Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak in South Korea, 2015: epidemiology, characteristics and public health implications
Identifieur interne : 001127 ( Main/Exploration ); précédent : 001126; suivant : 001128Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak in South Korea, 2015: epidemiology, characteristics and public health implications
Auteurs : K. H. Kim [Corée du Sud] ; T. E. Tandi [Corée du Sud, Cameroun] ; J. W. Choi [Corée du Sud] ; J. M. Moon [Corée du Sud] ; M. S. Kim [Corée du Sud]Source :
- The Journal of Hospital Infection [ 0195-6701 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Facteurs sexuels, Femelle, Flambées de maladies, Humains, Infection croisée (transmission), Infection croisée (épidémiologie), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Jeune adulte, Lutte contre l'infection (), Mortalité, Mâle, Répartition par âge, République de Corée (épidémiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Transmission de maladie infectieuse.
- MESH :
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- épidémiologie : Infection croisée, Infections à coronavirus, République de Corée.
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs sexuels, Femelle, Flambées de maladies, Humains, Jeune adulte, Lutte contre l'infection, Mortalité, Mâle, Répartition par âge, Sujet âgé, Sujet âgé de 80 ans ou plus, Transmission de maladie infectieuse.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Distribution, Aged, Aged, 80 and over, Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Cross Infection (epidemiology), Cross Infection (transmission), Disease Outbreaks, Disease Transmission, Infectious, Female, Humans, Infection Control (methods), Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus (isolation & purification), Mortality, Republic of Korea (epidemiology), Sex Factors, Young Adult.
- MESH :
- epidemiology : Coronavirus Infections, Cross Infection, Republic of Korea.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- methods : Infection Control.
- transmission : Coronavirus Infections, Cross Infection.
- Adolescent, Adult, Age Distribution, Aged, Aged, 80 and over, Disease Outbreaks, Disease Transmission, Infectious, Female, Humans, Male, Middle Aged, Mortality, Sex Factors, Young Adult.
Abstract
Since the first case of Middle East respiratory syndrome coronavirus (MERS-CoV) in South Korea was reported on 20th May 2015, there have been 186 confirmed cases, 38 deaths and 16,752 suspected cases. Previously published research on South Korea's MERS outbreak was limited to the early stages, when few data were available. Now that the outbreak has ended, albeit unofficially, a more comprehensive review is appropriate.
Data were obtained through the MERS portal by the Ministry for Health and Welfare (MOHW) and Korea Centres for Disease Control and Prevention, press releases by MOHW, and reports by the MERS Policy Committee of the Korean Medical Association. Cases were analysed for general characteristics, exposure source, timeline and infection generation. Sex, age and underlying diseases were analysed for the 38 deaths.
Beginning with the index case that infected 28 others, an in-depth analysis was conducted. The average age was 55 years, which was a little higher than the global average of 50 years. As in most other countries, more men than women were affected. The case fatality rate was 19.9%, which was lower than the global rate of 38.7% and the rate in Saudi Arabia (36.5%). In total, 184 patients were infected nosocomially and there were no community-acquired infections. The main underlying diseases were respiratory diseases, cancer and hypertension. The main contributors to the outbreak were late diagnosis, quarantine failure of ‘super spreaders’, familial care-giving and visiting, non-disclosure by patients, poor communication by the South Korean Government, inadequate hospital infection management, and ‘doctor shopping’. The outbreak was entirely nosocomial, and was largely attributable to infection management and policy failures, rather than biomedical factors.
