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Article ; Online: High prevalence of common respiratory viruses and no evidence of Middle East respiratory syndrome coronavirus in Hajj pilgrims returning to Ghana, 2013.

Annan, Augustina / Owusu, Michael / Marfo, Kwadwo Sarfo / Larbi, Richard / Sarpong, Francisca Naana / Adu-Sarkodie, Yaw / Amankwa, Joseph / Fiafemetsi, Samuel / Drosten, Christian / Owusu-Dabo, Ellis / Eckerle, Isabella

Tropical medicine & international health : TM & IH

2015  Volume 20, Issue 6, Page(s) 807–812

Abstract: Objective: The Middle East respiratory syndrome coronavirus (MERS-CoV) emerged in 2012 ... to Accra in Ghana, West Africa, was conducted in 2013 to assess the prevalence of respiratory symptoms ... in their sample.: Conclusions: The prevalence of viral respiratory infections among Hajj pilgrims ...

Abstract Objective: The Middle East respiratory syndrome coronavirus (MERS-CoV) emerged in 2012 on the Arabian Peninsula and has caused severe respiratory disease with more than 800 laboratory-confirmed cases. The return of infected pilgrims to their home countries with a putative spread of MERS-CoV necessitates further surveillance.
Methods: A cross sectional study of 839 adult African Hajj pilgrims returning to Accra in Ghana, West Africa, was conducted in 2013 to assess the prevalence of respiratory symptoms as well as of MERS-CoV, human rhinovirus (HRV), respiratory syncytial virus (RSV) and influenza A virus (FLU A) infection.
Results: Six hundred and fifty-one (77.6%) pilgrims had respiratory symptoms. Tests were positive for at least one of the viruses other than MERS-CoV in 179 (21.3%) of all pilgrims, with 22.4% detection in symptomatic vs. 17.6% detection in asymptomatic pilgrims. No MERS-CoV was detected, although common respiratory viruses were prevalent, with positive findings for HRV in 141 individuals (16.8%), RSV in 43 individuals (5.1%) and FLU A in 11 individuals (1.3%). Results were positive for more than one virus in 16 (1.9%) individuals, including 14 (1.7%) RSV/HRV co-infections and 2 (0.2%) FLU A/HRV co-infections. A total 146 (22.4%) of the symptomatic returnees tested positive for at least one respiratory virus compared with 33 (17.6%) of the asymptomatic pilgrims who had at least one detectable virus in their sample.
Conclusions: The prevalence of viral respiratory infections among Hajj pilgrims in both symptomatic and asymptomatic subjects was high. Although it is reassuring that MERS-CoV was not detected in the tested population, there is a need for active surveillance of Hajj pilgrims.
MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Coronavirus Infections/epidemiology ; Coronavirus Infections/virology ; Cross-Sectional Studies ; Female ; Ghana/epidemiology ; Humans ; Influenza A virus/isolation & purification ; Influenza, Human/epidemiology ; Influenza, Human/virology ; Male ; Middle Aged ; Middle East Respiratory Syndrome Coronavirus/isolation & purification ; Population Surveillance ; Prevalence ; Real-Time Polymerase Chain Reaction ; Respiratory Syncytial Virus Infections/epidemiology ; Respiratory Syncytial Virus Infections/virology ; Respiratory Syncytial Viruses/isolation & purification ; Respiratory Tract Infections/epidemiology ; Respiratory Tract Infections/virology ; Rhinovirus/isolation & purification ; Surveys and Questionnaires ; Travel
Keywords covid19
Language English
Publishing date 2015-03-03
Publishing country England
Document type Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID 1314080-2
ISSN 1365-3156 ; 1360-2276
ISSN (online) 1365-3156
ISSN 1360-2276
DOI 10.1111/tmi.12482
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