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Anish TS, Aravind R, Radhakrishnan C, Gupta N, Yadav PD, Cherian JJ, Sahay R, Chenayil S, A S AK, Moorkoth AP, Ashadevi, Lathika VR, Moideen S, Kuriakose SL, Reena KJ, Mathew T. Pandemic potential of the Nipah virus and public health strategies adopted during outbreaks: Lessons from Kerala, India. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0003926. [PMID: 39700307 DOI: 10.1371/journal.pgph.0003926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/21/2024]
Abstract
Kerala, a south Indian state witnessed several outbreaks of Nipah encephalitis since 2018, a zoonotic viral disease with significant pandemic potential. This review highlights the relevance of surveillance and health system preparedness, infection control, early diagnosis and treatment with broad-spectrum antivirals, environmental conservation, and community engagement in mitigating Nipah outbreaks. Additionally, it emphasises the importance of developing new biologicals and anti-viral drugs to combat the disease. The article discusses the available evidence on the spillover mechanisms, genetic attributes of the circulating virus, ecological factors, risk of hospital-based superspreading, treatment outcomes and successful strategies employed in Kerala in response to the recurrent Nipah outbreaks.
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Affiliation(s)
- Thekkumkara Surendran Anish
- Kerala One Health Centre for Nipah Research and Resilience, Kozhikode, Kerala, India
- Department of Community Medicine, Government Medical College, Wayanad, Kerala, India
| | - Reghukumar Aravind
- Department of Infectious Diseases, Government Medical College, Thiruvananthapuram, Kerala, India
| | - Chandni Radhakrishnan
- Department of Internal Medicine, Government Medical College, Kozhikode, Kerala, India
| | | | - Pragya D Yadav
- Indian Council of Medical Research- National Institute of Virology, Pune, Maharashtra, India
| | - Jerin Jose Cherian
- Indian Council of Medical Research, New Delhi, India
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Rima Sahay
- Indian Council of Medical Research- National Institute of Virology, Pune, Maharashtra, India
| | | | | | | | - Ashadevi
- Department of Health Services, Kozhikode, Kerala, India
| | | | - Shamsudeen Moideen
- IQRAA International Hospital and Research Centre, Kozhikode, Kerala, India
| | | | | | - Thomas Mathew
- Department of Medical Education, Thiruvananthapuram, Kerala, India
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Jackson J, Shanta IS, McKee C, Luby SP, Haider N, Sharker Y, Plowright R, Hudson P, Gurley ES. Identifying weather patterns affecting household date palm sap consumption in Bangladesh, 2013-2016. PLoS One 2024; 19:e0313904. [PMID: 39565803 PMCID: PMC11578510 DOI: 10.1371/journal.pone.0313904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2024] [Accepted: 11/01/2024] [Indexed: 11/22/2024] Open
Abstract
Nipah virus spillovers via consumption of date palm sap in Bangladesh vary substantially between years and have been associated with lower winter temperatures and precipitation. However, the mechanisms driving the interannual variation and the influence of weather remain unexplained. Here we investigated the hypothesis that weather patterns change human sap consumption and explain interannual variation in observed spillovers. We analyzed responses from a nationally representative survey conducted in Bangladesh in 2013-2016 on household date palm sap consumption and weather data for each division of Bangladesh, using logistic regression to examine whether sap consumption is associated with weather variability. We found significant associations of lower minimum temperatures and precipitation with increased household sap consumption during the sap harvesting season. This relationship was largely similar within all months and divisions, and strong associations of temperature (χ2 (1, n = 5,027) = 7.74, p < 0.01) and, independently, precipitation (χ2 = 8.00, p < 0.01) remained strong after accounting for month, location, and annual sap season. Interannual variation in date palm sap consumption in Bangladesh is likely best explained by temperature and precipitation patterns, where colder, drier winter days pose a higher risk for Nipah virus spillover. The knowledge gained in this study may be valuable for targeting timing of future behavioral interventions against consumption of date palm sap in Bangladesh.
