Perceptions of postoutbreak management by management and healthcare workers of a Middle East respiratory syndrome outbreak in a tertiary care hospital: a qualitative study

Al Knawy, Bandar Abdulmohsen; Al-Kadri, Hanan M F; Elbarbary, Mahmoud; Arabi, Yaseen; Balkhy, Hanan H; Clark, Alex

• Mental health support for health care workers is an important factor in increasing resilience and cooperation within the workforce. City-Riyadh (KAMC-R) in June 2015 10 ; a large teaching hospital and university center in the Kingdom of Saudi Arabia. 11 The outbreak resulted in 130 cases of infection (53% mortality rate) and directly or indirectly involved 9000 HCWs at the site, and affected all major departments at the institution (Table 1) . A comprehensive objective analysis of this outbreak 10 identified that one third of cases were in health care workers, with half of cases occurring in ED staff (overall mean age: 37 years; 77% female). 10 Infected patients who were not health care workers had a median age of 66 years and 65% were male. 10 No deaths occurred among health care workers. 10 Symptom onset in the last infected patient was August 28, 2015; the end perceptions of risk 12 and psychological reactions, 13 to similar respiratory viruses have been explored, to our knowledge, this is the first study of stakeholder perspectives of the factors promoting and inhibiting effective emergency management of MERS-CoV. Generated from the world's second largest recorded outbreak of MERS-CoV to date, this study seeks to provide useful lessons to assist in the management of future similar outbreaks.