Url:
DOI: 10.1016/j.jhin.2016.10.008
PubMed: 28153558
PubMed Central: 7114867
Affiliations:
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Le document en format XML
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<term>Adult</term>
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<term>Aged</term>
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<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Cross Infection (epidemiology)</term>
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<term>Flambées de maladies</term>
<term>Humains</term>
<term>Infection croisée (transmission)</term>
<term>Infection croisée (épidémiologie)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (épidémiologie)</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term>
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<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
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</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term>
<term>Cross Infection</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infection croisée</term>
<term>Infections à coronavirus</term>
<term>République de Corée</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Age Distribution</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Disease Outbreaks</term>
<term>Disease Transmission, Infectious</term>
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<sec><title>Background</title>
<p>Since the first case of Middle East respiratory syndrome coronavirus (MERS-CoV) in South Korea was reported on 20<sup>th</sup>
May 2015, there have been 186 confirmed cases, 38 deaths and 16,752 suspected cases. Previously published research on South Korea's MERS outbreak was limited to the early stages, when few data were available. Now that the outbreak has ended, albeit unofficially, a more comprehensive review is appropriate.</p>
</sec>
<sec><title>Methods</title>
<p>Data were obtained through the MERS portal by the Ministry for Health and Welfare (MOHW) and Korea Centres for Disease Control and Prevention, press releases by MOHW, and reports by the MERS Policy Committee of the Korean Medical Association. Cases were analysed for general characteristics, exposure source, timeline and infection generation. Sex, age and underlying diseases were analysed for the 38 deaths.</p>
</sec>
<sec><title>Findings</title>
<p>Beginning with the index case that infected 28 others, an in-depth analysis was conducted. The average age was 55 years, which was a little higher than the global average of 50 years. As in most other countries, more men than women were affected. The case fatality rate was 19.9%, which was lower than the global rate of 38.7% and the rate in Saudi Arabia (36.5%). In total, 184 patients were infected nosocomially and there were no community-acquired infections. The main underlying diseases were respiratory diseases, cancer and hypertension. The main contributors to the outbreak were late diagnosis, quarantine failure of ‘super spreaders’, familial care-giving and visiting, non-disclosure by patients, poor communication by the South Korean Government, inadequate hospital infection management, and ‘doctor shopping’. The outbreak was entirely nosocomial, and was largely attributable to infection management and policy failures, rather than biomedical factors.</p>
</sec>
</div>
</front>
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</div1>
</back>
</TEI>
<affiliations><list><country><li>Cameroun</li>
<li>Corée du Sud</li>
</country>
<region><li>Région capitale de Séoul</li>
</region>
<settlement><li>Séoul</li>
</settlement>
</list>
<tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Kim, K H" sort="Kim, K H" uniqKey="Kim K" first="K. H." last="Kim">K. H. Kim</name>
</region>
<name sortKey="Choi, J W" sort="Choi, J W" uniqKey="Choi J" first="J. W." last="Choi">J. W. Choi</name>
<name sortKey="Choi, J W" sort="Choi, J W" uniqKey="Choi J" first="J. W." last="Choi">J. W. Choi</name>
<name sortKey="Choi, J W" sort="Choi, J W" uniqKey="Choi J" first="J. W." last="Choi">J. W. Choi</name>
<name sortKey="Choi, J W" sort="Choi, J W" uniqKey="Choi J" first="J. W." last="Choi">J. W. Choi</name>
<name sortKey="Kim, M S" sort="Kim, M S" uniqKey="Kim M" first="M. S." last="Kim">M. S. Kim</name>
<name sortKey="Kim, M S" sort="Kim, M S" uniqKey="Kim M" first="M. S." last="Kim">M. S. Kim</name>
<name sortKey="Moon, J M" sort="Moon, J M" uniqKey="Moon J" first="J. M." last="Moon">J. M. Moon</name>
<name sortKey="Moon, J M" sort="Moon, J M" uniqKey="Moon J" first="J. M." last="Moon">J. M. Moon</name>
<name sortKey="Tandi, T E" sort="Tandi, T E" uniqKey="Tandi T" first="T. E." last="Tandi">T. E. Tandi</name>
<name sortKey="Tandi, T E" sort="Tandi, T E" uniqKey="Tandi T" first="T. E." last="Tandi">T. E. Tandi</name>
<name sortKey="Tandi, T E" sort="Tandi, T E" uniqKey="Tandi T" first="T. E." last="Tandi">T. E. Tandi</name>
</country>
<country name="Cameroun"><noRegion><name sortKey="Tandi, T E" sort="Tandi, T E" uniqKey="Tandi T" first="T. E." last="Tandi">T. E. Tandi</name>
</noRegion>
</country>
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</affiliations>
</record>
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