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​In May 2013, Israel announced the detection of wild poliovirus type 1 (WPV1) in the south of the country (1). As reported until mid-August, during the routine monitoring of sewage samples the virus had been found in 67 sewage samples from 24 sampling sites since February 2013.

​As of 3 October, wild-type poliovirus 1 (WPV1) was still being isolated in wastewater treatment plants across the country with some areas indicating an inconsistent or discontinued detection. However, no new sites in Israel with WPV1 in sewage were detected since the start of the bivalent oral polio vaccine (bOPV) immunisation campaign, according to personal communication from the Ministry of Health in Israel.

​Ten of the 22 acute flaccid paralysis (AFP) cases in the Syrian Arab Republic suspected of being caused by wild poliovirus have been confirmed as wild poliovirus type 1 (WPV1) by the World Health Organization (WHO).

Since last ECDC update on 17 May 2013, one probable and six new confirmed cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection have been reported.

On 30 November WHO updated the number of confirmed cases of pneumonia caused by the novel coronavirus which has been temporarily named hCoV-EMC. Between April 2012 and 30 November 2012, nine confirmed cases of infection with the novel coronavirus (of whom five died) have been reported to WHO, according to its case definitions. Severe acute respiratory disease was the common presentation of all cases.