Prevalence of MERS-CoV Nasal Carriage and Compliance With the Saudi Health Recommendations Among Pilgrims Attending the 2013 Hajj
Identifieur interne : 000E27 ( Pmc/Curation ); précédent : 000E26; suivant : 000E28Prevalence of MERS-CoV Nasal Carriage and Compliance With the Saudi Health Recommendations Among Pilgrims Attending the 2013 Hajj
Auteurs : Ziad A. Memish ; Abdullah Assiri ; Malak Almasri ; Rafat F. Alhakeem ; Abdulhafeez Turkestani ; Abdullah A. Al Rabeeah ; Jaffar A. Al-Tawfiq ; Abdullah Alzahrani ; Essam Azhar ; Hatem Q. Makhdoom ; Waleed H. Hajomar ; Ali M. Al-Shangiti ; Saber YezliSource :
- The Journal of Infectious Diseases [ 0022-1899 ] ; 2014.
Abstract
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DOI: 10.1093/infdis/jiu150
PubMed: 24620019
PubMed Central: 7107361
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Ziad A. Memish<affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation><affiliation><nlm:aff id="af2">College of Medicine, Alfaisal University, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation><affiliation><nlm:aff id="af2">College of Medicine, Alfaisal University, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation><affiliation><nlm:aff id="af3">Makkah Regional Health Affairs, Ministry of Health, Jeddah</nlm:aff><wicri:noCountry code="subfield">Jeddah</wicri:noCountry></affiliation><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation><affiliation><nlm:aff id="af4">Saudi Aramco Medical Services Organization, Dhahran, Kingdom of Saudi Arabia</nlm:aff><wicri:noCountry code="subfield">Kingdom of Saudi Arabia</wicri:noCountry></affiliation><affiliation><nlm:aff id="af5">Indiana University School of Medicine, Indianapolis</nlm:aff><wicri:noCountry code="subfield">Indianapolis</wicri:noCountry></affiliation><affiliation><nlm:aff id="af5">Indiana University School of Medicine, Indianapolis</nlm:aff><wicri:noCountry code="subfield">Indianapolis</wicri:noCountry></affiliation><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation><affiliation><nlm:aff id="af6">Special Infectious Diseases Unit, King Abdualziz University, King Fahad Medical Research Center, Jeddah</nlm:aff><wicri:noCountry code="subfield">Jeddah</wicri:noCountry></affiliation><affiliation><nlm:aff id="af7">Jeddah Regional Laboratory and Blood Bank, Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation><affiliation><nlm:aff id="af8">Riyadh Regional Laboratory and Blood Bank, Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation><affiliation><nlm:aff id="af9">General Directorate of Laboratory Services, Ministry of Health, Riyadh, Kingdom of Saudi Arabia</nlm:aff><wicri:noCountry code="subfield">Kingdom of Saudi Arabia</wicri:noCountry></affiliation><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prevalence of MERS-CoV Nasal Carriage and Compliance With the Saudi Health Recommendations Among Pilgrims Attending the 2013 Hajj</title><author><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation><affiliation><nlm:aff id="af2">College of Medicine, Alfaisal University, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation></author><author><name sortKey="Assiri, Abdullah" sort="Assiri, Abdullah" uniqKey="Assiri A" first="Abdullah" last="Assiri">Abdullah Assiri</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Almasri, Malak" sort="Almasri, Malak" uniqKey="Almasri M" first="Malak" last="Almasri">Malak Almasri</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Alhakeem, Rafat F" sort="Alhakeem, Rafat F" uniqKey="Alhakeem R" first="Rafat F." last="Alhakeem">Rafat F. Alhakeem</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Turkestani, Abdulhafeez" sort="Turkestani, Abdulhafeez" uniqKey="Turkestani A" first="Abdulhafeez" last="Turkestani">Abdulhafeez Turkestani</name><affiliation><nlm:aff id="af3">Makkah Regional Health Affairs, Ministry of Health, Jeddah</nlm:aff><wicri:noCountry code="subfield">Jeddah</wicri:noCountry></affiliation></author><author><name sortKey="Al Rabeeah, Abdullah A" sort="Al Rabeeah, Abdullah A" uniqKey="Al Rabeeah A" first="Abdullah A." last="Al