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Risk Factors for Fatal Middle East Respiratory Syndrome Coronavirus Infections in Saudi Arabia

Analysis of the WHO Line List, 2013–2018

Bibliographic Data

ID11020264
AuthorsArifur Rahman (0000-0001-6066-6558, Both authors are with the Division of Community Health and Humanities, Faculty of Medicine, Memorial University, St John’s, Newfoundland and Labrador, Canada.), Atanu Sarkar (0000-0003-1797-4971, Both authors are with the Division of Community Health and Humanities, Faculty of Medicine, Memorial University, St John’s, Newfoundland and Labrador, Canada.)
Year2019
Volume109
Issue9
Pages1288-1293
Publication date2019-09-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2019.305186
PMID31318592
OpenAlexW2964075089
LanguageEN
Citations received2
References cited17

Objectives. To explore complex associations among demographic factors, risk factors, health care, and fatality rates of Middle East respiratory syndrome coronavirus (MERS-CoV) in the Kingdom of Saudi Arabia. Methods. We based this study on analysis of a publicly accessible line listing of 1256 MERS-CoV cases (2013 to October 2018) available on the World Health Organization’s Web site. For analyses of demographic factors (e.g., age, gender), access to health care, promptness of laboratory services, risk factors (comorbidity, exposure to camels and persons with MERS-CoV), occupation (health care), and outcome (fatality), we used descriptive statistics, risk ratio (RR), and the Pearson χ 2 test. Results. Presence of comorbidity (RR = 3; 95% confidence interval [CI] = 2.2, 3.9), being male (RR = 1.6; 95% CI = 1.2, 2.1), exposure to dromedary camels (RR = 1.6; 95% CI = 1.3, 2.3), and consumption of camel milk (RR = 1.5; 95% CI = 0.9, 1.7) can significantly increase risk for fatality. Health care workers have significantly lower fatality (P Conclusions. Policies that promote health awareness for the high-risk population and their prompt seeking of health care should be considered. Publicly accessible line lists of infectious diseases such as MERS-CoV can be valuable sources for epidemiological analysis

Case fatality rate · Comorbidity · Confidence interval · Coronavirus disease 2019 (COVID-19) · Disease · Environmental health · Health care · Infectious disease (medical specialty) · Middle East respiratory syndrome · Middle East respiratory syndrome coronavirus · Population · Relative risk · COVID-19 epidemiological studies · COVID-19 Pandemic Impacts · Demography · Epidemiology · Internal Medicine · Medicine · Vaccine Coverage and Hesitancy

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Citations per year0.33
Citation span2020 - 2020 (1)
Highly citedNo

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