Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Update

April 29, 2014

Major Increase in MERS CoV

2*Source: ECDC

• 163 new cases since April 2014*• At least 43 are reported to be HCWs

• Cluster in UAE involving 16 HCWs/paramedics

• Case Counts*• 133 cases in KSA• 25 in UAE• 2 in Jordan• 1 in each (Greece, Malaysia, Philippines)

Additional Information 75% of cases due to secondary spread

(source: WHO) Total of 345 cases, 107 deaths (as of 4/25)

(Source: ECDC) Reason for increase still unclear

Seasonality? Nosocomial transmission? Better case detection? Changes in virus?

3

4

5

Requests for Testing Form on THAN https://home.tnhan.tn.gov/default.aspx Requires approval by Central Office

Marion Kainer, Tim Jones, John Dunn, Kelly Moore

Specimen submission guidelines on back of formCoordinate with state lab

6

MERS Testing

Preferred specimens:Broncheoalveolar lavage, tracheal

aspirate, pleural fluid or sputum Other specimens:

Nasopharyngeal swabs, oropharyngeal swabs

State lab can perform PCR

7

Person Under Investigation (PUI) http://www.cdc.gov/coronavirus/mers/case-def.html Acute respiratory infection (fever, cough) AND

suspicion of pulmonary parenchymal disease (e.g. ARDS, pneumonia)

AND (one of the following) History of travel to affected area within 14 days Close contact with symptomatic traveler who developed

fever and acute respiratory illness within 14 days of travel Member of a cluster of patients with severe acute resp.

illness Clusters of SARI HCW who have cared for patients with SARI

8

Questions

marion.kainer@tn.gov

9