title: The early response to a novel coronavirus in the Middle East.
abstract: The detection of a novel coronavirus in patients from the Arabian Peninsula in late 2012 raised serious concerns of a possible international outbreak. Ministries of health of the three affected countries invited missions from the World Health Organization to participate in a review of data and capacity to detect and respond to further cases. Recommendations were made for investigations to answer critical questions about human-to-human transmission and the geographic extent of the virus. Additional recommendations were made to improve surveillance capacity by acquiring the capacity to test for the virus and enhance syndromic surveillance. Available evidence continues to suggest an unknown animal reservoir for the virus with sporadic zoonotic transmission the primary epidemiological pattern of transmission. Human-to-human transmission, while it can occur, does not appear to be sustained in the community.
authors.affiliation: Global Infuenza Programme, World Health Organization, Geneva, Switzerland. mountsa@who.int
authors.forename: A
authors.initials: A
authors.lastname: Mounts
authors.forename: S
authors.initials: S
authors.lastname: De La Rocque
authors.forename: J
authors.initials: J
authors.lastname: Fitzner
authors.forename: E
authors.initials: E
authors.lastname: Garcia
authors.forename: H L
authors.initials: HL
authors.lastname: Thomas
authors.forename: D
authors.initials: D
authors.lastname: Brown
authors.forename: H
authors.initials: H
authors.lastname: Schuster
authors.forename: K
authors.initials: K
authors.lastname: Vandemaele
authors.forename: H
authors.initials: H
authors.lastname: Esmat
authors.forename: S
authors.initials: S
authors.lastname: Eremin
authors.forename: A
authors.initials: A
authors.lastname: Mafi
mesh_terms: D000818:Animals; D017934:Coronavirus / Q000302:isolation & purification*; D018352:Coronavirus Infections / Q000453:epidemiology* / Q000635:transmission; D004196:Disease Outbreaks; D006801:Humans; D038622:Internationality; D008877:Middle East / Q000453:epidemiology; D011159:Population Surveillance / Q000379:methods*; D014944:World Health Organization