Middle East respiratory syndrome coronavirus in the last two years: Health care workers still at risk

dc.contributor.authorAl-Tawfiq, Jaffar A.
dc.contributor.authorMemish, Ziad A.
dc.contributor.departmentMedicine, School of Medicineen_US
dc.date.accessioned2020-04-27T21:15:50Z
dc.date.available2020-04-27T21:15:50Z
dc.date.issued2019-10
dc.descriptionThis article is made available for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
dc.description.abstractBackground An important emerging respiratory virus is the Middle East respiratory syndrome coronavirus (MERS-CoV). MERS-CoV had been associated with a high case fatality rate especially among severe cases. Methods This is a retrospective analysis of reported MERS-CoV cases between December 2016 and January 2019, as retrieved from the World Health Organization. The aim of this study is to examine the epidemiology of reported cases and quantify the percentage of health care workers (HCWs) among reported cases. Results There were 403 reported cases with a majority being men (n = 300; 74.4%). These cases were reported from Lebanon, Malaysia, Oman, Qatar, Saudi Arabia, and United Arab Emirates. HCWs represented 26% and comorbidities were reported among 71% of non-HCWs and 1.9% among HCWs (P < .0001). Camel exposure and camel milk ingestion were reported in 64% each, and the majority (97.8%) of those with camel exposures had camel milk ingestion. There were 58% primary cases and 42% were secondary cases. The case fatality rate was 16% among HCWs compared with 34% among other patients (P = .001). The mean age ± SD was 47.65 ± 16.28 for HCWs versus 54.23 ± 17.34 for non-HCWs (P = .001). Conclusions MERS-CoV infection continues to have a high case fatality rate and a large proportion of patients were HCWs. Further understanding of the disease transmission and prevention mainly in health care settings are needed.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationAl-Tawfiq, J. A., & Memish, Z. A. (2019). Middle East respiratory syndrome coronavirus in the last two years: Health care workers still at risk. American journal of infection control, 47(10), 1167-1170. https://doi.org/10.1016/j.ajic.2019.04.007en_US
dc.identifier.urihttps://hdl.handle.net/1805/22657
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.isversionof10.1016/j.ajic.2019.04.007en_US
dc.relation.journalAmerican journal of infection controlen_US
dc.rightsThis article is made available for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
dc.sourcePublisheren_US
dc.subjectMiddle East Respiratory Syndrome Coronavirusen_US
dc.subjectcoronavirusen_US
dc.subjectemerging infectious diseaseen_US
dc.titleMiddle East respiratory syndrome coronavirus in the last two years: Health care workers still at risken_US
dc.typeArticleen_US
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