Our Hantaan Virus Became a New Family, Hantaviridae in the Classification of Order Bunyavirales. It will Remain as a History of Virology

In February 2019, the order Bunyavirales, previously family Bunyaviridae, was amended by new order of 10 families including Hantaviridae family, and now accepted by the International Committee on Taxonomy of Viruses (ICTV). Hantaviridae is now a family of the order Bunyavirales, and the prototype virus species is Hantaan orthohantavirus. The family Hantaviridae is divided into four subfamilies including Mammantavirinae, Repantavirinae, Actantavirinae and Agantavirinae. The subfamily Mammantavirinae is divided into four genera including Orthohantavirus, Loanvirus, Mobatvirus and Thottimvirus. The four Hantavirus species have been found in Korea including three Orthohantaviruses (Hantaan orthohantavirus, Seoul orthohantavirus and Jeju orthohantavirus) and one Thottimvirus (Imjin thottimvirus).

Strategies Against Severe Fever with Thrombocytopenia Syndrome Increasing in Korea / 대한수혈학회지

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging tick-borne infectious disease that is caused by the genus phlebovirus in the family Bunyaviridae. The syndrome is characterized by fever, gastrointestinal symptoms, neutropenia, and thrombocytopenia. The number of reported cases and deaths in endemic areas, such as China and Japan, has increased each year. Since the first SFTS patient was identified in 2013, the number of cases have also been increasing every year in South Korea and the disease is posing a great public health concern. The number of patients is increasing and there is a high mortality rate, but there is no established treatment that has proven to be effective. The purpose of this review was to elucidate the various treatment modalities, such as plasma exchange, antiviral agents, e.g. ribavirin, high-dose steroids, and interferon.

Spontaneous Acute Subdural Hemorrhage in a Patient with a Tick Borne Bunyavirus-Induced Severe Fever with Thrombocytopenia Syndrome / 대한신경손상학회지

We report the first case of severe fever with thrombocytopenia syndrome (SFTS) and a spontaneous acute subdural hematoma (SDH) in Korea. A 79-year-old male presented with fever and thrombocytopenia. On the third day of hospitalization, his mental changed from drowsy to semi-coma. Brain computed tomography indicated an acute subdural hemorrhage on the right convexity. He was given early decompressive craniectomy, but did not survive. Real-time reverse transcription polymerase chain reaction analysis of a blood sample indicated the presence of SFTS virus (SFTSV). This is the first reported case with intracranial hemorrhage and SFTS. This case report describes our treatment of a patient with acute SDH and an infection from a tick-borne species of Bunyaviridae.

Development and evaluation of a competitive enzyme-linked immunosorbent assay using a monoclonal antibody for diagnosis of severe fever with thrombocytopenia syndrome virus in bovine sera

Severe fever with thrombocytopenia syndrome (SFTS) caused by the SFTS virus (SFTSV), a phlebovirus in the family Bunyaviridae, is an emerging tick-borne infectious disease that impacts humans. This disease manifests as a decreased blood cell count and multi-organ failure, with a case-fatality rate of more than 12% in China. Because vaccines or antiviral drugs for the treatment of this disease are not available, monitoring the SFTS circulation in animals and controlling the tick-mammal cycle are important for preventing SFTS. Monoclonal antibodies against the recombinant nucleoprotein of SFTSV were generated to develop a competitive enzyme-linked immunosorbent assay (cELISA) for the detection of antibodies against SFTSV infection in cattle. The specificity and sensitivity of cELISA was assessed by comparing the results of this assay to those of an immunofluorescence assay (IFA). The results of the cELISA using 416 field bovine serum samples and laboratory-immunized positive sera showed 98.1% consistency with those of the IFA. The cELISA used in this study did not show cross-reactivity with antisera against other viral cattle diseases. The cELISA presented in this study can be applied to detect antibodies against SFTSV in cattle.

