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Villalobos‐Segura MDC, Rico‐Chávez O, Suzán G, Chaves A. Influence of Host and Landscape-Associated Factors in the Infection and Transmission of Pathogens: The Case of Directly Transmitted Virus in Mammals. Vet Med Sci 2025; 11:e70160. [PMID: 39692054 PMCID: PMC11653093 DOI: 10.1002/vms3.70160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2024] [Revised: 11/19/2024] [Accepted: 11/29/2024] [Indexed: 12/19/2024] Open
Abstract
BACKGROUND Among pathogens associated with mammals, numerous viruses with a direct transmission route impact human, domestic and wild species health. Host and landscape factors affect viral infection and transmission dynamics of these viruses, along with barriers to host dispersal and gene exchange. However, studies show biases toward certain locations, hosts and detected pathogens, with regional variations in similar host-virus associations. METHODS Using a systematic review, in two electronic repositories for articles published until December 2022, we analysed the available information on host- and landscape-associated factors influencing the infection and transmission of directly transmitted viruses in mammals. RESULTS In the analysis, about 50% of papers examined either host traits, landscape composition or configuration measures, while approximately 24% combined host and landscape-associated factors. Additionally, approximately 17% of the articles included climatic data and 30% integrated factors related to anthropogenic impact, as these variables have a role in host density, distribution and virus persistence. The most significant and frequent host traits used as predictor variables were sex, age, body weight, host density and species identity. Land cover was the most evaluated landscape attribute, while some explored configuration variables like edge density and fragmentation indexes. Finally, temperature, precipitation and features such as human population density and human footprint index were also typically measured and found impactful. CONCLUSION Given the many contributions host- and landscape-related factors have in pathogen dynamics, this systematic study contributes to a better knowledge of host-virus dynamics and the identification of variables and gaps that can be used for disease prevention.
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Affiliation(s)
- María del Carmen Villalobos‐Segura
- Laboratorio de Ecología de Enfermedades y Una SaludFacultad de Medicina Veterinaria y ZootecniaUniversidad Nacional Autónoma de MéxicoMéxico CityMéxico
| | - Oscar Rico‐Chávez
- Laboratorio de Ecología de Enfermedades y Una SaludFacultad de Medicina Veterinaria y ZootecniaUniversidad Nacional Autónoma de MéxicoMéxico CityMéxico
| | - Gerardo Suzán
- Laboratorio de Ecología de Enfermedades y Una SaludFacultad de Medicina Veterinaria y ZootecniaUniversidad Nacional Autónoma de MéxicoMéxico CityMéxico
| | - Andrea Chaves
- Escuela de BiologíaUniversidad de Costa RicaSan JoséCosta Rica
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Moirano G, Botta A, Yang M, Mangeruga M, Murray K, Vineis P. Land-cover, land-use and human hantavirus infection risk: a systematic review. Pathog Glob Health 2024; 118:361-375. [PMID: 37876214 PMCID: PMC11338209 DOI: 10.1080/20477724.2023.2272097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2023] Open
Abstract
Previous studies suggest that the risk of human infection by hantavirus, a family of rodent-borne viruses, might be affected by different environmental determinants such as land cover, land use and land use change. This study examined the association between land-cover, land-use, land use change, and human hantavirus infection risk. PubMed and Scopus databases were interrogated using terms relative to land use (change) and human hantavirus disease. Screening and selection of the articles were completed by three independent reviewers. Classes of land use assessed by the different studies were categorized into three macro-categories of exposure ('Agriculture', 'Forest Cover', 'Urban Areas') to qualitatively synthesize the direction of the association between exposure variables and hantavirus infection risk in humans. A total of 25 articles were included, with 14 studies (56%) conducted in China, 4 studies (16%) conducted in South America and 7 studies (28%) conducted in Europe. Most of the studies (88%) evaluated land cover or land use, while 3 studies (12%) evaluated land use change, all in relation to hantavirus infection risk. We observed that land cover and land-use categories could affect hantavirus infection incidence. Overall, agricultural land use was positively associated with increased human hantavirus infection risk, particularly in China and Brazil. In Europe, a positive association between forest cover and hantavirus infection incidence was observed. Studies that assessed the relationship between built-up areas and hantavirus infection risk were more variable, with studies reporting positive, negative or no associations.
