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3 12 MERS-CoV(Middle East Respiratory Syndrome Coronavirus) outside the Arabian Peninsula an One Health approach: Understanding the role of wildlife, livestock and human in the virus dynamic

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The role of wildlife : bats in Africa

MERS-CoV (Middle East Respiratory Syndrome Coronavirus) outside the Arabian Peninsula an One Health

approach: Understanding the role of wildlife, livestock and human in the virus dynamic

In alphabetic order : N Akhmetsadykov, G Ayelet, A Baubekova, M N Bencheikh, M Bourgarel, H Boussini, V Chevalier, D Chu, I El Berbri, O Fassi-Fihri, B Faye, V

Grosbois, G Fekadu, W Maher, E Miguel, M Peiris, M Perera,

B Roche

, F Roger, D Shimekit, A Traore, M Van Kerkhove

Acknowledgments: National Institutes of Allergy and Infectious Diseases, NIH, Contract No. HHSN 272201400006C

The role of livestock : camelids in Africa and central Asia

• The virus is circulating in farms and abattoirsyoung animals are slaughtered in abattoirs for the meat • Females have more antibodies and more virus than males OR

• Camels bred for milk have more antibodies and more virus than for meat and more particularly transport • Young animals have less antibodies and more virus than older animals

• More individuals are detected with antibodies in large herds

• Nomad and sedentary lifestyles are more at risk compared to mixed

Contacts : eve.miguel@cirad.fr / veronique.chevalier@cirad.fr / malik@hku.hk

Context

Risk Factors in dromedary camel herds in Africa

: Hypotheses

PHASE 1 / 2015 CROSS SECTIONAL SURVEY

*

1

2

Risks for humans : farmers and abattoir workers in Africa

3

PHASE 2 / 2016 LONGITUDINAL SURVEY

Research questions

*

•What is MERS-CoV transmission dynamics in camel herds in Africa? Are there seasonal

patterns of MERS-CoV infection in camel populations?

•What is the effect of antibody generated from prior infection on re-infection?

•What is the duration of passively transferred maternal antibodies in calves and does this

protect calves from re-infection?

•Genetically and phenotypically characterize MERS-CoV in Morocco and Ethiopia? How does

MERS-CoV evolve as it transmits within a camel herd?

•What is/are the mode(s) of transmission of MERS-CoV in camel herds and the associated risk

factor(s)?

• Camels marked with electronic chips, collars or painting marks for individual recognition

• Priority given to females and calves

• Sampling marked animals during the high risk period : calving season

PHASE 1 / 2016 CROSS SECTIONAL SURVEY

• Capture of bats in Ethiopia from populations living in oasis or houses close to camel’s farms • Oropharyngeal and rectal swabs + blood

• Species captured and sampled :

• Are bats ancestral / natural reservoirs for MERS-CoV ? (Munster 2016 Nature)

©

E

Mi

guel

Chaerephon pumilus Mops condylus ©

M

Bourgar

el

Epomophorus labiatus

The high sequence similarity of MERS-CoV to coronavirus sequences detected in bats suggests that MERS-CoV or its immediate ancestor originated in bats ?

Family Molossidea : Free tailed bats Family Pteropodidae : Fuit bats

PHASE 1 / 2016 CROSS SECTIONAL SURVEY

Phylogenetic and epidemiological data suggest that rather than a single introduction in the human population, MERS-CoV appears to continue to be transmitted by multiple independent spillover events

from dromedary camels • In parallel to the camel’s longitudinal survey a cross-sectional sero-prevalence

survey in human on high risk population , will be conducted by the Institut Pasteur in Morocco.

Research questions

*

• What is the infection risk in humans ?

• Is it a zoonotic virus and what are the way of transmission ?

Research questions

*

is presenting our poster at the « one health symposium » 17-18 March 2016 ZSL London

Absence of MERS in Camelids (Bactrian + Dromedary) , Kazakhstan, 2015

(see Miguel et al EID 2016)

• First negative results in dromedary camels in Africa and Eurasia => MERS-CoV is not universally endemic, reasons ?

The low camel densities in Turkey and Iran ? ; The mountain chain in Western Turkey and Northern Iran? Bats are the true natural reservoir and absent in Kazakhstan?

* DONE

Results

IN PROGRESS IN PROGRESS IN PROGRESS IN PROGRESS

One of the major paradoxes of the MERS-CoV epidemiology is the apparent lack of human cases in large parts of Africa where the virus and an animal host, the dromedary camel, are

present. Those facts challenge the recent observation that in Kenya antibodies against MERS-CoV were detected in human population (Lilijander, 2016). Understanding the chain of

transmission of the virus among wild / domestic animals and humans and the differences between Africa and the Arabian Peninsula (where MERS is now endemic) is now crucial.

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