Severe Fever with Thrombocytopenia Syndrome Accompanied by Hemophagocytic Lymphohistiocytosis / 대한내과학회지

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging disease caused by the SFTS virus (family Bunyaviridae, genus Phlebovirus). A 77-year-old female farmer was bitten by a tick and developed a fever 5 days later, resulting in admittance to the emergency room. The laboratory findings showed elevated liver enzyme levels, thrombocytopenia, and leukopenia. Lymphoma was suspected based on computed tomography results. After confirming SFTS virus infection via the polymerase chain reaction, a bone marrow biopsy revealed hemophagocytic lymphohistiocytosis (HLH). HLH is rarely observed in patients with SFTS and few studies have reported the presence of SFTS in bone marrow. Here, we report a case of SFTS that was initially mistaken for a lymphoma, and was accompanied by HLH.

Análise de alterações na expressão de genes relacionados com a imunidade inata em células humanas infectadas com Apeu virus / Analysis of changes in the expression of genes related to innate immunity in human cells infected with virus Apeu

A família Bunyaviridae consiste em uma das maiores e mais diversificadas famílias de vírus de RNA, contendo cerca de 350 vírus sorologicamente distintos. O Apeu virus (APEUV) é um vírus da família Bunyaviridae que se destaca por seu grande potencial emergente. Isolado pela primeira no Brasil, este vírus pode causar uma doença que apresenta sintomas semelhantes aos da gripe, como febre alta, dor de cabeça e mialgia, associadas geralmente a náuseas, vômitos, fraqueza e fotofobia. Entretanto, apesar de seu potencial patogênico, pouco se sabe sobre a sua interação com o sistema imunológico humano. Com o objetivo de estudar alguns aspectos da resposta imune, principalmente a reposta inata desencadeada pela infecção do APEUV, a expressão de 19 genes (TLR3, TLR7, TLR8, TLR9, MyD88,IRF3, IRF5, IRF7, IRF9, IRAK4, TRAF3, TRAF6, TICAM1, JUN, ROBO-3(RIG-1),IFIH1(MDA-5), IFNα, IFNβ, IFNy) foi analisada. Para tal, foram feitos ensaios de qPCR baseados na metodologia TaqMan®, utilizando cDNA obtido a partir de RNA total extraído de células mononucleares do sangue periférico (PBMC) e de células A549 (linhagem derivada de carcinoma pulmonar humano), infectadas ou não com APEUV por períodos de 4 ou 8 horas...

Como controles, foram utilizadas células infectadas com o vírus da estomatite vesicular (VSV) como controle positivo de uma infecção por vírus de RNA fita simples, e células tratadas com o mock das amostras de vírus como controle negativo. Os dados obtidos foram analisados em software específico. Nossos resultados indicam que PBMC infectadas com APEUV por 4horas (m.o.i.=1 e m.o.i.=3) induzem um aumento na expressão de TLR9 e IFNβ. Quando quantificada a expressão de genes em células A549 infectadas com APEUV(m.o.i.=1 por 4 horas) comparadas com o mock, verificou-se um aumento da expressão dos genes TLR9, IRF3 e IRF7 e no período de 8 horas, também comparando com o mock, verificou-se aumento de forma significativa na expressão de TLR 9, além de um aumento na expressão de TLR3, TLR7, TRAF3 , IRF7 e IFNβ.Verificamos ainda que, após escolher um gene housekeeping através de método estatístico, células A549 infectadas com APEUV em uma m.o.i.=1, tende a aumentara expressão dos genes IFNβ e TICAM-I, fundamentais na indução de um estado celular antiviral. Estudos posteriores são necessários para a determinação dos mecanismos envolvidos na resposta imune inata humana contra o Apeu virus...

Análise de alterações na expressão de genes relacionados com a imunidade inata em células humanas infectadas com Apeu virus

