Open AccessMERS-CoV in the COVID-19 era: update from Saudi Arabia, 2019–2020
Author(s) -
Anas Khan,
Sharafaldeen Bin Nafisah,
Bandr Mzahim,
Bakhitah Aleid,
Daliah Almatrafi,
Abdullah M Assiri,
Hani Jokhdar
Publication year - 2021
Publication title -
eastern mediterranean health journal/eastern mediterranean health journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.442
H-Index - 47
eISSN - 1687-1634
pISSN - 1020-3397
DOI - 10.26719/emhj.21.049
Subject(s) - middle east respiratory syndrome coronavirus , medicine , epidemiology , public health , covid-19 , health care , mortality rate , christian ministry , middle east respiratory syndrome , disease , environmental health , demography , pediatrics , infectious disease (medical specialty) , pathology , philosophy , theology , economics , economic growth , sociology
Background: The prevalence of Middle East respiratory syndrome coronavirus (MERS-CoV) infection during the period of coronavirus disease 2019 (COVID-19) remains uncertain. Aims: This study aimed to provide an update on the epidemiology of MERS-CoV in Saudi Arabia from January 2019 to October 2020. Methods: Data on all laboratory-confirmed cases of MERS-CoV infection in Saudi Arabia from January 2019 to 20 October 2020 were retrieved from the Health Electronic Surveillance Network of the Ministry of Health of Saudi Arabia. Data collected were: demographic characteristics of cases, clinical course of the infection, related mortality and association with exposure to confirmed cases or camels. Results: In total, 299 cases of MERS-CoV infection were reported in the study period. The mean age of cases was 52.4 years. Most of the cases were males (78.9%) and had comorbidities (72.7%), and 11.9% of cases were health care providers. Of the 299 cases, 83 (27.7%) died. Older age and having comorbidities were associated with higher mortality. Exposure to camels was associated with lower mortality. Health care providers also had a lower mortality rate than non-health care providers. Compared with COVID-19, MERS-CoV infection still has a higher mortality rate but with a more predictable pattern and an anticipated deterioration. Conclusion: MERS-CoV infection remains a public health concern. The percentage of cases that were health care providers (11.9%) is lower than previously reported (19.1–25.0%), possibly due to the various preventive measures put in place to control COVID-19.