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Affiliation(s)
- Jules Jackson
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America
| | - Ireen Sultana Shanta
- International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
| | - Clifton McKee
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America
| | - Stephen P. Luby
- Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, United States of America
| | - Najmul Haider
- School of Life Sciences, Faculty of Natural Sciences, Staffordshire, United Kingdom
| | - Yushuf Sharker
- Center for Data Research and Analytics LLC, Bethesda, MD, United States of America
| | - Raina Plowright
- Department of Public and Ecosystem Health, Cornell University, Ithaca, NY, United States of America
| | - Peter Hudson
- Center for Infectious Disease Dynamics, Pennsylvania State University, State College, PA, United States of America
| | - Emily S. Gurley
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America
- Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, United States of America
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Wickenhagen A, van Tol S, Munster V. Molecular determinants of cross-species transmission in emerging viral infections. Microbiol Mol Biol Rev 2024; 88:e0000123. [PMID: 38912755 PMCID: PMC11426021 DOI: 10.1128/mmbr.00001-23] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/25/2024] Open
Abstract
SUMMARYSeveral examples of high-impact cross-species transmission of newly emerging or re-emerging bat-borne viruses, such as Sudan virus, Nipah virus, and severe acute respiratory syndrome coronavirus 2, have occurred in the past decades. Recent advancements in next-generation sequencing have strengthened ongoing efforts to catalog the global virome, in particular from the multitude of different bat species. However, functional characterization of these novel viruses and virus sequences is typically limited with regard to assessment of their cross-species potential. Our understanding of the intricate interplay between virus and host underlying successful cross-species transmission has focused on the basic mechanisms of entry and replication, as well as the importance of host innate immune responses. In this review, we discuss the various roles of the respective molecular mechanisms underlying cross-species transmission using different recent bat-borne viruses as examples. To delineate the crucial cellular and molecular steps underlying cross-species transmission, we propose a framework of overall characterization to improve our capacity to characterize viruses as benign, of interest, or of concern.
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Affiliation(s)
- Arthur Wickenhagen
- Laboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, Montana, USA
| | - Sarah van Tol
- Laboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, Montana, USA
| | - Vincent Munster
- Laboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, Montana, USA
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Faus-Cotino J, Reina G, Pueyo J. Nipah Virus: A Multidimensional Update. Viruses 2024; 16:179. [PMID: 38399954 PMCID: PMC10891541 DOI: 10.3390/v16020179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2023] [Revised: 01/15/2024] [Accepted: 01/22/2024] [Indexed: 02/25/2024] Open
Abstract
Nipah virus (NiV) is an emerging zoonotic paramyxovirus to which is attributed numerous high mortality outbreaks in South and South-East Asia; Bangladesh's Nipah belt accounts for the vast majority of human outbreaks, reporting regular viral emergency events. The natural reservoir of NiV is the Pteropus bat species, which covers a wide geographical distribution extending over Asia, Oceania, and Africa. Occasionally, human outbreaks have required the presence of an intermediate amplification mammal host between bat and humans. However, in Bangladesh, the viral transmission occurs directly from bat to human mainly by ingestion of contaminated fresh date palm sap. Human infection manifests as a rapidly progressive encephalitis accounting for extremely high mortality rates. Despite that, no therapeutic agents or vaccines have been approved for human use. An updated review of the main NiV infection determinants and current potential therapeutic and preventive strategies is exposed.
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Affiliation(s)
| | - Gabriel Reina
- Microbiology Department, Clínica Universidad de Navarra, 31008 Pamplona, Spain
- IdiSNA, Navarra Institute for Health Research, 31008 Pamplona, Spain;
| | - Javier Pueyo
- IdiSNA, Navarra Institute for Health Research, 31008 Pamplona, Spain;
- Department of Anesthesia and Intensive Care, Clínica Universidad de Navarra, 31008 Pamplona, Spain
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Shanta IS, Luby SP, Hossain K, Heffelfinger JD, Kilpatrick AM, Haider N, Rahman T, Chakma S, Ahmed SSU, Sharker Y, Pulliam JRC, Kennedy ED, Gurley ES. Human Exposure to Bats, Rodents and Monkeys in Bangladesh. ECOHEALTH 2023; 20:53-64. [PMID: 37099204 PMCID: PMC10131556 DOI: 10.1007/s10393-023-01628-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/28/2023] [Accepted: 04/05/2023] [Indexed: 06/11/2023]
Abstract
Bats, rodents and monkeys are reservoirs for emerging zoonotic infections. We sought to describe the frequency of human exposure to these animals and the seasonal and geographic variation of these exposures in Bangladesh. During 2013-2016, we conducted a cross-sectional survey in a nationally representative sample of 10,002 households from 1001 randomly selected communities. We interviewed household members about exposures to bats, rodents and monkeys, including a key human-bat interface-raw date palm sap consumption. Respondents reported observing rodents (90%), bats (52%) and monkeys (2%) in or around their households, although fewer reported direct contact. The presence of monkeys around the household was reported more often in Sylhet division (7%) compared to other divisions. Households in Khulna (17%) and Rajshahi (13%) were more likely to report drinking date palm sap than in other divisions (1.5-5.6%). Date palm sap was mostly consumed during winter with higher frequencies in January (16%) and February (12%) than in other months (0-5.6%). There was a decreasing trend in drinking sap over the three years. Overall, we observed substantial geographic and seasonal patterns in human exposure to animals that could be sources of zoonotic disease. These findings could facilitate targeting emerging zoonoses surveillance, research and prevention efforts to areas and seasons with the highest levels of exposure.
