The Lancet Infectious Diseases
Oct 2013 Volume 13 Number 10 p823 – 906
Preventive measures against MERS-CoV for Hajj pilgrims
Philippe Gautret, Samir Benkouiten, Imane Salaheddine, Philippe Parola, Philippe Brouqui
Assiri and colleagues1 provide a clinical synopsis of 47 cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection identified between September, 2012, and June, 2013, in Saudi Arabia. Of note is the high rate of underlying comorbidity in patients with MERS (table). Since the first cases were reported in April, 2012, from Jordan, most cases have been reported from Saudi Arabia where the Hajj, the largest religious mass gathering, takes place annually. Given the predicted population movements out of Saudi Arabia, potential for worldwide spread of MERS-CoV exists according to Kahn and colleagues.