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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mers-CoV: From camels to humans</title>
<author><name sortKey="Memish, Z" sort="Memish, Z" uniqKey="Memish Z" first="Z." last="Memish">Z. Memish</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmc">7129865</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7129865</idno>
<idno type="RBID">PMC:7129865</idno>
<idno type="doi">10.1016/j.ijid.2016.02.047</idno>
<idno type="pmid">NONE</idno>
<date when="2016">2016</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Mers-CoV: From camels to humans</title>
<author><name sortKey="Memish, Z" sort="Memish, Z" uniqKey="Memish Z" first="Z." last="Memish">Z. Memish</name>
</author>
</analytic>
<series><title level="j">International Journal of Infectious Diseases</title>
<idno type="ISSN">1201-9712</idno>
<idno type="eISSN">1878-3511</idno>
<imprint><date when="2016">2016</date>
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<pmc article-type="abstract"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Int. J. Infect. Dis</journal-id>
<journal-title-group><journal-title>International Journal of Infectious Diseases</journal-title>
</journal-title-group>
<issn pub-type="ppub">1201-9712</issn>
<issn pub-type="epub">1878-3511</issn>
<publisher><publisher-name>Published by Elsevier Ltd.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmc">7129865</article-id>
<article-id pub-id-type="publisher-id">S1201-9712(16)30026-1</article-id>
<article-id pub-id-type="doi">10.1016/j.ijid.2016.02.047</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Mers-CoV: From camels to humans</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="aut0005"><name><surname>Memish</surname>
<given-names>Z.</given-names>
</name>
</contrib>
</contrib-group>
<aff id="aff0005">Ministry of Health, Riyadh, Saudi Arabia</aff>
<pub-date pub-type="pmc-release"><day>29</day>
<month>3</month>
<year>2016</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>4</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>29</day>
<month>3</month>
<year>2016</year>
</pub-date>
<volume>45</volume>
<fpage>7</fpage>
<lpage>8</lpage>
<permissions><copyright-statement>Copyright © 2016 Published by Elsevier Ltd.</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder></copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
</article-meta>
</front>
<body><p id="par0005"><bold>Abstract</bold>
: The Middle East respiratory syndrome coronavirus (MERS-CoV) is a novel enzootic beta coronavirus that was first described in September 2012. The clinical spectrum of MERS-CoV infection in humans ranges from an asymptomatic or mild respiratory illness to severe pneumonia and multi-organ failure; overall mortality is around 37.5%. Bats harbor several beta coronaviruses that are closely related to MERS-CoV but more research is needed to establish the relationship between bats and MERS-CoV. The seroprevalence of MERS-CoV antibodies is very high in dromedary camels in Eastern Africa and the Arabian Peninsula. MERS-CoV RNA and viable virus have been isolated from dromedary camels, including some with respiratory symptoms. Furthermore, near-identical strains of MERS-CoV have been isolated from epidemiologically linked humans and camels, confirming intertransmission, most probably from camels to humans. Though inter-human spread within health care settings is responsible for the majority of reported MERS-CoV cases, the virus is incapable at present of causing sustained human-to-human transmission. Clusters can be readily controlled with implementation of appropriate infection control procedures. Phylogenetic and sequencing data strongly suggest that MERS-CoV originated from bat ancestors after undergoing a recombination event in the Spike protein, possibly in dromedary camels in Africa, before its exportation to the Arabian Peninsula along the camel trading routes. Amongst the important measures to control MERS-CoV spread are strict regulation of camel movement, regular herd screening and isolation of infected camels, use of personal protective equipment by camel handlers and enforcing rules banning all consumption of unpasteurized camel milk and urine.</p>
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