Title: Continuing Emergence of Middle East Respiratory Syndrome (MERS)
题目：持续出现的中东呼吸综合征（MERS）
Author 作者: Andrea Tenner
江利冰 译 肖锋 校

General Information:
基本信息：
Middle East Respiratory Syndrome (MERS) is a viral illness caused by the coronavirus MERS-CoV.
中东呼吸综合征是一种病毒性疾病，由中东呼吸综合征冠状病毒引起。
First reported as a novel species in Saudi Arabia in September 2012, it has an estimated fatality rate of 40%.
在2012年9月在沙特阿拉伯首次作为一种新的病种报道，估计其病死率为40%。
MERS can present like a URI or can be as severe as pneumonia and ARDS.
中东呼吸综合征可以出现类似上呼吸道感染的症状，或者和肺炎以及急性呼吸窘迫综合症一样严重。
More than half of the laboratory-confirmed secondary cases have been associated with health care settings.
一半以上实验室确诊的继发性病例都和医疗机构有关。

Area of the world affected:
世界上受影响的地区：
A second spike of cases occurred over the past few weeks in the Arabian Peninsula and has spread to Northern Africa and Europe.
在过去的几周在阿拉伯半岛出现了第二个发病高峰，并且已经传播到了非洲北部和欧洲。
All cases outside of the Middle East involve patients that have either been to the Middle East or have been in contact with someone returning from the region.
所有的中东地区以外的病例，都或者去过中东地区或者和从中东地区返回的人员有过接触史。

Relevance to the US physician:
与美国医生相关：
Inbound travel to the US from the Middle East increases significantly between April and September. The WHO’s Global Alert Response recommends that countries with travelers from the Arabian Peninsula maintain a high level of vigilance.
在4月至9月从中东地区入境美国旅游将会明显增加。世界卫生组织全球预警和建议对来自阿拉伯半岛的旅游者应保持高度警惕。

Bottom Line:
要点：
Evaluate patients for MERS-CoV infection if they develop fever and pneumonia within 14 days after traveling to countries in or near the Middle East or if they had close contact with someone from this area.
对于曾经去往中东地区或者邻近中东地区国家旅行的人员或者和从这些地区返回的人员有过密切接触的人，在返回后的14天如果出现发热和肺炎的症状，应对其进行评估是否有中东呼吸综合征冠状病毒感染。
References 参考文献：
1. International Society of Infectious Disease, Mers-Cov - Eastern Mediterranean (35): Greece Ex Saudi Arabia, Saudi Arabia, Uae. Massachusetts: The Program for Monitoring Emerging Diseases, April 2014. Available at: http://www.promedmail.org/direct.php?id=2415087 Accessed on April 22, 2014
2. World Health Organization, Middle East respiratory syndrome coronavirus (MERS‐CoV) Summary and literature update – as of 27 March 2014. Geneva: World Health Organization, 2014. Available at: http://www.who.int/csr/disease/coronavirus_infections/MERS_CoV_Update_27_March_2014.pdf?ua=1. Accessed: April 22, 2014.
3. Centers for Disease Control and Prevention, Middle East Respiratory Syndrome (MERS) February 2014. Avaialble at: http://www.cdc.gov/coronavirus/MERS/index.html. Accessed: April 22, 2014