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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/12558

Title: High prevalence of common respiratory viruses and no evidence of Middle East Respiratory Syndrome Coronavirus in Hajj pilgrims returning to Ghana, 2013
Authors: Sylverken, Augustina Angelina
Owusu, Michael
Marfo, Kwadwo Sarfo
Larbi, Richard
Sarpong, Francisca Naana
et. al
Keywords: MERS-coronavirus
respiratory illness
Hajj pilgrimage
Human rhinovirus
Respiratory syncytial virus
Influenza A virus
Issue Date: Jun-2015
Publisher: John Wiley & Sons Ltd
Citation: A. Annan et al. MERS-CoV in African Hajj pilgrims. High prevalence of common respiratory viruses and no evidence of Middle East Respiratory Syndrome Coronavirus in Hajj pilgrims returning to Ghana, 2013. doi:10.1111/tmi.12482
Abstract: objective The Middle East respiratory syndrome coronavirus (MERS-CoV) emerged in 2012 on the Arabian Peninsula and has caused severe respiratory disease with more than 800 laboratoryconfirmed cases. The return of infected pilgrims to their home countries with a putative spread of MERS-CoV necessitates further surveillance. methods A cross sectional study of 839 adult African Hajj pilgrims returning to Accra in Ghana, West Africa, was conducted in 2013 to assess the prevalence of respiratory symptoms as well as of MERS-CoV, human rhinovirus (HRV), respiratory syncytial virus (RSV) and influenza A virus (FLU A) infection. results Six hundred and fifty-one (77.6%) pilgrims had respiratory symptoms. Tests were positive for at least one of the viruses other than MERS-CoV in 179 (21.3%) of all pilgrims, with 22.4% detection in symptomatic vs. 17.6% detection in asymptomatic pilgrims. No MERS-CoV was detected, although common respiratory viruses were prevalent, with positive findings for HRV in 141 individuals (16.8%), RSV in 43 individuals (5.1%) and FLU A in 11 individuals (1.3%). Results were positive for more than one virus in 16 (1.9%) individuals, including 14 (1.7%) RSV/HRV coinfections and 2 (0.2%) FLU A/HRV co-infections. A total 146 (22.4%) of the symptomatic returnees tested positive for at least one respiratory virus compared with 33 (17.6%) of the asymptomatic pilgrims who had at least one detectable virus in their sample. conclusions The prevalence of viral respiratory infections among Hajj pilgrims in both symptomatic and asymptomatic subjects was high. Although it is reassuring that MERS-CoV was not detected in the tested population, there is a need for active surveillance of Hajj pilgrims.
Description: An article published by John Wiley & Sons Ltd and also available at doi:10.1111/tmi.12482
URI: http://hdl.handle.net/123456789/12558
Appears in Collections:College of Science

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