Date: 8 Apr 2019
Source: Saudi MOH 6-8 Apr 2019 [edited]
<https://www.moh.gov.sa/en/CCC/events/national/Pages/2019.aspx>

Since the last update on 5 Apr 2019 [See MERS-CoV (40): Saudi Arabia (SH) http://promedmail.org/post/20190405.6406661], there have been a total of 6 newly confirmed cases of MERS-CoV infection reported by Saudi Arabia. In addition, there were 4 outcome reports, one fatality, and 3 recoveries, all previously confirmed cases. [note that information on 7 Apr 2019 events were reported today, 8 Apr 2019].
==========================
[With the addition of these 6 newly confirmed cases, there have been a total of 127 cases of laboratory confirmed MERS-CoV infection reported by Saudi Arabia since 1 Jan 2019. Three of the newly confirmed cases were from Al Khafji, bringing the total number of cases reported from Al Khafji since 29 Mar 2019 to 9, with the 1st case classified as a primary case with a history of contact with camels, and the additional 8 cases classified as unspecified secondary cases.

The remaining 3 cases reported today [8 Apr 2019] include one case each from Makkah, Riyadh and Najran regions.

The HealthMap/ProMED map of Saudi Arabia can be found at
<http://healthmap.org/promed/p/131>.

A map showing the regions of Saudi Arabia can be found at
<http://www.geocurrents.info/cartography/customizable-maps-iran-saudi-arabia-malaysia-indonesia/attachment/regions-of-saudi-arabia-map>. - ProMED Mod.MPP]
Date: Thu 14 Feb 2019
Source: Saudi MOH 13-14 Feb 2019 [edited]
<https://www.moh.gov.sa/en/CCC/events/national/Pages/2019.aspx>

In the past 2 days since the last update [12 Feb 2019], there have been a total of 2 newly confirmed cases, 2 fatalities, and 2 recoveries reported by Saudi Arabia. In addition, there have been 5 cases previously listed as on home isolation that were changed to hospitalized, and 6 additional cases whose transmission classification was changed from the initial report.

Information on newly confirmed cases:
<https://www.moh.gov.sa/en/CCC/events/national/Documents/Epiwk7-19.pdf>
Date: Wed, 30 Jan 2019 13:27:42 +0100

Riyadh, Jan 30, 2019 (AFP) - Twelve people have been killed in floods after heavy rain lashed northern parts of Saudi Arabia this week, the civil defence agency said on Wednesday.   Ten died in the north-western city of Tabuk and one each in the holy city of Medina and in northern border areas, the agency said in a statement cited by the official SPA news agency.   Between Sunday and Wednesday, the agency had rescued 271 people from flooded areas, more than half of them in Tabuk, the statement said.   Heavy downpours have hit several areas of Saudi Arabia this week, mainly in western and north-western parts of the kingdom close to the border with Jordan.   A number of committees have been set up to assess the damage caused by the bad weather, the agency said.
Date: Fri 11 Jan 2019
Source: EMRO Situation Report Dec 2018 [edited]
<http://applications.emro.who.int/docs/EMROPub_2018_EN_20792.pdf>

Highlights
- At the end of December 2018, a total of 2279 laboratory-confirmed cases of Middle East respiratory syndrome (MERS), including 806 associated deaths (case fatality rate 35.3%), were reported globally; the majority of these cases were reported from Saudi Arabia (1901 cases, including 732 related deaths with a case fatality rate of 38.5%).

- During the month of December [2018], a total of 5 laboratory-confirmed cases of MERS were reported globally (all from Saudi Arabia) with no associated death. There were no healthcare workers affected, and most of the cases were primary cases. One of the cases was a secondary infection through household contact.

- The demographic and epidemiological characteristics of reported cases, when compared during the same corresponding period of 2013 to 2018, do not show any significant difference or change. Owing to improved infection prevention and control practices in hospitals, the number of hospital-acquired cases of MERS has dropped significantly since 2015.

- The age group 50-59 years continues to be at highest risk for acquiring infection of primary cases. The age group 30-39 years is most at risk for secondary cases. The number of deaths is higher in the age group 50-59 years for primary cases and 70-79 years for secondary cases.

Characteristics of MERS cases reported from Kingdom of Saudi Arabia,
June 2012-December 2018:
Type of case: Year 2012 / 2013 / 2014 / 2015 / 2016 / 2017 / 2018 //
Grand Total
Primary: 3 / 36 / 164 / 52 / 74 / 71 / 54 // 454
Secondary: 2 / 93 / 264 / 222 / 60 / 90 / 35 // 766
Missing: 0 / 1 / 15 / 102 / 103 / 68 / 50 // 339
Unknown: 0 / 28 / 219 / 78 / 11 / 5 / 1 // 342
Total: 5 / 158 / 662 / 454 / 248 / 234 / 140 / 1901
========================
[There have been a total of 2279 cases of MERS-CoV infection reported during the period 2012 through the end of December 2018, including 806 associated deaths (reported case fatality rate of 35.3%). Saudi Arabia accounted for 1901 (83.4%) of the reported cases. During the month of December 2018, there were only 5 cases reported by Saudi Arabia: 4 of the 5 cases were from Riyadh region, and the 5th was from Najran.

While there are several tables and graphs of interest, I've reproduced one in particular, showing the classification of cases reported by Saudi Arabia by year. Most impressive is the marked drop in secondary cases to a low of 35 during 2018: a major improvement in adherence to infection-control procedures.

The HealthMap/ProMED map of:
Saudi Arabia can be found at <httpi://healthmap.org/promed/p/131> Middle East:
<http://healthmap.org/promed/p/12214>  - ProMED Mod.MPP]
Date: 9 Jan 2019
Source: Saudi MOH 9 Jan 2019 [edited]
<https://moh.gov.sa/en/CCC/events/national/Pages/2019.aspx>

One Newly confirmed case of MERS-CoV infection reported from Makkah region in the past 24 hours.

<https://moh.gov.sa/en/CCC/events/national/Documents/Epiwk2-19.pdf>
Date of confirmation report: 9 Jan 2019
Case No: 19-1780
MERS in Jeddah city: 75-year-old male in Jeddah city, Jeddah region
Contact with camels: No
Case classification: Primary, Community acquired
Current status: Hospitalized
====================
[This newly confirmed case is the 4th case of MERS-CoV reported by Saudi Arabia since 1 Jan 2010. The 3 prior cases reported in 2019 were from Riyadh city in Riyadh region, involving a primary index case (community acquired with no history of camel contact) and 2 household contacts of his. This is the 1st case of MERS-CoV infection reported from Jeddah since 9 Jun 2018.

HealthMap/ProMED map of Saudi Arabia:
<http://healthmap.org/promed/p/131>.
A map of Saudi Arabia showing regions can be found at:
<http://ontheworldmap.com/saudi-arabia/administrative-divisions-map-of-saudi-arabia.html>. - ProMED Mod.MPP]
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