Middle East respiratory syndrome coronavirus: how tough is it?

Slide tweeted byย @HZowawi captured from my talk on H7N9 and MERS-CoV presented at the Royal Children’s Hospital, Brisbane, Queensland, to the local Serology/Virology & Molecular Special Interest Group of the Australian Society of Microbiology.ย 15th October, 2013.

This publication is nearly a month old so apologies if you know of it already.

For the rest of you, Doremalen, Bushmaker and Munster recently wrote in Eurosurveillance about the results of their experiments to discover how resilient MERS-CoV is on surfaces at different humidities and temperatures and how it survives in an aerosol. They also used MERS-CoV (the EMC/2012 strain) to influenza A (H1N1)pdm09 (Mexico/4108/2009 strain) virus for comparison.

Some key findings below (you can read the entire article yourself because this excellent journal has open access):

  • Plastic and steel surfaces behaved similarly in these viral survival studies
    • MERS-CoV was still infectious afterย 48 hoursย at 20ยฐC in 40% relative humidity (RH; low humidity similar to indoors).ย 
    • MERS-CoV remained viable forย 8 hoursย at high temperature (30ยฐC)/high humidity (80% RH) andย 24 hoursย at high temperature/low humidity (30% RH)
    • (H1N1)pdm09 was inactivated afterย 4 hoursย at any of those conditions
  • Viruses were aerosolised, and the amount of viral RNA and viral infectivity were compared atย 20ยฐC/40%RH orย 20ยฐC/70%RH after theย aerosolย wasย impingedย into a tissue culture medium.
    • MERS-CoV viabilityย droppedย 7%ย at 40%RH andย 89%ย at 70%RH – both atย 20ยฐC. Viral genomeย copiesย didย not drop significantly.
    • (H1N1)pdm09 droppedย 95%ย andย 62%ย respectively.
  • SARS-CoV reportedlyย survives forย 5-daysย at 22-25ยฐC and 40-50%RH

The authors go on to conclude that MERS-CoV remains viable in the air and on surfaces for longer than a pandemic influenza virus. When you consider that a pandemic results largely from efficient transmission, of which virus stability is a component, this is a significant study.

These are pure preparations of virus under experimental conditions, so it’s fair to say that thingsย wouldย beย differentย “in the wild”.ย Rougherย environmentalย conditionsย may accelerate viral decay, although ifย larger droplets wereย expectoratedย during coughing fits, extra material may act toย prolongย the survival of the virus.

Transmissionย through fomites (e.g. door handles, glass screen phones, other hard surfaces, cups, utensils, clothing) is a possible route that now has some data to support it-althoughย the current high temperatures (30s-40ยฐC) in the Kingdom of Saudi Arabia suggestย survivalย on surfaces, away from air conditioning, won’t be for long.

What would be nice to know next, is whether mild and moderate cases of MERS are also capable of producing aerosolised virus. And what about asymptomatic cases? What about the mysterious animal sources? Could infected animal excreta further prolong viral survival? So many questions.

*Imported Post

This post from 16OCT2013 was posted over on my old blog platform virologydownunder.blogspot.com.au. It has now been moved to here and lightly updated.ย 

Update

  • 13MAY2025. Light editing for grammar and typos upon transfer.


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