• 3 million pilgrims• 1.7 million foreign pilgrims• Egypt, India, Pakistan and Indonesia high volume• About 12,000 from US • KSA Ministry of Health recommended that elderly,

children, pregnant women, and those with chronic diseases, weakened immune systems and terminal illnesses not attend Hajj this year

Hajj: Oct 13 – 18, 2013

Travel-related MERS-CoV Planning for Hajj

• Public health communications for inbound and outbound travelers- Electronic messaging on airport monitors- Travel notice on CDC Travel website- Social messaging– using Travel Tweets and CDC Travel Facebook postings- Outreach to Hajj/Umrah travel agencies, business orgs., education, CBOs

06/20/2013 4

06/20/2013 5

06/20/2013 6

Global Activities

• Collaboration with WHO, Jordan, KSA, Tunisia.• Supplied diagnostic reagents widely• Eastern Mediterranean Acute Resp Infection Surveillance – Tests negative to date: > 4,000 Egypt, > 500 Jordan

EMRO RegionBahrain CPHLEgypt CPHLJordan CPHLKSA CPHLOman CPHLPakistan CPHLWest Palestine CPHLLebanon CPHLMorocco CPHL Tunisia CPHLLibya CPHL Qatar CPHL Iran CPHLSudan CPHLUAE CPHLYemen CPHLSyria CPHL

CDC rRT-PCR Assay Deployment: International

8

CDC GDDKenya GDDThailand CPHLEgypt GDDBangladesh GDDBangladesh CPHLIndia (NCDC)

PAHOBrazil CPHLChile CPHLCanada CPHLMexico CPHLTrinidad CARPHA

AFRONigeria CPHLEthiopia CPHLAlgeria CPHL/Pasteur

DoD/GEISKenya (USAMRU-K)Germany (Landstuhl, LRMC)Egypt (NAMRU-3)US-CA, San Diego (NHRC)US-TX, Brooke (AMC)US-HI, Tripler (AMC)US-MD, Walter Reed (AMC)US-MD, USAMRIDUS-OH, Wright Patterson (USAFSAM)

OtherVietnam, Ho Chi Minh City

(PI-HCMC NIC)Vietnam, Hanoi (NIHE NIC)Indonesia (Research Facility)India (NCDC)India (NIV-Pune)Indonesia CPHL

CPHL = Central Public Health Laboratory

Summary- MERS coronavirus• Cases have occurred in multiple locations over 1 year• Clear evidence for person-to-person spread (not sustained)• No clear environmental source• No clear treatment or vaccine available• Healthcare worker illness is very concerning, reminiscent of

SARS 2003• Illnesses in returning travelers also concerning • Businesses can be partners in educating travelers

http://www.cdc.gov/coronavirus/mers

Acknowledgments

Susan I. GerberMark PallanschDean D. Erdman,Lia HaynesAron HallAaron CurnsStephanie BialekYing TaoSue TongJeanette St. PierreKaren MasonRay ArthurSudhir BungaLisa Rotz

Nicki PesikGary BrunetteNichole CohenChris Van BenedenGayle LangleyDavid KuharJeff HagemanMichael BellDavid BellKevin RyanAnne SchuchatKris SheedyBeth SchweitzerCarol RubinTom Gomez

Many, many, others