A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
Date: Sunday, May 5, 2013, 11:18 PM
From: Ziad Memish <firstname.lastname@example.org>
Subject: Urgent follow up re nCOV cluster in Alhassa KSA
a follow up to the most recently reported 10 case cluster of nCOV in
Alhasa in the Eastern Province of KSA. Our investigation is still
ongoing and we picked up 3 more cases:
Case 11: 62 year old female with multiple comorbidities. Start of symptoms [19 Apr 2013] and deceased [3 May 2013]
Case 12: 71 year old male with multiple comorbidities. Start of symptoms [15 Apr 2013], deceased [3 May 2013]
13: 58 year old female with comorbidities. Start of symptoms [1 May
2013] and currently ventilated in critical but stable condition.
So far there is no apparent community transmission and transmission seem linked to one HCF [health care facility].
We will keep you posted on progress
Ziad A Memish MD, FRCP(Can), FRCP(Edin), FRCP(Lond), FACP
Deputy Minister for Public Health
Director WHO Collaborating Center for Mass Gathering Medicine
Ministry of Health
Professor, College of Medicine
Kingdom of Saudi Arabia
[ProMED-mail would like to thank Dr Memish for sharing this
information on the 3 new cases associated with the cluster of severe
acute respiratory illness (SARI) cases in Alhasa, Eastern Province.
enumerated in the above report, there are now 13 cases associated with
this cluster, 7 of whom have died (54 per cent). As with the 10
previously reported cases, all 3 of these have existing comorbidities.
The statement from the above report -- "So far there is no apparent
community transmission and transmission seem linked to one HCF [health
care facility]" supports a conclusion that this outbreak is a nosocomial
outbreak, and the reason that all confirmed cases to date have had
existing comorbidities is that they were presumably infected with the
nCoV while hospitalized in this HCF for other pre-existing illnesses.