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SECOND U.S. MERS case – CDC reports

Premier Communications

Brought to you by the Premier Safety Institute®
May 15, 2014

Gina Pugliese, RN, MS, editor


CDC Reports second U.S. case of MERS in Florida – Exposed healthcare workers with flu-like

symptoms test negative

On May 11, 2014, a second U.S. imported case of MERS-CoV was confirmed in a traveler who also came to the U.S. from Saudi Arabia. This patient is currently
hospitalized in Florida and doing well. Close contacts, including healthcare workers, are being followed and tested. Two of the Florida healthcare workers
who were exposed to the patient and developed flu-like symptoms were tested for MERS by Florida state health department and found to be negative for MERS.

The first case was confirmed in a traveler from Saudi Arabia on May 2, 2014, was hospitalized in Indiana and is fully recovered and discharged. The two
U.S. cases are not linked.

Be alert for patients with respiratory illness traveling from Arabian Peninsula

Prompt isolation should be initiated for any patient who

  1. develops fever (>100F) and acute lower respiratory illness within 14 days after traveling from countries in or near the Arabian Peninsula,
  2. are close contacts of symptomatic recent traveler from this area who has fever and acute respiratory illness; or
  3. are close contacts of a suspect or confirmed case.

Isolation in hospital or home

Isolation in the hospital includes standard, contact and airborne precautions. Ill people who are being evaluated for MERS-CoV infection and do not require
hospitalization for medical reasons may be cared for and isolated in their home. (Isolation is defined as the separation or restriction of activities of an
ill person with a contagious disease from those who are well.). CDC has provided guidance for infection control and isolation for care of suspect and
confirmed symptomatic patients and contacts in the hospital and home.

No evidence of sustained person-to-person transmission

Although there have been a small number of cases in persons who were in close contact with an infected person, there is no evidence of sustained
person-to-person spread of MERS-CoV in community settings.

CDC and other public health partners continue to investigate and respond to the changing situation to prevent the spread of MERS-CoV in the U.S. and
reiterate that these cases represent a very low risk to the general public in this country.

For more Information:

For more information for healthcare providers, home care providers, health departments, and laboratories, visit CDC website at

For consultation, or to report possible cases, please contact the CDC Emergency Operations Center at (770) 488-7100.


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