First confirmed cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in the United States, updated information on the epidemiology of MERS-CoV infection, and guidance for the public, clinicians, and public health authorities - May 2014

Stephanie R Bialek, Donna Allen, Francisco Alvarado-Ramy, Ray Arthur, Arunmozhi Balajee, David Bell, Susan Best, Carina Blackmore, Lucy Breakwell, Andrew Cannons, Clive Brown, Martin Cetron, Nora Chea, Christina Chommanard, Nicole Cohen, Craig Conover, Antonio Crespo, Jeanean Creviston, Aaron T Curns, Rebecca Dahl, Stephanie Dearth, Alfred DeMaria, Fred Echols, Dean D Erdman, Daniel Feikin, Mabel Frias, Susan I Gerber, Reena Gulati, Christa Hale, Lia M Haynes, Lea Heberlein-Larson, Kelly Holton, Kashef Ijaz, Minal Kapoor, Katrin Kohl, David T Kuhar, Alan M Kumar, Marianne Kundich, Susan Lippold, Lixia Liu, Judith C Lovchik, Larry Madoff, Sandra Martell, Sarah Matthews, Jessica Moore, Linda R Murray, Shauna Onofrey, Mark A Pallansch, Nicki Pesik, Huong Pham, Satish Pillai, Pam Pontones, Kimberly Pringle, Scott Pritchard, Sonja Rasmussen, Shawn Richards, Michelle Sandoval, Eileen Schneider, Anne Schuchat, Kristine Sheedy, Kevin Sherin, David L Swerdlow, Jordan W Tappero, Michael O Vernon, Sharon Watkins, John Watson
MMWR. Morbidity and Mortality Weekly Report 2014 May 16, 63 (19): 431-6
Since mid-March 2014, the frequency with which cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection have been reported has increased, with the majority of recent cases reported from Saudi Arabia and United Arab Emirates (UAE). In addition, the frequency with which travel-associated MERS cases have been reported and the number of countries that have reported them to the World Health Organization (WHO) have also increased. The first case of MERS in the United States, identified in a traveler recently returned from Saudi Arabia, was reported to CDC by the Indiana State Department of Health on May 1, 2014, and confirmed by CDC on May 2. A second imported case of MERS in the United States, identified in a traveler from Saudi Arabia having no connection with the first case, was reported to CDC by the Florida Department of Health on May 11, 2014. The purpose of this report is to alert clinicians, health officials, and others to increase awareness of the need to consider MERS-CoV infection in persons who have recently traveled from countries in or near the Arabian Peninsula. This report summarizes recent epidemiologic information, provides preliminary descriptions of the cases reported from Indiana and Florida, and updates CDC guidance about patient evaluation, home care and isolation, specimen collection, and travel as of May 13, 2014.

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