This disease has been killing people since its inceptionMiddle East Respiratory Syndrome (MERS) is a viral respiratory illness that is new to humans. It was first reported in Saudi Arabia in 2012 and has since spread to several other countries, including the United States. Most people infected with MERS-CoV developed severe acute respiratory illness, including fever, cough, and shortness of breath. Many of them have die. Since May 2015, the Republic of Korea has been investigating an outbreak of MERS. It is the largest known outbreak of MERS outside the Middle East.
The Facts on MERS: (Middle East Respiratory Syndrome) is a severe pneumonia-like respiratory disease caused by a virus. It is different from SARS because MERS is caused by another subtype of the virus.
Pneumonia is a general term for an inflammation of the air
sacs of the lungs caused by an infection or chemical. With pneumonia, the lungs
fill with fluid, which interferes with their ability to transfer oxygen to the
blood. MERS is known as an atypical
pneumonia because it is not caused by the usual bacteria or viruses.
MERS causes high fever, cough, and severe shortness
of breath. The
infection is thought to be spread by close contact with an infected person.
Causes of
MERS: A virus called coronavirus is the cause of MERS.
There are many kinds of coronavirus, some of which cause the common cold. The
MERS coronavirus (MERS-CoV) was a new variant that was discovered in 2012 in
the Middle East region.
How MERS spreads is not completely understood, but
experts believe that the main way it spreads is through close contact with an
infected person (by
caring for or living with the person, or having direct contact with their
respiratory secretions and body fluids). The people who have been infected by
MERS have all been in a health care facility or among close family members.
MERS is different from SARS. Most importantly, the MERS
virus does not appear to be as easily spread between people, whereas the SARS
virus spreads very easily.
The main symptoms of MERS are:
- cough, shortness of breath and difficulty breathing
- diarrhea
- high fever (over 38°C or 100.4°F)
Some people also develop kidney failure.
People
with existing medical conditions (e.g., heart problems, diabetes) are more
likely to be affected more seriously with the infection. Many of the fatal MERS
infections have been in patients who had a history of other medical conditions.
Transmission
MERS-CoV, like other coronaviruses, is thought to spread from an infected person’s respiratory secretions, such as through coughing. However, the precise ways the virus spreads are not currently well understood.
Person-to-person spread of MERS-CoV, usually after close contact, such as caring for or living with an infected person, has been well documented. Infected people have spread MERS-CoV to others in healthcare settings, such as hospitals. Researchers studying MERS have not seen any ongoing spreading of MERS-CoV in the community.
All reported cases have been linked to countries in and near the Arabian Peninsula. Most infected people either lived in the Arabian Peninsula or recently traveled from the Arabian Peninsula before they became ill. A few people became infected with MERS-CoV after having close contact with an infected person who had recently traveled from the Arabian Peninsula.
Public health agencies continue to investigate clusters of cases in several countries to better understand how MERS-CoV spreads from person to person.
Prevention
Currently, there is no vaccine to prevent MERS-CoV infection. The U.S. National Institutes of Health is exploring the possibility of developing one.
CDC routinely advises that people help protect themselves from respiratory illnesses by taking everyday preventive actions:
- Wash your hands often with soap and water for 20 seconds, and help young children do the same. If soap and water are not available, use an alcohol-based hand sanitizer.
- Cover your nose and mouth with a tissue when you cough or sneeze, then throw the tissue in the trash.
- Avoid touching your eyes, nose and mouth with unwashed hands.
- Avoid personal contact, such as kissing, or sharing cups or eating utensils, with sick people.
- Clean and disinfect frequently touched surfaces and objects, such as doorknobs.
Treatment
There is no specific antiviral treatment recommended for MERS-CoV infection. Individuals with MERS can seek medical care to help relieve symptoms. For severe cases, current treatment includes care to support vital organ functions.
If you think you may have been exposed MERS-CoV, see People at Increased Risk for MERS.
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