Spatial modelling of contribution of individual level risk factors for mortality from Middle East respiratory syndrome coronavirus in the Arabian Peninsula

<h3>Background</h3><p dir="ltr">Middle East respiratory syndrome coronavirus is a contagious respiratory pathogen that is contracted via close contact with an infected subject. Transmission of the pathogen has occurred through animal-to-human contact at first followed by...

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Main Author: Oyelola A. Adegboye (4287826) (author)
Other Authors: Ezra Gayawan (4287820) (author), Fahad Hanna (4287823) (author)
Published: 2017
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author Oyelola A. Adegboye (4287826)
author2 Ezra Gayawan (4287820)
Fahad Hanna (4287823)
author2_role author
author
author_facet Oyelola A. Adegboye (4287826)
Ezra Gayawan (4287820)
Fahad Hanna (4287823)
author_role author
dc.creator.none.fl_str_mv Oyelola A. Adegboye (4287826)
Ezra Gayawan (4287820)
Fahad Hanna (4287823)
dc.date.none.fl_str_mv 2017-07-31T03:00:00Z
dc.identifier.none.fl_str_mv 10.1371/journal.pone.0181215
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Spatial_modelling_of_contribution_of_individual_level_risk_factors_for_mortality_from_Middle_East_respiratory_syndrome_coronavirus_in_the_Arabian_Peninsula/25304281
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Public health
Coronaviruses
Medical risk factors
Medical personnel
Respiratory infections
Camels
Epidemiology
Saudi Arabia
Diabetes mellitus
dc.title.none.fl_str_mv Spatial modelling of contribution of individual level risk factors for mortality from Middle East respiratory syndrome coronavirus in the Arabian Peninsula
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Middle East respiratory syndrome coronavirus is a contagious respiratory pathogen that is contracted via close contact with an infected subject. Transmission of the pathogen has occurred through animal-to-human contact at first followed by human-to-human contact within families and health care facilities.</p><h3>Data and methods</h3><p dir="ltr">This study is based on a retrospective analysis of the Middle East respiratory syndrome coronavirus outbreak in the Kingdom of Saudi Arabia between June 2012 and July 2015. A Geoadditive variable model for binary outcomes was applied to account for both individual level risk factors as well spatial variation via a fully Bayesian approach.</p><h3>Results</h3><p dir="ltr">Out of 959 confirmed cases, 642 (67%) were males and 317 (33%) had died. Three hundred and sixty four (38%) cases occurred in Ar Riyad province, while 325 (34%) cases occurred in Makkah. Individuals with some comorbidity had a significantly higher likelihood of dying from MERS-CoV compared with those who did not suffer comorbidity [Odds ratio (OR) = 2.071; 95% confidence interval (CI): 1.307, 3.263]. Health-care workers were significantly less likely to die from the disease compared with non-health workers [OR = 0.372, 95% CI: 0.151, 0.827]. Patients who had fatal clinical experience and those with clinical and subclinical experiences were equally less likely to die from the disease compared with patients who did not have fatal clinical experience and those without clinical and subclinical experiences respectively. The odds of dying from the disease was found to increase as age increased beyond 25 years and was much higher for individuals with any underlying comorbidities.</p><h3>Conclusion</h3><p dir="ltr">Interventions to minimize mortality from the Middle East respiratory syndrome coronavirus should particularly focus individuals with comorbidity, non-health-care workers, patients with no clinical fatal experience, and patients without any clinical and subclinical experiences.</p><h2>Other Information</h2><p dir="ltr">Published in: PLOS ONE<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0181215" target="_blank">https://dx.doi.org/10.1371/journal.pone.0181215</a></p>
eu_rights_str_mv openAccess
id Manara2_3fbd9d8ca91e49167d8e05e5cb27bcb6
identifier_str_mv 10.1371/journal.pone.0181215
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/25304281
publishDate 2017
