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Rita de Sousa1, Chantal Reusken2, Marion Koopmans2

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Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology
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Summary

Understanding Middle East Respiratory Syndrome Coronavirus (MERS-CoV) shedding and immune responses is crucial for effective outbreak control. This review highlights data gaps and biases limiting laboratory preparedness for MERS-CoV.

Keywords:
CoronavirusLaboratory preparednessMiddle East Respiratory Syndrome CoronavirusSARS

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Area of Science:

  • Virology
  • Epidemiology
  • Public Health Laboratory Science

Background:

  • Middle East Respiratory Syndrome Coronavirus (MERS-CoV) emerged in 2012, with ongoing questions regarding transmission and sources.
  • Understanding disease spectrum, shedding kinetics, and infectivity is vital for managing emerging infectious diseases.

Purpose of the Study:

  • To review available MERS-CoV data and compare it with other human coronaviruses (hCoVs) regarding shedding and immune response kinetics.
  • To identify data gaps and biases affecting laboratory preparedness for MERS-CoV.

Main Methods:

  • Systematic review of MERS-CoV case reports.
  • Comparative analysis of MERS-CoV shedding and immune response data with published literature on other hCoVs.

Main Results:

  • Significant data gaps and biases were identified, impacting laboratory preparedness for MERS-CoV.
  • Kinetics of viral shedding and antibody response require further investigation for optimal laboratory utilization.

Conclusions:

  • Enhanced laboratory preparedness for MERS-CoV requires addressing identified data gaps.
  • Standardized reporting of methods, test outcomes, and clinical/epidemiological data is essential for public health management.