With the initial case of Middle East respiratory syndrome (MERS) detected in 2012 in the Arabian Peninsula, a few international travelers have been diagnosed with this severe disease outside of this region.
Since the beginning of 2025, 14 MERS cases, including three fatalities, have been reported primarily in the Kingdom of Saudi Arabia.
Recently, the European Centre for Disease Prevention and Control (ECDC) confirmed two MERS cases have been reported in France, the first MERS cases in France in 12 years.
The patients are older men treated in hospitals in Lyons and southwest France.
"The patients are being monitored [in hospital] as a precautionary measure, and their conditions are stable," Stéphanie Rist, minister for health, families, and autonomy, said in a media statement on December 5, 2025.
Over the years, MERS infections have been associated with exposure to camels.
The ECDC says the probability of sustained human-to-human transmission among the general population in Europe remains very low, and the impact of the disease in the general population is also considered to be low.
And in the United States, the CDC recommends MERS-CoV testing for persons who meet the MERS-CoV person-under-investigation criteria. In the U.S., the clinical and epidemiologic criteria to guide testing were discussed in May 2025.
Since 2012, a total of 2,627 laboratory-confirmed cases have been reported globally, with 947 associated deaths at a case-fatality ratio of 36%.
From a disease prevention option, the World Health Organization (WHO) and the Kingdom of Saudi Arabia have not approved a MERS-CoV vaccine candidate as of late 2025. The WHO says several candidates are being tested in human clinical trials in 2025.