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spelling Spatial modelling of contribution of individual level risk factors for mortality from Middle East respiratory syndrome coronavirus in the Arabian PeninsulaOyelola A. Adegboye (4287826)Ezra Gayawan (4287820)Fahad Hanna (4287823)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesMedical biochemistry and metabolomicsHealth sciencesEpidemiologyPublic healthCoronavirusesMedical risk factorsMedical personnelRespiratory infectionsCamelsEpidemiologySaudi ArabiaDiabetes mellitus<h3>Background</h3><p dir="ltr">Middle East respiratory syndrome coronavirus is a contagious respiratory pathogen that is contracted via close contact with an infected subject. Transmission of the pathogen has occurred through animal-to-human contact at first followed by human-to-human contact within families and health care facilities.</p><h3>Data and methods</h3><p dir="ltr">This study is based on a retrospective analysis of the Middle East respiratory syndrome coronavirus outbreak in the Kingdom of Saudi Arabia between June 2012 and July 2015. A Geoadditive variable model for binary outcomes was applied to account for both individual level risk factors as well spatial variation via a fully Bayesian approach.</p><h3>Results</h3><p dir="ltr">Out of 959 confirmed cases, 642 (67%) were males and 317 (33%) had died. Three hundred and sixty four (38%) cases occurred in Ar Riyad province, while 325 (34%) cases occurred in Makkah. Individuals with some comorbidity had a significantly higher likelihood of dying from MERS-CoV compared with those who did not suffer comorbidity [Odds ratio (OR) = 2.071; 95% confidence interval (CI): 1.307, 3.263]. Health-care workers were significantly less likely to die from the disease compared with non-health workers [OR = 0.372, 95% CI: 0.151, 0.827]. Patients who had fatal clinical experience and those with clinical and subclinical experiences were equally less likely to die from the disease compared with patients who did not have fatal clinical experience and those without clinical and subclinical experiences respectively. The odds of dying from the disease was found to increase as age increased beyond 25 years and was much higher for individuals with any underlying comorbidities.</p><h3>Conclusion</h3><p dir="ltr">Interventions to minimize mortality from the Middle East respiratory syndrome coronavirus should particularly focus individuals with comorbidity, non-health-care workers, patients with no clinical fatal experience, and patients without any clinical and subclinical experiences.</p><h2>Other Information</h2><p dir="ltr">Published in: PLOS ONE<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0181215" target="_blank">https://dx.doi.org/10.1371/journal.pone.0181215</a></p>2017-07-31T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1371/journal.pone.0181215https://figshare.com/articles/journal_contribution/Spatial_modelling_of_contribution_of_individual_level_risk_factors_for_mortality_from_Middle_East_respiratory_syndrome_coronavirus_in_the_Arabian_Peninsula/25304281CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/253042812017-07-31T03:00:00Z
spellingShingle Spatial modelling of contribution of individual level risk factors for mortality from Middle East respiratory syndrome coronavirus in the Arabian Peninsula
Oyelola A. Adegboye (4287826)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Public health
Coronaviruses
Medical risk factors
Medical personnel
Respiratory infections
Camels
Epidemiology
Saudi Arabia
Diabetes mellitus
status_str publishedVersion
title Spatial modelling of contribution of individual level risk factors for mortality from Middle East respiratory syndrome coronavirus in the Arabian Peninsula
title_full Spatial modelling of contribution of individual level risk factors for mortality from Middle East respiratory syndrome coronavirus in the Arabian Peninsula
title_fullStr Spatial modelling of contribution of individual level risk factors for mortality from Middle East respiratory syndrome coronavirus in the Arabian Peninsula
title_full_unstemmed Spatial modelling of contribution of individual level risk factors for mortality from Middle East respiratory syndrome coronavirus in the Arabian Peninsula
title_short Spatial modelling of contribution of individual level risk factors for mortality from Middle East respiratory syndrome coronavirus in the Arabian Peninsula
title_sort Spatial modelling of contribution of individual level risk factors for mortality from Middle East respiratory syndrome coronavirus in the Arabian Peninsula
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Public health
Coronaviruses
Medical risk factors
Medical personnel
Respiratory infections
Camels
Epidemiology
Saudi Arabia
Diabetes mellitus