Event based surveillance of Middle East Respiratory Syndrome Coronavirus (MERS- CoV) in Bangladesh among pilgrims and travelers from the Middle East: An update for the period 2013–2016
Identifieur interne : 000E23 ( Main/Exploration ); précédent : 000E22; suivant : 000E24Event based surveillance of Middle East Respiratory Syndrome Coronavirus (MERS- CoV) in Bangladesh among pilgrims and travelers from the Middle East: An update for the period 2013–2016
Auteurs : A. K. M. Muraduzzaman [Bangladesh] ; Manjur Hossain Khan [Bangladesh] ; Rezina Parveen [Bangladesh] ; Sharmin Sultana [Bangladesh] ; Ahmed Nawsher Alam [Bangladesh] ; Arifa Akram [Bangladesh] ; Mahmudur Rahman [Bangladesh] ; Tahmina Shirin [Bangladesh]Source :
- PLoS ONE [ 1932-6203 ] ; 2018.
Abstract
Every year around 150,000 pilgrims from Bangladesh perform Umrah and Hajj. Emergence and continuous reporting of MERS-CoV infection in Saudi Arabia emphasize the need for surveillance of MERS-CoV in returning pilgrims or travelers from the Middle East and capacity building of health care providers for disease containment. The Institute of Epidemiology, Disease Control & Research (IEDCR) under the Bangladesh Ministry of Health and Family welfare (MoHFW), is responsible for MERS-CoV screening of pilgrims/ travelers returning from the Middle East with respiratory illness as part of its outbreak investigation and surveillance activities.
Bangladeshi travelers/pilgrims who returned from the Middle East and presented with fever and respiratory symptoms were studied over the period from October 2013 to June 2016. Patients with respiratory symptoms that fulfilled the WHO MERS-CoV case algorithm were tested for MERS-CoV and other respiratory tract viruses. Beside surveillance, case recognition training was conducted at multiple levels of health care facilities across the country in support of early detection and containment of the disease.
Eighty one suspected cases tested by real time PCR resulted in zero detection of MERS-CoV infection. Viral etiology detected in 29.6% of the cases was predominantly influenza A (H1N1 and H3N2), and influenza B infection (22%). Peak testing occurred mostly following the annual Hajj season.
Respiratory tract infections in travelers/pilgrims returning to Bangladesh from the Middle East are mainly due to influenza A and influenza B. Though MERS-CoV was not detected in the 81 patients tested, continuous screening and surveillance are essential for early detection of MERS-CoV infection and other respiratory pathogens to prevent transmissions in hospital settings and within communities. Awareness building among healthcare providers will help identify suspected cases.
Url:
DOI: 10.1371/journal.pone.0189914
PubMed: 29337997
PubMed Central: 5770030
Affiliations:
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K. M." last="Muraduzzaman">A. K. M. Muraduzzaman</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka, Bangladesh</addr-line></nlm:aff><country xml:lang="fr">Bangladesh</country><wicri:regionArea>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka</wicri:regionArea><wicri:noRegion>Dhaka</wicri:noRegion></affiliation></author><author><name sortKey="Khan, Manjur Hossain" sort="Khan, Manjur Hossain" uniqKey="Khan M" first="Manjur Hossain" last="Khan">Manjur Hossain Khan</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka, Bangladesh</addr-line></nlm:aff><country xml:lang="fr">Bangladesh</country><wicri:regionArea>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka</wicri:regionArea><wicri:noRegion>Dhaka</wicri:noRegion></affiliation></author><author><name sortKey="Parveen, Rezina" sort="Parveen, Rezina" uniqKey="Parveen R" first="Rezina" last="Parveen">Rezina Parveen</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Department of Pathology and Microbiology, Dhaka Dental College, Dhaka, Bangladesh</addr-line></nlm:aff><country xml:lang="fr">Bangladesh</country><wicri:regionArea>Department of Pathology and Microbiology, Dhaka Dental College, Dhaka</wicri:regionArea><wicri:noRegion>Dhaka</wicri:noRegion></affiliation></author><author><name sortKey="Sultana, Sharmin" sort="Sultana, Sharmin" uniqKey="Sultana S" first="Sharmin" last="Sultana">Sharmin Sultana</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka, Bangladesh</addr-line></nlm:aff><country xml:lang="fr">Bangladesh</country><wicri:regionArea>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka</wicri:regionArea><wicri:noRegion>Dhaka</wicri:noRegion></affiliation></author><author><name sortKey="Alam, Ahmed Nawsher" sort="Alam, Ahmed Nawsher" uniqKey="Alam A" first="Ahmed Nawsher" last="Alam">Ahmed Nawsher Alam</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka, Bangladesh</addr-line></nlm:aff><country xml:lang="fr">Bangladesh</country><wicri:regionArea>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka</wicri:regionArea><wicri:noRegion>Dhaka</wicri:noRegion></affiliation></author><author><name sortKey="Akram, Arifa" sort="Akram, Arifa" uniqKey="Akram A" first="Arifa" last="Akram">Arifa Akram</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka, Bangladesh</addr-line></nlm:aff><country