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The first and second cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in the USA were reported by the Indiana State Department of Health and the Florida Department of Health on May 1 and May 11, respectively, to the Centers for Disease Control and Prevention. These two cases, like all previous cases reported worldwide, have a Middle Eastern connection.

Person-to-person transmission of MERS-CoV has not been sustained, but the number of cases reported to WHO has been increasing. However, according to the WHO Statement on the Fifth Meeting of the International Health Regulations Emergency Committee released on May 14, the conditions have not yet been met for a MERS-CoV public health emergency of international concern. More than 600 laboratory-confirmed cases have been reported to WHO so far. Alarmingly, Simon Cauchemez and colleagues reported that at least 62% of asymptomatic cases had not been detected up to Aug 8, 2013.

Lancet. 2014 May 24;383(9931):1782
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