Travel-related MERS-CoV cases: an assessment of exposures and risk factors in a group of Dutch travellers returning from the Kingdom of Saudi Arabia, May 2014.
Identifieur interne : 001811 ( PubMed/Corpus ); précédent : 001810; suivant : 001812Travel-related MERS-CoV cases: an assessment of exposures and risk factors in a group of Dutch travellers returning from the Kingdom of Saudi Arabia, May 2014.
Auteurs : Ewout B. Fanoy ; Marianne Ab Van Der Sande ; Marleen Kraaij-Dirkzwager ; Kees Dirksen ; Marcel Jonges ; Wim Van Der Hoek ; Marion Pg Koopmans ; Douwe Van Der Werf ; Gerard Sonder ; Charlie Van Der Weijden ; Jet Van Der Heuvel ; Luc Gelinck ; Jolande W. Bouwhuis ; Arianne B. Van Gageldonk-LafeberSource :
- Emerging themes in epidemiology [ 1742-7622 ] ; 2014.
Abstract
In May 2014, Middle East respiratory syndrome coronavirus (MERS-CoV) infection, with closely related viral genomes, was diagnosed in two Dutch residents, returning from a pilgrimage to Medina and Mecca, Kingdom of Saudi Arabia (KSA). These patients travelled with a group of 29 other Dutch travellers. We conducted an epidemiological assessment of the travel group to identify likely source(s) of infection and presence of potential risk factors.
DOI: 10.1186/1742-7622-11-16
PubMed: 25328533
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Fanoy</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands ; European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, (ECDC), Stockholm, Sweden ; Public Health Service region of Utrecht, Zeist, The Netherlands ; National Institute for Public Health and the Environment, Epidemiology and Surveillance Unit, Antonie van Leeuwenhoeklaan 9, Bilthoven, MA 3721, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Sande, Marianne Ab" sort="Van Der Sande, Marianne Ab" uniqKey="Van Der Sande M" first="Marianne Ab" last="Van Der Sande">Marianne Ab Van Der Sande</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands ; Julius Center, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Kraaij Dirkzwager, Marleen" sort="Kraaij Dirkzwager, Marleen" uniqKey="Kraaij Dirkzwager M" first="Marleen" last="Kraaij-Dirkzwager">Marleen Kraaij-Dirkzwager</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Dirksen, Kees" sort="Dirksen, Kees" uniqKey="Dirksen K" first="Kees" last="Dirksen">Kees Dirksen</name><affiliation><nlm:affiliation>Public Health Service Haaglanden, Den Haag, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Jonges, Marcel" sort="Jonges, Marcel" uniqKey="Jonges M" first="Marcel" last="Jonges">Marcel Jonges</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Hoek, Wim" sort="Van Der Hoek, Wim" uniqKey="Van Der Hoek W" first="Wim" last="Van Der Hoek">Wim Van Der Hoek</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Koopmans, Marion Pg" sort="Koopmans, Marion Pg" uniqKey="Koopmans M" first="Marion Pg" last="Koopmans">Marion Pg Koopmans</name><affiliation><nlm:affiliation>Erasmus Medical Center, Rotterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Werf, Douwe" sort="Van Der Werf, Douwe" uniqKey="Van Der Werf D" first="Douwe" last="Van Der Werf">Douwe Van Der Werf</name><affiliation><nlm:affiliation>Public Health Service IJsselland, Zwolle, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Sonder, Gerard" sort="Sonder, Gerard" uniqKey="Sonder G" first="Gerard" last="Sonder">Gerard Sonder</name><affiliation><nlm:affiliation>Public Health Service Amsterdam, Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Weijden, Charlie" sort="Van Der Weijden, Charlie" uniqKey="Van Der Weijden C" first="Charlie" last="Van Der Weijden">Charlie Van Der Weijden</name><affiliation><nlm:affiliation>Public Health Service Flevoland, Lelystad, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Heuvel, Jet" sort="Van Der Heuvel, Jet" uniqKey="Van Der Heuvel J" first="Jet" last="Van Der Heuvel">Jet Van Der Heuvel</name><affiliation><nlm:affiliation>Public Health Service Hart voor Brabant's, Hertogenbosch, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Gelinck, Luc" sort="Gelinck, Luc" uniqKey="Gelinck L" first="Luc" last="Gelinck">Luc Gelinck</name><affiliation><nlm:affiliation>Medical Centre Haaglanden, The Hague, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Bouwhuis, Jolande W" sort="Bouwhuis, Jolande W" uniqKey="Bouwhuis J" first="Jolande W" last="Bouwhuis">Jolande W. Bouwhuis</name><affiliation><nlm:affiliation>Isalaklinieken, Zwolle, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Gageldonk Lafeber, Arianne B" sort="Van Gageldonk Lafeber, Arianne B" uniqKey="Van Gageldonk Lafeber A" first="Arianne B" last="Van Gageldonk-Lafeber">Arianne B. Van Gageldonk-Lafeber</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25328533</idno><idno type="pmid">25328533</idno><idno type="doi">10.1186/1742-7622-11-16</idno><idno type="wicri:Area/PubMed/Corpus">001811</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001811</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Travel-related MERS-CoV cases: an assessment of exposures and risk factors in a group of Dutch travellers returning from the Kingdom of Saudi Arabia, May 2014.