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Affiliation(s)
- Giovenale Moirano
- Department of Medical Sciences, University of Turin, Turin, Italy
- Postgraduate School of Biostatistics, Department of Public Health and Paediatrics, University of Turin, Turin, Italy
| | - Annarita Botta
- Department of Infectious Disease and Infectious Emergencies, AORN Monaldi-Cotugno-CTO, Naples, Italy
| | - Mingyou Yang
- Hypertension Unit, Division of Internal Medicine, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Martina Mangeruga
- Environmental Technology, Centre for Environmental Policy, Imperial College, London, UK
| | - Kris Murray
- Medical Research Council Unit The Gambia at the London School of Hygiene & Tropical Medicine, Banjul, The Gambia
- Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, UK
| | - Paolo Vineis
- School of Public Health, Imperial College, Medical Research Council (MRC) Centre for Environment and Health, London, UK
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3
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Wen B, Yang Z, Ren S, Fu T, Li R, Lu M, Qin X, Li A, Kou Z, Shao Z, Liu K. Spatial-temporal patterns and influencing factors for hemorrhagic fever with renal syndrome: A 16-year national surveillance analysis in China. One Health 2024; 18:100725. [PMID: 38623497 PMCID: PMC11017347 DOI: 10.1016/j.onehlt.2024.100725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 04/01/2024] [Accepted: 04/04/2024] [Indexed: 04/17/2024] Open
Abstract
Background China is confronted with the significant menace posed by hemorrhagic fever with renal syndrome (HFRS). Nevertheless, the long-term spatial-temporal variations, regional prevalence patterns, and fundamental determinants' mechanisms for HFRS remain inadequately elucidated. Methods Newly diagnosed cases of HFRS from January 2004 to December 2019 were acquired from the China Public Health Science Data repository. We used Age-period-cohort and Bayesian Spacetime Hierarchy models to identify high-risk populations and regions in mainland China. Additionally, the Geographical Detector model was employed to quantify the determinant powers of significant driver factors to the disease. Results A total of 199,799 cases of HFRS were reported in mainland China during 2004-2019. The incidence of HFRS declined from 1.93 per 100,000 in 2004 to 0.69 per 100,000 in 2019. The incidence demonstrated an inverted U-shaped trend with advancing age, peaking in the 50-54 age group, with higher incidences observed among individuals aged 20-74 years. Hyperendemic areas were mainly concentrated in the northeastern regions of China, while some western provinces exhibited a potential upward trend. Geographical detector model identified that the spatial variations of HFRS were significantly associated with the relative humidity (Q = 0.36), forest cover (Q = 0.26), rainfall (Q = 0.18), temperature (Q = 0.16), and the surface water resources (Q = 0.14). Conclusions This study offered comprehensive examinations of epidemic patterns, identified high-risk areas quantitatively, and analyzed factors influencing HFRS transmission in China. The findings may contribute to the necessary implementations for the effective prevention and control of HFRS.
