Middle East respiratory syndrome coronavirus (MERS-CoV) – Qatar
On 5 December 2019, the National IHR Focal Point for Qatar reported three laboratory-confirmed cases of Middle East respiratory syndrome (MERS-CoV) infection to WHO.
The first case-patient (case #1) is a 67-year-old female from Doha, Qatar. She developed fever, cough, shortness of breath and headache on 23 November 2019, and presented to a hospital on 25 November. On 27 November, she went to the same hospital for follow up. However, on 28 November, her condition worsened and she was admitted to the hospital. A nasopharyngeal swab was collected on 28 November and tested positive for MERS-CoV by reverse-transcriptase polymerase chain reaction (RT-PCR) on 29 November. The patient had underlying medical conditions, and passed away on 12 December 2019. The source of her infection is under investigation. The patient had neither a history of contact with dromedary camels nor recent travel. Follow up and screening of seven household contacts and 40 healthcare worker contacts is ongoing and two asymptomatic secondary cases have been identified so far.
Yellow fever – Mali
From 3 November through 8 December 2019, three laboratory confirmed cases of yellow fever including two deaths (case fatality rate = 67%) were detected through the national surveillance system in Mali. The first case-patient was a 15-year-old girl from a village in Kati district, Koulikoro region, Mali. The second and third case were in 17 and 25-year-old men, nationals from Cote d’Ivoire, living in the district of Bouguimi, Sikasso region, Mali. All three cases tested positive for yellow fever by Immunoglobulin M (IgM) and reverse-transcriptase polymerase chain reaction (RT-PCR) on 3 December 2019 at Institute Pasteur Dakar (IPD). The first case was not vaccinated against yellow fever and had no travel history outside of Kati District. Meanwhile, the vaccination status for the other two cases was unknown.
Additionally, there were nine suspected and three probable cases reported from the Bouguimi district, including three deaths among the probable cases.