Serveur d'exploration MERS

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Middle East respiratory syndrome coronavirus infection in non-camelid domestic mammals

Identifieur interne : 000464 ( Main/Exploration ); précédent : 000463; suivant : 000465

Middle East respiratory syndrome coronavirus infection in non-camelid domestic mammals

Auteurs : Ahmed Kandeil [Égypte] ; Mokhtar Gomaa [Égypte] ; Mahmoud Shehata [Égypte] ; Ahmed El-Taweel [Égypte] ; Ahmed E. Kayed [Égypte] ; Awatef Abiadh [Tunisie] ; Jamel Jrijer [Tunisie] ; Yassmin Moatasim [Égypte] ; Omnia Kutkat [Égypte] ; Ola Bagato [Égypte] ; Sara Mahmoud [Égypte] ; Ahmed Mostafa [Égypte, Allemagne] ; Rabeh El-Shesheny [Égypte, États-Unis] ; Ranawaka Apm Perera [Hong Kong] ; Ronald Lw Ko [Hong Kong] ; Nagla Hassan [Égypte] ; Basma Elsokary [Égypte] ; Lotfi Allal [Égypte] ; Ahmed Saad [Égypte] ; Heba Sobhy [Égypte] ; Pamela P. Mckenzie [États-Unis] ; Richard J. Webby [États-Unis] ; Malik Peiris [Hong Kong] ; Mohamed A. Ali [Égypte] ; Ghazi Kayali [Liban, États-Unis]

Source :

RBID : PMC:6455111

Descripteurs français

English descriptors

Abstract

ABSTRACT

Dromedary camels are natural host of the Middle East respiratory syndrome coronavirus (MERS-CoV). However, there are limited studies of MERS-CoV infection of other domestic mammals exposed to infected dromedaries. We expanded our surveillance among camels in Egypt, Tunisia, and Senegal to include other domestic mammalian species in contact with infected camels. A total of 820 sera and 823 nasal swabs from cattle, sheep, goats, donkeys, buffaloes, mules, and horses were collected. Swabs were tested using RT-PCR and virus RNA-positive samples were genetically sequenced and phylogenetically analysed. Sera were screened using virus microneutralization tests and positive sera (where available) were confirmed using plaque reduction neutralization tests (PRNT). We detected 90% PRNT confirmed MERS-CoV antibody in 35 (55.6%) of 63 sera from sheep collected from Senegal, two sheep (1.8%) of 114 in Tunisia and a goat (0.9%) of 107 in Egypt, with titres ranging from 1:80 to ≥1:320. We detected MERS-CoV RNA in swabs from three sheep (1.2%) of 254 and five goats (4.1%) of 121 from Egypt and Senegal, as well as one cow (1.9%) of 53 and three donkeys (7.1%) of 42 from Egypt. Partial sequences of the RT-PCR amplicons confirmed specificity of the results. This study showed that domestic livestock in contact with MERS-CoV infected camels may be at risk of infection. We recommend expanding current MERS-CoV surveillance in animals to include other livestock in close contact with dromedary camels. The segregation of camels from other livestock in farms and live animal markets may need to be considered.


Url:
DOI: 10.1080/22221751.2018.1560235
PubMed: 30866764
PubMed Central: 6455111


Affiliations:


