Middle East Respiratory Syndrome (MERS)

Middle East Respiratory Syndrome (MERS)

Middle East Respiratory Syndrome (MERS)


「Management and Response for MERS infection」 is to identify early detection of suspected MERS infection and manage it to prevent transmission in communities and hospitals.

Background

  • In 2015, there were 186 confirmed cases and 38 deaths due to the occurrence of MERS outbreak of the Republic of Korea. This was an infection caused by a limited spread, especially in case of foreign inflows and hospitals.

Overview

  • The Center for Disease Control and Prevention maintains a monitoring and surveillance system throughout the MERS countermeasures and emergency operation center(EOC) in order to prevent the spread of infection and early detect of suspected case by influx in overseas countries.

Case definition

  • The definitions of suspected cases in the MERS surveillance system in Republic of Korea are as follows.

    1. Those who develop fever and respiratory symptoms(cough, shortness of breath, and others associated with pneumonia or acute respiratory distress syndrome) with
    - a history of travel from countries in the Middle East* within 14 days before symptom onset within 14 days before symptom onset
    - close contact with a suspected MERS patient showing symptoms
    2. Those who develop fever or respiratory symptoms (cough, shortness of breath, etc.) who was in close contact with a confirmed MERS patient showing symptoms
    * Including countries or regions in or near the Arabian Peninsula: Bahrain, Iraq, Iran, Israel, Jordan, Kuwait, Oman, Qatar, Saudi Arabia, Yemen (Countries with reported MERS outbreaks as of 2016, which include Saudi Arabia, UAE, Oman, Qatar, and Kuwait, require the submission of a physical condition questionnaire to a quarantine officer upon entering any contamination areas of quarantined infectious diseases.)

Quarantine

  • Special quarantine service will be provided to foreign tourists arriving from the Middle east area.
  • Require the submission of a physical condition questionnaire to a quarantine officer upon entering any contamination areas (Figure 1).

    [Figure 1. Physical condition questionnaire]
    [Figure 1. Physical condition questionnaire]

Isolation

  • Any person who complies with the MERS suspected case is immediately transferred to a nationally designated hospital and isolated.
  • The MERS diagnostic test collects the blood, the upper and lower respiratory specimens.
  • The isolation can be released according to test result is negative.
  • All medical costs related to the isolation of MERS are fully supported by the nation.

Monitoring and Surveillance

  • A total of 200 suspected cases of MERS by monitoring and surveillance system in 2016 were all judged as negative (Graph 1).
    The most frequent history of travelling of the suspected cases was UAE with 60%, followed by Saudi Arabia with 25%, Qatar with 8%.

    [Graph 1. Weekly numbers of MERS suspected case in 2016]
    [Graph 1. Weekly numbers of MERS suspected case in 2016]

What you need to know about MERS


  • What you need to know about MERS