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Affiliation(s)
- Bo Wen
- Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, People's Republic of China
- Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Xi'an, People's Republic of China
- Lintong Rehabilitation and Convalescent Centre, Xi'an, People's Republic of China
| | - Zurong Yang
- Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, People's Republic of China
- Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Xi'an, People's Republic of China
| | - Shaolong Ren
- Department of Epidemiology, School of Public Health, Fudan University, Shanghai, People's Republic of China
| | - Ting Fu
- Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, People's Republic of China
- Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Xi'an, People's Republic of China
| | - Rui Li
- Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, People's Republic of China
- Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Xi'an, People's Republic of China
| | - Mengwei Lu
- Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, People's Republic of China
- Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Xi'an, People's Republic of China
| | - Xiaoang Qin
- Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, People's Republic of China
- Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Xi'an, People's Republic of China
| | - Ang Li
- Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, People's Republic of China
- Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Xi'an, People's Republic of China
| | - Zhifu Kou
- Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, People's Republic of China
- Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Xi'an, People's Republic of China
| | - Zhongjun Shao
- Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, People's Republic of China
- Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Xi'an, People's Republic of China
| | - Kun Liu
- Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, People's Republic of China
- Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Xi'an, People's Republic of China
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4
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Monchatre-Leroy E, Sauvage F, Boué F, Augot D, Marianneau P, Hénaux V, Crespin L. Prevalence and Incidence of Puumala Orthohantavirus in its Bank Vole (Myodes glareolus) Host Population in Northeastern France: Between-site and Seasonal Variability. Epidemics 2022; 40:100600. [DOI: 10.1016/j.epidem.2022.100600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 05/02/2022] [Accepted: 06/14/2022] [Indexed: 11/03/2022] Open
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5
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Filippone C, Castel G, Murri S, Ermonval M, Korva M, Avšič-Županc T, Sironen T, Vapalahati O, McElhinney LM, Ulrich RG, Groschup MH, Caro V, Sauvage F, van der Werf S, Manuguerra JC, Gessain A, Marianneau P, Tordo N. Revisiting the genetic diversity of emerging hantaviruses circulating in Europe using a pan-viral resequencing microarray. Sci Rep 2019; 9:12404. [PMID: 31455867 PMCID: PMC6712034 DOI: 10.1038/s41598-019-47508-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Accepted: 06/21/2019] [Indexed: 11/09/2022] Open
Abstract
Hantaviruses are zoonotic agents transmitted from small mammals, mainly rodents, to humans, where they provoke diseases such as Hemorrhagic fever with Renal Syndrome (HFRS) and its mild form, Nephropathia Epidemica (NE), or Hantavirus Cardio-Pulmonary Syndrome (HCPS). Hantaviruses are spread worldwide and monitoring animal reservoirs is of primary importance to control the zoonotic risk. Here, we describe the development of a pan-viral resequencing microarray (PathogenID v3.0) able to explore the genetic diversity of rodent-borne hantaviruses endemic in Europe. Among about 800 sequences tiled on the microarray, 52 correspond to a tight molecular sieve of hantavirus probes covering a large genetic landscape. RNAs from infected animal tissues or from laboratory strains have been reverse transcribed, amplified, then hybridized to the microarray. A classical BLASTN analysis applied to the sequence delivered through the microarray allows to identify the hantavirus species up to the exact geographical variant present in the tested samples. Geographical variants of the most common European hantaviruses from France, Germany, Slovenia and Finland, such as Puumala virus, Dobrava virus and Tula virus, were genetically discriminated. Furthermore, we precisely characterized geographical variants still unknown when the chip was conceived, such as Seoul virus isolates, recently emerged in France and the United Kingdom.
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Affiliation(s)
- Claudia Filippone
- Institut Pasteur, Antiviral Strategies Unit, Department of Virology, Paris, France.,Institut Pasteur, Unit of Epidemiology and Physiopathology of Oncogenic Viruses, CNRS, UMR 3569, Department of Virology, Paris, France.,Virology Unit, Institut Pasteur de Madagascar, Antananarivo, Madagascar
| | - Guillaume Castel
- CBGP, INRA, CIRAD, IRD, Montpellier SupAgro, Univ Montpellier, Montpellier, France, Montpellier, France
| | | | - Myriam Ermonval
- Institut Pasteur, Antiviral Strategies Unit, Department of Virology, Paris, France
| | - Misa Korva
- University of Ljubljana, Microbiology and Immunology Institute, Faculty of Medicine, Ljubljana, Slovenia
| | - Tatjana Avšič-Županc
- University of Ljubljana, Microbiology and Immunology Institute, Faculty of Medicine, Ljubljana, Slovenia
| | - Tarja Sironen
- Haartman Institute, Department of Virology, Helsinki, Finland
| | - Olli Vapalahati
- Haartman Institute, Department of Virology, Helsinki, Finland
| | - Lorraine M McElhinney
- Animal and Plant Health Agency (APHA), Surrey, UK. University of Liverpool, South Wirral, United Kingdom
| | - Rainer G Ulrich
- Friedrich-Loeffler-Institut, Institute for Novel and Emerging Infectious Diseases, Greifswald, Insel Riems, Germany
| | - Martin H Groschup
- Friedrich-Loeffler-Institut, Institute for Novel and Emerging Infectious Diseases, Greifswald, Insel Riems, Germany
| | - Valérie Caro
- Institut Pasteur, Laboratory for Urgent Response to Biological Threats - CIBU Unit, Paris, France
| | - Frank Sauvage
- University of Lyon, UMR- CNRS, 5558, Villeurbanne, France
| | - Sylvie van der Werf
- Institut Pasteur, Unit of Molecular Genetics of RNA viruses, Department of Virology, Paris, France
| | - Jean-Claude Manuguerra
- Institut Pasteur, Laboratory for Urgent Response to Biological Threats - CIBU Unit, Paris, France
| | - Antoine Gessain
- Institut Pasteur, Unit of Epidemiology and Physiopathology of Oncogenic Viruses, CNRS, UMR 3569, Department of Virology, Paris, France
| | | | - Noël Tordo
- Institut Pasteur, Antiviral Strategies Unit, Department of Virology, Paris, France. .,Institut Pasteur de Guinée, Conakry, Guinea.
