Free-roaming camels, especially those crossing national borders, pose a high risk for spreading Middle East respiratory syndrome coronavirus (MERS-CoV). To prevent outbreaks, active surveillance is necessary. We found that a high percentage of dromedaries in Tunisia are MERS-CoV seropositive (80.4%) or actively infected (19.8%), indicating extensive MERS-CoV circulation in Northern Africa.
Keywords: Camelus dromedarius; MERS-CoV; Middle East respiratory coronavirus; North Africa; Tunisia; dromedary camels; phylogenetic analyses; respiratory infections; seroprevalence; viruses; zoonoses.