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Probable transmission chains of Middle East respiratory syndrome coronavirus and the multiple generations of secondary infection in South Korea

Identifieur interne : 000702 ( Pmc/Curation ); précédent : 000701; suivant : 000703

Probable transmission chains of Middle East respiratory syndrome coronavirus and the multiple generations of secondary infection in South Korea

Auteurs : Shui Shan Lee ; Ngai Sze Wong

Source :

RBID : PMC:7110481

Abstract

Highlights

As of July 14, 2015, the South Korean outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection has involved 185 secondary infections belonging to three overlapping generations of cases who have contracted the virus almost exclusively in the healthcare environment.

Fomite transmission may explain a significant proportion of the infections occurring in the absence of direct contact with infected cases.

The analysis of publicly available data collected from multiple sources, including the media, is useful for describing the epidemic history of an infectious disease outbreak.


Url:
DOI: 10.1016/j.ijid.2015.07.014
PubMed: 26216766
PubMed Central: 7110481

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PMC:7110481

Le document en format XML

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<p id="par0015">The analysis of publicly available data collected from multiple sources, including the media, is useful for describing the epidemic history of an infectious disease outbreak.</p>
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<name sortKey="Shin, J Y" uniqKey="Shin J">J.Y. Shin</name>
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<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>
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<journal-title>International Journal of Infectious Diseases</journal-title>
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<issn pub-type="ppub">1201-9712</issn>
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<surname>Lee</surname>
<given-names>Shui Shan</given-names>
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<email>sslee@cuhk.edu.hk</email>
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<surname>Wong</surname>
<given-names>Ngai Sze</given-names>
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<aff id="aff0005">Stanley Ho Centre for Infectious Diseases, 205 Postgraduate Education Centre, The Chinese University of Hong Kong and Prince of Wales Hospital, Shatin, Hong Kong Special Administrative Region, People's Republic of China</aff>
<author-notes>
<corresp id="cor0005">
<label></label>
Corresponding author. Tel.: +852 22528812; fax: +852 26354977.
<email>sslee@cuhk.edu.hk</email>
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<month>7</month>
<year>2015</year>
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<month>9</month>
<year>2015</year>
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<pub-date pub-type="epub">
<day>26</day>
<month>7</month>
<year>2015</year>
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<volume>38</volume>
<fpage>65</fpage>
<lpage>67</lpage>
<history>
<date date-type="received">
<day>11</day>
<month>7</month>
<year>2015</year>
</date>
<date date-type="rev-recd">
<day>15</day>
<month>7</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>7</month>
<year>2015</year>
</date>
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<permissions>
<copyright-statement>© 2015 The Authors</copyright-statement>
<copyright-year>2015</copyright-year>
<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>
<abstract abstract-type="author-highlights" id="abs0005">
<title>Highlights</title>
<p>
<list list-type="simple" id="lis0005">
<list-item id="lsti0005">
<label></label>
<p id="par0005">As of July 14, 2015, the South Korean outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection has involved 185 secondary infections belonging to three overlapping generations of cases who have contracted the virus almost exclusively in the healthcare environment.</p>
</list-item>
<list-item id="lsti0010">
<label></label>
<p id="par0010">Fomite transmission may explain a significant proportion of the infections occurring in the absence of direct contact with infected cases.</p>
</list-item>
<list-item id="lsti0015">
<label></label>
<p id="par0015">The analysis of publicly available data collected from multiple sources, including the media, is useful for describing the epidemic history of an infectious disease outbreak.</p>
</list-item>
</list>
</p>
</abstract>
<abstract id="abs0010">
<title>Summary</title>
<sec>
<title>Background</title>
<p>In May 2015, South Korea reported its first case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in a 68-year-old man with a history of travel in the Middle East. In the presence of secondary infections, an understanding of the transmission dynamics of the virus is crucial. The aim of this study was to characterize the transmission chains of MERS-CoV infection in the current South Korean outbreak.</p>
</sec>
<sec>
<title>Methods</title>
<p>Individual-level data from multiple sources were collected and used for epidemiological analyses.</p>
</sec>
<sec>
<title>Results</title>
<p>As of July 14, 2015, 185 confirmed cases of MERS have been reported in the Korean outbreak. Three generations of secondary infection, with over half belonging to the second generation, could be delineated. Hospital infection was found to be the most important cause of virus transmission, affecting largely non-healthcare workers (154/184). Healthcare switching has probably accounted for the emergence of multiple generations of secondary infection. Fomite transmission may explain a significant proportion of the infections occurring in the absence of direct contact with infected cases.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Publicly available data from multiple sources, including the media, are useful to describe the epidemic history of an outbreak. The effective control of MERS-CoV hinges on the upholding of infection control standards and an understanding of health-seeking behaviours in the community.</p>
</sec>
</abstract>
<kwd-group id="kwd0005">
<title>Keywords</title>
<kwd>MERS</kwd>
<kwd>Coronavirus</kwd>
<kwd>Infectious diseases outbreaks</kwd>
<kwd>Epidemiology</kwd>
</kwd-group>
</article-meta>
<notes>
<p id="misc0005">
<bold>Corresponding Editor:</bold>
Eskild Petersen, Aarhus, Denmark</p>
</notes>
</front>
</pmc>
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