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Tian H, Stenseth NC. The ecological dynamics of hantavirus diseases: From environmental variability to disease prevention largely based on data from China. PLoS Negl Trop Dis 2019; 13:e0006901. [PMID: 30789905 PMCID: PMC6383869 DOI: 10.1371/journal.pntd.0006901] [Citation(s) in RCA: 56] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Hantaviruses can cause hantavirus pulmonary syndrome (HPS) in the Americas and hemorrhagic fever with renal syndrome (HFRS) in Eurasia. In recent decades, repeated outbreaks of hantavirus disease have led to public concern and have created a global public health burden. Hantavirus spillover from natural hosts into human populations could be considered an ecological process, in which environmental forces, behavioral determinants of exposure, and dynamics at the human–animal interface affect human susceptibility and the epidemiology of the disease. In this review, we summarize the progress made in understanding hantavirus epidemiology and rodent reservoir population biology. We mainly focus on three species of rodent hosts with longitudinal studies of sufficient scale: the striped field mouse (Apodemus agrarius, the main reservoir host for Hantaan virus [HTNV], which causes HFRS) in Asia, the deer mouse (Peromyscus maniculatus, the main reservoir host for Sin Nombre virus [SNV], which causes HPS) in North America, and the bank vole (Myodes glareolus, the main reservoir host for Puumala virus [PUUV], which causes HFRS) in Europe. Moreover, we discuss the influence of ecological factors on human hantavirus disease outbreaks and provide an overview of research perspectives.
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Affiliation(s)
- Huaiyu Tian
- State Key Laboratory of Remote Sensing Science, College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
- * E-mail: (HT); (NCS)
| | - Nils Chr. Stenseth
- Centre for Ecological and Evolutionary Synthesis (CEES), Department of Biosciences, University of Oslo, Blindern, Oslo, Norway
- Department of Earth System Science, Tsinghua University, Beijing, China
- * E-mail: (HT); (NCS)
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7
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Molecular detection of viruses causing hemorrhagic fevers in rodents in the south-west of Korea. J Neurovirol 2019; 25:239-247. [PMID: 30635845 DOI: 10.1007/s13365-018-0708-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Revised: 10/22/2018] [Accepted: 11/20/2018] [Indexed: 12/30/2022]
Abstract
Many pathogens causing hemorrhagic fevers of medical and veterinary importance have been identified and isolated from rodents in the Republic of Korea (ROK). We investigated the occurrence of emerging viruses causing hemorrhagic fevers, such as hemorrhagic fever with renal syndrome (HFRS), severe fever with thrombocytopenia syndrome (SFTS), and flaviviruses, from wild rodents. Striped field mice, Apodemus agrarius (n = 39), were captured during 2014-2015 in the south-west of ROK. Using molecular methods, lung samples were evaluated for SFTS virus, hantavirus, and flavivirus, and seropositivity was evaluated in the blood. A high positive rate of hantavirus (46.2%) was detected in A. agrarius lungs by reverse transcription-nested polymerase chain reaction (RT-N-PCR). The monthly occurrence of hantavirus was 16.7% in October, 86.7% in November, and 25% in August of the following year (p < 0.001). Moreover, 17.9% of blood samples were serologically positive for hantavirus antibodies. The most prevalent strain in A. agrarius was Hantaan virus. All samples were positive for neither SFTS virus nor flavivirus. Hantaan virus was detected in 86.7% of A. agrarius in November (autumn), and thus, virus shedding from A. agrarius can increase the risk of humans contracting HFRS. These findings may help to predict and prevent disease outbreaks in ROK.