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Affiliation(s)
- Ireen Sultana Shanta
- International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
| | | | - Kamal Hossain
- International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
| | | | | | - Najmul Haider
- The Royal Veterinary College, University of London, London, UK
| | - Taifur Rahman
- International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
| | - Shovon Chakma
- International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
| | - Syed Sayeem Uddin Ahmed
- Department of Epidemiology and Public Health, Sylhet Agricultural University, Sylhet, Bangladesh
| | - Yushuf Sharker
- International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
- University of Florida, Gainesville, USA
| | - Juliet R C Pulliam
- South African DSI-NRF Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, Stellenbosch, South Africa
| | - Erin D Kennedy
- Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Emily S Gurley
- International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
- Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
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Hopkins SR, Lafferty KD, Wood CL, Olson SH, Buck JC, De Leo GA, Fiorella KJ, Fornberg JL, Garchitorena A, Jones IJ, Kuris AM, Kwong LH, LeBoa C, Leon AE, Lund AJ, MacDonald AJ, Metz DCG, Nova N, Peel AJ, Remais JV, Stewart Merrill TE, Wilson M, Bonds MH, Dobson AP, Lopez Carr D, Howard ME, Mandle L, Sokolow SH. Evidence gaps and diversity among potential win-win solutions for conservation and human infectious disease control. Lancet Planet Health 2022; 6:e694-e705. [PMID: 35932789 PMCID: PMC9364143 DOI: 10.1016/s2542-5196(22)00148-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 05/21/2022] [Accepted: 06/14/2022] [Indexed: 06/08/2023]
Abstract
As sustainable development practitioners have worked to "ensure healthy lives and promote well-being for all" and "conserve life on land and below water", what progress has been made with win-win interventions that reduce human infectious disease burdens while advancing conservation goals? Using a systematic literature review, we identified 46 proposed solutions, which we then investigated individually using targeted literature reviews. The proposed solutions addressed diverse conservation threats and human infectious diseases, and thus, the proposed interventions varied in scale, costs, and impacts. Some potential solutions had medium-quality to high-quality evidence for previous success in achieving proposed impacts in one or both sectors. However, there were notable evidence gaps within and among solutions, highlighting opportunities for further research and adaptive implementation. Stakeholders seeking win-win interventions can explore this Review and an online database to find and tailor a relevant solution or brainstorm new solutions.
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Affiliation(s)
- Skylar R Hopkins
- Department of Applied Ecology, North Carolina State University, Raleigh, NC, USA; National Center for Ecological Analysis and Synthesis, Santa Barbara, CA, USA.
