Frequently Asked Questions and Answers
Q: What is MERS?
A: Middle East Respiratory Syndrome (MERS) is a viral respiratory illness. Learn about MERS.
Q: Why is it sometimes called MERS-CoV?
A: MERS-CoV is the acronym for Middle East Respiratory Syndrome Coronavirus, the virus that causes MERS. When referring to the virus and not the illness, CDC uses this acronym. When referring to the illness, CDC uses MERS. The virus was first reported in 2012 in Saudi Arabia. It is different from any other coronaviruses that have been found in people before.
Q: What is the source of MERS-CoV
A: We don’t know for certain where the virus came from. However, it likely came from an animal source. In addition to humans, MERS-CoV has been found in camels in Qatar, Oman, Egypt and Saudi Arabia, and a bat in Saudi Arabia. Camels in several other countries have also tested positive for antibodies to MERS-CoV, indicating that the camels were previously infected with MERS-CoV or a closely related virus. It may be that people became infected after contact with camels, although more information is needed to figure out the possible role that camels, bats, and other animals may play in the transmission of MERS-CoV.
Q: What are the symptoms and complications that MERS can cause?
A: Read about MERS symptoms and complications.
Q: How does the virus spread?
A: Learn about how MERS-CoV spreads.
Q: Has anyone in the United States gotten infected?
A: Get the most up-to-date information about MERS in the U.S.
Q: What is CDC doing about MERS?
A: CDC works 24/7 to protect people’s health. It is the job of CDC to be concerned and move quickly whenever there is a potential public health problem. CDC continues to closely monitor the MERS situation globally. CDC is working with the World Health Organization and other partners to better understand the virus, how it spreads, the source, and risks to the public’s health. We recognize the potential for MERS-CoV to spread further and cause more cases in the United States and globally. In preparation for this, we have:
- Improved the way we collect data about MERS cases
- Increased lab testing capacity in states to detect cases
- Developed guidance and tools for health departments to conduct public health investigations when MERS cases are suspected or confirmed
- Provided recommendations for healthcare infection control and other measures to prevent disease spread
- Provided guidance for flight crews, Emergency Medical Service (EMS) units at airports, and U.S. Customs and Border Protection (CPB) officers about reporting ill travelers to CDC
- Disseminated up-to-date information to the general public, international travelers, and public health partners
- Used Advanced Molecular Detection (AMD) methods to sequence the complete virus genome on specimens from the two U.S. MERS cases to help evaluate and further describe the characteristics of MERS-CoV. (See Decoding MERS Coronavirus: AMD Provides Quick Answers.)
Q: Am I at risk for MERS-CoV infection in the United States?
A: The MERS situation in the U.S. represents a very low risk to the general public in this country. Read to find out if you are at increased risk for MERS infection.
Q: How can I help protect myself?
A: Visit the MERS prevention and treatment page to learn about how to protect yourself from respiratory illnesses, like MERS.
Also see Interim Guidance for Preventing MERS-CoV from Spreading in Homes and Communities, intended for caregivers, household members, and other close contacts of people confirmed to have, or being evaluated for, MERS-CoV infection.
Q: What should I do if I had close contact with someone who has MERS?
A: If you have had close contact(1) with a confirmed MERS case within the last 14 days without using the recommended infection control precautions, you should contact a healthcare provider for an evaluation. See People Who May Be at Increased Risk for MERS.
It’s important to note, however, that most people who had close contact with someone who had MERS did not get infected or become ill. We are still learning about MERS-CoV and how it spreads.
Q: Can I still travel to the Arabian Peninsula or neighboring countries where MERS cases have occurred?
A: Read CDC’s travel notice on MERS in the Arabian Peninsula.
Q: What if I recently traveled to the Arabian Peninsula or neighboring countries and got sick?
A: 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(2), 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. See People Who May Be at Increased Risk for MERS.
Q: What should I do if I had close contact with a recent traveler from the Arabian Peninsula?