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8
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Meteorological factors and risk of hemorrhagic fever with renal syndrome in Guangzhou, southern China, 2006-2015. PLoS Negl Trop Dis 2018; 12:e0006604. [PMID: 29949572 PMCID: PMC6039051 DOI: 10.1371/journal.pntd.0006604] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2017] [Revised: 07/10/2018] [Accepted: 06/11/2018] [Indexed: 12/11/2022] Open
Abstract
Background The epidemic tendency of hemorrhagic fever with renal syndrome (HFRS) is on the rise in recent years in Guangzhou. This study aimed to explore the associations between meteorological factors and HFRS epidemic risk in Guangzhou for the period from 2006–2015. Methods We obtained data of HFRS cases in Guangzhou from the National Notifiable Disease Report System (NNDRS) during the period of 2006–2015. Meteorological data were obtained from the Guangzhou Meteorological Bureau. A negative binomial multivariable regression was used to explore the relationship between meteorological variables and HFRS. Results The annual average incidence was 0.92 per 100000, with the annual incidence ranging from 0.64/100000 in 2009 to 1.05/100000 in 2012. The monthly number of HFRS cases decreased by 5.543% (95%CI -5.564% to -5.523%) each time the temperature was increased by 1°C and the number of cases decreased by 0.075% (95%CI -0.076% to -0.074%) each time the aggregate rainfall was increased by 1 mm. We found that average temperature with a one-month lag was significantly associated with HFRS transmission. Conclusions Meteorological factors had significant association with occurrence of HFRS in Guangzhou, Southern China. This study provides preliminary information for further studies on epidemiological prediction of HFRS and for developing an early warning system. The prevalence of HFRS was on the rise in recent years, especially in the large and medium-sized cities in China. We obtained data of HFRS cases in Guangzhou from the National Notifiable Disease Report System (NNDRS) during the period of 2006–2015. Meteorological data were obtained from the Guangzhou Meteorological Bureau. A negative binomial multivariable regression was used to explore the relationship between meteorological variables and HFRS. Meteorological factors had significant association with occurrence of HFRS in Guangzhou, Southern China. This study provides preliminary information for further studies on epidemiological prediction of HFRS and for developing an early warning system.
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9
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Monchatre-Leroy E, Crespin L, Boué F, Marianneau P, Calavas D, Hénaux V. Spatial and Temporal Epidemiology of Nephropathia Epidemica Incidence and Hantavirus Seroprevalence in Rodent Hosts: Identification of the Main Environmental Factors in Europe. Transbound Emerg Dis 2016; 64:1210-1228. [PMID: 26996739 DOI: 10.1111/tbed.12494] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Indexed: 01/05/2023]
Abstract
In Europe, the increasing number of nephropathia epidemica (NE) infections in humans, caused by Puumala virus carried by bank voles (Myodes glareolus), has triggered studies of environmental factors driving these infections. NE infections have been shown to occur in specific geographical areas characterized by environmental factors that influence the distribution and dynamics of host populations and virus persistence in the soil. Here, we review the influence of environmental conditions (including climate factors, food availability and habitat conditions) with respect to incidence in humans and seroprevalence in rodents, considering both direct and indirect transmission pathways. For each type of environmental factor, results and discrepancies between studies are presented and examined in the light of biological hypotheses. Overall, food availability and temperature appear to be the main drivers of host seroprevalence and NE incidence, but data quality and statistical approaches varied greatly among studies. We highlight the issues that now need to be addressed and suggest improvements for study design in regard to the current knowledge on hantavirus epidemiology.