Rabeeah">Abdullah A. Al Rabeeah</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name><affiliation><nlm:aff id="af4">Saudi Aramco Medical Services Organization, Dhahran, Kingdom of Saudi Arabia</nlm:aff><wicri:noCountry code="subfield">Kingdom of Saudi Arabia</wicri:noCountry></affiliation><affiliation><nlm:aff id="af5">Indiana University School of Medicine, Indianapolis</nlm:aff><wicri:noCountry code="subfield">Indianapolis</wicri:noCountry></affiliation></author><author><name sortKey="Alzahrani, Abdullah" sort="Alzahrani, Abdullah" uniqKey="Alzahrani A" first="Abdullah" last="Alzahrani">Abdullah Alzahrani</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Azhar, Essam" sort="Azhar, Essam" uniqKey="Azhar E" first="Essam" last="Azhar">Essam Azhar</name><affiliation><nlm:aff id="af6">Special Infectious Diseases Unit, King Abdualziz University, King Fahad Medical Research Center, Jeddah</nlm:aff><wicri:noCountry code="subfield">Jeddah</wicri:noCountry></affiliation></author><author><name sortKey="Makhdoom, Hatem Q" sort="Makhdoom, Hatem Q" uniqKey="Makhdoom H" first="Hatem Q." last="Makhdoom">Hatem Q. Makhdoom</name><affiliation><nlm:aff id="af7">Jeddah Regional Laboratory and Blood Bank, Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Hajomar, Waleed H" sort="Hajomar, Waleed H" uniqKey="Hajomar W" first="Waleed H." last="Hajomar">Waleed H. Hajomar</name><affiliation><nlm:aff id="af8">Riyadh Regional Laboratory and Blood Bank, Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Al Shangiti, Ali M" sort="Al Shangiti, Ali M" uniqKey="Al Shangiti A" first="Ali M." last="Al-Shangiti">Ali M. Al-Shangiti</name><affiliation><nlm:aff id="af9">General Directorate of Laboratory Services, Ministry of Health, Riyadh, Kingdom of Saudi Arabia</nlm:aff><wicri:noCountry code="subfield">Kingdom of Saudi Arabia</wicri:noCountry></affiliation></author><author><name sortKey="Yezli, Saber" sort="Yezli, Saber" uniqKey="Yezli S" first="Saber" last="Yezli">Saber Yezli</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24620019</idno><idno type="pmc">7107361</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7107361</idno><idno type="RBID">PMC:7107361</idno><idno type="doi">10.1093/infdis/jiu150</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000E27</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000E27</idno><idno type="wicri:Area/Pmc/Curation">000E27</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000E27</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prevalence of MERS-CoV Nasal Carriage and Compliance With the Saudi Health Recommendations Among Pilgrims Attending the 2013 Hajj</title><author><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation><affiliation><nlm:aff id="af2">College of Medicine, Alfaisal University, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation></author><author><name sortKey="Assiri, Abdullah" sort="Assiri, Abdullah" uniqKey="Assiri A" first="Abdullah" last="Assiri">Abdullah Assiri</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Almasri, Malak" sort="Almasri, Malak" uniqKey="Almasri M" first="Malak" last="Almasri">Malak Almasri</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Alhakeem, Rafat F" sort="Alhakeem, Rafat F" uniqKey="Alhakeem R" first="Rafat F." last="Alhakeem">Rafat F. Alhakeem</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Turkestani, Abdulhafeez" sort="Turkestani, Abdulhafeez" uniqKey="Turkestani A" first="Abdulhafeez" last="Turkestani">Abdulhafeez Turkestani</name><affiliation><nlm:aff id="af3">Makkah Regional Health Affairs, Ministry of Health, Jeddah</nlm:aff><wicri:noCountry code="subfield">Jeddah</wicri:noCountry></affiliation></author><author><name sortKey="Al Rabeeah, Abdullah A" sort="Al Rabeeah, Abdullah A" uniqKey="Al Rabeeah A" first="Abdullah A." last="Al Rabeeah">Abdullah A. Al Rabeeah</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name><affiliation><nlm:aff id="af4">Saudi Aramco Medical Services Organization, Dhahran, Kingdom of Saudi Arabia</nlm:aff><wicri:noCountry code="subfield">Kingdom of Saudi