热带病与寄生虫学

热带病与寄生虫学 ›› 2015, Vol. 13 ›› Issue (3): 125-126,146.doi: 10.3969/j.issn.1672-2302.2015.03.001

• 特约专稿 •    下一篇

韩国中东呼吸综合征（MERS）大爆发：MERS-CoV可持续人际间传播能力是否增强？

朱娜，陈涛   

  1. 102206  北京市，中国疾病预防控制中心病毒病预防控制所
  • 出版日期:2015-09-10 发布日期:2015-09-30

MERS outbreak in South Korea in 2015 indicates signs of enhanced hunman to human transmission of the coronavirus?

Zhu Na, Chen Tao   

  1. National Institute for Viral Diseases Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
  • Online:2015-09-10 Published:2015-09-30

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摘要： 【摘要】 2015年5月20日，韩国确诊了首例输入性中东呼吸综合征（MERS）病例，随后韩国出现了MERS病例的大爆发，成为继中东地区以外疫情最为严重的地区。截止到2015年7月26日，韩国已报告186例实验室确诊病例（包括在中国确诊1例），其中36人死亡。与其他地区输入病例传播情况不同，韩国MERS爆发，出现了三代病例，这是否说明中东呼吸综合征冠状病毒（MERS-CoV）可持续人际间传播能力增强？本文分析认为，MERS在韩国的爆发，主要源于韩国特殊的就诊环境和隔离重视程度不足，并非MERS-CoV可持续人际间传播能力增强。MERS-CoV目前仍具有有限的可持续人际间传播能力。

关键词: 中东呼吸综合征, 冠状病毒, 爆发, 人际间传播, 韩国

Abstract:

【Abstract】 The first imported Middle East Respiratory Syndrome (MERS) case in South Korea was confirmed on 20 May, 2015, followed by the largest MERS outbreak outside the Middle East area, with 186 confirmed cases including 36 fatal cases as of 26 July, 2015. Unlike transmission of imported case in other countries, the third generation coronavirus was detected in certain cases, does it show the signs of enhanced human to human transmission ability of MERS-CoV? In our opinion, this outbreak was mainly due to special hospital infection (infected patients’ attendance at more than one institution coupled with the courtesy of visiting relatives in hospital) and inefficient quarantine at the initial outbreak instead of human to human transmission ability of MERS-CoV being enhanced, for which we conclude that MERS-CoV still has the limited human to human transmission ability at present.

Key words: Middle East Respiratory Syndrome(MERS), MERS-CoV, Outbreak, Human to human transmission, South Korea