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Affiliation(s)
| | - L Crespin
- INRA, UR346 d'Epidémiologie Animale, F63122 Saint Genès Champanelle, Université de Lyon, Lyon, France.,Université Lyon 1, Lyon, France.,CNRS, UMR5558, Laboratoire de Biométrie et Biologie Evolutive, Villeurbanne, France
| | - F Boué
- Laboratoire de la rage et de la faune sauvage, ANSES, Nancy, France
| | - P Marianneau
- Unité de virologie, Laboratoire de Lyon, ANSES, Lyon, France
| | - D Calavas
- Unité d'épidémiologie, Laboratoire de Lyon, ANSES, Lyon, France
| | - V Hénaux
- Unité d'épidémiologie, Laboratoire de Lyon, ANSES, Lyon, France
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10
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Xiao H, Huang R, Gao LD, Huang CR, Lin XL, Li N, Liu HN, Tong SL, Tian HY. Effects of Humidity Variation on the Hantavirus Infection and Hemorrhagic Fever with Renal Syndrome Occurrence in Subtropical China. Am J Trop Med Hyg 2015; 94:420-7. [PMID: 26711521 DOI: 10.4269/ajtmh.15-0486] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Accepted: 10/31/2015] [Indexed: 11/07/2022] Open
Abstract
Infection rates of rodents have a significant influence on the transmission of hemorrhagic fever with renal syndrome (HFRS). In this study, four cities and two counties with high HFRS incidence in eastern Hunan Province in China were studied, and surveillance data of rodents, as well as HFRS cases and related environmental variables from 2007 to 2010, were collected. Results indicate that the distribution and infection rates of rodents are closely associated with environmental conditions. Hantavirus infections in rodents were positively correlated with temperature vegetation dryness index and negatively correlated with elevation. The predictive risk maps based on multivariate regression model revealed that the annual variation of infection risks is small, whereas monthly variation is large and corresponded well to the seasonal variation of human HFRS incidence. The identification of risk factors and risk prediction provides decision support for rodent surveillance and the prevention and control of HFRS.
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Affiliation(s)
- Hong Xiao
- College of Resources and Environment Science, Hunan Normal University, Changsha, China; Hunan Provincial Center for Disease Control and Prevention, Changsha, China; School of Public Health, Sun Yat-Sen University, Guangzhou, China; Weizikeng Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia; State Key Laboratory of Remote Sensing Science, College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Ru Huang
- College of Resources and Environment Science, Hunan Normal University, Changsha, China; Hunan Provincial Center for Disease Control and Prevention, Changsha, China; School of Public Health, Sun Yat-Sen University, Guangzhou, China; Weizikeng Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia; State Key Laboratory of Remote Sensing Science, College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Li-Dong Gao
- College of Resources and Environment Science, Hunan Normal University, Changsha, China; Hunan Provincial Center for Disease Control and Prevention, Changsha, China; School of Public Health, Sun Yat-Sen University, Guangzhou, China; Weizikeng Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia; State Key Laboratory of Remote Sensing Science, College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Cun-Rui Huang
- College of Resources and Environment Science, Hunan Normal University, Changsha, China; Hunan Provincial Center for Disease Control and Prevention, Changsha, China; School of Public Health, Sun Yat-Sen University, Guangzhou, China; Weizikeng Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia; State Key Laboratory of Remote Sensing Science, College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Xiao-Ling Lin
- College of Resources and Environment Science, Hunan Normal University, Changsha, China; Hunan Provincial Center for Disease Control and Prevention, Changsha, China; School of Public Health, Sun Yat-Sen University, Guangzhou, China; Weizikeng Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia; State Key Laboratory of Remote Sensing Science, College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Na Li
- College of Resources and Environment Science, Hunan Normal University, Changsha, China; Hunan Provincial Center for Disease Control and Prevention, Changsha, China; School of Public Health, Sun Yat-Sen University, Guangzhou, China; Weizikeng Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia; State Key Laboratory of Remote Sensing Science, College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Hai-Ning Liu
- College of Resources and Environment Science, Hunan Normal University, Changsha, China; Hunan Provincial Center for Disease Control and Prevention, Changsha, China; School of Public Health, Sun Yat-Sen University, Guangzhou, China; Weizikeng Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia; State Key Laboratory of Remote Sensing Science, College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Shi-Lu Tong
- College of Resources and Environment Science, Hunan Normal University, Changsha, China; Hunan Provincial Center for Disease Control and Prevention, Changsha, China; School of Public Health, Sun Yat-Sen University, Guangzhou, China; Weizikeng Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia; State Key Laboratory of Remote Sensing Science, College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Huai-Yu Tian
