Risk Factors for Primary Middle East Respiratory Syndrome Coronavirus Illness in Humans, Saudi Arabia, 2014
Risk factors for primary Middle East respiratory syndrome coronavirus (MERS-CoV) illness in humans are incompletely understood. We identified all primary MERS-CoV cases reported in Saudi Arabia during March-November 2014 by excluding those with history of exposure to other cases of MERS-CoV or acute...
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Published in | Emerging infectious diseases Vol. 22; no. 1; pp. 49 - 55 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
U.S. National Center for Infectious Diseases
01.01.2016
Centers for Disease Control and Prevention |
Subjects | |
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Abstract | Risk factors for primary Middle East respiratory syndrome coronavirus (MERS-CoV) illness in humans are incompletely understood. We identified all primary MERS-CoV cases reported in Saudi Arabia during March-November 2014 by excluding those with history of exposure to other cases of MERS-CoV or acute respiratory illness of unknown cause or exposure to healthcare settings within 14 days before illness onset. Using a case-control design, we assessed differences in underlying medical conditions and environmental exposures among primary case-patients and 2-4 controls matched by age, sex, and neighborhood. Using multivariable analysis, we found that direct exposure to dromedary camels during the 2 weeks before illness onset, as well as diabetes mellitus, heart disease, and smoking, were each independently associated with MERS-CoV illness. Further investigation is needed to better understand animal-to-human transmission of MERS-CoV. |
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AbstractList | Risk factors for primary Middle East respiratory syndrome coronavirus (MERS-CoV) illness in humans are incompletely understood. We identified all primary MERS-CoV cases reported in Saudi Arabia during March-November 2014 by excluding those with history of exposure to other cases of MERS-CoV or acute respiratory illness of unknown cause or exposure to healthcare settings within 14 days before illness onset. Using a case-control design, we assessed differences in underlying medical conditions and environmental exposures among primary case-patients and 2-4 controls matched by age, sex, and neighborhood. Using multivariable analysis, we found that direct exposure to dromedary camels during the 2 weeks before illness onset, as well as diabetes mellitus, heart disease, and smoking, were each independently associated with MERS-CoV illness. Further investigation is needed to better understand animal-to-human transmission of MERS-CoV.Risk factors for primary Middle East respiratory syndrome coronavirus (MERS-CoV) illness in humans are incompletely understood. We identified all primary MERS-CoV cases reported in Saudi Arabia during March-November 2014 by excluding those with history of exposure to other cases of MERS-CoV or acute respiratory illness of unknown cause or exposure to healthcare settings within 14 days before illness onset. Using a case-control design, we assessed differences in underlying medical conditions and environmental exposures among primary case-patients and 2-4 controls matched by age, sex, and neighborhood. Using multivariable analysis, we found that direct exposure to dromedary camels during the 2 weeks before illness onset, as well as diabetes mellitus, heart disease, and smoking, were each independently associated with MERS-CoV illness. Further investigation is needed to better understand animal-to-human transmission of MERS-CoV. Risk factors for primary Middle East respiratory syndrome coronavirus (MERS-CoV) illness in humans are incompletely understood. We identified all primary MERS-CoV cases reported in Saudi Arabia during March-November 2014 by excluding those with history of exposure to other cases of MERS-CoV or acute respiratory illness of unknown cause or exposure to healthcare settings within 14 days before illness onset. Using a case-control design, we assessed differences in underlying medical conditions and environmental exposures among primary case-patients and 2-4 controls matched by age, sex, and neighborhood. Using multivariable analysis, we found that direct exposure to dromedary camels during the 2 weeks before illness onset, as well as diabetes mellitus, heart disease, and smoking, were each independently associated with MERS-CoV illness. Further investigation is needed to better understand animal-to-human transmission of MERS-CoV. Direct exposure to camels, diabetes