Unanswered questions about the Middle East respiratory syndrome coronavirus (MERS-CoV)
Identifieur interne : 000A01 ( Main/Exploration ); précédent : 000A00; suivant : 000A02Unanswered questions about the Middle East respiratory syndrome coronavirus (MERS-CoV)
Auteurs : Lauren M. Gardner [Australie] ; C Raina Macintyre [Australie]Source :
- BMC Research Notes [ 1756-0500 ] ; 2014.
Abstract
The Middle East respiratory syndrome coronavirus (MERS-CoV) represents a current threat to the Arabian Peninsula, and potential pandemic disease. As of June 3, 2014, MERS CoV has reportedly infected 688 people and killed 282. We briefly summarize the state of the outbreak, and highlight unanswered questions and various explanations for the observed epidemiology.
The continuing but infrequent cases of MERS-CoV reported over the past two years have been puzzling and difficult to explain. The epidemiology of MERS-CoV, with many sporadic cases and a few hospital outbreaks, yet no sustained epidemic, suggests a low reproductive number. Furthermore, a clear source of infection to humans remains unknown. Also puzzling is the fact that MERS-CoV has been present in Saudi Arabia over several mass gatherings, including the 2012 and 2013 Hajj and Umrah pilgrimages, which predispose to epidemics, without an epidemic arising.
The observed epidemiology of MERS-CoV is quite distinct and does not clearly fit either a sporadic or epidemic pattern. Possible explanations of the unusual features of the epidemiology of MERS-CoV include sporadic ongoing infections from a non-human source; human to human transmission with a large proportion of undetected cases; or a combination of both. The virus has been identified in camels; however the mode of transmission of the virus to humans remains unknown, and many cases have no history of animal contact. In order to gain a better understanding of the epidemiology of MERS CoV, further investigation is warranted.
Url:
DOI: 10.1186/1756-0500-7-358
PubMed: 24920393
PubMed Central: 4068970
Affiliations:
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Gardner</name><affiliation wicri:level="1"><nlm:aff id="I1">CE 112 School of Civil and Environmental Engineering, The University of New South Wales, Sydney, NSW 2052, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>CE 112 School of Civil and Environmental Engineering, The University of New South Wales, Sydney, NSW 2052</wicri:regionArea><wicri:noRegion>NSW 2052</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">NICTA, Sydney, NSW 2052, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>NICTA, Sydney, NSW 2052</wicri:regionArea><wicri:noRegion>NSW 2052</wicri:noRegion></affiliation></author><author><name sortKey="Macintyre, C Raina" sort="Macintyre, C Raina" uniqKey="Macintyre C" first="C Raina" last="Macintyre">C Raina Macintyre</name><affiliation wicri:level="1"><nlm:aff id="I3">School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052</wicri:regionArea><wicri:noRegion>NSW 2052</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24920393</idno><idno type="pmc">4068970</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4068970</idno><idno type="RBID">PMC:4068970</idno><idno type="doi">10.1186/1756-0500-7-358</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000294</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000294</idno><idno type="wicri:Area/Pmc/Curation">000294</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000294</idno><idno type="wicri:Area/Pmc/Checkpoint">000383</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000383</idno><idno type="wicri:Area/Ncbi/Merge">000393</idno><idno type="wicri:Area/Ncbi/Curation">000393</idno><idno type="wicri:Area/Ncbi/Checkpoint">000393</idno><idno type="wicri:Area/Main/Merge">000A03</idno><idno type="wicri:Area/Main/Curation">000A01</idno><idno type="wicri:Area/Main/Exploration">000A01</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Unanswered questions about the Middle East respiratory syndrome coronavirus (MERS-CoV)</title><author><name sortKey="Gardner, Lauren M" sort="Gardner, Lauren M" uniqKey="Gardner L" first="Lauren M" last="Gardner">Lauren M. Gardner</name><affiliation wicri:level="1"><nlm:aff id="I1">CE 112 School of Civil and Environmental Engineering, The University of New South Wales, Sydney, NSW 2052, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>CE 112 School of Civil and Environmental Engineering, The University of New South Wales, Sydney, NSW 2052</wicri:regionArea><wicri:noRegion>NSW 2052</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">NICTA, Sydney, NSW 2052, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>NICTA, Sydney, NSW 2052</wicri:regionArea><wicri:noRegion>NSW 2052</wicri:noRegion></affiliation></author><author><name sortKey="Macintyre, C Raina" sort="Macintyre, C Raina" uniqKey="Macintyre C" first="C Raina" last="Macintyre">C Raina Macintyre</name><affiliation wicri:level="1"><nlm:aff id="I3">School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052</wicri:regionArea><wicri:noRegion>NSW 2052</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Research Notes</title><idno type="eISSN">1756-0500</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The Middle East respiratory syndrome coronavirus (MERS-CoV) represents a current threat to the Arabian Peninsula, and potential pandemic disease. As of June 3, 2014, MERS CoV has reportedly infected 688 people and killed 282. We briefly summarize the state of the outbreak, and highlight unanswered questions and various explanations for the observed epidemiology.</p></sec><sec><title>Findings</title><p>The continuing but infrequent cases of MERS-CoV reported over the past two years have been puzzling and difficult to explain. The epidemiology of MERS-CoV, with many sporadic cases and a few hospital outbreaks, yet no sustained epidemic, suggests a low reproductive number. Furthermore, a clear source of infection to humans remains unknown. Also puzzling is the fact that MERS-CoV has been present in Saudi Arabia over several mass gatherings, including the 2012 and 2013 Hajj and Umrah pilgrimages, which predispose to epidemics, without an epidemic arising.</p></sec><sec><title>Conclusions</title><p>The observed epidemiology of MERS-CoV is quite distinct and does not clearly fit either a sporadic or epidemic pattern. Possible explanations of the unusual features of the epidemiology of MERS-CoV include sporadic ongoing infections from a non-human source; human to human transmission with a large proportion of undetected cases; or a combination of both. The virus has been identified in camels; however the mode of transmission of the virus to humans remains unknown, and many cases have no history of animal contact. 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sortKey="Van Kerkhove, Md" uniqKey="Van Kerkhove M">MD Van Kerkhove</name></author><author><name sortKey="Donnelly, Ca" uniqKey="Donnelly C">CA Donnelly</name></author><author><name sortKey="Riley, S" uniqKey="Riley S">S Riley</name></author><author><name sortKey="Rambaut, A" uniqKey="Rambaut A">A Rambaut</name></author><author><name sortKey="Enouf, V" uniqKey="Enouf V">V Enouf</name></author><author><name sortKey="Van Der Werf, S" uniqKey="Van Der Werf S">S van der Werf</name></author><author><name sortKey="Ferguson, Nm" uniqKey="Ferguson N">NM Ferguson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Gardner, Lauren M" sort="Gardner, Lauren M" uniqKey="Gardner L" first="Lauren M" last="Gardner">Lauren M. Gardner</name></noRegion><name sortKey="Gardner, Lauren M" sort="Gardner, Lauren M" uniqKey="Gardner L" first="Lauren M" last="Gardner">Lauren M. Gardner</name><name sortKey="Macintyre, C Raina" sort="Macintyre, C Raina" uniqKey="Macintyre C" first="C Raina" last="Macintyre">C Raina Macintyre</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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