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The Ministry of Health (MoH) in Saudi Arabia has announced 2 additional laboratory-confirmed cases and a death in a previously confirmed case of Middle East respiratory syndrome coronavirus (MERS-CoV).
One case is a 41-year-old female from Riyadh who had contact with a confirmed case. The other case is a 32-year-old male from the Eastern Region with underlying medical conditions who is in critical condition. In addition, the MoH has announced the death of a previously reported confirmed case from the Eastern Region who had been admitted to hospital on 26 Apr 2013.
Advice for Travellers
The risk associated with novel coronavirus to the general UK population remains extremely low and the risk to travellers to the Arabian Peninsula and surrounding countries remains very low.
Although the source of the virus and the mechanism of transmission is unknown, it would be prudent to try to reduce the general risk of infection while travelling by:
• Avoiding close contact with people suffering from acute respiratory infections.
• Frequent handwashing, especially after direct contact with ill people or their environment.
• Adhering to food safety and hygiene rules such as avoiding undercooked meats, raw fruits and vegetables unless they have been peeled, or unsafe water.
• Avoiding close contact with live farm or wild animals.Travellers to the Middle East who develop symptoms either during travel or after their return are encouraged to seek medical attention and to share their history of travel.
• People with symptoms of acute respiratory infection should practice cough etiquette (maintain distance, cover coughs and sneezes with disposable tissues or clothing, and wash hands) and to delay travel until they are no longer symptomatic.
Based on the information available, WHO does not advise special screening at points of entry with regard to this event nor does it currently recommend the application of any travel or trade restrictions.
Note: Some countries have however, introduced special screening at points of entry with regard to this event.
Advice for Healthcare Professionals
Consider the possibility of MERS-CoV infection in travellers with fever, cough, shortness of breath, or breathing difficulties, or other symptoms suggesting an infection, and with a recent history (within 14 days) of travel in the Middle East.
If a diagnosis of MERS–CoV infection is considered possible, apply infection prevention and control measures recommended by WHO, or outlined in national guidance, and refer the patient to a special infectious disease unit for further investigation.