A: If you have had close contact(1) with someone within 14 days after they traveled from a country in or near the Arabian Peninsula(2), and the traveler has/had fever and symptoms of respiratory illness, such as cough or shortness of breath, you should monitor your health for 14 days, starting from the day you were last exposed to the ill person. If you develop fever and symptoms of respiratory illness, such as cough or shortness of breath, you should call ahead to a healthcare provider and mention your recent contact with the traveler. While sick, stay home from work or school and delay future travel to reduce the possibility of spreading illness to others. See People Who May Be at Increased Risk for MERS.
Q: Does the U.S. detain arriving travelers who are believed to have MERS?
A: CDC may detain individuals arriving in the U.S. or traveling between states who are believed to be infected with a quarantinable disease, including MERS, as of July 31, 2014, per amended U.S. Executive Order 13295. “Isolation” is used to separate ill people who have a contagious disease from those who are healthy; “quarantine” is used to separate and restrict the movement of well people who may have been exposed to a contagious disease to see if they become ill. See About Quarantine and Isolation.
Q: Is there a vaccine?
A: Currently, there is no vaccine available to protect against MERS.
Q: What are the treatments?
A: Learn about MERS treatment.
Q: Should I be tested for MERS?
A: If you develop a fever and symptoms of respiratory illness, such as cough or shortness of breath, within 14 days after travel from a country in or near the Arabian Peninsula(2), or if you have had close contact(1) with someone showing these symptoms who has recently traveled from this area, you should call ahead to a healthcare provider and mention your recent travel or close contact. Your healthcare provider will work with your state’s public health department to test you for MERS.
Q: How do you test a person for MERS?
A: There are two main ways to determine if a person is, or has been, infected with MERS-CoV.
- One type of test, conducted by state and CDC labs, is called PCR, or polymerase chain reaction, assays.
- PCR tests are done with respiratory samples and can quickly indicate if a person has active infection with MERS-CoV.
- A second type of test, conducted by CDC lab, is called serology testing.
- Serology testing uses blood samples and is designed to look for antibodies to MERS-CoV that would indicate a person had been previously infected with the virus and developed an immune response.
- Serology for MERS-CoV includes three separate tests – (1) a screening test called ELISA or enzyme-linked immunosorbent assay, (2) a confirmatory test called IFA or Immunofluorescent assay, and (3) a slower, but more definitive confirmatory test called the neutralizing antibody assay.
For more information see CDC Laboratory Testing for MERS-CoV.
Q: What should healthcare providers and health departments do?
A: For recommendations and guidance on the case definitions; infection control, including personal protective equipment guidance; home care and isolation; case investigation; and specimen collection and shipment, see Information for Healthcare Providers.
Q: Is MERS-CoV the same as the SARS virus?
A: No. MERS-CoV is not the same coronavirus that caused severe acute respiratory syndrome (SARS) in 2003. However, like the SARS virus, MERS-CoV is most similar to coronaviruses found in bats. CDC is still learning about MERS.
- Close contact is defined as a) being within approximately 6 feet (2 meters) or within the room or care area for a prolonged period of time (e.g., healthcare personnel, household members) while not wearing recommended personal protective equipment (i.e., gowns, gloves, respirator, eye protection–see Infection Prevention and Control Recommendations); or b) having direct contact with infectious secretions (e.g., being coughed on) while not wearing recommended personal protective equipment (i.e., gowns, gloves, respirator, eye protection–see Infection Prevention and Control Recommendations). Data to inform the definition of close contact are limited. At this time, brief interactions, such as walking by a person, are considered low risk and do not constitute close contact.
- Countries considered in the Arabian Peninsula and neighboring include: Bahrain,; Iraq; Iran; Israel, the West Bank, and Gaza; Jordan; Kuwait; Lebanon; Oman; Qatar, Saudi Arabia; Syria; the United Arab Emirates (UAE); and Yemen.