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Middle East Respiratory Syndrome


 Middle East Respiratory Syndrome

Centre for Health Protection

Middle East Respiratory Syndrome Hotline: 2125 1111

Monday - Sunday: 9am to 6pm

In response to the threat of the MERS infection in view of the recent report by the World Health Organization (WHO) on overseas human cases of this disease from the affected areas in Middle East region and evolving situation in Korea, CHP has been stepping up preventive and surveillance measures to protect public health.

Notification Mechanism

l   Report cases fulfilling the reporting criteria to NDORS under “Scheduled Infectious Diseases”

l   Call MCO of CHP at pager 7116 3300 A/C 9179 and HODO of HA at pager 7116 3328 A/C 999

Case definition (as of 8 June 2015) – available at CHP CENO website


Clinical criteria:


Epidemiological criteria

A person with fever not explained by any other aetiology;


A person with clinical feature(s) of lower respiratory tract infection not explained by any other aetiology;


An immunocompromised patient with diarrhea not explained by any other aetiology


One or more of the followings within 2-14 days before onset of illness

Ÿ   Close contact* with a confirmed or probable case of Middle East Respiratory Syndrome while the case was ill


Ÿ   Residence in or history of travel to the Arabian Peninsula or neighboring countries**

Ÿ   OR Korea

*Close contact is defined as:

         Anyone who provided care for the patient, including a health care worker or family member, or who had other similarly close physical contact;

         Anyone who stayed at the same place (e.g. lived with, visited) as a probable or confirmed case while the case was ill.

**i.e., areas/countries bounded by Iran, Turkey and Egypt, including Iran but not Turkey and Egypt

Confirmed case

A person with a positive viral culture for MERS Coronavirus (MERS-CoV) or positive molecular testing for MERS-CoV

Map of affected areas:

Korea’s published list of healthcare facilities with confirmed case(s) of Middle East Respiratory Syndrome reported/visited:

Case track of MERS outbreak in South Korea: (as of 21-Jun-2015)





























Materials about MERS-CoV by World Health Organization (WHO)

l   Fact Sheet about MERS-CoV:

l   Situation assessment Middle East Respiratory Syndrome (MERS) in the Republic of Korea

1.          19 June 2015

2.          15 June 2015

l   Summary and literature updates: (

1.          5 February 2015

2.          11 June 2014

l   Summary and risk assessment of current situation in Republic of Korea and China

1.          3 June 2015

2.          2 June 2015

3.          24 May 2015

l   Frequently Asked Questions on MERSCoV:

l   Laboratory testing for MERS-CoV: interim recommendations (September 2014):

l   Interim surveillance recommendations for human infection with Middle East respiratory syndrome coronavirus (14-July-2014)

l   Update on MERS-CoV transmission from animals to humans, and interim recommendations for at-risk groups

l   Travel advice on MERS-CoV for pilgrimages (3-June-2014)

Epidemiological update on MERS-CoV by ECDC


l   CHP Preparedness Plan forTheMiddle East Respiratory Syndrome (MERS) (2014)


Scientific Articles

l   Middle East respiratory syndrome. NEJM published online 9 February 2017

l   Spread of MERS to South Korea and China.Hui DS, Perlman S, Zumla A. Lancet RE. Lancet Respir Med. Published online 4 June 2015

l   Middle East respiratory syndrome.Zumla A, Hui DS, Perlman S. Lancet published online 3 June 2015

l   Middle East respiratory syndrome in the shadow of Ebola.Zumla A, Perlman S, McNabb SJ, Shaikh A, Heymann DL, McCloskey B, Hui DS. Lancet Respir Med. 2015 Feb;3(2):100-2.

Letter to Doctors

l   Activation of Serious Response Level under Government’s Preparedness Plan for MERS and Revision of Reporting Criteria for MERS (8 June 2015)

l   Updated Situation of Middle East Respiratory Syndrome in Korea (5 June 2015)

l   Additional Cases of Middle East Respiratory Syndrome in Korea (2 June 2015)

l   Enhanced surveillance for Middle East Respiratory Syndrome (1 June 2015)



l   24 APRIL 2014 – WHO – Risk Assessment

l   10 APRIL 2014 – WHO – Global Alert and Response (GAR)


Related websites

l   CHP Website – Middle East Respiratory Syndrome

l   WHO – Coronavirus infections

l   CDC – Middle East Respiratory Syndrome

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Last Revision Date: 4 January 2018