A família Bunyaviridae consiste em uma das maiores e mais diversificadas famílias de vírus de RNA, contendo cerca de 350 vírus sorologicamente distintos. O Apeu virus (APEUV) é um vírus da família Bunyaviridae que se destaca por seu grande potencial emergente. Isolado pela primeira no Brasil, este vírus pode causar uma doença que apresenta sintomas semelhantes aos da gripe, como febre alta, dor de cabeça e mialgia, associadas geralmente a náuseas, vômitos, fraqueza e fotofobia. Entretanto, apesar de seu potencial patogênico, pouco se sabe sobre a sua interação com o sistema imunológico humano. Com o objetivo de estudar alguns aspectos da resposta imune, principalmente a reposta inata desencadeada pela infecção do APEUV, a expressão de 19 genes (TLR3, TLR7, TLR8, TLR9, MyD88,IRF3, IRF5, IRF7, IRF9, IRAK4, TRAF3, TRAF6, TICAM1, JUN, ROBO-3(RIG-1),IFIH1(MDA-5), IFNα, IFNβ, IFNy) foi analisada. Para tal, foram feitos ensaios de qPCR baseados na metodologia TaqMan®, utilizando cDNA obtido a partir de RNA total extraído de células mononucleares do sangue periférico (PBMC) e de células A549 (linhagem derivada de carcinoma pulmonar humano), infectadas ou não com APEUV por períodos de 4 ou 8 horas.

Como controles, foram utilizadas células infectadas com o vírus da estomatite vesicular (VSV) como controle positivo de uma infecção por vírus de RNA fita simples, e células tratadas com o mock das amostras de vírus como controle negativo. Os dados obtidos foram analisados em software específico. Nossos resultados indicam que PBMC infectadas com APEUV por 4horas (m.o.i.=1 e m.o.i.=3) induzem um aumento na expressão de TLR9 e IFNβ. Quando quantificada a expressão de genes em células A549 infectadas com APEUV(m.o.i.=1 por 4 horas) comparadas com o mock, verificou-se um aumento da expressão dos genes TLR9, IRF3 e IRF7 e no período de 8 horas, também comparando com o mock, verificou-se aumento de forma significativa na expressão de TLR 9, além de um aumento na expressão de TLR3, TLR7, TRAF3 , IRF7 e IFNβ.Verificamos ainda que, após escolher um gene housekeeping através de método estatístico, células A549 infectadas com APEUV em uma m.o.i.=1, tende a aumentara expressão dos genes IFNβ e TICAM-I, fundamentais na indução de um estado celular antiviral. Estudos posteriores são necessários para a determinação dos mecanismos envolvidos na resposta imune inata humana contra o Apeu virus.

Genome sequencing and the molecular evolutionary analysis of a SFTSV isolated from Zhejiang province / 中华预防医学杂志

<p><b>OBJECTIVE</b>To sequence the whole genome and to analyze the molecular and evolutionary of Severe fever with thrombocytopenia syndrome bunyavirus (SFTSV) isolated from Zhejiang province.</p><p><b>METHODS</b>Viral RNA was extracted from the specimens and detected by quantitative real-time RT-PCR. SFTSV strain was isolated. A total of 17 overlapping fragments covering the whole genome were amplified by RT-PCR. And the entire genomes were formed by sequencing and assembly the fragments. The SFTSV sequence of Zhejiang strain was compared with the sequences of SFTSV that have been published to generate the phylogenetic tree. And the SFTSV sequence of Zhejiang strain was compared with the sequences of strains of the genus phlebovirus in the Bunyaviridae family and analysis of homology.</p><p><b>RESULTS</b>SFTSV strain was isolated from SFTSV infection positive serum successfully. The genomic fragments were amplified by RT-PCR. A total of 3 cDNA sections were formed by sequencing and assembly the fragments. The S segment contained 1 745 nucleotides. The M fragment contained 3 378 nucleotides, and the L segment contained 6 368 nucleotides. Molecular phylogenetic analysis result showed SFTSV Zhejiang strain had the highest similarity with Japan/SPL004A/2013 strain. The similarity of the S segment was 98%. The similarity of the M fragment was 97%. And it was 98% that of the L fragment. Meanwhile, the comparison results also confirmed the Zhejiang strain belonged to the genus phlebovirus.</p><p><b>CONCLUSION</b>SFTSV Zhejiang strain of isolated from SFTSV infection positive serum successfully. And the genome sequencing was complete molecular evolution analysis shows SFTSV Zhejiang strain has the maximum similarity with SFTSV Japan strain.</p>