mellitus, heart disease, and smoking were independently associated with this illness. Risk factors for primary Middle East respiratory syndrome coronavirus (MERS-CoV) illness in humans are incompletely understood. We identified all primary MERS-CoV cases reported in Saudi Arabia during March–November 2014 by excluding those with history of exposure to other cases of MERS-CoV or acute respiratory illness of unknown cause or exposure to healthcare settings within 14 days before illness onset. Using a case–control design, we assessed differences in underlying medical conditions and environmental exposures among primary case-patients and 2–4 controls matched by age, sex, and neighborhood. Using multivariable analysis, we found that direct exposure to dromedary camels during the 2 weeks before illness onset, as well as diabetes mellitus, heart disease, and smoking, were each independently associated with MERS-CoV illness. Further investigation is needed to better understand animal-to-human transmission of MERS-CoV. |
Audience | Professional Academic |
Author | Alhindi, Hanan Abedi, Glen R. Albalawi, Eman Hajjeh, Rana Alraihan, Naif Choudhry, Abdul Jamil Marano, Nina Swerdlow, David L. Housa, Abeer Curns, Aaron Mounts, Anthony Banjar, Ayman Meiman, Jonathan G. Turkistani, Amal Alraddadi, Basem M. Feikin, Daniel R. Gerber, Susan I. Watson, John T. Sadran, Musallam Almazroa, Mohammad A. Almarashi, Abdulatif Paczkowski, Magdalena Madani, Tariq A. |
Author_xml | – sequence: 1 givenname: Basem M. surname: Alraddadi fullname: Alraddadi, Basem M. – sequence: 2 givenname: John T. surname: Watson fullname: Watson, John T. – sequence: 3 givenname: Abdulatif surname: Almarashi fullname: Almarashi, Abdulatif – sequence: 4 givenname: Glen R. surname: Abedi fullname: Abedi, Glen R. – sequence: 5 givenname: Amal surname: Turkistani fullname: Turkistani, Amal – sequence: 6 givenname: Musallam surname: Sadran fullname: Sadran, Musallam – sequence: 7 givenname: Abeer surname: Housa fullname: Housa, Abeer – sequence: 8 givenname: Mohammad A. surname: Almazroa fullname: Almazroa, Mohammad A. – sequence: 9 givenname: Naif surname: Alraihan fullname: Alraihan, Naif – sequence: 10 givenname: Ayman surname: Banjar fullname: Banjar, Ayman – sequence: 11 givenname: Eman surname: Albalawi fullname: Albalawi, Eman – sequence: 12 givenname: Hanan surname: Alhindi fullname: Alhindi, Hanan – sequence: 13 givenname: Abdul Jamil surname: Choudhry fullname: Choudhry, Abdul Jamil – sequence: 14 givenname: Jonathan G. surname: Meiman fullname: Meiman, Jonathan G. – sequence: 15 givenname: Magdalena surname: Paczkowski fullname: Paczkowski, Magdalena – sequence: 16 givenname: Aaron surname: Curns fullname: Curns, Aaron – sequence: 17 givenname: Anthony surname: Mounts fullname: Mounts, Anthony – sequence: 18 givenname: Daniel R. surname: Feikin fullname: Feikin, Daniel R. – sequence: 19 givenname: Nina surname: Marano fullname: Marano, Nina – sequence: 20 givenname: David L. surname: Swerdlow fullname: Swerdlow, David L. – sequence: 21 givenname: Susan I. surname: Gerber fullname: Gerber, Susan I. – sequence: 22 givenname: Rana surname: Hajjeh fullname: Hajjeh, Rana – sequence: 23 givenname: Tariq A. surname: Madani fullname: Madani, Tariq A. |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26692185$$D View this record in MEDLINE/PubMed |
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Snippet | Risk factors for primary Middle East respiratory syndrome coronavirus (MERS-CoV) illness in humans are incompletely understood. We identified all primary... Direct exposure to camels, diabetes mellitus, heart disease, and smoking were independently associated with this illness. Risk factors for primary Middle East... |
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SubjectTerms | Adult Aged Animals Camelus - virology Case-Control Studies Coronavirus Infections - epidemiology Coronavirus Infections - etiology Coronavirus Infections - virology Coronaviruses Distribution Expedited Female Humans Male MERS-CoV Middle Aged Middle East respiratory syndrome Middle East respiratory syndrome coronavirus Middle East Respiratory Syndrome Coronavirus - pathogenicity Physiological aspects primary infection Risk Factors Risk Factors for Primary Middle East Respiratory Syndrome Coronavirus Illness in Humans, Saudi Arabia, 2014 Saudi Arabia - epidemiology transmission viruses Young Adult |
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Title | Risk Factors for Primary Middle East Respiratory Syndrome Coronavirus Illness in Humans, Saudi Arabia, 2014 |
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