54 2015 1 505 新興的中東呼吸症候群 冠狀病毒 Those who cannot remember the past are condemned to repeat it. 忘記過去的人, 注定要重蹈覆轍 2012 4 Zarqa 13 2 2012 9 WHO Middle East Respiratory Syndrome Coronavirus, MERS 11 MERS 9 2 MERS MERS 一個新興的病毒 2012 9 Dr. Ali Mohamed Zaki HCoV- OC43 HCoV-HKU1 SARS btcovs HKU4 btcovs HKU5 SARS 2012 2013 5 George Santayana. ~ 喬治 桑塔亞那 http://en.wikipedia.org/wiki/mers- CoV#mediaviewer/File:MERS-CoV_electron_ micrograph1.jpg
Middle East Respiratory Syndrome Coronavirus, MERS-CoV 2012 9 27 2014 3 14 WHO 2014 6 7 2012 9 49 2012 12 Qatar 2013 MERS 2014 3 MERS 耗費巨大的社會成本 MERS Virus Mascud zamani 2014 http://en.wikipedia.org/wiki/mers- CoV#mediaviewer/File:Mers-virus-3D-image.jpg 2014 4 MERS 2014 5 1 5 2 CDC MERS MERS 4 18 4 24 27 28 X 5 9 MERS rrt-pcr 53 MERS 53 14 MERS 14 14 100 2015 1 505 55
56 2015 1 505 高死亡率 2014 5 20 MERS 2014 12 2 927 MERS 338 2014 6 5 688 282 2 94 2 0 2 0 4 3 2 2 2 0 3 0 721 298 0 MERS-CoV 11 4 2 2 7 4 69 8 MERS 駱駝可能是中間宿主 Updated 2014 08 11 3 5 2 1 MERS NL63 229E HCoV-OC43 HCoV-HKU1 SARS 現今研究認為人類 MERS 冠狀病毒與蝙蝠冠狀病毒演化相關, 而駱駝可能是中間宿主
0 400 Updated 2014 12 08 350 300 2 3 1 250 1 2 5 1 2 200 3 150 2 2 9 11 100 4 69 1 2 818 50 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 2012 2013 2014 MERS-CoV btcovs HKU4 btcovs HKU5 2c 30,119 10 2c MERS MERS dipeptidyl peptidase 4 DPP4 CD26 MERS Pipistrellus bats DPP4 SARS horseshoe bats MERS MERS Esam I. Azhar MERS BBC Health News, 2014 6 4 http://www. bbc.com/news/health-27695140 MERS MERS-CoV MERS 4 72 2015 1 505 57
58 2015 1 505 SARS 的經驗告訴我們, 對野生環境中的病毒, 以及這些病原在物種之間傳播的生物演化現象的了解極其重要! 旅遊警戒 通報標準與檢測 MERS MERS MERS 14 38 MERS MERS MERS PCR MERS- Coronavirus 2013 6 3 BSL-2 BSL-3 N95 又一次嚴峻的挑戰 1998 71 2003 SARS 2012 MERS-CoV 2014 12 10 17,942 6,388 Ebola virus SARS SARS 2005 International Health Regulations, IHR FAO-OIE-WHO Collaboration
快速診斷的試劑開發以及嚴謹的感染控制措施, 對於預防疫情的擴散非常重要 MERS SARS 2013 MERS 1A MERS MERS 2013 9 MERS-CoV MERS DPP4 DPP4 MERS MERS 14 郭品樺 王貞仁 2015 1 505 59