Since April 2012, 130 laboratory-confirmed and 17 probable cases of human infection with Middle East respiratory syndrome coronavirus (MERS-CoV) have been reported to WHO. Affected countries in the Middle East include Jordan, Kingdom of Saudi Arabia (KSA), the United Arab Emirates (UAE), and Qatar; in Europe countries affected include: France, Germany, the United Kingdom (UK) and Italy; and in North Africa: Tunisia.
Infections presumably acquired through exposure to non-human sources have all occurred in the Middle East; limited transmission in the countries of Europe and North Africa has occurred in close contacts of recent travellers from the Middle East. No new countries have reported MERS-CoV cases since the last update; the last exported case to a country outside the Middle East was in June 2013.
Since the last update, 37 new laboratory-confirmed cases of MERS-CoV have been reported; these include 34 cases from KSA and three cases from Qatar. In addition, one previously reported probable case in Tunisia has now been confirmed as a result of additional laboratory testing. Two cases previously counted as confirmed have been reclassified as probable on the basis of further clarifications of the case definition.
Of the 130 confirmed cases, 58 (45%) have died. Seventy-seven of 124 confirmed cases (63%) for which sex is known were male and the median age of the 125 confirmed cases with known age is 50 years (range, 14 months to 94 years).