Severe Fever with Thrombocytopenia Syndrome / 대한구급학회지

Severe fever with thrombocytopenia syndrome (SFTS) is a newly emerging infectious disease, caused by a novel species of Phlebovirus of Bunyaviridae family, in China, South Korea, and Japan. SFTS is primarily known as a tick-borne disease, and human-to-human transmission is also possible in contact with infectious blood. Common clinical manifestations include fever, thrombocytopenia, and leukopenia as initial symptoms, and multiple organ dysfunction and failure manifest with disease progression. Whereas disease mortality is reported to be 12% to 30% in China, a recent report of cumulative SFTS cases indicated 47% in Korea. Risk factors associated with SFTS were age, presence of neurologic disturbance, serum enzyme levels, and elevated concentrations of certain cytokines. Diagnosis of SFTS is based on viral isolation, viral identification by polymerase chain reaction, and serologic identification of specific immunoglobulin G. Therapeutic guideline has not been formulated, but conservative management is the mainstream of treatment to prevent disease progression and fatal complications.

Experience of Therapeutic Plasma Exchange in Patients with Severe Fever with Thrombocytopenia Syndrome / 대한수혈학회지

BACKGROUND: Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease recently issued in northeast Asia and China. The disease is caused by a new phlebovirus in the family Bunyaviridae, severe fever with thrombocytopenia syndrome virus (SFTSV); the transmission vector is believed to be a tick. The number of infections and resulting deaths has been increasing, but there is no effective treatment. METHODS: Clinical and laboratory features of SFTSV-positive patients during the period from May 2013 to October 2014 were reviewed retrospectively using medical records. In cases of patients who underwent therapeutic plasma exchange (TPE), the performance records were also investigated. RESULTS: During the study period, 14 patients were SFTSV-positive. The patients, who ranged in age from 47 to 82, had mostly outdoor activities before admission. The major symptoms included high fever, myalgia, and gastrointestinal symptoms. Laboratory findings showed decreased white blood cell (WBC), neutrophils and platelets and elevated activated partial thromboplastin time (aPTT), aspartate aminotransferase (AST), lactate dehydrogenase (LD), and creatine phosphokinase (CK). Two patients died during the study period, however, nine patients who received TPE showed improvement. CONCLUSION: We suppose that TPE can be used for treatment of serious SFTS and gives the effect of reducing the fatality rate.

Four Cases of Severe Fever with Thrombocytopenia Syndrome Occurring in Jeju / 대한피부과학회지

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease caused by a novel SFTS bunyavirus (SFTSV), a member of the genus Phlebovirus in the family Bunyaviridae. SFTSV is believed to be transmitted by Haemaphysalis longicornis. Common symptoms of SFTS include high fever, vomiting, diarrhea, thrombocytopenia, leukocytopenia, and multi-organ failure with an average case-fatality rate of 12~30%. In 2009, SFTS was firstly reported in China. In 2013, 27 cases of SFTS were documented in Korea, and 6 cases were confirmed on Jeju Island. Although the pathogenesis and transmission mode of SFTS remain unclear, SFTS is now considered endemic in East Asia. Accordingly, SFTS needs to be differentiated from scrub typhus, leptospirosis, and hemorrhagic fever with renal syndrome. We here report 4 cases of SFTS preceded by a tick bite, which were in need of a differential diagnosis of scrub typhus.

Severe Fever with Thrombocytopenia Syndrome Virus, Crimean-Congo Haemorrhagic Fever Virus, and Migratory Birds

Severe Fever with Thrombocytopenia Syndrome (SFTS) and Crimean-Congo Haemorrhagic Fever (CCHF) are tick-borne diseases belonging to the family Bunyaviridae. Since SFTS was first reported in China in 2009, the virus was isolated and confirmed in 2011, with additional reports of SFTSV expanding its geographic range from China to South Korea and Japan. CCHFV has the widest geographic distribution of any tick-borne virus, encompassing around 30 countries from eastern China through Asia, the Middle East, and southeastern Europe to Africa. During the past decade, CCHFV has emerged in new areas of Europe, Africa, the Middle East, and Asia and has increased in endemic areas. Migratory birds are considered to play a role in dispersing CCHFV vectors, and the virus. This review summarises SFTSV and CCHFV, highlighting the role of migratory birds in the transmission of tick-borne disease.

