@article{chow_middle_2016,
	title = {Middle east respiratory syndrome ({MERS}) and influenza surveillance for returned travellers from {MERS}-affected areas},
	volume = {45},
	issn = {0304-4602},
	url = {http://www.annals.edu.sg/pdf/45VolNo9Sep2016/SHBC2016.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed17&NEWS=N&AN=612898057},
	abstract = {Background \& Hypothesis: Since the emergence of the Middle East respiratory syndrome (MERS) coronavirus (CoV) in 2012, an active surveillance programme for travellers returning from MERS-affected areas has been implemented in our hospital. Method(s): We conducted an analytic cross-sectional study of suspected MERS patients admitted to our hospital from 25 September 2012 through 10 February 2016, to compare the clinical epidemiology in Singapore residents with non-residents. We compared differences in epidemiological and clinical characteristics, using t-test for continuous variables and chi-square test for categorical variables. We then constructed multivariable logistic regression models to assess for independent factors associated with influenza infection in the returned travellers. Result(s): MERS Co-V was not detected in the 262 patients investigated. Half were male and almost two-thirds (65.3\%) were Singapore residents. Residents (mean 54.1 [SD 14.9] years) and non-residents (mean 56.8 [SD 16.1]) were similar in age (P = 0.171). Majority (60.7\%) had returned from the Kingdom of Saudi Arabia, with significantly more Singapore residents (69.6\%) than non-residents (44.0\%) returning from the Kingdom (P {\textless}0.001). Cough (91.6\%) and fever (90.5\%) were the most common presenting symptoms. A significantly higher proportion of non-residents (45.1\%) than residents (22.2\%) were being infected with influenza (P {\textless}0.001). After adjusting for age, travel destination, and admission month, non-residents were thrice as likely as residents to have an influenza infection (OR: 2.96; 95\% CI, 1.61-5.44; P {\textless}0.001). Discussion \& Conclusion(s): Influenza was common among returned travellers from MERS-affected areas, especially in nonresidents. Influenza vaccination and good personal hygiene should be actively promoted to all travellers to MERS-affected areas.},
	language = {English},
	number = {9 Supplement 1},
	journal = {Annals of the Academy of Medicine Singapore},
	author = {Chow, A. and Ho, H. and Win, M. K.},
	year = {2016},
	keywords = {*Saudi Arabia, *influenza vaccination, *travel, Singapore, Student t test, chi square test, controlled study, coughing, cross-sectional study, disease model, fever, hospital, human, logistic regression analysis, major clinical study, male, pentostatin, personal hygiene, resident, symptom},
	pages = {S211},
}

{"_id":"ZZf3KQJZZYaMfuPwT","bibbaseid":"chow-ho-win-middleeastrespiratorysyndromemersandinfluenzasurveillanceforreturnedtravellersfrommersaffectedareas-2016","authorIDs":[],"author_short":["Chow, A.","Ho, H.","Win, M. K."],"bibdata":{"bibtype":"article","type":"article","title":"Middle east respiratory syndrome (MERS) and influenza surveillance for returned travellers from MERS-affected areas","volume":"45","issn":"0304-4602","url":"http://www.annals.edu.sg/pdf/45VolNo9Sep2016/SHBC2016.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed17&NEWS=N&AN=612898057","abstract":"Background & Hypothesis: Since the emergence of the Middle East respiratory syndrome (MERS) coronavirus (CoV) in 2012, an active surveillance programme for travellers returning from MERS-affected areas has been implemented in our hospital. Method(s): We conducted an analytic cross-sectional study of suspected MERS patients admitted to our hospital from 25 September 2012 through 10 February 2016, to compare the clinical epidemiology in Singapore residents with non-residents. We compared differences in epidemiological and clinical characteristics, using t-test for continuous variables and chi-square test for categorical variables. We then constructed multivariable logistic regression models to assess for independent factors associated with influenza infection in the returned travellers. Result(s): MERS Co-V was not detected in the 262 patients investigated. Half were male and almost two-thirds (65.3%) were Singapore residents. Residents (mean 54.1 [SD 14.9] years) and non-residents (mean 56.8 [SD 16.1]) were similar in age (P = 0.171). Majority (60.7%) had