Arabia</wicri:noCountry></affiliation><affiliation><nlm:aff id="af5">Indiana University School of Medicine, Indianapolis</nlm:aff><wicri:noCountry code="subfield">Indianapolis</wicri:noCountry></affiliation></author><author><name sortKey="Alzahrani, Abdullah" sort="Alzahrani, Abdullah" uniqKey="Alzahrani A" first="Abdullah" last="Alzahrani">Abdullah Alzahrani</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Azhar, Essam" sort="Azhar, Essam" uniqKey="Azhar E" first="Essam" last="Azhar">Essam Azhar</name><affiliation><nlm:aff id="af6">Special Infectious Diseases Unit, King Abdualziz University, King Fahad Medical Research Center, Jeddah</nlm:aff><wicri:noCountry code="subfield">Jeddah</wicri:noCountry></affiliation></author><author><name sortKey="Makhdoom, Hatem Q" sort="Makhdoom, Hatem Q" uniqKey="Makhdoom H" first="Hatem Q." last="Makhdoom">Hatem Q. Makhdoom</name><affiliation><nlm:aff id="af7">Jeddah Regional Laboratory and Blood Bank, Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Hajomar, Waleed H" sort="Hajomar, Waleed H" uniqKey="Hajomar W" first="Waleed H." last="Hajomar">Waleed H. Hajomar</name><affiliation><nlm:aff id="af8">Riyadh Regional Laboratory and Blood Bank, Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author><author><name sortKey="Al Shangiti, Ali M" sort="Al Shangiti, Ali M" uniqKey="Al Shangiti A" first="Ali M." last="Al-Shangiti">Ali M. Al-Shangiti</name><affiliation><nlm:aff id="af9">General Directorate of Laboratory Services, Ministry of Health, Riyadh, Kingdom of Saudi Arabia</nlm:aff><wicri:noCountry code="subfield">Kingdom of Saudi Arabia</wicri:noCountry></affiliation></author><author><name sortKey="Yezli, Saber" sort="Yezli, Saber" uniqKey="Yezli S" first="Saber" last="Yezli">Saber Yezli</name><affiliation><nlm:aff id="af1">Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</nlm:aff><wicri:noCountry code="subfield">Ministry of Health</wicri:noCountry></affiliation></author></analytic><series><title level="j">The Journal of Infectious Diseases</title><idno type="ISSN">0022-1899</idno><idno type="eISSN">1537-6613</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p><bold><italic>Background.</italic></bold> Annually, Saudi Arabia is the host of the Hajj mass gathering. We aimed to determine the Middle East respiratory syndrome coronavirus (MERS-CoV) nasal carriage rate among pilgrims performing the 2013 Hajj and to describe the compliance with the Saudi Ministry of Health vaccine recommendations.</p><p><bold><italic>Method.</italic></bold> Nasopharyngeal samples were collected from 5235 adult pilgrims from 22 countries and screened for MERS-CoV using reverse transcriptase–polymerase chain reaction. Information regarding the participants' age, gender, country of origin, medical conditions, and vaccination history were obtained.</p><p><bold><italic>Results.</italic></bold> The mean age of the screened population was 51.8 years (range, 18–93 years) with a male/female ratio of 1.17:1. MERS-CoV was not detected in any of the samples tested (3210 pre-Hajj and 2025 post-Hajj screening). According to the vaccination documents, all participants had received meningococcal vaccination and the majority of those from at-risk countries were vaccinated against yellow fever and polio. Only 22% of the pilgrims (17.5% of those ≥65 years and 36.3% of diabetics) had flu vaccination, and 4.4% had pneumococcal vaccination.</p><p><bold><italic>Conclusion.</italic></bold> There was no evidence of MERS-CoV nasal carriage among Hajj pilgrims. While rates of compulsory vaccinations uptake were high, uptake of pneumococcal and flu seasonal vaccinations were low, including among the high-risk population.