- College of Resources and Environment Science, Hunan Normal University, Changsha, China; Hunan Provincial Center for Disease Control and Prevention, Changsha, China; School of Public Health, Sun Yat-Sen University, Guangzhou, China; Weizikeng Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia; State Key Laboratory of Remote Sensing Science, College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
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Gherasim A, Hjertqvist M, Lundkvist Å, Kühlmann-Berenzon S, Carlson JV, Stenmark S, Widerström M, Österlund A, Boman H, Ahlm C, Wallensten A. Risk factors and potential preventive measures for nephropatia epidemica in Sweden 2011-2012: a case-control study. Infect Ecol Epidemiol 2015; 5:27698. [PMID: 26134289 PMCID: PMC4488335 DOI: 10.3402/iee.v5.27698] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2015] [Revised: 04/24/2015] [Accepted: 05/24/2015] [Indexed: 11/14/2022] Open
Abstract
INTRODUCTION Nephropatia epidemica (NE), a relatively mild form of hemorrhagic fever with renal syndrome caused by the Puumala virus (PUUV), is endemic in northern Sweden. We aim to study the risk factors associated with NE in this region. METHODS We conducted a matched case-control study between June 2011 and July 2012. We compared confirmed NE cases with randomly selected controls, matched by age, sex, and place of infection or residence. We analyzed the association between NE and several occupational, environmental, and behavioral exposures using conditional logistic regression. RESULTS We included in the final analysis 114 cases and 300 controls, forming 246 case-control pairs. Living in a house with an open space beneath, making house repairs, living less than 50 m from the forest, seeing rodents, and smoking were significantly associated with NE. CONCLUSION Our results could orient public health policies targeting these risk factors and subsequently reduce the NE burden in the region.
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Affiliation(s)
- Alin Gherasim
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.,European Program for Intervention Epidemiology Training (EPIET), Stockholm, Sweden.,Swedish Institute for Communicable Disease Control (SMI), Solna, Sweden;
| | - Marika Hjertqvist
- Swedish Institute for Communicable Disease Control (SMI), Solna, Sweden
| | - Åke Lundkvist
- Swedish Institute for Communicable Disease Control (SMI), Solna, Sweden.,Department of Medical Biochemistry and Microbiology, Uppsala University, Uppsala, Sweden.,Department of Microbiology, Karolinska Institute, Stockholm, Sweden
| | | | | | - Stephan Stenmark
- Department of Clinical Microbiology, Umeå University, Umeå, Sweden
| | - Mikael Widerström
- Department of Clinical Microbiology, Umeå University, Umeå, Sweden.,Department of Communicable Disease Control and Prevention, Jämtland County Council, Östersund, Sweden
| | - Anders Österlund
- Department of Communicable Disease Control and Prevention, Norbotten County Council, Lulea, Sweden
| | - Hans Boman
- Department of Communicable Diseases Control and Prevention, Vasternorrland County Council, Matfors, Sweden
| | - Clas Ahlm
- Division of Infectious Diseases, Department of Clinical Microbiology, Umeå University Hospital, Umeå, Sweden
| | - Anders Wallensten
- Swedish Institute for Communicable Disease Control (SMI), Solna, Sweden.,Department of Medical Sciences, Infectious Diseases, Uppsala University, Uppsala, Sweden
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12
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Xiao D, Wu K, Tan X, Le J, Li H, Yan Y, Xu Z. Modeling and predicting hemorrhagic fever with renal syndrome trends based on meteorological factors in Hu County, China. PLoS One 2015; 10:e0123166. [PMID: 25875211 PMCID: PMC4395290 DOI: 10.1371/journal.pone.0123166] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2014] [Accepted: 02/18/2015] [Indexed: 12/01/2022] Open
Abstract
Background Hu County is a serious hemorrhagic fever with renal syndrome (HFRS) epidemic area, with notable fluctuation of the HFRS epidemic in recent years. This study aimed to explore the optimal model for HFRS epidemic prediction in Hu. Methods Three models were constructed and compared, including a generalized linear model (GLM), a generalized additive model (GAM), and a principal components regression model (PCRM). The fitting and predictive adjusted R2 of each model were calculated. Ljung-Box Q tests for fitted and predicted residuals of each model were conducted. The study period was stratified into before (1971–1993) and after (1994–2012) vaccine implementation epochs to avoid the confounding factor of vaccination. Results The autocorrelation of fitted and predicted residuals of the GAM in the two epochs were not significant (Ljung-Box Q test, P>.05). The adjusted R2 for the predictive abilities of the GLM, GAM, and PCRM were 0.752, 0.799, and 0.665 in the early epoch, and 0.669, 0.756, and 0.574 in the recent epoch. The adjusted R2 values of the three models were lower in the early epoch than in the recent epoch. Conclusions GAM is superior to GLM and PCRM for monthly HFRS case number prediction in Hu County. A shift in model reliability coincident with vaccination implementation demonstrates the importance of vaccination in HFRS control and prevention.
