1. Middle East Respiratory Syndrome (Coronavirus) Middle East Respiratory Syndrome (MERS) is viral respiratory illness first reported in Saudi Arabia in 2012. It is caused by a coronavirus called MERS-CoV coronavirus Middle East Respiratory Syndrome (MERS) is viral respiratory illness first reported in Saudi Arabia in 2012. It is caused by a coronavirus called MERS-CoV coronavirus Most people who have been confirmed to have MERS-CoV infection developed severe acute respiratory illness. They had fever, cough, and shortness of breath. About 30% of people confirmed to have MERS-CoV infection have died.

2. Middle East Respiratory Syndrome (Coronavirus) If you have had close contact with someone who has a confirmed MERS-CoV infection, you should contact a healthcare provider for an evaluation. Your healthcare provider may request laboratory testing and outline additional recommendations. This virus has spread from ill people to others through close contact, such as caring for or living with an infected person. However, there is no evidence of sustained spreading in community settings. If you develop a fever and symptoms of respiratory illness, such as cough or shortness of breath, within 14 days after traveling from countries in or near the Arabian Peninsula, you should call ahead to a healthcare provider and mention your recent travel. While sick, stay home from work or school and delay future travel to reduce the possibility of spreading illness to others.,

3. Middle East Respiratory Syndrome (Coronavirus) Healthcare personnel who had close contact with a confirmed case of MERS while the case was ill, if not using recommended infection control precautions (e.g. appropriate use of personal protective equipment), are at increased risk of developing MERS-CoV infection and should be evaluated and monitored by a healthcare professional with a higher index of suspicion. Healthcare personnel should adhere to recommended infection control measures, including standard, contact, and airborne precautions, while managing symptomatic close contacts, patients under investigation, and patients who have probable or confirmed MERS-CoV infections. Recommended infection control precautions should also be utilized when collecting specimens

4. MERS-CoV has been found in some camels, and some MERS patients have reported contact with camels. However, we do not know exactly how people become infected with MERS-CoV—many people with MERS have had close contact with a person sick with MERS. Camel farm and slaughterhouse workers should practice good personal and hand hygiene, with frequent hand washing after touching animals, facial protection where feasible and the wearing of protective clothing, which should be removed after work and washed daily. Workers should also avoid exposing family members to soiled work clothing, shoes, or other items that may have come into contact with camels or camel excretions. Middle East Respiratory Syndrome (Coronavirus)

5. No vaccine or specific treatment is currently available. Treatment is supportive and based on the patient’s clinical condition In some people, infection has not appeared to have caused symptoms. Such persons have been found because they were tested for MERS ‐ CoV during follow ‐ up studies of contacts of people with MERS infection. Middle East Respiratory Syndrome (Coronavirus)

6. Travelers should practice general hygiene measures, including regular hand washing before and after touching animals, and avoid contact with sick animals. Travelers should also avoid consumption of raw or undercooked animal products. Sick animals should never be slaughtered for consumption; in cases where a particular animal has been tested and confirmed positive for MERS ‐ CoV, people should avoid direct contact with such animals. Middle East Respiratory Syndrome (Coronavirus)

7. The World Health Organization considers certain groups to be at high risk for severe MERS; these groups include people with diabetes, kidney failure, or chronic lung disease and people who have weakened immune systems. The World Health Organization recommends that these groups take additional precautions:  Avoid contact with camels  Do not drink raw camel milk or raw camel urine  Do not eat undercooked meat, particularly camel mea Middle East Respiratory Syndrome (Coronavirus)