Risk Factors for MERS-CoV Seropositivity among Animal Market and Slaughterhouse Workers, Abu Dhabi, United Arab Emirates, 2014-2017.
Identifieur interne : 000398 ( PubMed/Checkpoint ); précédent : 000397; suivant : 000399Risk Factors for MERS-CoV Seropositivity among Animal Market and Slaughterhouse Workers, Abu Dhabi, United Arab Emirates, 2014-2017.
Auteurs : Ahmed Khudhair ; Marie E. Killerby ; Mariam Al Mulla ; Kheir Abou Elkheir ; Wassim Ternanni ; Zyad Bandar ; Stefan Weber ; Mary Khoury ; George Donnelly ; Salama Al Muhairi ; Abdelmalik I. Khalafalla ; Suvang Trivedi ; Azaibi Tamin ; Natalie J. Thornburg ; John T. Watson ; Susan I. Gerber ; Farida Al Hosani ; Aron J. HallSource :
- Emerging infectious diseases [ 1080-6059 ] ; 2019.
Abstract
Camel contact is a recognized risk factor for Middle East respiratory syndrome coronavirus (MERS-CoV) infection. Because specific camel exposures associated with MERS-CoV seropositivity are not fully understood, we investigated worker-camel interactions and MERS-CoV seroprevalence. We assessed worker seroprevalence in 2 slaughterhouses and 1 live-animal market in Abu Dhabi, United Arab Emirates, during 2014-2017 and administered an epidemiologic survey in 2016 and 2017. Across 3 sampling rounds during 2014-2017, we sampled 100-235 workers, and 6%-19% were seropositive for MERS-CoV at each sampling round. One (1.4%) of 70 seronegative workers tested at multiple rounds seroconverted. On multivariable analyses, working as a camel salesman, handling live camels or their waste, and having diabetes were associated with seropositivity among all workers, whereas handling live camels and either administering medications or cleaning equipment was associated with seropositivity among market workers. Characterization of high-risk exposures is critical for implementation of preventive measures.
DOI: 10.3201/eid2505.181728
PubMed: 31002068
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Killerby</name></author><author><name sortKey="Al Mulla, Mariam" sort="Al Mulla, Mariam" uniqKey="Al Mulla M" first="Mariam" last="Al Mulla">Mariam Al Mulla</name></author><author><name sortKey="Abou Elkheir, Kheir" sort="Abou Elkheir, Kheir" uniqKey="Abou Elkheir K" first="Kheir" last="Abou Elkheir">Kheir Abou Elkheir</name></author><author><name sortKey="Ternanni, Wassim" sort="Ternanni, Wassim" uniqKey="Ternanni W" first="Wassim" last="Ternanni">Wassim Ternanni</name></author><author><name sortKey="Bandar, Zyad" sort="Bandar, Zyad" uniqKey="Bandar Z" first="Zyad" last="Bandar">Zyad Bandar</name></author><author><name sortKey="Weber, Stefan" sort="Weber, Stefan" uniqKey="Weber S" first="Stefan" last="Weber">Stefan Weber</name></author><author><name sortKey="Khoury, Mary" sort="Khoury, Mary" uniqKey="Khoury M" first="Mary" last="Khoury">Mary Khoury</name></author><author><name sortKey="Donnelly, George" sort="Donnelly, George" uniqKey="Donnelly G" first="George" last="Donnelly">George Donnelly</name></author><author><name sortKey="Al Muhairi, Salama" sort="Al Muhairi, Salama" uniqKey="Al Muhairi S" first="Salama" last="Al Muhairi">Salama Al Muhairi</name></author><author><name sortKey="Khalafalla, Abdelmalik I" sort="Khalafalla, Abdelmalik I" uniqKey="Khalafalla A" first="Abdelmalik I" last="Khalafalla">Abdelmalik I. 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Gerber</name></author><author><name sortKey="Al Hosani, Farida" sort="Al Hosani, Farida" uniqKey="Al Hosani F" first="Farida" last="Al Hosani">Farida Al Hosani</name></author><author><name sortKey="Hall, Aron J" sort="Hall, Aron J" uniqKey="Hall A" first="Aron J" last="Hall">Aron J. Hall</name></author></analytic><series><title level="j">Emerging infectious diseases</title><idno type="eISSN">1080-6059</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Camel contact is a recognized risk factor for Middle East respiratory syndrome coronavirus (MERS-CoV) infection. Because specific camel exposures associated with MERS-CoV seropositivity are not fully understood, we investigated worker-camel interactions and MERS-CoV seroprevalence. We assessed worker seroprevalence in 2 slaughterhouses and 1 live-animal market in Abu Dhabi, United Arab