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Le document en format XML

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<affiliation wicri:level="1">
<nlm:aff id="AF1">
<institution>Center of Scientific Excellence for Influenza Virus, National Research Centre</institution>
, Giza,
<country>Egypt</country>
</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Mahmoud, Sara" sort="Mahmoud, Sara" uniqKey="Mahmoud S" first="Sara" last="Mahmoud">Sara Mahmoud</name>
<affiliation wicri:level="1">
<nlm:aff id="AF1">
<institution>Center of Scientific Excellence for Influenza Virus, National Research Centre</institution>
, Giza,
<country>Egypt</country>
</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Mostafa, Ahmed" sort="Mostafa, Ahmed" uniqKey="Mostafa A" first="Ahmed" last="Mostafa">Ahmed Mostafa</name>
<affiliation wicri:level="1">
<nlm:aff id="AF1">
<institution>Center of Scientific Excellence for Influenza Virus, National Research Centre</institution>
, Giza,
<country>Egypt</country>
</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="AF3">
<institution>Institute of Medical Virology, Justus Liebig University Giessen</institution>
, Giessen,
<country>Germany</country>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="El Shesheny, Rabeh" sort="El Shesheny, Rabeh" uniqKey="El Shesheny R" first="Rabeh" last="El-Shesheny">Rabeh El-Shesheny</name>
<affiliation wicri:level="1">
<nlm:aff id="AF1">
<institution>Center of Scientific Excellence for Influenza Virus, National Research Centre</institution>
, Giza,
<country>Egypt</country>
</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="AF4">
<institution>St. Jude Children’s Research Hospital</institution>
, Memphis, TN,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Perera, Ranawaka Apm" sort="Perera, Ranawaka Apm" uniqKey="Perera R" first="Ranawaka Apm" last="Perera">Ranawaka Apm Perera</name>
<affiliation wicri:level="1">
<nlm:aff id="AF5">
<institution>School of Public Health, University of Hong Kong</institution>
, Sandy Bay,
<country>Hong Kong</country>
</nlm:aff>
<country xml:lang="fr">Hong Kong</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ko, Ronald Lw" sort="Ko, Ronald Lw" uniqKey="Ko R" first="Ronald Lw" last="Ko">Ronald Lw Ko</name>
<affiliation wicri:level="1">
<nlm:aff id="AF5">
<institution>School of Public Health, University of Hong Kong</institution>
, Sandy Bay,
<country>Hong Kong</country>
</nlm:aff>
<country xml:lang="fr">Hong Kong</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hassan, Nagla" sort="Hassan, Nagla" uniqKey="Hassan N" first="Nagla" last="Hassan">Nagla Hassan</name>
<affiliation wicri:level="1">
<nlm:aff id="AF6">
<institution>General Organizations of Veterinary Services, Ministry of Agriculture and Land Reclamation</institution>
, Giza,
<country>Egypt</country>
</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Elsokary, Basma" sort="Elsokary, Basma" uniqKey="Elsokary B" first="Basma" last="Elsokary">Basma Elsokary</name>
<affiliation wicri:level="1">
<nlm:aff id="AF6">
<institution>General Organizations of Veterinary Services, Ministry of Agriculture and Land Reclamation</institution>
, Giza,
<country>Egypt</country>
</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Allal, Lotfi" sort="Allal, Lotfi" uniqKey="Allal L" first="Lotfi" last="Allal">Lotfi Allal</name>
<affiliation wicri:level="1">
<nlm:aff id="AF7">
<institution>Food and Agriculture Organization of the United Nations, Emergency Center for Transboundary Animal Diseases</institution>
, Giza,
<country>Egypt</country>
</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Saad, Ahmed" sort="Saad, Ahmed" uniqKey="Saad A" first="Ahmed" last="Saad">Ahmed Saad</name>
<affiliation wicri:level="1">
<nlm:aff id="AF7">
<institution>Food and Agriculture Organization of the United Nations, Emergency Center for Transboundary Animal Diseases</institution>
, Giza,
<country>Egypt</country>