Subcellular localization of severe fever with thrombocytopenia syndrome virus in macrophages / 中华实验和临床病毒学杂志

<p><b>OBJECTIVE</b>To study the subcellular localization of severe fever with thrombocytopenia syndrome virus (SFTSV) in macrophages and understand the replication and assembly mechanism of SFTSV in host cells.</p><p><b>METHODS</b>Using two types of human macrophage cell lines THP-1 and U937, the study analyzed the intracellular colocalization of SFTSV with Golgi apparatus and endoplasmic reticulum by immunefluorescence staining and confocal microscopy.</p><p><b>RESULTS</b>SFTSV infected macrophage cell lines THP-1 and U937. Immunofluorescence staining showed that the SFTSV nuclear protein colocalized with Golgi apparatus and closely surrounded by endoplasmic reticulum in the perinuclear region.</p><p><b>CONCLUSION</b>The results suggested that Golgi complex and endoplasmic reticulum are probably the sites for formation and maturation of SFTSV viral particles.</p>

A double antibody sandwich ELISA based assay for titration of severe fever with thrombocytopenia syndrome virus / 中华实验和临床病毒学杂志

<p><b>OBJECTIVE</b>To develop an assay for titration of severe fever with thrombocytopenia syndrome virus (SFTSV) based on double antibody sandwich ELISA.</p><p><b>METHODS</b>A double antibody sandwich ELISA was developed for detection of SFTSV based on SFTSV nucleocapsid (N) protein specific poly- and monoclonal antibodies, procedures were optimized and evaluated. This ELISA based titration assay was compared with fluorescence assasy and plaque assay based titration method.</p><p><b>RESULTS</b>The results suggested that the titers obtained by ELISA based method are consistent with those obtained by IFA based method (R = 0.999) and the plaque assay titration method (R = 0.949).</p><p><b>CONCLUSION</b>The novel ELISA based titration method with high sensitivity and specificity is easy to manage and perform, and can overcome the subjectivity associated with result determination of the fluorescence assay and plaque assay based methods. The novel ELISA based titration method can also be applied to high throughput detection.</p>

Metagenomic analysis of bat virome in several Chinese regions / 生物工程学报

Bats are important reservoir animals and more than 60 viruses have been identified in bats with many of them highly pathogenic to human. In order to understand the natural background, genetic diversity of bat viruses in China and discover potential viral pathogens, Solexa sequencing based viral metagenomics focusing on bats tissues was established and to analyze the virome of bats collected from Jilin, Yunnan and Hunan province. By Solexa sequencing, 116 442 324 useful reads were obtained and assembled into 4 872 contigs, of which 8.2% (4 002/4 4872) were annotated to 36 viral families, including 19 vertebrate virus families, 6 plant virus families, 4 insect virus families and 4 phages. Further contigs analyses showed that some adenovirus, bocavirus, picobirnavirus, parvovirus contigs sequences were similar with known viruses. However, part of them shared limited identities to these viruses implying the discovery of new viruses. Moreover, PCR validation of adenovirus and bocavirus confirmed the results obtained by viral metagenomics. This study aimed to understand bat virome in China by viral metagenomics and could be helpful to establish effective surveillance on wildlife-associate zoonoses.

The infection status and epidemic rule of new bunia virus in the livestock and poultry in hilly area of Jiaodong peninsula / 中华预防医学杂志

