 70 year old male from Alhenakiah City who developed symptoms on 24 September 2014. The patient has comorbidities, frequent contact with camels and frequently consumes raw camel milk.

October 2014 - Haradh, Saudi Arabia
- A 51 year old male from Haradh City who developed symptoms on 30 September 2014. The case died on 05 October 2014. The patient had comorbidities, frequent contact with camels and frequently consumed raw camel milk

October 2014 - Najran, Saudi Arabia
- A 50 year old non-national male from Najran City who developed symptoms on 3 October 2014. He reported no history of contact with animals, but resides in an area with heavy presence of camel farms

October 2014 - Hatay, Turkey
- The case is a 42-year-old male, Turkish citizen known to be working in Jeddah, Kingdom of Saudi Arabia (KSA). On 25 September 2014, the patient developed symptoms in Jeddah. Initially, he sought medical care in KSA; however, on 6 October 2014, as symptoms worsened, he travelled with a direct flight from Jeddah to Hatay, Turkey. Upon his arrival, he was admitted to a local hospital. On 8 October, he was transferred to the University Hospital in Hatay.