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 |
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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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