xml:lang="fr">Bangladesh</country><wicri:regionArea>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka</wicri:regionArea><wicri:noRegion>Dhaka</wicri:noRegion></affiliation></author><author><name sortKey="Rahman, Mahmudur" sort="Rahman, Mahmudur" uniqKey="Rahman M" first="Mahmudur" last="Rahman">Mahmudur Rahman</name><affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>Former Director, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka, Bangladesh</addr-line></nlm:aff><country xml:lang="fr">Bangladesh</country><wicri:regionArea>Former Director, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka</wicri:regionArea><wicri:noRegion>Dhaka</wicri:noRegion></affiliation></author><author><name sortKey="Shirin, Tahmina" sort="Shirin, Tahmina" uniqKey="Shirin T" first="Tahmina" last="Shirin">Tahmina Shirin</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka, Bangladesh</addr-line></nlm:aff><country xml:lang="fr">Bangladesh</country><wicri:regionArea>Deparment of Virology, Institute of Epidemiology, Disease Control & Research (IEDCR), Dhaka</wicri:regionArea><wicri:noRegion>Dhaka</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Introduction</title><p>Every year around 150,000 pilgrims from Bangladesh perform Umrah and Hajj. Emergence and continuous reporting of MERS-CoV infection in Saudi Arabia emphasize the need for surveillance of MERS-CoV in returning pilgrims or travelers from the Middle East and capacity building of health care providers for disease containment. The Institute of Epidemiology, Disease Control & Research (IEDCR) under the Bangladesh Ministry of Health and Family welfare (MoHFW), is responsible for MERS-CoV screening of pilgrims/ travelers returning from the Middle East with respiratory illness as part of its outbreak investigation and surveillance activities.</p></sec><sec id="sec002"><title>Methods</title><p>Bangladeshi travelers/pilgrims who returned from the Middle East and presented with fever and respiratory symptoms were studied over the period from October 2013 to June 2016. Patients with respiratory symptoms that fulfilled the WHO MERS-CoV case algorithm were tested for MERS-CoV and other respiratory tract viruses. Beside surveillance, case recognition training was conducted at multiple levels of health care facilities across the country in support of early detection and containment of the disease.</p></sec><sec id="sec003"><title>Results</title><p>Eighty one suspected cases tested by real time PCR resulted in zero detection of MERS-CoV infection. Viral etiology detected in 29.6% of the cases was predominantly influenza A (H1N1 and H3N2), and influenza B infection (22%). Peak testing occurred mostly following the annual Hajj season.</p></sec><sec id="sec004"><title>Conclusions</title><p>Respiratory tract infections in travelers/pilgrims returning to Bangladesh from the Middle East are mainly due to influenza A and influenza B. Though MERS-CoV was not detected in the 81 patients tested, continuous screening and surveillance are essential for early detection of MERS-CoV infection and other respiratory pathogens to prevent transmissions in hospital settings and within communities. Awareness building among healthcare providers will help identify suspected cases.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Arabi, Y" uniqKey="Arabi Y">Y Arabi</name></author><author><name sortKey="Balkhy, H" uniqKey="Balkhy H">H Balkhy</name></author><author><name sortKey="Hajeer, Ah" uniqKey="Hajeer A">AH Hajeer</name></author><author><name sortKey="Bouchama, A" uniqKey="Bouchama A">A Bouchama</name></author><author><name sortKey="Hayden, Fg" uniqKey="Hayden F">FG Hayden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S Van Boheemen</name></author><author><name sortKey="De Graaf, M" uniqKey="De Graaf M">M de Graaf</name></author><author><name sortKey="Lauber, C" uniqKey="Lauber C">C Lauber</name></author><author><name sortKey="Bestebroer, Tm" uniqKey="Bestebroer T">TM Bestebroer</name></author><author><name sortKey="Raj, Vs" uniqKey="Raj 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K. M." last="Muraduzzaman">A. K. M. Muraduzzaman</name></noRegion><name sortKey="Akram, Arifa" sort="Akram, Arifa" uniqKey="Akram A" first="Arifa" last="Akram">Arifa Akram</name><name sortKey="Alam, Ahmed Nawsher" sort="Alam, Ahmed Nawsher" uniqKey="Alam A" first="Ahmed Nawsher" last="Alam">Ahmed Nawsher Alam</name><name sortKey="Khan, Manjur Hossain" sort="Khan, Manjur Hossain" uniqKey="Khan M" first="Manjur Hossain" last="Khan">Manjur Hossain Khan</name><name sortKey="Parveen, Rezina" sort="Parveen, Rezina" uniqKey="Parveen R" first="Rezina" last="Parveen">Rezina Parveen</name><name sortKey="Rahman, Mahmudur" sort="Rahman, Mahmudur" uniqKey="Rahman M" first="Mahmudur" last="Rahman">Mahmudur Rahman</name><name sortKey="Shirin, Tahmina" sort="Shirin, Tahmina" uniqKey="Shirin T" first="Tahmina" last="Shirin">Tahmina Shirin</name><name sortKey="Sultana, Sharmin" sort="Sultana, Sharmin" uniqKey="Sultana S" first="Sharmin" last="Sultana">Sharmin Sultana</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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