| | - Kevin D Lafferty
- Western Ecological Research Center, US Geological Survey at Marine Science Institute, University of California, Santa Barbara, CA, USA
| | - Chelsea L Wood
- School of Aquatic and Fishery Sciences, University of Washington, Seattle, WA, USA
| | - Sarah H Olson
- Wildlife Conservation Society, Health Program, Bronx, NY, USA
| | - Julia C Buck
- Department of Biology and Marine Biology, University of North Carolina Wilmington, Wilmington, NC, USA
| | - Giulio A De Leo
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
| | - Kathryn J Fiorella
- Department of Population Medicine and Diagnostic Sciences and Master of Public Health Program, Cornell University, Ithaca, NY, USA
| | - Johanna L Fornberg
- Department of Ecology, Evolution, and Marine Biology, University of California, Santa Barbara, CA, USA
| | - Andres Garchitorena
- MIVEGEC, Université Montpellier, Centre National de la Recherche Scientifique, Institut de Recherche pour le Développement, Montpellier, France; NGO PIVOT, Ranomafana, Madagascar
| | - Isabel J Jones
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
| | - Armand M Kuris
- Department of Ecology, Evolution, and Marine Biology, University of California, Santa Barbara, CA, USA
| | - Laura H Kwong
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| | | | - Ariel E Leon
- Department of Biological Sciences, Virginia Tech, Blacksburg, VA, USA; US Geological Survey, National Wildlife Health Center, Madison, WI, USA
| | - Andrea J Lund
- Department of Environmental and Occupational Health, University of Colorado School of Public Health, Aurora, CO, USA
| | - Andrew J MacDonald
- Bren School of Environmental Science and Management, University of California, Santa Barbara, CA, USA
| | - Daniel C G Metz
- Scripps Institution of Oceanography, University of California, San Diego, CA, USA
| | - Nicole Nova
- Department of Biology, Stanford University, Stanford, CA, USA
| | - Alison J Peel
- Centre for Planetary Health and Food Security, Griffith University, Nathan, QLD, Australia
| | - Justin V Remais
- Division of Environmental Health Sciences, University of California, Berkeley, CA, USA
| | | | - Maya Wilson
- Department of Biological Sciences, Virginia Tech, Blacksburg, VA, USA
| | - Matthew H Bonds
- Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
| | - Andrew P Dobson
- Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA
| | - David Lopez Carr
- Department of Geography, University of California, Santa Barbara, CA, USA
| | - Meghan E Howard
- Department of Biology, Stanford University, Stanford, CA, USA
| | - Lisa Mandle
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| | - Susanne H Sokolow
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
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7
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Islam A, McKee C, Ghosh PK, Abedin J, Epstein JH, Daszak P, Luby SP, Khan SU, Gurley ES. Seasonality of Date Palm Sap Feeding Behavior by Bats in Bangladesh. ECOHEALTH 2021; 18:359-371. [PMID: 34609649 DOI: 10.1007/s10393-021-01561-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2020] [Revised: 08/07/2021] [Accepted: 08/09/2021] [Indexed: 06/13/2023]
Abstract
Pteropus bats are the natural reservoir for Nipah virus, and in Bangladesh, it is transmitted to people through consumption of raw or fermented date palm sap. Our objective was to understand seasonal patterns of bat feeding on date palm sap at a location where sap is collected year-round. Seven nights each month over three years, we mounted infrared cameras in four trees to observe bats' feeding behavior at date palm trees harvested for fermented sap production. We described the frequency of bat visits, duration of bat visits, and duration of bat-sap contact by month and by year. We captured 42,873 bat visits during 256 camera-nights of observation, of which 3% were Pteropus and 94% were non-Pteropus bats. Though the frequency of Pteropus bat visits to each tree/night was much lower than non-Pteropus bat visits, Pteropus bats stayed in contact with sap longer than non-Pteropus bats. Frequency of bat visits was higher during winter compared to other seasons, which may arise as a consequence of limited availability of food sources during this period or may be related to seasonal characteristics of the sap. Seasonal alignment of sap consumption by humans and bats may have consequences for viral spillover into humans.
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Affiliation(s)
- Ausraful Islam
- International Centre for Diarrheal Disease Research, Bangladesh (icddr,b), IPH Building, Shaheed Tajuddin Ahmed Sarani, Room 302968, Mohakhali, Dhaka, 1212, Bangladesh.
| | - Clifton McKee
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA
| | - Probir Kumar Ghosh
- International Centre for Diarrheal Disease Research, Bangladesh (icddr,b), IPH Building, Shaheed Tajuddin Ahmed Sarani, Room 302968, Mohakhali, Dhaka, 1212, Bangladesh
| | - Jaynal Abedin
- Insight Centre for Data Analytics, National University of Ireland Galway, Galway, Ireland
| | | | | | - Stephen P Luby
- Department of Medicine, Division of Infectious Diseases & Geographic Medicine, Stanford University, 300 Pasteur Dr., L-134, Stanford, CA, 94305, USA
| | | | - Emily S Gurley
- International Centre for Diarrheal Disease Research, Bangladesh (icddr,b), IPH Building, Shaheed Tajuddin Ahmed Sarani, Room 302968, Mohakhali, Dhaka, 1212, Bangladesh
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA
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Chan OSK, Bradley KCF, Grioni A, Lau SKP, Li WT, Magouras I, Naing T, Padula A, To EMW, Tun HM, Tutt C, Woo PCY, Bloch R, Mauroo NF. Veterinary Experiences can Inform One Health Strategies for Animal Coronaviruses. ECOHEALTH 2021; 18:301-314. [PMID: 34542794 PMCID: PMC8450722 DOI: 10.1007/s10393-021-01545-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 05/24/2021] [Accepted: 07/12/2021] [Indexed: 06/13/2023]
Affiliation(s)
- Olivia S K Chan
- LKS Faculty of Medicine, School of Public Health, Patrick Manson Building, The University of Hong Kong, Pokfulam, Hong Kong.
