CROSS SECTIONAL STUDY OF MIDDLE EAST RESPIRATORY SYNDROME (MERS CoV INFECTION) IN CAMELS IN SELECTED SITES OF AMIBARA DISTRICT, AFAR REGION, ETHIOPIA
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Date
2019-06
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Abstract
A cross sectional study of MERS CoV in camel was conducted between February 2018 to April
2019 in three selected sites of Amibara district of Afar Region, Northeast Ethiopia. The study
was aimed to observe the current sero-prevalence status of MERS, assess the presence of active
cases through detection RNA viral particle using RT -PCR and investigate possible risk factors
for the MERS-CoV in camels. A total of 589 sera were collected and tested with indirect Enzyme
linked Immuno Sorbent Assay (iELISA).The overall seroprevalance of MERS-CoV with this test
was 87.3% (n=514/589, 95% CI: 84.5-89.9). Out of the total sera samples, 198 sera were
retested by pseudo particle neutralization test (ppNT)at Hong Kong University (HKU). A total of
857 nasal swab samples were collected for the detection of MERS CoV RNA particle using RTPCR.
Association of different risk factors with seroprevalance revealed that origin (X2=13.39,
P=0.001), sex (X2=4.5 P=0.034), age ((X2=185.7, P=0.001) season (X2=41.7, P=0.000) and
reproduction status (X2=96.1, P=0.001) showed a statistical significant difference for MERS
CoV antibody detection among the groups (P<0.05) while herd size did not show a statistically
significant difference among groups (p>0.05). In multivariable logistic regression analysis, age
(OR=7.39, 95% CI:3.43-15.91), season (OR=4.83, 95% CI:-2.14-10.90), and in adult female
camel reproduction status (OR=7.39, 95% CI:3.43-15.91) showed statistically significant
difference among the groups for MERS CoV antibody detection while risk factors of origin,
animal sex and herd size difference were statistically insignificant. Out of the total 198 sera
samples tested using ppNT, 197 (99.5%; 95%CI: 98.4-100) were positive where as in indirect
ELISA of 198 sera sample only 182 (91.9%; 95% CI: 88-95.7) were seropositive indicating
ppNT is more sensitive than iELISA for MERS CoV antibody detection. Despite the presence of
high seropositivity for MERS CoV antibody, all 857 camel nasal swabs samples tested by Real-
time reverse transcription polymerase chain reaction (RT-PCR) technique for detection MERS –
CoV RNA viral particle were Negative after testing at NAHDIC and H.K.U. School Public
Health laboratories .In conclusion, the present study revealed a high seroprevalance of MERS
CoV in adult camels. However, in spite of high seroprevalance the lack of any RNA viral particle
in the present study suggests the need for further in depth longitudinal study to detect the
circulating virus focusing on juveniles and young camels whereby seroprevalance of antibody is low when compared with adult camel in order to get the active virus before the camel develop
antibody. Moreover, the zoonotic significance and potential transmission routes of MERS CoV to
pastoral communities should also be investigated and design strategy for the preparedness in
control of the diseases in Ethiopia
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Keywords
Amibara, Camel, Cross sectional