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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">One Health-based control strategies for MERS-CoV</title>
<author><name sortKey="Hemida, M" sort="Hemida, M" uniqKey="Hemida M" first="M." last="Hemida">M. Hemida</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmc">7129273</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7129273</idno>
<idno type="RBID">PMC:7129273</idno>
<idno type="doi">10.1016/j.jiph.2020.01.184</idno>
<idno type="pmid">NONE</idno>
<date when="2020">2020</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">One Health-based control strategies for MERS-CoV</title>
<author><name sortKey="Hemida, M" sort="Hemida, M" uniqKey="Hemida M" first="M." last="Hemida">M. Hemida</name>
</author>
</analytic>
<series><title level="j">Journal of Infection and Public Health</title>
<idno type="ISSN">1876-0341</idno>
<idno type="eISSN">1876-035X</idno>
<imprint><date when="2020">2020</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">J Infect Public Health</journal-id>
<journal-id journal-id-type="iso-abbrev">J Infect Public Health</journal-id>
<journal-title-group><journal-title>Journal of Infection and Public Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">1876-0341</issn>
<issn pub-type="epub">1876-035X</issn>
<publisher><publisher-name>Published by Elsevier Ltd.</publisher-name>
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</journal-meta>
<article-meta><article-id pub-id-type="pmc">7129273</article-id>
<article-id pub-id-type="publisher-id">S1876-0341(20)30185-4</article-id>
<article-id pub-id-type="doi">10.1016/j.jiph.2020.01.184</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>One Health-based control strategies for MERS-CoV</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="aut0005"><name><surname>Hemida</surname>
<given-names>M.</given-names>
</name>
</contrib>
</contrib-group>
<aff id="aff0005">Department of Microbiology, College of Veterinary Medicine, King Faisal University, Saudi Arabia</aff>
<pub-date pub-type="pmc-release"><day>5</day>
<month>2</month>
<year>2020</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>2</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub"><day>5</day>
<month>2</month>
<year>2020</year>
</pub-date>
<volume>13</volume>
<issue>2</issue>
<fpage>373</fpage>
<lpage>373</lpage>
<permissions><copyright-statement>Copyright © 2020 Published by Elsevier Ltd.</copyright-statement>
<copyright-year>2020</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">Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is one of the major threats to the healthcare systems in some countries, especially in the Arabian Peninsula. MERS-CoV is considered an ideal example of the One Health concept. This is due to the animals especially dromedary camels play important roles in the transmission and sustainability of the virus, and the virus can be transmitted through aerosols of infected patients into the environment. The dromedary camel is the only identified animal reservoir to date. These animals play important roles in sustaining the virus in certain communities and may act as an amplifier of the virus by secreting it in their body fluids, especially in nasal and rectal discharges. MERS-CoV has been detected in the nasal and rectal secretions of infected camels, and MERS-CoV of this origin has full capacity to infect human airway epithelium in both in vitro and in vivo models. Other evidence confirms the direct transmission of MERS-CoV from camels to humans, though the role of camel meat and milk products has yet to be well studied. Human-to-human transmission is well documented through contact with an active infected patient or some silently infected persons. Furthermore, there are some significant risk factors of individuals in close contact with a positive MERS-CoV patient. Outbreaks within family clusters have been reported. Some predisposing genetic factors favor MERS-CoV infection in some patients, which is worth investigating in the near future. The presence of other comorbidities may be another factor. Overall, there are many unknown/confirmed aspects of the virus/human/animal network. Identification of the exact mechanism of transmission of MERS-CoV from camels to humans and searching for new reservoir/s are of high priority. This will reduce the shedding of the virus into the environment, and thus the risk of human infection can be mitigated.</p>
<p id="par0010">Acknowledgment: This work was funded by a grant from the King Abdul-Aziz City for Science and Technology (KACST), (Grant no: 24-1) through the MERS-CoV research grant program, which is a part of the National Transformation Plan (NTP).</p>
</body>
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