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Zaki, Am" uniqKey="Zaki A">AM Zaki</name></author><author><name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S van Boheemen</name></author><author><name sortKey="Bestebroer, Tm" uniqKey="Bestebroer T">TM Bestebroer</name></author><author><name sortKey="Osterhaus, Ad" uniqKey="Osterhaus A">AD Osterhaus</name></author><author><name sortKey="Fouchier, Ra" uniqKey="Fouchier R">RA Fouchier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S van Boheemen</name></author><author><name sortKey="De Graaf, M" uniqKey="De Graaf M">M de Graaf</name></author><author><name sortKey="Lauber, C" uniqKey="Lauber C">C 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Memish</name></author><author><name sortKey="Al Tawfiq, Ja" uniqKey="Al Tawfiq J">JA Al-Tawfiq</name></author><author><name sortKey="Makhdoom, Hq" uniqKey="Makhdoom H">HQ Makhdoom</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rashid, H" uniqKey="Rashid H">H Rashid</name></author><author><name sortKey="Azeem, Mi" uniqKey="Azeem M">MI Azeem</name></author><author><name sortKey="Heron, L" uniqKey="Heron L">L Heron</name></author><author><name sortKey="Haworth, E" uniqKey="Haworth E">E Haworth</name></author><author><name sortKey="Booy, R" uniqKey="Booy R">R Booy</name></author><author><name sortKey="Memish, Za" uniqKey="Memish Z">ZA Memish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gautret, P" uniqKey="Gautret P">P Gautret</name></author><author><name sortKey="Benkouiten, S" uniqKey="Benkouiten S">S Benkouiten</name></author><author><name sortKey="Salaheddine, I" uniqKey="Salaheddine I">I Salaheddine</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Rashid, H" uniqKey="Rashid H">H Rashid</name></author><author><name sortKey="Abdul Muttalif, Ar" uniqKey="Abdul Muttalif A">AR Abdul Muttalif</name></author><author><name sortKey="Mohamed Dahlan, Zb" uniqKey="Mohamed Dahlan Z">ZB Mohamed Dahlan</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">J. Infect. Dis</journal-id><journal-id journal-id-type="publisher-id">jid</journal-id><journal-title-group><journal-title>The Journal of Infectious Diseases</journal-title></journal-title-group><issn pub-type="ppub">0022-1899</issn><issn pub-type="epub">1537-6613</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24620019</article-id><article-id pub-id-type="pmc">7107361</article-id><article-id pub-id-type="doi">10.1093/infdis/jiu150</article-id><article-id pub-id-type="publisher-id">jiu150</article-id><article-categories><subj-group subj-group-type="heading"><subject>Major Articles and Brief Reports</subject><subj-group subj-group-type="heading"><subject>Viruses</subject></subj-group></subj-group></article-categories><title-group><article-title>Prevalence of MERS-CoV Nasal Carriage and Compliance With the Saudi Health Recommendations Among Pilgrims Attending the 2013 Hajj</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Memish</surname><given-names>Ziad A.</given-names></name><xref ref-type="aff" rid="af1">1</xref><xref ref-type="aff" rid="af2">2</xref><xref ref-type="corresp" rid="cor1"></xref><pmc-comment>zmemish@yahoo.com </pmc-comment>
</contrib><contrib contrib-type="author"><name><surname>Assiri</surname><given-names>Abdullah</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Almasri</surname><given-names>Malak</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Alhakeem</surname><given-names>Rafat F.</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Turkestani</surname><given-names>Abdulhafeez</given-names></name><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Al Rabeeah</surname><given-names>Abdullah A.</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Al-Tawfiq</surname><given-names>Jaffar A.</given-names></name><xref ref-type="aff" rid="af4">4</xref><xref ref-type="aff" rid="af5">5</xref></contrib><contrib contrib-type="author"><name><surname>Alzahrani</surname><given-names>Abdullah</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Azhar</surname><given-names>Essam</given-names></name><xref ref-type="aff" rid="af6">6</xref></contrib><contrib contrib-type="author"><name><surname>Makhdoom</surname><given-names>Hatem Q.</given-names></name><xref ref-type="aff" rid="af7">7</xref></contrib><contrib contrib-type="author"><name><surname>Hajomar</surname><given-names>Waleed H.</given-names></name><xref ref-type="aff" rid="af8">8</xref></contrib><contrib contrib-type="author"><name><surname>Al-Shangiti</surname><given-names>Ali M.