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Middle East Respiratory Syndrome Coronavirus (MERS-CoV): State of the Science
Ahmed Mostafa1, Ahmed Kandeil1, Mahmoud Shehata1
1Center of Scientific Excellence for Influenza Viruses, Environmental Research Division, National Research Centre (NRC), Cairo 12622, Egypt.
Abstract:
Coronaviruses belong to a large family of viruses that can cause disease outbreaks ranging from the common cold to acute respiratory syndrome. Since 2003, three zoonotic members of this family evolved to cross species barriers infecting humans and resulting in relatively high case fatality rates (CFR). Compared to Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV, CFR = 10%) and pandemic Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2, CFR = 6%), the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) has scored the highest CFR (approximately 35%). In this review, we systematically summarize the current state of scientific knowledge about MERS-CoV, including virology and origin, epidemiology, zoonotic mode of transmission, and potential therapeutic or prophylactic intervention modalities.
Insights
Middle East Respiratory Syndrome Coronavirus (MERS-CoV) has a high fatality rate. This review summarizes MERS-CoV
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Coronaviruses are a large viral family causing diseases from common colds to severe respiratory syndromes.
- Three zoonotic coronaviruses have crossed into humans since 2003, causing significant mortality.
- Middle East Respiratory Syndrome Coronavirus (MERS-CoV) exhibits a high case fatality rate (CFR) of approximately 35%, exceeding SARS-CoV (10%) and SARS-CoV-2 (6%).
Purpose of the Study:
- To systematically review and summarize the current scientific understanding of MERS-CoV.
- To consolidate information on MERS-CoV virology, origin, and epidemiology.
- To explore MERS-CoV's zoonotic transmission and potential interventions.
Main Methods:
- Systematic literature review.
- Synthesis of existing research on MERS-CoV.
- Analysis of MERS-CoV virology, epidemiology, transmission, and therapeutics.
Main Results:
- MERS-CoV represents a significant public health threat due to its high CFR.
- Understanding MERS-CoV's origin and transmission is crucial for control.
- Research into therapeutic and prophylactic interventions is ongoing.
Conclusions:
- MERS-CoV remains a critical focus in coronavirus research due to its severity.
- Comprehensive knowledge of MERS-CoV is essential for managing future outbreaks.
- Further research into MERS-CoV interventions is vital for mitigating its impact.
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