</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Sobhy, Heba" sort="Sobhy, Heba" uniqKey="Sobhy H" first="Heba" last="Sobhy">Heba Sobhy</name>
<affiliation wicri:level="1">
<nlm:aff id="AF7">
<institution>Food and Agriculture Organization of the United Nations, Emergency Center for Transboundary Animal Diseases</institution>
, Giza,
<country>Egypt</country>
</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Mckenzie, Pamela P" sort="Mckenzie, Pamela P" uniqKey="Mckenzie P" first="Pamela P." last="Mckenzie">Pamela P. Mckenzie</name>
<affiliation wicri:level="1">
<nlm:aff id="AF4">
<institution>St. Jude Children’s Research Hospital</institution>
, Memphis, TN,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Webby, Richard J" sort="Webby, Richard J" uniqKey="Webby R" first="Richard J." last="Webby">Richard J. Webby</name>
<affiliation wicri:level="1">
<nlm:aff id="AF4">
<institution>St. Jude Children’s Research Hospital</institution>
, Memphis, TN,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Peiris, Malik" sort="Peiris, Malik" uniqKey="Peiris M" first="Malik" last="Peiris">Malik Peiris</name>
<affiliation wicri:level="1">
<nlm:aff id="AF5">
<institution>School of Public Health, University of Hong Kong</institution>
, Sandy Bay,
<country>Hong Kong</country>
</nlm:aff>
<country xml:lang="fr">Hong Kong</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ali, Mohamed A" sort="Ali, Mohamed A" uniqKey="Ali M" first="Mohamed A." last="Ali">Mohamed A. Ali</name>
<affiliation wicri:level="1">
<nlm:aff id="AF1">
<institution>Center of Scientific Excellence for Influenza Virus, National Research Centre</institution>
, Giza,
<country>Egypt</country>
</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kayali, Ghazi" sort="Kayali, Ghazi" uniqKey="Kayali G" first="Ghazi" last="Kayali">Ghazi Kayali</name>
<affiliation wicri:level="1">
<nlm:aff id="AF8">
<institution>Human Link</institution>
, Baabda,
<country>Lebanon</country>
</nlm:aff>
<country xml:lang="fr">Liban</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="AF9">
<institution>University of Texas Health Sciences Center</institution>
, Houston, TX,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Emerging Microbes & Infections</title>
<idno type="eISSN">2222-1751</idno>
<imprint>
<date when="2019">2019</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Animals</term>
<term>Animals, Domestic (blood)</term>
<term>Animals, Domestic (immunology)</term>
<term>Animals, Domestic (virology)</term>
<term>Antibodies, Viral (blood)</term>
<term>Cattle</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (immunology)</term>
<term>Egypt</term>
<term>Goats</term>
<term>Horses</term>
<term>Humans</term>
<term>Middle East Respiratory Syndrome Coronavirus (classification)</term>
<term>Middle East Respiratory Syndrome Coronavirus (genetics)</term>
<term>Middle East Respiratory Syndrome Coronavirus (immunology)</term>
<term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term>
<term>Neutralization Tests</term>
<term>Nose (virology)</term>
<term>Phylogeny</term>
<term>Population Surveillance</term>
<term>Senegal</term>
<term>Sequence Analysis, RNA (methods)</term>
<term>Sheep</term>
<term>Tunisia</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Analyse de séquence d'ARN ()</term>
<term>Animaux</term>
<term>Animaux domestiques (immunologie)</term>
<term>Animaux domestiques (sang)</term>
<term>Animaux domestiques (virologie)</term>
<term>Anticorps antiviraux (sang)</term>
<term>Bovins</term>
<term>Capra</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient ()</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient (génétique)</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient (immunologie)</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification)</term>
<term>Equus caballus</term>
<term>Humains</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (immunologie)</term>
<term>Nez (virologie)</term>