</title><author><name sortKey="Fanoy, Ewout B" sort="Fanoy, Ewout B" uniqKey="Fanoy E" first="Ewout B" last="Fanoy">Ewout B. Fanoy</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands ; European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, (ECDC), Stockholm, Sweden ; Public Health Service region of Utrecht, Zeist, The Netherlands ; National Institute for Public Health and the Environment, Epidemiology and Surveillance Unit, Antonie van Leeuwenhoeklaan 9, Bilthoven, MA 3721, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Sande, Marianne Ab" sort="Van Der Sande, Marianne Ab" uniqKey="Van Der Sande M" first="Marianne Ab" last="Van Der Sande">Marianne Ab Van Der Sande</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands ; Julius Center, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Kraaij Dirkzwager, Marleen" sort="Kraaij Dirkzwager, Marleen" uniqKey="Kraaij Dirkzwager M" first="Marleen" last="Kraaij-Dirkzwager">Marleen Kraaij-Dirkzwager</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Dirksen, Kees" sort="Dirksen, Kees" uniqKey="Dirksen K" first="Kees" last="Dirksen">Kees Dirksen</name><affiliation><nlm:affiliation>Public Health Service Haaglanden, Den Haag, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Jonges, Marcel" sort="Jonges, Marcel" uniqKey="Jonges M" first="Marcel" last="Jonges">Marcel Jonges</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Hoek, Wim" sort="Van Der Hoek, Wim" uniqKey="Van Der Hoek W" first="Wim" last="Van Der Hoek">Wim Van Der Hoek</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Koopmans, Marion Pg" sort="Koopmans, Marion Pg" uniqKey="Koopmans M" first="Marion Pg" last="Koopmans">Marion Pg Koopmans</name><affiliation><nlm:affiliation>Erasmus Medical Center, Rotterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Werf, Douwe" sort="Van Der Werf, Douwe" uniqKey="Van Der Werf D" first="Douwe" last="Van Der Werf">Douwe Van Der Werf</name><affiliation><nlm:affiliation>Public Health Service IJsselland, Zwolle, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Sonder, Gerard" sort="Sonder, Gerard" uniqKey="Sonder G" first="Gerard" last="Sonder">Gerard Sonder</name><affiliation><nlm:affiliation>Public Health Service Amsterdam, Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Weijden, Charlie" sort="Van Der Weijden, Charlie" uniqKey="Van Der Weijden C" first="Charlie" last="Van Der Weijden">Charlie Van Der Weijden</name><affiliation><nlm:affiliation>Public Health Service Flevoland, Lelystad, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Heuvel, Jet" sort="Van Der Heuvel, Jet" uniqKey="Van Der Heuvel J" first="Jet" last="Van Der Heuvel">Jet Van Der Heuvel</name><affiliation><nlm:affiliation>Public Health Service Hart voor Brabant's, Hertogenbosch, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Gelinck, Luc" sort="Gelinck, Luc" uniqKey="Gelinck L" first="Luc" last="Gelinck">Luc Gelinck</name><affiliation><nlm:affiliation>Medical Centre Haaglanden, The Hague, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Bouwhuis, Jolande W" sort="Bouwhuis, Jolande W" uniqKey="Bouwhuis J" first="Jolande W" last="Bouwhuis">Jolande W. Bouwhuis</name><affiliation><nlm:affiliation>Isalaklinieken, Zwolle, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Van Gageldonk Lafeber, Arianne B" sort="Van Gageldonk Lafeber, Arianne B" uniqKey="Van Gageldonk Lafeber A" first="Arianne B" last="Van Gageldonk-Lafeber">Arianne B. Van Gageldonk-Lafeber</name><affiliation><nlm:affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Emerging themes in epidemiology</title><idno type="ISSN">1742-7622</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In May 2014, Middle East respiratory syndrome coronavirus (MERS-CoV) infection, with closely related viral genomes, was diagnosed in two Dutch residents, returning from a pilgrimage to Medina and Mecca, Kingdom of Saudi Arabia (KSA). These patients travelled with a group of 29 other Dutch travellers. We conducted an epidemiological assessment of the travel group to identify likely source(s) of infection and presence of potential risk factors.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">25328533</PMID><DateCompleted><Year>2014</Year><Month>10</Month><Day>20</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1742-7622</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><PubDate><Year>2014</Year></PubDate></JournalIssue><Title>Emerging themes in epidemiology</Title><ISOAbbreviation>Emerg Themes Epidemiol</ISOAbbreviation></Journal><ArticleTitle>Travel-related MERS-CoV cases: an assessment of exposures and risk factors in a group of Dutch travellers returning from the Kingdom of Saudi Arabia, May 2014.</ArticleTitle><Pagination><MedlinePgn>16</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1742-7622-11-16</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In May 2014, Middle East respiratory syndrome coronavirus (MERS-CoV) infection, with closely related viral genomes, was diagnosed in two Dutch residents, returning from a pilgrimage to Medina and Mecca, Kingdom of Saudi Arabia (KSA). These patients travelled with a group of 29 other Dutch travellers. We conducted an epidemiological assessment of the travel group to identify likely source(s) of infection and presence of potential risk factors.