Just a guess - perhaps a combination of desert sand (lower bacterial/ other particulate adherence, sticks to skin/ in orifices) + drinking less water, more hot tea + potassium chloride consumption (by-product of de-salination, www.ncbi.nlm.nih.gov/pmc/articles/PMC3357553/ - a bit crude in some parts, but still does the job)
It is difficult to predict correctly, but we can think that most of the developed areas or countries with thick population having virus carriers (people) affected more.
Compared to Europe and US Middle East has younger population, higher testing rates, tighter social distancing measures, better hand hygiene and cleanliness as a preparation of the Muslim prayers, use of honey, and black seeds (Kolanji) in the diet to mention a few.
I totally agree with dr ragab and Yousef. Hand hygiene is emphasized in moslem daily activities before and after eating. After all bath and washroom use. Also 5 times pre prayers. Plus Friday prayer washing.
Another reason is some countries in the Middle East, governments are reporting highly suspicious data those countries including egypt, Syria ,Yemen and turkey.
Lower testing rate, much lower geriatric population are important factors. Warm weather also was suggested as an explanation which I totally disagree with, especially with the striking increase in numbers recorded recently in hot Arab countries like Iraq. Also a jordanian study reported the theory that there is a genetic cause in form of lower pulmonary ACE2 found in Arabs.
May be hot environment helps to strengthening immune system of the Arabs. Mostly of them have sufficient level of vitamin - D to fight against pathogens. Moreover, Middle East is slightly dusty than Europe. The survivors here have a stronger immune system than the European have. As we know that pathogen exposure boost our immune system.