Middle East Respiratory Syndrome (MERS) – Lessons from the South Korea Outbreak
Editorial in International
Journal of Infectious Diseases
includes warning of the risks of the disease being spread globally
The outbreak of Middle East Respiratory Syndrome (MERS) in South Korea is the subject of a fast-tracked editorial in the International Journal of Infectious Diseases, written by Dr. Eskild Petersen and colleagues. The authors outline seven key lessons to be taken from this latest series of MERS-coronavirus (MERS-CoV) infections:
- MERS-CoV remains a major threat to global health security and could have epidemic potential in time.
- The nature of the virus and its evolution into a more virulent form needs close monitoring – genomic studies should be carried out for as many MERS cases as possible.
- Up to a million pilgrims from over 182 countries travel to Mecca, Saudi Arabia for the Ramadan period which began on June 18th, 2015, threatening the further global spread of MERS.
- The Ebola virus disease epidemic has overshadowed other infectious diseases in the last 18 months, showing the inability of global surveillance systems to focus on multiple infectious diseases simultaneously.
- Many basic questions about the epidemiology, pathogenesis and management of MERS-CoV remain to be answered.
- MERS-CoV surveillance systems must be enhanced and global awareness of MERS and the importance of infection control measures needs to be increased.
- Individuals, especially healthcare workers, that may have been exposed to MERS patients must seek medical care and self-quarantine at an early time during the disease course.
“It is critical that global efforts are focused urgently on basic science and on clinical and public health research into MERS to establish the exact mode of transmission to and between humans,” said Dr. Petersen. “In parallel, new drugs and other therapeutic interventions and vaccines need to be developed.”
The authors conclude their editorial with a warning that further spread to countries with weak health systems and laboratory facilities unable to rapidly identify an unexpected virus, may result in a widespread outbreak or an epidemic in many of the countries from which Ramadan, Hajj and Umrah pilgrims originate.
Eskild Petersen, David S Hui, Stanley Perlman, Alimuddin Zumla
International Journal of
Infectious Diseases, Volume 36, July 2015
In collaboration with the Korea Centers for Disease Control and Prevention - National Center for Medical Information and Knowledge, Elsevier has offered 30 days’ free access to Elsevier’s ClinicalKey, a clinical search engine, to all its users within South Korea to help contain the MERS outbreak.
Elsevier is a global information analytics company that helps institutions and professionals progress science, advance healthcare and improve performance for the benefit of humanity. Elsevier provides digital solutions and tools in the areas of strategic research management, R&D performance, clinical decision support, and professional education; including ScienceDirect, Scopus, ClinicalKey and Sherpath. Elsevier publishes over 2,500 digitized journals, including The Lancet and Cell, more than 35,000 e-book titles and many iconic reference works, including Gray's Anatomy. Elsevier is part of RELX Group, a global provider of information and analytics for professionals and business customers across industries. www.elsevier.com