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September 21, 2013

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Complex transmission of deadly MERS virus

Genetic analysis of samples of the deadly MERS virus that has killed 58 people in the Middle East and Europe shows the disease has jumped from animals to humans several times, scientists said yesterday.

At least 132 people have been infected with the Middle East Respiratory Syndrome (MERS) coronavirus since it emerged about a year ago, and it has killed 58 of them, according to the World Health Organization.

While cases have been reported in people across the Middle East and in France, Germany, Italy, Tunisia and Britain, the vast majority of infections and deaths are in Saudi Arabia.

After conducting genome sequencing studies of the virus — from the same coronavirus family as the one that caused SARS (severe acute respiratory syndrome) a decade ago, British and Saudi researchers found several infection transmission chains and said they painted a picture of what they called lively “pathogenic chatter” between species.

“Our findings suggest that different lineages of the virus have originated from the virus jumping across to humans from an animal source a number of times,” said Paul Kellam, a professor of viral pathogenesis at Britain’s Sanger Institute and University College London, who led the research.

His team sequenced and analyzed the genomes of MERS-CoV samples taken from 21 patients from across Saudi Arabia.

The scientists then combined the geographic locations of the patients with the time they were infected and the amount of genetic differences seen between the virus genomes.

This led them to what they called a “higher resolution picture of how the virus has spread and how its genome has changed over time.”

While the findings, published in the Lancet medical journal, cannot help scientists predict how likely MERS is to become more easily transmissible in people — and how likely to cause a human pandemic — they should help health experts develop more effective infection control measures to limit its spread.

The virus, a cousin of the coronavirus that caused a deadly outbreak of SARS in 2002 and 2003, can cause coughing, fever and pneumonia.

As yet no firm evidence has been found on the so-called “animal reservoir” of MERS, although several recent studies have linked it to bats and to dromedary camels.

Various groups of scientists are conducting studies of other potential reservoir species, including goats, sheep, dogs, cats, rodents and others.




 

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