The World Health Organization (WHO) has declared that the Government of Saudi Arabia has taken the The Middle East Respiratory Syndrome-Coronavirus (MERC-CoV) situation very seriously. The Ministry of Health (MOH) has substantially initiated crucial public health actions, including intensifying epidemiological surveillance procedures, initiating investigations and important research and putting control measures in place.
Within the same vein, WHO has lauded the strong steps taken by Saudi Arabia to protect its people and the experience and knowledge that the country has gained at being at the forefront of fighting this new infection can benefit the rest of the world.
In a press statement related to this The Middle East Respiratory Syndrome-Coronavirus (MERC-CoV), WHO announced: "The emergence of this new coronavirus is globally recognized as an important and major challenge for all of the countries which have been affected as well as the rest of the world. The Ministry of Health of the Kingdom of Saudi Arabia has recognized this and invited WHO to help them assess the situation and to provide guidance and recommendations. WHO is pleased to be here to work together with the Kingdom of Saudi Arabia."
WHO underscored: "At this time there are some things about this new disease we understand. However we would like to remind everyone that this is a new infection and there are also many gaps in our knowledge on this disease that will inevitably take time to fill in."
"We know that the disease is caused by a virus from a group called coronaviruses. One member of the coronavirus family is the SARS virus. This new virus is NOT the SARS virus. They are distinct from each other. However, the fact that they are related has added to the world’s concern. We know this virus has infected people since 2012, but we don’t know where this virus lives. We know that when people get infected, many of them develop severe pneumonia. What we don’t know is how often people might develop mild disease. We also know that most of the persons who have been infected so far have been older men, often with other medical conditions. We are not sure why we are seeing this pattern and if it will change over time", added WHO.
It has pointed out that there are many other things or factors that we don’t understand. For example, how are people getting infected? Is it from animals? Is it from contaminated surfaces? Is it from other people? Finally, we don’t know how widespread is this virus, both in this region and in other countries.
Moreover, WHO has indicated that the greatest global concern, however, is about the potential for this new virus to spread. This is partly because the virus has already caused severe disease in multiple countries, although in small numbers, and has persisted in the region since 2012. Of most concern, however, is the fact that the different clusters seen in multiple countries increasingly support the hypothesis that when there is close contact this The Middle East Respiratory Syndrome-Coronavirus (MERC-CoV) can transmit from person-to-person. This pattern of person-to- person transmission has remained limited to some small clusters and so far, there is no evidence that this virus has the capacity to sustain generalized transmission in communities.
WHO further mentioned: "At this point, several urgent actions are needed. The most important ones are the need for countries, both inside and outside of the region, to increase their levels of awareness among all people but especially among staff working in their health systems and to increase their levels of surveillance about this new infection."
It went on adding: "In Saudi Arabia, we have seen the importance of better surveillance. When new cases are found, as is likely, it is critical for countries to report these cases and related information urgently to WHO as required by the International Health Regulations because this is the basis for effective international alertness, preparedness and response. Countries also need to assess their level of preparedness and readiness if this virus should spread and to intensify strengthening the core capacities identified in the International Health Regulations if they are not adequate."
WHO has expounded: "We are ready to assist countries in this region and globally in these tasks. There are also some questions that urgently need to be answered including how are people are getting infected, and what are the main risk factors for either infection or development of severe disease. The answers to these questions hold the keys to preventing infection."
On concluding its statement, WHO affirmed that one of the reasons why more cases have been identified in the Kingdom may be because they have gone ahead to strengthen their surveillance system and lab capacities and network.