returned from the Kingdom of Saudi Arabia, with significantly more Singapore residents (69.6%) than non-residents (44.0%) returning from the Kingdom (P \\textless0.001). Cough (91.6%) and fever (90.5%) were the most common presenting symptoms. A significantly higher proportion of non-residents (45.1%) than residents (22.2%) were being infected with influenza (P \\textless0.001). After adjusting for age, travel destination, and admission month, non-residents were thrice as likely as residents to have an influenza infection (OR: 2.96; 95% CI, 1.61-5.44; P \\textless0.001). Discussion & Conclusion(s): Influenza was common among returned travellers from MERS-affected areas, especially in nonresidents. Influenza vaccination and good personal hygiene should be actively promoted to all travellers to MERS-affected areas.","language":"English","number":"9 Supplement 1","journal":"Annals of the Academy of Medicine Singapore","author":[{"propositions":[],"lastnames":["Chow"],"firstnames":["A."],"suffixes":[]},{"propositions":[],"lastnames":["Ho"],"firstnames":["H."],"suffixes":[]},{"propositions":[],"lastnames":["Win"],"firstnames":["M.","K."],"suffixes":[]}],"year":"2016","keywords":"*Saudi Arabia, *influenza vaccination, *travel, Singapore, Student t test, chi square test, controlled study, coughing, cross-sectional study, disease model, fever, hospital, human, logistic regression analysis, major clinical study, male, pentostatin, personal hygiene, resident, symptom","pages":"S211","bibtex":"@article{chow_middle_2016,\n\ttitle = {Middle east respiratory syndrome ({MERS}) and influenza surveillance for returned travellers from {MERS}-affected areas},\n\tvolume = {45},\n\tissn = {0304-4602},\n\turl = {http://www.annals.edu.sg/pdf/45VolNo9Sep2016/SHBC2016.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed17&NEWS=N&AN=612898057},\n\tabstract = {Background \\& Hypothesis: Since the emergence of the Middle East respiratory syndrome (MERS) coronavirus (CoV) in 2012, an active surveillance programme for travellers returning from MERS-affected areas has been implemented in our hospital. Method(s): We conducted an analytic cross-sectional study of suspected MERS patients admitted to our hospital from 25 September 2012 through 10 February 2016, to compare the clinical epidemiology in Singapore residents with non-residents. We compared differences in epidemiological and clinical characteristics, using t-test for continuous variables and chi-square test for categorical variables. We then constructed multivariable logistic regression models to assess for independent factors associated with influenza infection in the returned travellers. Result(s): MERS Co-V was not detected in the 262 patients investigated. Half were male and almost two-thirds (65.3\\%) were Singapore residents. Residents (mean 54.1 [SD 14.9] years) and non-residents (mean 56.8 [SD 16.1]) were similar in age (P = 0.171). Majority (60.7\\%) had returned from the Kingdom of Saudi Arabia, with significantly more Singapore residents (69.6\\%) than non-residents (44.0\\%) returning from the Kingdom (P {\\textless}0.001). Cough (91.6\\%) and fever (90.5\\%) were the most common presenting symptoms. A significantly higher proportion of non-residents (45.1\\%) than residents (22.2\\%) were being infected with influenza (P {\\textless}0.001). After adjusting for age, travel destination, and admission month, non-residents were thrice as likely as residents to have an influenza infection (OR: 2.96; 95\\% CI, 1.61-5.44; P {\\textless}0.001). Discussion \\& Conclusion(s): Influenza was common among returned travellers from MERS-affected areas, especially in nonresidents. Influenza vaccination and good personal hygiene should be actively promoted to all travellers to MERS-affected areas.},\n\tlanguage = {English},\n\tnumber = {9 Supplement 1},\n\tjournal = {Annals of the Academy of Medicine Singapore},\n\tauthor = {Chow, A. and Ho, H. and Win, M. K.},\n\tyear = {2016},\n\tkeywords = {*Saudi Arabia, *influenza vaccination, *travel, Singapore, Student t test, chi square test, controlled study, coughing, cross-sectional study, disease model, fever, hospital, human, logistic regression analysis, major clinical study, male, pentostatin, personal hygiene, resident, symptom},\n\tpages = {S211},\n}\n\n","author_short":["Chow, A.","Ho, H.","Win, M. 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