A pandemic risk assessment of middle east respiratory syndrome coronavirus (MERS-CoV) in Saudi Arabia.

A pandemic risk assessment of middle east respiratory syndrome coronavirus (MERS-CoV) in Saudi Arabia.
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DOI:
10.1016/j.sjbs.2017.06.001
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发表时间:
2017-11
影响因子:
4.4
通讯作者:
AlJohani SM
AlJohani SM
中科院分区:
生物学3区
文献类型:
--
作者:
Eifan SA;Nour I;Hanif A;Zamzam AMM;AlJohani SM

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自2012年首次出现中东呼吸综合征冠状病毒(MERS-CoV)以来,沙特阿拉伯的发病率一直很高。这表明这个国家处于持续的风险之中。在沙特阿拉伯,采用易感-感染-恢复(SIR)模型,采用贝叶斯方法估计两年间隔(2013年5月- 2015年5月)内5个确定的聚类中随时间变化的繁殖数(R),检测MERS-CoV感染的流行水平,然后对最显著的聚类进行敏感性分析。在每年的3月至5月期间检测到显著的mers冠状病毒高峰。此外,MERS-CoV感染以西部地区(40.8%)和中部地区(31.9%)为主,其次是东部地区(20%)。基于时间的贝叶斯方法表明,在基线情景中,所有地区都存在亚临界流行(R: 0.85-0.97)。但在敏感性分析情景中,只有中西部地区(R: 1.08 ~ 1.12)超过了代表该地区流行水平的R势限。发现散发病例的影响相对微不足道,并确定了对MERS-CoV传播动力学缺乏人畜共患影响。本研究结果将有助于评估MERS-CoV感染的未来进展,更好地了解和控制干预措施。
Since the initial emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in 2012, a high incidence rate has been observed in Saudi Arabia. This suggests that the country is at continuous risk. The epidemic level of MERS-CoV infection was examined in Saudi Arabia by the Susceptible-Infectious-Recovered (SIR) model using a Bayesian approach for estimation of time dependent reproduction number (R) across a two-year interval (May, 2013-May, 2015) in five defined clusters, followed by sensitivity analysis of the most significant clusters. Significant MERS-CoV peaks were detected in the period between March and May of each year. Moreover, MERS-CoV infection was highlighted in western (40.8%) and central (31.9%) regions, followed by eastern region (20%). The temporal-based Bayesian approach indicated a sub-critical epidemic in all regions in the baseline scenario (R: 0.85–0.97). However, R potential limit was exceeded in the sensitivity analysis scenario in only central and western regions (R: 1.08–1.12) that denoted epidemic level in those regions. The impact of sporadic cases was found relatively insignificant and pinpointed to the lack of zoonotic influence on MERS-CoV transmission dynamics. The results of current study would be helpful for evaluation of future progression of MERS-CoV infections, better understanding and control interventions.
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