Edelstein Michael, Heymann David L
Center on Global Health Security, The Royal Institute of International Affairs, Chatham House, 10 St James's Square, London, SW1Y 4LE, UK.
Future Virol. 2015 May;10(5):497-505. doi: 10.2217/fvl.15.20. Epub 2015 May 29.
Up to November 2014, Middle East respiratory syndrome coronavirus (MERS-CoV) has infected 935 individuals and killed 371, all originating in or with links to the Middle East. The mechanisms of transmission of the disease are not fully understood, but MERS-CoV seems to sustain itself in the human population through repeated re-introduction from a camel reservoir and is able to cause nosocomial outbreaks. The risk of a global spread of MERS-CoV is low. Epidemiological, serological and phylogenetic research, combined with one health surveillance, dynamic case definitions, active case finding, rigorous infection control, culturally sensitive risk communication and a continuous re-evaluation of new evidence will enable to better understand the disease, limit its spread and quantify its risk in order to better prepare for a hypothetical spread.
截至2014年11月,中东呼吸综合征冠状病毒(MERS-CoV)已感染935人,造成371人死亡,所有病例均来自中东地区或与中东地区有联系。该疾病的传播机制尚未完全明确,但MERS-CoV似乎通过骆驼宿主反复传播至人群中得以持续存在,并能够引发医院内疫情。MERS-CoV全球传播的风险较低。流行病学、血清学和系统发育研究,结合“同一健康”监测、动态病例定义、主动病例发现、严格的感染控制、具有文化敏感性的风险沟通以及对新证据的持续重新评估,将有助于更好地了解该疾病、限制其传播并量化其风险,从而为可能出现的传播做好更充分的准备。