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The Qatar FIFA World Cup 2022 and camel pageant championships increase risk of MERS-CoV transmission and global spread - The Lancet

Mary Wilson

Well-known member
Published December 13, 2022

DOI:https://doi.org/10.1016/S2214-109X(22)00543-5

Esam I Azhar, David S Hui, Brian McCloskey, Sherif A El-Kafrawy, Avinash Sharma, Markus Maeurer,
et al. Show all authors

Mass gatherings, such as sporting events and festivals, create ideal conditions for human-to-human transmission of a range of infectious diseases, which can rapidly spread globally due to ease of travel.
[SUP]1[/SUP] In Qatar two mass gathering events are being held simultaneously, the FIFA World Cup 2022 championship
[SUP]2[/SUP] and the Camel Mzayen Club's camel beauty pageant festival.
[SUP]3[/SUP] These have attracted hundreds of thousands of people from within the Middle East and across the world. Many are attending both events, interacting closely with each other and with camels, creating ideal conditions for the transmission of camel-associated zoonotic pathogens with epidemic potential.
[SUP]4[/SUP] These pathogens include the highly lethal MERS-CoV. Dromedary camels in the Middle East are a major reservoir of MERS-CoV. Humans sporadically become infected through direct or indirect contact with MERS-CoV-infected camels or camel dairy products.
[SUP]5[/SUP]
MERS-CoV was first reported as a new human pathogen from Saudi Arabia in 2012.
[SUP]6[/SUP] MERS-COV is the most lethal of the three zoonotic coronaviruses (ie, MERS-CoV, SARS-CoV, and SARS-CoV-2) that have caused human outbreaks.
[SUP]7[/SUP] As of Nov 1, 2022, 2600 people have been reported to have laboratory-confirmed Middle East respiratory syndrome (MERS), including 894 deaths (ie, a 34% case fatality rate), globally from 27 countries.
[SUP]8[/SUP]Although the majority of infections have occurred in the Middle East, eight countries in Europe have also reported confirmed infections, all with travel links to the Arabian Peninsula. In May 2022, Qatar authorities reported to WHO two individuals with MERS, of whom one died.
[SUP]9[/SUP] Both had primary MERS-CoV infections, contact with camels, and had consumed raw camel milk. With MERS-CoV being endemic in camels in Qatar, the simultaneous hosting of the FIFA World Cup 2022, and the camel beauty pageant, poses an enhanced risk of transmission and globalisation of MERS-CoV. ...

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