Emirates, during 2014-2017 and administered an epidemiologic survey in 2016 and 2017. Across 3 sampling rounds during 2014-2017, we sampled 100-235 workers, and 6%-19% were seropositive for MERS-CoV at each sampling round. One (1.4%) of 70 seronegative workers tested at multiple rounds seroconverted. On multivariable analyses, working as a camel salesman, handling live camels or their waste, and having diabetes were associated with seropositivity among all workers, whereas handling live camels and either administering medications or cleaning equipment was associated with seropositivity among market workers. Characterization of high-risk exposures is critical for implementation of preventive measures.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">31002068</PMID><DateCompleted><Year>2019</Year><Month>12</Month><Day>23</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1080-6059</ISSN><JournalIssue CitedMedium="Internet"><Volume>25</Volume><Issue>5</Issue><PubDate><Year>2019</Year><Month>05</Month></PubDate></JournalIssue><Title>Emerging infectious diseases</Title><ISOAbbreviation>Emerging Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Risk Factors for MERS-CoV Seropositivity among Animal Market and Slaughterhouse Workers, Abu Dhabi, United Arab Emirates, 2014-2017.</ArticleTitle><Pagination><MedlinePgn>927-935</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3201/eid2505.181728</ELocationID><Abstract><AbstractText>Camel contact is a recognized risk factor for Middle East respiratory syndrome coronavirus (MERS-CoV) infection. Because specific camel exposures associated with MERS-CoV seropositivity are not fully understood, we investigated worker-camel interactions and MERS-CoV seroprevalence. We assessed worker seroprevalence in 2 slaughterhouses and 1 live-animal market in Abu Dhabi, United Arab Emirates, during 2014-2017 and administered an epidemiologic survey in 2016 and 2017. Across 3 sampling rounds during 2014-2017, we sampled 100-235 workers, and 6%-19% were seropositive for MERS-CoV at each sampling round. One (1.4%) of 70 seronegative workers tested at multiple rounds seroconverted. On multivariable analyses, working as a camel salesman, handling live camels or their waste, and having diabetes were associated with seropositivity among all workers, whereas handling live camels and either administering medications or cleaning equipment was associated with seropositivity among market workers. Characterization of high-risk exposures is critical for implementation of preventive measures.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Khudhair</LastName><ForeName>Ahmed</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Killerby</LastName><ForeName>Marie E</ForeName><Initials>ME</Initials></Author><Author ValidYN="Y"><LastName>Al Mulla</LastName><ForeName>Mariam</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Abou Elkheir</LastName><ForeName>Kheir</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Ternanni</LastName><ForeName>Wassim</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Bandar</LastName><ForeName>Zyad</ForeName><Initials>Z</Initials></Author><Author ValidYN="Y"><LastName>Weber</LastName><ForeName>Stefan</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Khoury</LastName><ForeName>Mary</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Donnelly</LastName><ForeName>George</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Al Muhairi</LastName><ForeName>Salama</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Khalafalla</LastName><ForeName>Abdelmalik I</ForeName><Initials>AI</Initials></Author><Author ValidYN="Y"><LastName>Trivedi</LastName><ForeName>Suvang</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Tamin</LastName><ForeName>Azaibi</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Thornburg</LastName><ForeName>Natalie J</ForeName><Initials>NJ</Initials></Author><Author ValidYN="Y"><LastName>Watson</LastName><ForeName>John T</ForeName><Initials>JT</Initials></Author><Author ValidYN="Y"><LastName>Gerber</LastName><ForeName>Susan I</ForeName><Initials>SI</Initials></Author><Author ValidYN="Y"><LastName>Al 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