Table 1

Diagnostic capacity vs setting

Infrastructure requirements
(example)
Training requirements
(example)
Test process timeMERS-CoV target populationMERS-CoV inhouse or LDTs (n)MERS-CoV commercial tests (n)
NeutralisationHigh/BSL-3
(reference laboratory)
High
(advanced lab technician)
5 daysHuman, camel>30
NAAT referenceHigh/BSL-3
(reference laboratory)
High
(advanced lab technician)
2–3 hours
(1–2 hours prep)
Human, camel>3>15
NAAT POCModerate/BSL-2
(district hospital)
Moderate (laboratory technician)1–2 hoursHuman10
ELISA, IIFTHigh to moderate
(regional lab, district hospital)
Moderate
(laboratory technician)
3–4 hoursHuman, camel>5>5
RDTsLow
(clinic, health centre, field settings)
Low
(nurse, healthcare worker)
<30 minHuman, camel32
  • BSL, biosafety level; IIFT, indirect immunofluorescence test; LDT, lab-developed test; MERS-CoV, Middle East respiratory syndrome-coronavirus ; NAAT, nucleic acid amplification test; POC, point of care; RDT, rapid diagnostic test.