If
you have travelled in the past six months and stood in the security line of a
main airport, chances are that you saw a sign warning against Middle East
Respiratory Symptom (MERS). MERS is a
viral disease caused by a coronavirus called MERS-CoV. Most individuals that become infected will
experience fever, cough, and shortness of breath before developing a severe
respiratory illness if interventions or treatment are not provided. About 30% of people who are infected will
die. MERS first came onto the global
health scene when the cases were identified in Saudi Arabia in the spring of
2012 by the country’s Ministry of Health.
Cases were later reported in Jordan, the United Arab Emirates, Oman, and
Yemen. In May of 2012, the Center for
Disease Control and Prevention confirmed two cases, in Indiana and Florida,
from healthcare workers who had been in Saudi Arabia. Health officials were
initially worried for several reasons.
Firstly, there were
several aspects of the virus that were unknown
including but not limited to transmission, associated illnesses, and
origin. Secondly, there was also a major
concern about the annual pilgrimage and how it would influence the spread and
transmission of the virus. But it is
September of 2014, and about 2 years have passed since the first cases of MERS
were confirmed. So why is this news hot
and new?One important question that all viruses must answer is: what is the host or the reservoir of the virus? In virology the reservoir is the animal that carries a particular virus without suffering from any illnesses or symptoms. A possible reservoir of MERS-CoV is the dromedary camel. The camel was the first suspect because large numbers of camels in the Middle East have tested positive for the virus. In spite of these findings there has never been strong evidence to say that the camel is the one and only reservoir or host of this virus until recently. A study published in the Journal of Emerging Infectious Disease in 2014 has provided experimental evidence supporting this theory. In short infected camels can shed large amounts of the virus via nasal secretions from their upper respiratory tract. Researchers theorize that by vaccinating camels, you can substantially reduce the risk of transmission to camels and other people. Unfortunately there is no vaccine to protect against MERS, but with this new information the National Institute of Allergy and Infectious Diseases (NIAID) has increased its research to develop possible vaccines for both camels and humans.
-Nalani Wakinekona
References:
http://www.cdc.gov/coronavirus/MERS/about/index.html
http://wwwnc.cdc.gov/eid/article/20/12/14-1280_article
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