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All travellers, including the two cases, completed a questionnaire focussing on potential human, animal and food exposures to MERS-CoV. The questionnaire was modified from the WHO MERS-CoV questionnaire, taking into account the specific route and activities of the travel group.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Twelve non-cases drank unpasteurized camel milk and had contact with camels. Most travellers, including one of the two patients (Case 1), visited local markets, where six of them consumed fruits. Two travellers, including Case 1, were exposed to coughing patients when visiting a hospital in Medina. Four travellers, including Case 1, visited two hospitals in Mecca. All travellers had been in contact with Case 1 while he was sick, with initially non-respiratory complaints. The cases were found to be older than the other travellers and both had co-morbidities.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This epidemiological study revealed the complexity of MERS-CoV outbreak investigations with multiple potential exposures to MERS-CoV reported such as healthcare visits, camel exposure, and exposure to untreated food products. Exposure to MERS-CoV during a hospital visit is considered a likely source of infection for Case 1 but not for Case 2. For Case 2, the most likely source could not be determined. Exposure to MERS-CoV via direct contact with animals or dairy products seems unlikely for the two Dutch cases. Furthermore, exposure to a common but still unidentified source cannot be ruled out. More comprehensive research into sources of infection in the Arabian Peninsula is needed to strengthen and specify the prevention of MERS-CoV infections.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fanoy</LastName><ForeName>Ewout B</ForeName><Initials>EB</Initials><AffiliationInfo><Affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands ; European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, (ECDC), Stockholm, Sweden ; Public Health Service region of Utrecht, Zeist, The Netherlands ; National Institute for Public Health and the Environment, Epidemiology and Surveillance Unit, Antonie van Leeuwenhoeklaan 9, Bilthoven, MA 3721, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Sande</LastName><ForeName>Marianne Ab</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands ; Julius Center, University Medical Center Utrecht, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kraaij-Dirkzwager</LastName><ForeName>Marleen</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dirksen</LastName><ForeName>Kees</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Public Health Service Haaglanden, Den Haag, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jonges</LastName><ForeName>Marcel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Hoek</LastName><ForeName>Wim</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koopmans</LastName><ForeName>Marion Pg</ForeName><Initials>MP</Initials><AffiliationInfo><Affiliation>Erasmus Medical Center, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Werf</LastName><ForeName>Douwe</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Public Health Service IJsselland, Zwolle, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sonder</LastName><ForeName>Gerard</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Public Health Service Amsterdam, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Weijden</LastName><ForeName>Charlie</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Public Health Service Flevoland, Lelystad, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Heuvel</LastName><ForeName>Jet</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Public Health Service Hart voor Brabant's, Hertogenbosch, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gelinck</LastName><ForeName>Luc</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Medical Centre Haaglanden, The Hague, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bouwhuis</LastName><ForeName>Jolande W</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Isalaklinieken, Zwolle, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Gageldonk-Lafeber</LastName><ForeName>Arianne B</ForeName><Initials>AB</Initials><AffiliationInfo><Affiliation>National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>10</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Emerg Themes Epidemiol</MedlineTA><NlmUniqueID>101232986</NlmUniqueID><ISSNLinking>1742-7622</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Epidemiology</Keyword><Keyword MajorTopicYN="N">Exposure</Keyword><Keyword MajorTopicYN="N">MERS</Keyword><Keyword MajorTopicYN="N">MERS-CoV</Keyword><Keyword MajorTopicYN="N">Middle East respiratory syndrome coronavirus</Keyword><Keyword MajorTopicYN="N">Risk factors</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>06</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>10</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>10</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>10</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>10</Month><Day>21</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId 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