| | - Katriona C F Bradley
- Tai Wai Small Animal and Exotic Hospital, G/F, Lap Wo Building, 69-75 Chik Shun St, Tai Wai, NT, Hong Kong
| | - Alessandro Grioni
- Fauna Conservation Department, Kadoorie Farm and Botanic Garden, Lam Kam Road, Tai Po, NT, Hong Kong
| | - Susanna K P Lau
- Department of Microbiology, The University of Hong Kong, Room 26, 19/F, Block T, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, Hong Kong
| | - Wen-Ta Li
- Department of Pathology, Pangolin International Biomedical Consultant Ltd., Keelung, Taiwan
| | - Ioannis Magouras
- Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon, Hong Kong
| | - Tint Naing
- Soares Avenue Paws and Claws Clinic, G/F No 29 - 33 Soares Avenue, Kowloon, Hong Kong
| | - Andrew Padula
- Australian Venom Research Unit, Department of Pharmacology, Faculty of Medicine, University of Melbourne, Parkville, VIC, 3010, Australia
| | - Esther M W To
- Agriculture, Fisheries and Conservation Department, The Government of Hong Kong Special Administrative Region, Room 509, Cheung Sha Wan Government Offices, 303 Cheung Sha Wan Road, Sham Shui Po, Kowloon, Hong Kong
| | - Hein Min Tun
- LKS Faculty of Medicine, School of Public Health, Patrick Manson Building, The University of Hong Kong, Pokfulam, Hong Kong
| | - Cedric Tutt
- Cape Animal Dentistry Service, 78 Rosmead Avenue, Kenilworth, Cape Town, 7708, South Africa
| | - Patrick C Y Woo
- Department of Microbiology, The University of Hong Kong, Room 26, 19/F, Block T, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, Hong Kong
| | - Rebecca Bloch
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Nathalie F Mauroo
- Hong Kong Wildlife Health Foundation, GPO Box 12585, Hong Kong, Hong Kong
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Hossain MB, Alam MZ, Islam MS, Sultan S, Faysal MM, Rima S, Hossain MA, Mahmood MM, Kashfi SS, Mamun AA, Monia HT, Shoma SS. Population-Level Preparedness About Preventive Practices Against Coronavirus Disease 2019: A Cross-Sectional Study Among Adults in Bangladesh. Front Public Health 2021; 8:582701. [PMID: 33505950 PMCID: PMC7832348 DOI: 10.3389/fpubh.2020.582701] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 11/25/2020] [Indexed: 12/20/2022] Open
Abstract
This study assessed the preparedness regarding the preventive practices toward the coronavirus disease 2019 (COVID-19) among the adult population in Bangladesh. Data were collected through an online survey with a sample size of 1,056. We constructed four variables (individual, household, economic, and community and social distancing) related to preparedness based on the principal component analysis of eight items. We employed descriptive statistics and multiple linear regression analysis. The results showed that the accuracy rate of the overall preparedness scale was 68.9%. The preparedness level related to economic, individual, household, and community and social distancing was 64.9, 77.1, 50.4, and 83.2%, respectively. However, the economic preparedness significantly varied by sex, education, occupation, attitude, and worries related to COVID-19. Individual preparedness was significantly associated with education, residence, and attitudes. The household preparedness significantly varied by education, residence, and worries, while the respondent's community and social distancing-related preparedness significantly varied by sex, region, residence, and attitude. This study implies the necessity of the coverage of financial schemes for the vulnerable group. Increased coverage of health education regarding personal hygiene targeting the less educated and rural population should be ensured.