<term>Ovis</term>
<term>Phylogénie</term>
<term>Surveillance de la population</term>
<term>Sénégal</term>
<term>Tests de neutralisation</term>
<term>Tunisie</term>
<term>Égypte</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en">
<term>Antibodies, Viral</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en">
<term>Egypt</term>
<term>Senegal</term>
<term>Tunisia</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Animals, Domestic</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Coronavirus Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Infections à coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr">
<term>Animaux domestiques</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
<term>Infections à coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en">
<term>Animals, Domestic</term>
<term>Coronavirus Infections</term>
<term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr">
<term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Sequence Analysis, RNA</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Animaux domestiques</term>
<term>Anticorps antiviraux</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr">
<term>Animaux domestiques</term>
<term>Nez</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Animals, Domestic</term>
<term>Nose</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Animals</term>
<term>Cattle</term>
<term>Goats</term>
<term>Horses</term>
<term>Humans</term>
<term>Neutralization Tests</term>
<term>Phylogeny</term>
<term>Population Surveillance</term>
<term>Sheep</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Analyse de séquence d'ARN</term>
<term>Animaux</term>
<term>Bovins</term>
<term>Capra</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
<term>Equus caballus</term>
<term>Humains</term>
<term>Ovis</term>
<term>Phylogénie</term>
<term>Surveillance de la population</term>
<term>Sénégal</term>
<term>Tests de neutralisation</term>
<term>Tunisie</term>
<term>Égypte</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Égypte</term>
<term>Sénégal</term>
<term>Tunisie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<title>ABSTRACT</title>
<p>Dromedary camels are natural host of the Middle East respiratory syndrome coronavirus (MERS-CoV). However, there are limited studies of MERS-CoV infection of other domestic mammals exposed to infected dromedaries. We expanded our surveillance among camels in Egypt, Tunisia, and Senegal to include other domestic mammalian species in contact with infected camels. A total of 820 sera and 823 nasal swabs from cattle, sheep, goats, donkeys, buffaloes, mules, and horses were collected. Swabs were tested using RT-PCR and virus RNA-positive samples were genetically sequenced and phylogenetically analysed. Sera were screened using virus microneutralization tests and positive sera (where available) were confirmed using plaque reduction neutralization tests (PRNT). We detected 90% PRNT confirmed MERS-CoV antibody in 35 (55.6%) of 63 sera from sheep collected from Senegal, two sheep (1.8%) of 114 in Tunisia and a goat (0.9%) of 107 in Egypt, with titres ranging from 1:80 to ≥1:320. We detected MERS-CoV RNA in swabs from three sheep (1.2%) of 254 and five goats (4.1%) of 121 from Egypt and Senegal, as well as one cow (1.9%) of 53 and three donkeys (7.1%) of 42 from Egypt. Partial sequences of the RT-PCR amplicons confirmed specificity of the results. This study showed that domestic livestock in contact with MERS-CoV infected camels may be at risk of infection. We recommend expanding current MERS-CoV surveillance in animals to include other livestock in close contact with dromedary camels. The segregation of camels from other livestock in farms and live animal markets may need to be considered.</p>
</div>
</front>
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</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Hong Kong</li>
<li>Liban</li>
<li>Tunisie</li>
