MERS-CoV: example of family cluster Republic of Lebanon Ministry of Public Health Epidemiological Surveillance Program May 2014
Source • Family Cluster of Middle East Respiratory Syndrome Coronavirus Infections • Z. Memish, A. Zumla, R. F. Al-Hakeem, A. A. Al-Rabeeah, and G. M. Stephens • n engl j med 368;26 nejm.org june 27, 2013
Summary • Description of a family cluster of MERS-CoVinfection: three young men who became ill with MERS-CoVinfection after the hospitalization of an elderly male relative, who died of the disease. • Twenty-four other family members living in the same household and 124 attending staff members at the hospitals did not become ill. • MERS-CoV infection may cause a spectrum of clinical illness.
Patient 2 Source: Family Cluster of Middle East Respiratory Syndrome Coronavirus Infections. Ziad A. Memish, M.D., Alimuddin I. Zumla, M.D., Ph.D., Rafat F. Al-Hakeem, M.D., Abdullah A. Al-Rabeeah, M.D., and Gwen M. Stephens. n engl j med 368;26 nejm.org june 27, 2013
Chain of transmission Patient 1 Patient 2 Patient 4 Patient 3