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Affiliation(s)
| | - Md. Zakiul Alam
- Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh
| | - Md. Syful Islam
- Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh
| | - Shafayat Sultan
- Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh
| | - Md. Mahir Faysal
- Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh
| | - Sharmin Rima
- Ovibashi Karmi Unnayan Program (OKUP), Dhaka, Bangladesh
| | - Md. Anwer Hossain
- Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh
| | | | | | - Abdullah Al Mamun
- Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh
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Abstract
The risk of emergence and spread of novel human pathogens originating from an animal reservoir has increased in the past decades. However, the unpredictable nature of disease emergence makes surveillance and preparedness challenging. Knowledge of general risk factors for emergence and spread, combined with local level data is needed to develop a risk-based methodology for early detection. This involves the implementation of the One Health approach, integrating human, animal and environmental health sectors, as well as social sciences, bioinformatics and more. Recent technical advances, such as metagenomic sequencing, will aid the rapid detection of novel pathogens on the human-animal interface.
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11
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Nahar N, Asaduzzaman M, Mandal UK, Rimi NA, Gurley ES, Rahman M, Garcia F, Zimicki S, Sultana R, Luby SP. Hunting Bats for Human Consumption in Bangladesh. ECOHEALTH 2020; 17:139-151. [PMID: 31989365 DOI: 10.1007/s10393-020-01468-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Revised: 11/01/2019] [Accepted: 12/04/2019] [Indexed: 05/11/2023]
Abstract
Bats are important wildlife to their ecologic system, but they are also a zoonotic disease reservoir. Close bat-human interaction can lead to pathogen spillover. We conducted a qualitative study in two districts of Bangladesh and interviewed 30 bat hunters who hunt bats primarily for consumption, to understand the process and their reasons for hunting bats and their perceptions about bats and bat-borne disease. Most hunters catch bats during winter nights, using a net. Bat meat is used for household consumption, and the surplus is sold to cover household expenditures. They prepare the bat meat at home to sell it in their own and in neighboring communities. They also sell live bats to traditional healers. They report that the bat population has declined compared with 5 or 10 years ago, a decline they attribute to hunting and deforestation. Many have heard of a disease from bat-contaminated date palm sap but do not believe that bats can spread such disease to humans. Close bat-human interaction reported in this study pose a risk of pathogen spillover. Conservation initiatives have the potential to reduce such interaction and so both reduce disease risk and support the ecology.
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Affiliation(s)
- Nazmun Nahar
- icddr,b, 68, Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka, 1212, Bangladesh.
- Swiss Tropical and Public Health Institute, Basel, Switzerland.
- University of Basel, Basel, Switzerland.
| | | | - Utpal Kumar Mandal
- icddr,b, 68, Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka, 1212, Bangladesh
| | - Nadia Ali Rimi
- icddr,b, 68, Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka, 1212, Bangladesh
| | - Emily S Gurley
- icddr,b, 68, Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka, 1212, Bangladesh
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Mahmudur Rahman
- Institute of Epidemiology, Disease Control and Research (IEDCR), Dhaka, Bangladesh
| | | | | | - Rebeca Sultana
- icddr,b, 68, Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka, 1212, Bangladesh
- Section for Global Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
- Institute of Health Economics, University of Dhaka, Dhaka, Bangladesh
| | - Stephen P Luby
- Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, USA
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Cortes MC, Cauchemez S, Lefrancq N, Luby SP, Jahangir Hossain M, Sazzad HMS, Rahman M, Daszak P, Salje H, Gurley ES. Characterization of the Spatial and Temporal Distribution of Nipah Virus Spillover Events in Bangladesh, 2007-2013. J Infect Dis 2019; 217:1390-1394. [PMID: 29351657 DOI: 10.1093/infdis/jiy015] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2017] [Accepted: 01/15/2018] [Indexed: 11/13/2022] Open
Abstract
Nipah virus is a zoonotic virus harbored by bats and lethal to humans. Bat-to-human spillovers occur every winter in Bangladesh. However, there is significant heterogeneity in the number of spillovers detected by district and year that remains unexplained. We analyzed data from all 57 spillovers during 2007-2013 and found that temperature differences explained 36% of the year-to-year variation in the total number of spillovers each winter and that distance to surveillance hospitals explained 45% of spatial heterogeneity. Interventions to prevent human infections may be most important during colder winters. Further work is needed to understand how dynamics of bat infections explains spillover risk.
