Mass pilgrim gatherings could encourage MERS coronavirus to spread faster
Mers-cov, the dead center east respiratory syndrome coronavirus might spread faster and deeper internationally throughout 2 mass pilgrim gatherings happening
this year in saudi arabia, dr. kamran khan, an infectious disease
physician, of st. michaels hospital, toronto, canada, and colleagues
warned within the journal plos currents : outbreaks.
2 muslim pilgrimages - umrah and hajj - attract innumerable individuals from all over the planet onto the holy saudi cities of mecca and medina.
umrah can possibly be done anytime of year. though, the bulk of travellers return throughout the month of ramadan, that this year started on july 9th and ends on august 7th. hajj, the major pilgrimage, take place this year from october 13th to 18th.
saudi arabia expects over one million pilgrims from each corner as to actually the globe throughout succeeding 2 to 3 weeks. in october, at the very least another 3 million can return.
dr. khan and colleagues are urging health care providers to learn coming from the experience of sars. they actually emphasize that it must be crucial for authorities and health care providers to anticipate rather than just react to pilgrims coming home from the dead center east.
sars was an unknown coronavirus that killed 800 individuals globally ten years ago. forty-four individuals died in toronto. the canadian government says that sars cost the nations economy approximately $2 billion.
the mers coronavirus is additionally a previously unknown one. it seems to possess emerged in the dead center east last year and most definitely has spread to many countries within the space, furthermore as europe and north africa. cases of mers-cov infection are reported in saudi arabia, jordan, qatar, united arab emirates, france, italy, tunisia, germany and also the untied kingdom.
over eighty cases of mers-cov human infection are confirmed worldwide, 42 out of them died - mers uses a mortality rate of over 50%. sars death rate was regarding 10%.
dr. khan and colleagues gathered and analyzed international airline traffic and historic hajj knowledge to predict how lots of individuals will surely be moving in and from saudi arabia throughout these 2 mass pilgrimages. their aim usually is to facilitate countries assess mers-cov introduction by returning pilgrims and travellers.
the researchers additionally used economic and per capita health expenditure knowledge collected from the planet bank to assist verify how able countries can be to detect imported mers because we are part of a timely manner and mount a successful public health response.
dr. khan is founding father of a web-based technology - biodiaspora - that predicts how infectious diseases will spread by analyzing world air traffic patterns. many international agencies have used biodiaspora to evaluate threats of emerging infectious diseases, as well as pilgrimages and sports events such clearly as the olympics. biodiaspora has actually been used by who ( world health organization ), cdc ( us centers for disease management and prevention ) and ecdc ( european centre for disease prevention and management ).
dr. khan aforementioned :
with innumerable foreign pilgrims set to congregate in mecca and medina between ramadan and also the hajj, pilgrims might acquire and subsequently come back thus to actually their home countries with mers, either through direct exposure onto the as-of-yet unidentified supply or through touch with domestic pilgrims who could be infected.
during this study, khan and colleagues found that as to actually the 16. 8 million people that flew on business flights from saudi arabia, jordan, qatar and also the united arab emirates ( where mers-cov cases are traced returning to ) from june to november 2012 ( one month before ramadan and 1 month once hajj last year ), 51. 6% travelled to barely 8 countries :
16. 3% - india
10. 4% - egypt
7. 8% - pakistan
4. 3% - united kingdom
3. 6% - kuwait
3. 1% - bangladesh
3. 1% - iran
2. 9% - bahrain
between june and november 2012, every as to actually the following twelve cities received at the very least 350, 000 business air travelers from those four countries where mers-cov most likely originated :
bahrain
beirut ( lebanon )
cairo ( egypt )
dhaka ( bangladesh )
istanbul ( turkey )
jakarta ( indonesia )
karachi ( pakistan )
kozhikode ( india )
kuwait city
london ( london )
manila ( philippines )
mumbai ( india )
unlike sars, mers would possibly spread in the main to poorer nations
unlike sars, where infected individuals traveled to in the main high-income nations through air travel, a little more than half the air travelers leaving saudi arabia, qatar, jordan and also the united arab emirates ( uae ) visited low or lower-middle income countries. over 60% of all hajj pilgrims derive from low or lower-middle income nations.
nearly one-third of all travellers flying from saudi arabia, uae, qatar and jordan have india, bangladesh, afghanistan, nepal and pakistan as their final destination.
dr. khan aforementioned :
on condition that these countries have restricted resources, they could have issue quickly identifying imported mers cases, implementing rigorous infection management precautions and responding effectively to newly introduced cases.
if health authorities are considering screening air travellers for mers-cov infection, dr. khan suggests accomplishing the objective as they simply leave their supply areas in the dead center east, in contrast to screening them at their destination airports. he believes this could well be way more efficient and fewer disruptive onto the worlds air traffic.
dr. khan added though, all countries receiving pilgrims and alternative travelers from known mers areas ought to mobilize their infectious disease surveillance and public health resources in ways in which are commensurate regarding their potential for mers introduction.
front-line health care providers want that should be trained and ready regarding the risk of mers-cov infection in patients, dr. khan emphasized, as a result of that would be the initial necessary step to implement effective infection management measures which will stem the spread of infectious disease.
sars managed to spread among health care establishments as a result of delays in considering sars diagnosis, that in flip led to delays in applying proper infection management measures.
