The first 2 months of the SARS-CoV-2 epidemic in Yemen: Analysis of the surveillance data

Autor: Denise Assaf, Ammar Shawqi, Hanan Salem, Jeremias Naiene, Ahmed A. K. Thabet, Nuha Mahmoud, Ismail Mahat Bashir, Najib Thabit, Mohammed Rajamanar, Lina Khanbari, Roy Cosico, Altaf Musani, Mikiko Senga, Basel Obaid, Ali Ahmed Al-Waleedi, Manal Salem Omar Baaees, Nasreen Salem Bin-Azoon, Adham Dandarawe, Mansoor Al Hyubaishi, Maysa Al Noban, Riyadh Al-Jariri, Philip Smith, Nagat Mohammed
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
RNA viruses
Male
Viral Diseases
Yemen
Pulmonology
Coronaviruses
Epidemiology
Maternal Health
Blood Pressure
Comorbidity
Vascular Medicine
Geographical Locations
0302 clinical medicine
Medical Conditions
Pregnancy
Pandemic
030212 general & internal medicine
Young adult
Child
Pathology and laboratory medicine
Virus Testing
Aged
80 and over
Multidisciplinary
Mortality rate
Obstetrics and Gynecology
Medical microbiology
Middle Aged
Infectious Diseases
Child
Preschool
Viruses
Hypertension
Epidemiological Monitoring
Medicine
Female
SARS CoV 2
Pathogens
Coronavirus Infections
Research Article
Adult
medicine.medical_specialty
Asia
SARS coronavirus
Adolescent
Science
Humanitarian crisis
Pneumonia
Viral
Microbiology
03 medical and health sciences
Respiratory Disorders
Betacoronavirus
Young Adult
Diagnostic Medicine
Hypertensive Disorders in Pregnancy
medicine
Humans
Pandemics
Aged
Medicine and health sciences
Biology and life sciences
business.industry
SARS-CoV-2
Organisms
Viral pathogens
Infant
Newborn
COVID-19
Infant
Covid 19
medicine.disease
Microbial pathogens
Health Care
030104 developmental biology
Health Care Facilities
People and Places
Respiratory Infections
Women's Health
Contact Tracing
business
Contact tracing
Demography
Zdroj: PLoS ONE, Vol 15, Iss 10, p e0241260 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: IntroductionYemen was one of the last countries in the world to declare the first case of the pandemic, on 10 April 2020. Fear and concerns of catastrophic outcomes of the epidemic in Yemen were immediately raised, as the country is facing a complex humanitarian crisis. The purpose of this report is to describe the epidemiological situation in Yemen during the first 2 months of the SARS-CoV-2 epidemic.MethodsWe analyzed the epidemiological data from 18 February to 05 June 2020, including the 2 months before the confirmation of the first case. We included in our analysis the data from 10 out of 23 governorates of Yemen, located in southern and eastern part of the country.ResultsA total of 469 laboratory confirmed, 552 probable and 55 suspected cases with onset of symptoms between 18 February and 5 June 2020 were reported through the surveillance system. The median age among confirmed cases was 46 years (range: 1-90 years), and 75% of the confirmed cases were male. A total of 111 deaths were reported among those with confirmed infection. The mean age among those who died was 53 years (range: 14-88 years), with 63% of deaths (n = 70) occurring in individuals under the age 60 years. A total of 268 individuals with confirmed SARS-CoV-2 infection were hospitalized (57%), among whom there were 95 in-hospital deaths.ConclusionsThe surveillance strategy implemented in the first 2 months of the SARS CoV 2 in the southern and eastern governorates of Yemen, captured mainly severe cases. The mild and moderate cases were not self-reported to the health facilities and surveillance system due to limited resources, stigma, and other barriers. The mortality appeared to be higher in individuals aged under 60 years, and most fatalities occurred in individuals who were in critical condition when they reached the health facilities. It is unclear whether the presence of other acute comorbidities contributed to the high death rate among SARS-CoV-2 cases. The findings only include the southern and eastern part of the country, which is home to 31% of the total population of Yemen, as the data from the northern part of the country was inaccessible for analysis. This makes our results not generalizable to the rest of the country.
Databáze: OpenAIRE
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