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Affiliation(s)
- Maria C Cortes
- Mathematical Modeling of Infectious Diseases Unit, Paris, France
| | - Simon Cauchemez
- Mathematical Modeling of Infectious Diseases Unit, Paris, France.,Center of Bioinformatics, Biostatistics and Integrative Biology, Institut Pasteur, Paris, France.,CNRS, Paris, France
| | - Noemie Lefrancq
- Mathematical Modeling of Infectious Diseases Unit, Paris, France
| | | | - M Jahangir Hossain
- icddr,b, Dhaka, Bangladesh.,Medical Research Council Unit, Banjul, Gambia
| | | | - Mahmudur Rahman
- Institute for Epidemiology, Disease Control and Research, Ministry of Health and Family Welfare, Dhaka, Bangladesh
| | | | - Henrik Salje
- Mathematical Modeling of Infectious Diseases Unit, Paris, France.,Center of Bioinformatics, Biostatistics and Integrative Biology, Institut Pasteur, Paris, France.,CNRS, Paris, France.,Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Emily S Gurley
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.,icddr,b, Dhaka, Bangladesh
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Singh RK, Dhama K, Chakraborty S, Tiwari R, Natesan S, Khandia R, Munjal A, Vora KS, Latheef SK, Karthik K, Singh Malik Y, Singh R, Chaicumpa W, Mourya DT. Nipah virus: epidemiology, pathology, immunobiology and advances in diagnosis, vaccine designing and control strategies - a comprehensive review. Vet Q 2019. [PMID: 31006350 PMCID: PMC6830995 DOI: 10.1080/01652176.2019.1580827] [Citation(s) in RCA: 136] [Impact Index Per Article: 22.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Nipah (Nee-pa) viral disease is a zoonotic infection caused by Nipah virus (NiV), a paramyxovirus belonging to the genus Henipavirus of the family Paramyxoviridae. It is a biosafety level-4 pathogen, which is transmitted by specific types of fruit bats, mainly Pteropus spp. which are natural reservoir host. The disease was reported for the first time from the Kampung Sungai Nipah village of Malaysia in 1998. Human-to-human transmission also occurs. Outbreaks have been reported also from other countries in South and Southeast Asia. Phylogenetic analysis affirmed the circulation of two major clades of NiV as based on currently available complete N and G gene sequences. NiV isolates from Malaysia and Cambodia clustered together in NiV-MY clade, whereas isolates from Bangladesh and India clusterered within NiV-BD clade. NiV isolates from Thailand harboured mixed population of sequences. In humans, the virus is responsible for causing rapidly progressing severe illness which might be characterized by severe respiratory illness and/or deadly encephalitis. In pigs below six months of age, respiratory illness along with nervous symptoms may develop. Different types of enzyme-linked immunosorbent assays along with molecular methods based on polymerase chain reaction have been developed for diagnostic purposes. Due to the expensive nature of the antibody drugs, identification of broad-spectrum antivirals is essential along with focusing on small interfering RNAs (siRNAs). High pathogenicity of NiV in humans, and lack of vaccines or therapeutics to counter this disease have attracted attention of researchers worldwide for developing effective NiV vaccine and treatment regimens.
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Affiliation(s)
- Raj Kumar Singh
- a ICAR-Indian Veterinary Research Institute , Bareilly , India
| | - Kuldeep Dhama
- b Division of Pathology , ICAR-Indian Veterinary Research Institute , Bareilly , India
| | - Sandip Chakraborty
- c Department of Veterinary Microbiology, College of Veterinary Sciences & Animal Husbandry , West Tripura , India
| | - Ruchi Tiwari
- d Department of Veterinary Microbiology and Immunology, College of Veterinary Sciences , Deen Dayal Upadhayay Pashu Chikitsa Vigyan Vishwavidyalay Evum Go-Anusandhan Sansthan (DUVASU) , Mathura , India
| | - Senthilkumar Natesan
- e Biomac Life Sciences Pvt Ltd. , Indian Institute of Public Health Gandhinagar , Gujarat , India
| | - Rekha Khandia
- f Department of Biochemistry and Genetics , Barkatullah University , Bhopal , India
| | - Ashok Munjal
- f Department of Biochemistry and Genetics , Barkatullah University , Bhopal , India
| | - Kranti Suresh Vora
- g Wheels India Niswarth (WIN) Foundation, Maternal and Child Health (MCH) , University of Canberra , Gujarat , India
| | - Shyma K Latheef
- b Division of Pathology , ICAR-Indian Veterinary Research Institute , Bareilly , India
| | - Kumaragurubaran Karthik
- h Central University Laboratory , Tamil Nadu Veterinary and Animal Sciences University , Chennai , India
| | - Yashpal Singh Malik
- i Division of Biological Standardization , ICAR-Indian Veterinary Research Institute , Bareilly , India
| | - Rajendra Singh
- b Division of Pathology , ICAR-Indian Veterinary Research Institute , Bareilly , India
| | - Wanpen Chaicumpa
- j Center of Research Excellence on Therapeutic Proteins and Antibody Engineering, Department of Parasitology, Faculty of Medicine, Siriraj Hospital , Mahidol University , Bangkok , Thailand