</given-names></name><xref ref-type="aff" rid="af9">9</xref></contrib><contrib contrib-type="author"><name><surname>Yezli</surname><given-names>Saber</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib></contrib-group><aff id="af1"><label>1</label>Global Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health</aff><aff id="af2"><label>2</label>College of Medicine, Alfaisal University, Riyadh</aff><aff id="af3"><label>3</label>Makkah Regional Health Affairs, Ministry of Health, Jeddah</aff><aff id="af4"><label>4</label>Saudi Aramco Medical Services Organization, Dhahran, Kingdom of Saudi Arabia</aff><aff id="af5"><label>5</label>Indiana University School of Medicine, Indianapolis</aff><aff id="af6"><label>6</label>Special Infectious Diseases Unit, King Abdualziz University, King Fahad Medical Research Center, Jeddah</aff><aff id="af7"><label>7</label>Jeddah Regional Laboratory and Blood Bank, Ministry of Health</aff><aff id="af8"><label>8</label>Riyadh Regional Laboratory and Blood Bank, Ministry of Health</aff><aff id="af9"><label>9</label>General Directorate of Laboratory Services, Ministry of Health, Riyadh, Kingdom of Saudi Arabia</aff><author-notes><corresp id="cor1"><label>*</label>Correspondence: Ziad A. Memish, MD, FRCPC, FACP, Deputy Minister Public Health, Ministry of Health, PO Box 54146, Riyadh, Central Province, 11514, Kingdom of Saudi Arabia (<email>zmemish@yahoo.com</email>).</corresp></author-notes><pub-date pub-type="ppub"><day>01</day><month>10</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>11</day><month>3</month><year>2014</year></pub-date><volume>210</volume><issue>7</issue><fpage>1067</fpage><lpage>1072</lpage><history><date date-type="received"><day>11</day><month>2</month><year>2014</year></date><date date-type="accepted"><day>03</day><month>3</month><year>2014</year></date></history><permissions><copyright-statement>© The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: <email>journals.permissions@oup.com</email>.</copyright-statement><copyright-year>2014</copyright-year><license><license-p>This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.</license-p></license></permissions><self-uri xlink:href="jiu150.pdf"></self-uri><abstract><title>Abstract</title><p><bold><italic>Background.</italic></bold> Annually, Saudi Arabia is the host of the Hajj mass gathering. We aimed to determine the Middle East respiratory syndrome coronavirus (MERS-CoV) nasal carriage rate among pilgrims performing the 2013 Hajj and to describe the compliance with the Saudi Ministry of Health vaccine recommendations.</p><p><bold><italic>Method.</italic></bold> Nasopharyngeal samples were collected from 5235 adult pilgrims from 22 countries and screened for MERS-CoV using reverse transcriptase–polymerase chain reaction. Information regarding the participants' age, gender, country of origin, medical conditions, and vaccination history were obtained.</p><p><bold><italic>Results.</italic></bold> The mean age of the screened population was 51.8 years (range, 18–93 years) with a male/female ratio of 1.17:1. MERS-CoV was not detected in any of the samples tested (3210 pre-Hajj and 2025 post-Hajj screening). According to the vaccination documents, all participants had received meningococcal vaccination and the majority of those from at-risk countries were vaccinated against yellow fever and polio. Only 22% of the pilgrims (17.5% of those ≥65 years and 36.3% of diabetics) had flu vaccination, and 4.4% had pneumococcal vaccination.</p><p><bold><italic>Conclusion.</italic></bold> There was no evidence of MERS-CoV nasal carriage among Hajj pilgrims. While rates of compulsory vaccinations uptake were high, uptake of pneumococcal and flu seasonal vaccinations were low, including among the high-risk population.</p></abstract><kwd-group><kwd>Hajj pilgrimage</kwd><kwd>MERS-CoV</kwd><kwd>nasal carriage</kwd><kwd>screening</kwd><kwd>vaccination</kwd></kwd-group><counts><page-count count="6"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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