<li>Égypte</li>
<li>États-Unis</li>
</country>
</list>
<tree>
<country name="Égypte">
<noRegion>
<name sortKey="Kandeil, Ahmed" sort="Kandeil, Ahmed" uniqKey="Kandeil A" first="Ahmed" last="Kandeil">Ahmed Kandeil</name>
</noRegion>
<name sortKey="Ali, Mohamed A" sort="Ali, Mohamed A" uniqKey="Ali M" first="Mohamed A." last="Ali">Mohamed A. Ali</name>
<name sortKey="Allal, Lotfi" sort="Allal, Lotfi" uniqKey="Allal L" first="Lotfi" last="Allal">Lotfi Allal</name>
<name sortKey="Bagato, Ola" sort="Bagato, Ola" uniqKey="Bagato O" first="Ola" last="Bagato">Ola Bagato</name>
<name sortKey="El Shesheny, Rabeh" sort="El Shesheny, Rabeh" uniqKey="El Shesheny R" first="Rabeh" last="El-Shesheny">Rabeh El-Shesheny</name>
<name sortKey="El Taweel, Ahmed" sort="El Taweel, Ahmed" uniqKey="El Taweel A" first="Ahmed" last="El-Taweel">Ahmed El-Taweel</name>
<name sortKey="Elsokary, Basma" sort="Elsokary, Basma" uniqKey="Elsokary B" first="Basma" last="Elsokary">Basma Elsokary</name>
<name sortKey="Gomaa, Mokhtar" sort="Gomaa, Mokhtar" uniqKey="Gomaa M" first="Mokhtar" last="Gomaa">Mokhtar Gomaa</name>
<name sortKey="Hassan, Nagla" sort="Hassan, Nagla" uniqKey="Hassan N" first="Nagla" last="Hassan">Nagla Hassan</name>
<name sortKey="Kayed, Ahmed E" sort="Kayed, Ahmed E" uniqKey="Kayed A" first="Ahmed E." last="Kayed">Ahmed E. Kayed</name>
<name sortKey="Kutkat, Omnia" sort="Kutkat, Omnia" uniqKey="Kutkat O" first="Omnia" last="Kutkat">Omnia Kutkat</name>
<name sortKey="Mahmoud, Sara" sort="Mahmoud, Sara" uniqKey="Mahmoud S" first="Sara" last="Mahmoud">Sara Mahmoud</name>
<name sortKey="Moatasim, Yassmin" sort="Moatasim, Yassmin" uniqKey="Moatasim Y" first="Yassmin" last="Moatasim">Yassmin Moatasim</name>
<name sortKey="Mostafa, Ahmed" sort="Mostafa, Ahmed" uniqKey="Mostafa A" first="Ahmed" last="Mostafa">Ahmed Mostafa</name>
<name sortKey="Saad, Ahmed" sort="Saad, Ahmed" uniqKey="Saad A" first="Ahmed" last="Saad">Ahmed Saad</name>
<name sortKey="Shehata, Mahmoud" sort="Shehata, Mahmoud" uniqKey="Shehata M" first="Mahmoud" last="Shehata">Mahmoud Shehata</name>
<name sortKey="Sobhy, Heba" sort="Sobhy, Heba" uniqKey="Sobhy H" first="Heba" last="Sobhy">Heba Sobhy</name>
</country>
<country name="Tunisie">
<noRegion>
<name sortKey="Abiadh, Awatef" sort="Abiadh, Awatef" uniqKey="Abiadh A" first="Awatef" last="Abiadh">Awatef Abiadh</name>
</noRegion>
<name sortKey="Jrijer, Jamel" sort="Jrijer, Jamel" uniqKey="Jrijer J" first="Jamel" last="Jrijer">Jamel Jrijer</name>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Mostafa, Ahmed" sort="Mostafa, Ahmed" uniqKey="Mostafa A" first="Ahmed" last="Mostafa">Ahmed Mostafa</name>
</noRegion>
</country>
<country name="États-Unis">
<noRegion>
<name sortKey="El Shesheny, Rabeh" sort="El Shesheny, Rabeh" uniqKey="El Shesheny R" first="Rabeh" last="El-Shesheny">Rabeh El-Shesheny</name>
</noRegion>
<name sortKey="Kayali, Ghazi" sort="Kayali, Ghazi" uniqKey="Kayali G" first="Ghazi" last="Kayali">Ghazi Kayali</name>
<name sortKey="Mckenzie, Pamela P" sort="Mckenzie, Pamela P" uniqKey="Mckenzie P" first="Pamela P." last="Mckenzie">Pamela P. Mckenzie</name>
<name sortKey="Webby, Richard J" sort="Webby, Richard J" uniqKey="Webby R" first="Richard J." last="Webby">Richard J. Webby</name>
</country>
<country name="Hong Kong">
<noRegion>
<name sortKey="Perera, Ranawaka Apm" sort="Perera, Ranawaka Apm" uniqKey="Perera R" first="Ranawaka Apm" last="Perera">Ranawaka Apm Perera</name>
</noRegion>
<name sortKey="Ko, Ronald Lw" sort="Ko, Ronald Lw" uniqKey="Ko R" first="Ronald Lw" last="Ko">Ronald Lw Ko</name>
<name sortKey="Peiris, Malik" sort="Peiris, Malik" uniqKey="Peiris M" first="Malik" last="Peiris">Malik Peiris</name>
</country>
<country name="Liban">
<noRegion>
<name sortKey="Kayali, Ghazi" sort="Kayali, Ghazi" uniqKey="Kayali G" first="Ghazi" last="Kayali">Ghazi Kayali</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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