| | - Devendra T Mourya
- k National Institute of Virology , Ministry of Health and Family Welfare, Govt of India , Pune , India
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14
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Aditi, Shariff M. Nipah virus infection: A review. Epidemiol Infect 2019; 147:e95. [PMID: 30869046 PMCID: PMC6518547 DOI: 10.1017/s0950268819000086] [Citation(s) in RCA: 70] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 11/20/2018] [Accepted: 01/01/2019] [Indexed: 02/03/2023] Open
Abstract
Nipah virus (NiV) is an emerging bat-borne pathogen. It was first identified 20 years ago in Malaysia and has since caused outbreaks in other parts of South and Southeast Asia. It causes severe neurological and respiratory disease which is highly lethal. It is highly infectious and spreads in the community through infected animals or other infected people. Different strains of the virus show differing clinical and epidemiological features. Rapid diagnosis and implementation of infection control measures are essential to contain outbreaks. A number of serological and molecular diagnostic techniques have been developed for diagnosis and surveillance. Difficulties in diagnosis and management arise when a new area is affected. The high mortality associated with infection and the possibility of spread to new areas has underscored the need for effective management and control. However, no effective treatment or prophylaxis is readily available, though several approaches show promise. Given the common chains of transmission from bats to humans, a One Health approach is necessary for the prevention and control of NiV infection.
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Affiliation(s)
- Aditi
- Department of Microbiology, Guru Teg Bahadur Hospital, Delhi, India
| | - M. Shariff
- Department of Microbiology, Vallabhbhai Patel Chest Institute, Delhi, India
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Nahar N, Asaduzzaman M, Sultana R, Garcia F, Paul RC, Abedin J, Sazzad HMS, Rahman M, Gurley ES, Luby SP. A large-scale behavior change intervention to prevent Nipah transmission in Bangladesh: components and costs. BMC Res Notes 2017; 10:225. [PMID: 28651646 PMCID: PMC5485710 DOI: 10.1186/s13104-017-2549-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Accepted: 06/17/2017] [Indexed: 11/28/2022] Open
Abstract
Background Nipah virus infection (NiV) is a bat-borne zoonosis transmitted to humans through consumption of NiV-contaminated raw date palm sap in Bangladesh. The objective of this analysis was to measure the cost of an NiV prevention intervention and estimate the cost of scaling it up to districts where spillover had been identified. Methods We implemented a behavior change communication intervention in two districts, testing different approaches to reduce the risk of NiV transmission using community mobilization, interpersonal communication, posters and TV public service announcements on local television during the 2012–2014 sap harvesting seasons. In one district, we implemented a “no raw sap” approach recommending to stop drinking raw date palm sap. In another district, we implemented an “only safe sap” approach, recommending to stop drinking raw date palm sap but offering the option of drinking safe sap. This is sap covered with a barrier, locally called bana, to interrupt bats’ access during collection. We conducted surveys among randomly selected respondents two months after the intervention to measure the proportion of people reached. We used an activity-based costing method to calculate the cost of the intervention. Results The implementation cost of the “no raw sap” intervention was $30,000 and the “only safe sap” intervention was $55,000. The highest cost was conducting meetings and interpersonal communication efforts. The lowest cost was broadcasting the public service announcements on local TV channels. To scale up a similar intervention in 30 districts where NiV spillover has occurred, would cost between $2.6 and $3.5 million for one season. Placing the posters would cost $96,000 and only broadcasting the public service announcement through local channels in 30 districts would cost $26,000. Conclusions Broadcasting a TV public service announcement is a potential low cost option to advance NiV prevention. It could be supplemented with posters and targeted interpersonal communication, in districts with a high risk of NiV spillover. Electronic supplementary material The online version of this article (doi:10.1186/s13104-017-2549-1) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Nazmun Nahar
- icddr,b, Dhaka, Bangladesh. .,Swiss Tropical and Public Health Institute, Basel, Switzerland. .,University of Basel, Basel, Switzerland.
| | | | | | | | | | | | | | - Mahmudur Rahman
- Institute of Epidemiology, Disease Control and Research (IEDCR), Dhaka, Bangladesh
| | | | - Stephen P Luby
- Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, USA
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