<p><b>OBJECTIVE</b>To understand the infection status and epidemic rule of new bunia virus in the livestock and poultry which are closely related with humans such as sheep, cattle, dogs, pigs and chicken in the hilly area of Jiaodong peninsula in Shandong province.</p><p><b>METHODS</b>Penglai and Laizhou in the hilly area of Jiaodong peninsula in Shandong province where severe fever with thrombocytopenia syndrome cases occurred in 2010 were selected as experimental sites. During April to November in 2011, serum specimens of the sheep, cattle, dogs, pigs and chicken with ticks in endemic area were randomly collected by random number table.5 ml venous blood was collected in each livestocks or poultries and there were total 3576 samples.New bunia virus antibody in different species of livestocks or poultries serum was continuously detected using double antigen sandwich enzyme-linked immunosorbent assay, and the infection rates of new bunia virus between different species of livestocks or poultries and between Penglai and Laizhou were analyzed using chi-square test.</p><p><b>RESULTS</b>Test results in 3576 samples of livestocks or poultries serum specimen showed that the infection rate was as high as 63% (636/1013) in sheep, 53% (444/841)in cattle, 46% (242/530) in chicken, 29% (104/362)in the dogs, and 1% (12/830) in pigs. There were significant differences of new bunia virus infection among different species (χ(2) = 815.26, P < 0.05).In Penglai, the infection rate was as high as 71% (400/563) in sheep, 57% (232/409)in cattle, 35% (93/266) in chicken, 44% (796/1819)in total, while in Laizhou, the infection rate was 53% (236/450)in sheep, 49% (212/432)in cattle, 56% (149/264)in chicken, 36% (642/1757)in total, their difference was statistically significant(χ(2) values were 37.04, 4.93, 24.63, 19.38, all P values were < 0.05).Infection rates of dogs and pigs showed no obvious fluctuation.However, there were two peaks of infection in sheep in summer and autumn, the infection rate was as high as 62% (68/110) in June and 86% (204/236) in November;There were two peaks of infection in cattle in spring and autumn, the infection rate was as high as 56% (53/94) in April and 73% (116/159) in November; there was only one peak of infection in chicken, the infection rate was as high as 65% (55/85) in September.</p><p><b>CONCLUSION</b>The infection rate is higher in sheep, cattle, chickens and dogs in the hilly area of Jiaodong peninsula. The peak season is spring, summer and autumn.</p>

Análise eco-epidemiológica longitudinal de hantavírus em populações de roedores silvestres e série histórica da síndrome pulmonar por hantavírus, em Santa Catarina, Brasil / Eco-epidemiological longitudinal analysis of hantavirus in wild rodent populations and historical series of hantavirus pulmonary syndrome in Santa Catarina, Brazil

O Estado de Santa Catarina ocupa o segundo lugar em número de notificações da Síndrome Pulmonar por Hantavírus (SPH) no Brasil, indicando uma intensa circulação de hantavírus em roedores silvestres naquela região, cuja taxa de mortalidade é de aproximadamente 27%, menor do que a observada no resto do país (~40%). A finalidade deste estudo foi a de ampliar nosso conhecimento dos hospedeiros roedores e da diversidade genética dos hantavírus circulantes no Meio-Oeste de Santa Catarina, área de maior prevalência de SPH no Estado, e analisar sua relação filogenética com outros hantavírus descritos. Em paralelo, foi conduzido um estudo retrospectivo de casos de SPH desde o primeiro relato no Estado em 1999 buscando avaliar as características clínicas, epidemiológicas e laboratoriais dos pacientes, além da caracterização molecular dos hantavírus detectados em seis casos humanos procedentes do oeste catarinense. Neste primeiro estudo longitudinal de infecção por hantavírus em roedores silvestres no Brasil, foram compilados dados referentes às dez expedições de campo realizadas entre o período de Março de 2004 e Dezembro de 2006 no município de Jaborá. Oligoryzomys nigripes e Akodon montensis foram as espécies de roedores mais abundantes, correspondendo a mais de 90% das infecções por hantavírus, segundo ensaio imunoenzimático (EIE). Ambas as espécies apresentaram um padrão sazonal cíclico com picos populacionais relacionados com o período mais frio do ano, comprovando a influência negativa da temperatura no tamanho da população e a sua relação com a frequência de fêmeas reprodutivas. Análises filogenéticas com base nas sequências nucleotídicas de fragmentos do segmento S e M do genoma viral confirmaram a cocirculação dos virus Juquitiba (JUQV) nas espécies de roedores Oligoryzomys nigripes e Thaptomys nigrita e Jaborá (JABV) em Akodon paranaensis e Akodon montensis, este último identificado primeiramente neste estudo. A frequência das características clínicas, laboratoriais e epidemiológicas dos 251 casos notificados no Estado está de acordo com a observada na literatura. Uma doença associada essencialmente à atividade rural e que acomete, predominantemente, indivíduos do sexo masculino. A análise genética confirmou que JUQV foi o único genotipo de hantavírus identificado nos casos de SPH. Apesar das limitações de nosso modelo de estudo, os resultados sugerem que existe resposta ao tratamento por ribavirina nos indivíduos afetados com SPH e que as maiores incidências de casos de SPH registrados em 2004 e 2006 poderiam estar associada com evento de floração das taquaras e "ratada", um fenômeno de surtos populacionais de roedores.

