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The annual Muslim pilgrimage to Mecca begins on Wednesday.
Saudi Arabia confirms 7 new cases, while Germany reports an imported case and Qatar has its 2nd of the year.
The April MERS surge continued, with 16 more cases reported in Saudi Arabia.
Some have theorized about changes in the virus, but preliminary data show no mutations so far.
As the WHO suggests a slight change in spread, the ECDC calls for higher concern.
The MERS patient in the UAE and the two in Saudi Arabia are all hospitalized in ICUs.
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