2 muslim pilgrimages - umrah and hajj - attract innumerable individuals from all over the planet onto the holy saudi cities of mecca and medina.
umrah can possibly be done anytime of year. though, the bulk of travellers return throughout the month of ramadan, that this year started on july 9th and ends on august 7th. hajj, the major pilgrimage, take place this year from october 13th to 18th.
saudi arabia expects over one million pilgrims from each corner as to actually the globe throughout succeeding 2 to 3 weeks. in october, at the very least another 3 million can return.
dr. khan and colleagues are urging health care providers to learn coming from the experience of sars. they actually emphasize that it must be crucial for authorities and health care providers to anticipate rather than just react to pilgrims coming home from the dead center east.
sars was an unknown coronavirus that killed 800 individuals globally ten years ago. forty-four individuals died in toronto. the canadian government says that sars cost the nations economy approximately $2 billion.
the mers coronavirus is additionally a previously unknown one. it seems to possess emerged in the dead center east last year and most definitely has spread to many countries within the space, furthermore as europe and north africa. cases of mers-cov infection are reported in saudi arabia, jordan, qatar, united arab emirates, france, italy, tunisia, germany and also the untied kingdom.
over eighty cases of mers-cov human infection are confirmed worldwide, 42 out of them died - mers uses a mortality rate of over 50%. sars death rate was regarding 10%.
dr. khan and colleagues gathered and analyzed international airline traffic and historic hajj knowledge to predict how lots of individuals will surely be moving in and from saudi arabia throughout these 2 mass pilgrimages. their aim usually is to facilitate countries assess mers-cov introduction by returning pilgrims and travellers.
the researchers additionally used economic and per capita health expenditure knowledge collected from the planet bank to assist verify how able countries can be to detect imported mers because we are part of a timely manner and mount a successful public health response.
dr. khan is founding father of a web-based technology - biodiaspora - that predicts how infectious diseases will spread by analyzing world air traffic patterns. many international agencies have used biodiaspora to evaluate threats of emerging infectious diseases, as well as pilgrimages and sports events such clearly as the olympics. biodiaspora has actually been used by who ( world health organization ), cdc ( us centers for disease management and prevention ) and ecdc ( european centre for disease prevention and management ).
dr. khan aforementioned :
with innumerable foreign pilgrims set to congregate in mecca and medina between ramadan and also the hajj, pilgrims might acquire and subsequently come back thus to actually their home countries with mers, either through direct exposure onto the as-of-yet unidentified supply or through touch with domestic pilgrims who could be infected.
during this study, khan and colleagues found that as to actually the 16. 8 million people that flew on business flights from saudi arabia, jordan, qatar and also the united arab emirates ( where mers-cov cases are traced returning to ) from june to november 2012 ( one month before ramadan and 1 month once hajj last year ), 51. 6% travelled to barely 8 countries :
16. 3% - india
10. 4% - egypt
7. 8% - pakistan
4. 3% - united kingdom
3. 6% - kuwait
3. 1% - bangladesh
3. 1% - iran
2. 9% - bahrain
between june and november 2012, every as to actually the following twelve cities received at the very least 350, 000 business air travelers from those four countries where mers-cov most likely originated :
bahrain
beirut ( lebanon )
cairo ( egypt )
dhaka ( bangladesh )
istanbul ( turkey )
jakarta ( indonesia )
karachi ( pakistan )
kozhikode ( india )
kuwait city
london ( london )
manila ( philippines )
mumbai ( india )
unlike sars, mers would possibly spread in the main to poorer nations
unlike sars, where infected individuals traveled to in the main high-income nations through air travel, a little more than half the air travelers leaving saudi arabia, qatar, jordan and also the united arab emirates ( uae ) visited low or lower-middle income countries. over 60% of all hajj pilgrims derive from low or lower-middle income nations.
nearly one-third of all travellers flying from saudi arabia, uae, qatar and jordan have india, bangladesh, afghanistan, nepal and pakistan as their final destination.
dr. khan aforementioned :
on condition that these countries have restricted resources, they could have issue quickly identifying imported mers cases, implementing rigorous infection management precautions and responding effectively to newly introduced cases.
if health authorities are considering screening air travellers for mers-cov infection, dr. khan suggests accomplishing the objective as they simply leave their supply areas in the dead center east, in contrast to screening them at their destination airports. he believes this could well be way more efficient and fewer disruptive onto the worlds air traffic.
dr. khan added though, all countries receiving pilgrims and alternative travelers from known mers areas ought to mobilize their infectious disease surveillance and public health resources in ways in which are commensurate regarding their potential for mers introduction.
front-line health care providers want that should be trained and ready regarding the risk of mers-cov infection in patients, dr. khan emphasized, as a result of that would be the initial necessary step to implement effective infection management measures which will stem the spread of infectious disease.
sars managed to spread among health care establishments as a result of delays in considering sars diagnosis, that in flip led to delays in applying proper infection management measures.
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