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The first clusters of Middle East respiratory syndrome coronavirus in Oman: Time to act #MMPMID32307315
Al Awaidy ST; Al Maqbali AA; Omer I; Al Mukhaini S; Al Risi MA; Al Maqbali MS; Al Reesi A; Al Busaidi M; Al Hashmi FH; Al Maqbali TK; Vaidya V; Al Risi ESA; Al Maqbali TK; Rashid AA; Al Beloshi MAH; Etemadi A; Khamis F
J Infect Public Health 2020[May]; 13 (5): 679-686 PMID32307315show ga
INTRODUCTION: Middle East respiratory syndrome coronavirus (MERS-CoV), is an emerging infectious disease of growing global importance. This review describes the latest MERS-CoV clusters and the first cases of nosocomial transmission within health care facilities in Oman. We have highlighted lessons learned and proposed steps to prevent healthcare-associated infections. METHODS: A descriptive analysis of MERS-CoV cases was conducted between January 23 and February 16, 2019. The data from officials and other published sources used. RESULTS: Thirteen laboratory-confirmed cases of MERS-CoV were reported from three simultaneous clusters from two governorates without an epidemiological link between the clusters. Two clusters were reported from North Al Batinah Governorate, with nine cases (69%) and 1 cluster from South Ash Sharqiyah Governorate with four cases (31%). In total, four deaths were reported (case fatality rate 31%). Four cases (31%) reported were household contacts from the first cluster, 3 (23%) were nosocomial transmission in health care facilities (two for first and one from the second cluster) and 7 (54%) were community-acquired cases. CONCLUSIONS: The first local clusters of MERS-CoV reported with evidence suggestive of healthcare and household-associated transmission. Early diagnosis and strict implementation of infection control measures remain fundamental in preventing and managing MERS-CoV infection.
|*Middle East Respiratory Syndrome Coronavirus[MESH]