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Volume 25, Number 5—May 2019
Research

Risk Factors for MERS-CoV Seropositivity among Animal Market and Slaughterhouse Workers, Abu Dhabi, United Arab Emirates, 2014–2017

Ahmed Khudhair1, Marie E. Killerby1Comments to Author , Mariam Al Mulla, Kheir Abou Elkheir, Wassim Ternanni, Zyad Bandar, Stefan Weber, Mary Khoury, George Donnelly, Salama Al Muhairi, Abdelmalik I. Khalafalla, Suvang Trivedi, Azaibi Tamin, Natalie J. Thornburg, John T. Watson, Susan I. Gerber, Farida Al Hosani2, and Aron J. Hall2

Author affiliations: Abu Dhabi Department of Health, Abu Dhabi, United Arab Emirates (A. Khudhair, M. Al Mulla, K.A. Elkheir, W. Ternanni, Z. Bandar, F. Al Hosani); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (M.E. Killerby, S. Trivedi, A. Tamin, N.J. Thornburg, J.T. Watson, S.I. Gerber, A.J. Hall); Sheikh Khalifa Medical City, Abu Dhabi (S. Weber, M. Khoury, G. Donnelly); Abu Dhabi Food Control Authority, Abu Dhabi (S. Al Muhairi, A.I. Khalafalla)

Main Article

Table 3

Comparison of practices among 90 MERS-CoV seronegative and seropositive slaughterhouse workers, Abu Dhabi, United Arab Emirates*

Characteristic Total no. participants No. (%) participants
OR (95% CI) p value
Seronegative, n = 79 Seropositive, n = 11
Handle live camels 56 49 (87.5) 7 (12.5) 1.07 (0.3–4.37) 0.918
Perform antemortem exam of camels 6 5 (83.3) 1 (16.7) 1.48 (0.07–10.5) 0.732
Remove hide from camels† 52 46 (88.5) 6 (11.5) 0.83 (0.23–3.12) 0.780
Remove or handle viscera of camels‡ 55 48 (87.3) 7 (12.7) 1.51 (0.39–7.4) 0.573
Clean equipment 68 58 (85.3) 10 (14.7) 3.62 (0.63–68.47) 0.233
Handle camel waste 57 50 (87.7) 7 (12.3) 1.01 (0.28–4.15) 0.982
Prepare cuts of camel meat 52 45 (86.5) 7 (13.5) 1.32 (0.37–5.39) 0.675
Conduct postmortem exam of camels 3 2 (66.7) 1 (33.3) 3.85 (0.17–43.92) 0.288
Slaughter camels 41 36 (87.8) 5 (12.2) 1 (0.27–3.57) 0.994
Contact with ill camel 3 2 (66.7) 1 (33.3) 3.85 (0.17–43.92) 0.288
Wear dust mask and gloves 88 77 (87.5) 11 (12.5) NA NA
Wear respirator 0 0 0 NA NA
Wear coveralls 85 74 (87.1) 11 (12.9) NA NA
Wear boots
85
74 (87.1)
11 (12.9)
NA
NA
Who washes your clothes
Self 30 28 (93.3) 2 (6.7) Ref Ref
Household member 2 0 2 (100.0) NA NA
Other worker
58
51 (87.9)
7 (12.1)
1.92 (0.43–13.49)
0.434
Take work clothes home 33 29 (87.9) 4 (12.1) 0.99 (0.24–3.55) 0.982
Wash work clothes at home 31 27 (87.1) 4 (12.9) 1.1 (0.27–3.98) 0.886
Wash work clothes at workplace 58 51 (87.9) 7 (12.1) 0.96 (0.27–3.93) 0.952
Wash work clothes at laundry 2 2 (100.0) 0 NA NA
Wash hands before and after each animal-related task 73 64 (87.7) 9 (12.3) 1.05 (0.24–7.39) 0.949
Wash hands at meal times 89 78 (87.6) 11 (12.4) NA NA
Wash hands at bathroom times 90 79 (87.8) 11 (12.2) NA NA
Wash hands at prayer times 88 78 (88.6) 10 (11.4) 0.13 (0–3.41) 0.158
Wash hands at beginning and end of day 84 75 (89.3) 9 (10.7) 0.24 (0.04–1.9) 0.127
Wash hands at toilets 86 76 (88.4) 10 (11.6) 0.39 (0.05–8.4) 0.440
Wash hands at restaurant 0 0 0 NA NA
Wash hands at mosque 3 3 (100.0) 0 NA NA
Wash hands at basin 47 43 (91.5) 4 (8.5) 0.48 (0.12–1.71) 0.268

*Exam, examination; MERS-CoV, Middle East respiratory syndrome coronavirus, NA, not applicable; OR, odds ratio.
†Total seronegative was 78 because answer from 1 person was missing.
‡Total seropositive was 10 because answer from 1 person was missing.

Main Article

1These authors contributed equally to this article.

2These authors contributed equally to this article.

Page created: April 18, 2019
Page updated: April 18, 2019
Page reviewed: April 18, 2019
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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