Pavli Androula, Tsiodras Sotirios, Maltezou Helena C
Travel Medicine Office, Athens, Greece.
Hellenic Center for Disease Control and Prevention, Athens, Greece; University of Athens Medical School, Athens, Greece.
Travel Med Infect Dis. 2014 Nov-Dec;12(6 Pt A):602-8. doi: 10.1016/j.tmaid.2014.10.006. Epub 2014 Oct 19.
Middle East respiratory syndrome coronavirus (MERS-CoV), a novel coronavirus that causes a severe lower respiratory tract infection in humans, emerged in the Middle East in 2012. Since then, MERS-CoV has caused an ongoing epidemic in the Arabian Peninsula with sporadic cases imported in Europe, North Africa, Southeast Asia, and the United States of America. As of 28th May 2014, 636 laboratory-confirmed cases of infection with MERS-CoV have been reported to World Health Organization including 14 cases imported by travelers. The epicenter of the current MERS-CoV epidemic is located in Saudi Arabia, where millions of pilgrims travel for two mass gatherings annually. In this review we summarize MERS-CoV cases in relation to travel with focus on the epidemiology and prevention in travelers. It is important to increase awareness of travelers about the risks and appropriate preventive measures and for health professionals to be on alert if a patient with severe respiratory symptoms reports a recent history of travel to the region affected with MERS-CoV. Measures should be taken by local health authorities of the affected countries in order to improve hospital hygiene. Finally, it is crucial to investigate the reasons for travelers' poor compliance with rules and recommendations issued by Saudi officials and to take appropriate measures in order to improve them.
中东呼吸综合征冠状病毒(MERS-CoV)是一种可导致人类严重下呼吸道感染的新型冠状病毒,于2012年在中东出现。自那时以来,MERS-CoV在阿拉伯半岛持续流行,并在欧洲、北非、东南亚和美利坚合众国出现了输入性散发病例。截至2014年5月28日,世界卫生组织已收到636例实验室确诊的MERS-CoV感染病例报告,其中包括14例旅行者输入病例。当前MERS-CoV疫情的中心位于沙特阿拉伯,每年有数百万人前往该国参加两次大规模集会。在这篇综述中,我们总结了与旅行相关的MERS-CoV病例,重点关注旅行者中的流行病学和预防措施。提高旅行者对风险和适当预防措施的认识非常重要,并且如果有严重呼吸道症状的患者报告近期有前往受MERS-CoV影响地区的旅行史,卫生专业人员应保持警惕。受影响国家的地方卫生当局应采取措施,以改善医院卫生状况。最后,至关重要的是要调查旅行者不遵守沙特官员发布的规定和建议的原因,并采取适当措施加以改进。
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