Eco-epidemiología de flebovirus (Bunyaviridae, Phlebovirus) transmitidos por flebótomos (Psychodidae, Phlebotominae) / Eco-epidemiology of phlebovirus (Bunyaviridae, Phlebovirus) transmitted by phlebotomus (Phychodidae, Phlebotominae)

En la actualidad la emergencia y re-emergencia de nuevos arbovirus es de gran importancia en salud pública. El género Phlebovirus (Bunyaviridae) es parte importante de este grupo de virus constituido en la actualidad por 68 serotipos. La infección causada por Phlebovirus origina una clínica comúnmente compuesta por fiebre, dolor de cabeza y malestar general; rara vez se presentan meningitis o meningoencefalitis, conocida por sus síntomas como la “fiebre del flebótomo”. Estos virus son transmitidos principalmente por dípteros de los géneros Phlebotomus y Lutzomyia de la familia Psychodidae. La dinámica poblacional de los flebovirus indica que su presencia está íntimamente asociada con los sitios donde se encuentra el vector, distribuido en zonas de Asia, África y Europa entre 20° y 45° de latitud, así como en las Américas asociado principalmente a zonas boscosas. Las hembras de estos géneros son hematófagas y capaces de transmitir el virus transovarialmente, por tanto el ciclo del mismo no se encuentra limitado a la transmisión hospedador-reservoriovector, aunado a esto, las larvas de cuarto instar en diapausa mantienen su capacidad infectiva. Actualmente, el diagnóstico se puede realizar por diversas técnicas serológicas y moleculares para algunos virus del grupo, pero dado que éstas no se realizan con frecuencia, los casos suelen pasar desapercibidos.

Sandfly fever in Lebanon

An outbreak of an acute, self-limiting febrile illness characterised by headache, myalgia and polyarthralgia with or without leucopenia occurred in the Akkar, Menieh, Dinnieh districts, North Province, Lebanon, from 1 July to 18 September 2007. On 7th September 2007 the Ministry of Public Health, Lebanon, notified WHO of the outbreak and requested technical support to investigate the event . In response, WHO mobilised a medical epidemiologist/public health physician and a vector control expert to assist the national authorities in conducting risk assessment, outbreak investigation, and advise on control measures. Field activities included collection and shipment of sera for examination at a WHO Collaborating Centre for arbovi ruses, and carried out vector trapping and entomological studies. More than 800 cases and no death were reported during the outbreak period. Acute and convalescent sera tested at in UBIVE Institut Pasteur, Lyon, France, a WHO Collaborating Centre for Arboviruses, confirmed the outbreak as Sandfly fever caused by Phleboviruses, members of the Bunyavirus group

Hantaviruses as emergent zoonoses

Hantaviruses belong to the Bunyaviridae family, which consists of vector-borne viruses. These viruses can provoke two infection types: hemorrhagic fever with renal syndrome (HFRS) - which occurs in the Old World - and hantavirus cardiopulmonary syndrome (HCPS) - an emergent zoonosis that can be found in many countries of the western hemisphere. Rodents are hantavirus reservoirs and each species seems to host a different virus type. Humans acquire the infection by inhaling contaminated aerosol particles eliminated by infected animals. The factors involved in the emergence of hantavirus infections in the human population include ecological modifications and changes in human activities. The most important risk factor is contact between man and rodents, as a result of agricultural, forestry or military activities. Rodent control remains the primary strategy for preventing hantavirus diseases, including via health education and hygienic habits.(AU)