COVID

Quick Reminder for Healthcare Professionals: MERS-CoV Risk Assessment for Patients Returning from Hajj or Umrah

What is MERS?

  • Rare but severe respiratory illness.
  • Symptoms: fever, cough, pneumonia, breathing difficulties, diarrhoea, vomiting.

    Origin and Spread
  • Identified in 2012 in the Middle East.
  • Mainly spread from camels to humans.
  • Low risk in the UK; only 5 cases since 2012.

    Transmission
  • Spread through contact with infected animals and person-to-person via cough droplets.
  • Not highly contagious without close contact.

    Risk Levels
  • UK Residents: Very low risk of infection within the UK.
  • Travellers to the Middle East: Very low risk, but higher for those exposed to camels, camel products, or the local healthcare system.

    Advice for Travellers to the Middle East
  • Practice good hygiene, wash hands regularly.
  • Avoid contact with camels and raw camel products.
  • Avoid raw milk and products potentially contaminated with animal secretions.

    Advice for Returning Travellers
  • Seek medical advice if you develop fever, cough, or difficulty breathing within 14 days of returning.
  • Contact NHS 111 or a GP.

    Treatment and Mortality
  • No specific treatment; symptomatic relief only.
  • Approximately 35% mortality rate for those infected.

    Action Steps
  • Call a GP or NHS 111 if you have symptoms and a recent travel history to the Middle East or contact with a confirmed case.

    References:
  • https://www.nhs.uk/conditions/middle-east-respiratory-syndrome-mers/
  • https://www.gov.uk/government/publications/mers-cov-public-health-investigation-and-management-of-possible-cases
  • https://www.who.int/health-topics/middle-east-respiratory-syndrome-coronavirus-mers#tab=tab_1

Author

  • Director, The Medicines Management Team

    Mohammed Rashad is a pharmacist and Director at The Medicines Management Team (TMMT), an award-winning provider of pharmacy services supporting over 85 Primary Care Networks (PCNs) and 250 GP practices across the UK. He works at scale with practices and PCNs to reduce workload, improve access, and deliver key targets such as QOF. Mohammed combines clinical expertise with strategic leadership to redesign how primary care operates. He leads on digital innovation, implementing performance dashboards, optimising workflows, and using data to drive smarter decisions. His work focuses on building scalable, high-performing models that deliver measurable impact. He regularly shares practical insights on improving efficiency, workforce productivity, and patient outcomes across primary care.

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