Middle East respiratory syndrome coronavirus – Jordan

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Between 7 and 10 September * 2015, the National IHR Focal Point of Jordan notified WHO of 5 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including 2 deaths.Details of the casesA 78-year-old male from Amman city developed symptoms on 26 August and, on 1 September, was admitted to hospital. This hospital, which the patient frequently visited due to chronic conditions, has been experiencing a MERS-CoV outbreak. He passed away on 4 September and tested positive for MERS-CoV on 5 September. Investigation of possible epidemiological links with the MERS-CoV cases in the hospital or with shared health care workers is ongoing. The patient had no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms.A 53-year-old male from Amman city developed symptoms on 27 August and, on 5 September, was admitted to hospital. The patient, who had comorbidities and was a heavy smoker, tested positive for MERS-CoV on 8 September. He passed away on 7 September. Investigation of history of exposure to known risk factors in the 14 days prior to the onset of symptoms is ongoing.A 7-year-old female from Amman city tested positive for MERS-CoV while asymptomatic on 10 September. Currently, she is still asymptomatic and under observation in a negative pressure isolation room in a hospital. The patient, who has no comorbidities, is a contact of a laboratory-confirmed case (see above – case no. 2). She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. A 10-month-old female from Amman city developed symptoms on 9 September. The patient was admitted to hospital on 10 September and, on the same day, tested positive for MERS-CoV. Currently, she in stable condition in a negative pressure isolation room on a ward. The patient, who has no comorbidities, is a contact of a laboratory-confirmed case (see above – case no. 2). She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. A 65-year-old female from Amman city developed symptoms on 3 September and, on 9 September, was admitted to hospital. The patient, who has no comorbidities, tested positive for MERS-CoV on 10 September. Currently, she is in stable condition in a negative pressure isolation room on a ward. The patient visited a laboratory-confirmed MERS-CoV case (see DON published on 1 September – case no. 3) at the hospital that has been experiencing a MERS-CoV outbreak. She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms. Contact tracing of household and healthcare contacts is ongoing for these cases.The National IHR Focal Point of Jordan also notified WHO of the death of 1 MERS-CoV case that was reported in a previous DON on 1 September (case no. 3).Globally, WHO has been notified of 1,569 laboratory-confirmed cases of infection with MERS-CoV, including at least 554 related deaths.

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National
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Jordan
Middle East
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Amman
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Investigation

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