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Affiliation(s)
- Dan Xiao
- Department of Epidemiology, School of Public Health, Fourth Military Medical University, Xi’an, China
| | - Kejian Wu
- Department of Mathematics and Physics, School of Biomedical and Engineering, Fourth Military Medical University, Xi’an, China
| | - Xin Tan
- Hu County Center for Disease Control and Prevention, Xi’an, China
| | - Jing Le
- Hu County Meteorological Bureau, Xi’an, China
| | - Haitao Li
- Department of Mathematics and Physics, School of Biomedical and Engineering, Fourth Military Medical University, Xi’an, China
| | - Yongping Yan
- Department of Epidemiology, School of Public Health, Fourth Military Medical University, Xi’an, China
- * E-mail: (YY); (ZX)
| | - Zhikai Xu
- Department of Microbiology, Fourth Military Medical University, Xi’an, China
- * E-mail: (YY); (ZX)
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13
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Roda Gracia J, Schumann B, Seidler A. Climate Variability and the Occurrence of Human Puumala Hantavirus Infections in Europe: A Systematic Review. Zoonoses Public Health 2014; 62:465-78. [PMID: 25557350 DOI: 10.1111/zph.12175] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Indexed: 01/02/2023]
Abstract
Hantaviruses are distributed worldwide and are transmitted by rodents. In Europe, the infection usually manifests as a mild form of haemorrhagic fever with renal syndrome (HFRS) known as nephropathia epidemica (NE), which is triggered by the virus species Puumala. Its host is the bank vole (Myodes glareolus). In the context of climate change, interest in the role of climatic factors for the disease has increased. A systematic review was conducted to investigate the association between climate variability and the occurrence of human Puumala hantavirus infections in Europe. We performed a literature search in the databases MEDLINE, EMBASE and Web of Science. Studies that investigated Puumala virus infection and climatic factors in any European country with a minimum collection period of 2 years were included. The selection of abstracts and the evaluation of included studies were performed by two independent reviewers. A total of 434 titles were identified in the databases, of which nine studies fulfilled the inclusion criteria. The majority of studies were conducted in central Europe (Belgium, France and Germany), while only two came from the north (Sweden) and one from the south (Bosnia). Strong evidence was found for a positive association between temperature and NE incidence in central Europe, while the evidence for northern Europe so far appears insufficient. Results regarding precipitation were contradictory. Overall, the complex relationships between climate and hantavirus infections need further exploration to identify specific health risks and initiate appropriate intervention measures in the context of climate change.
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Affiliation(s)
- J Roda Gracia
- Institute and Policlinic of Occupational and Social Medicine (IPAS), TU Dresden, Dresden, Germany
| | - B Schumann
- Department of Public Health and Clinical Medicine, Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden.,Centre for Population Studies, Ageing and Living Conditions Programme, Umeå University, Umeå, Sweden
| | - A Seidler
- Institute and Policlinic of Occupational and Social Medicine (IPAS), TU Dresden, Dresden, Germany
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14
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Dandolo A, Prajs N, Lizop M. [Nephropathy due to Puumala hantavirus]. Arch Pediatr 2014; 21:1334-8. [PMID: 25449445 DOI: 10.1016/j.arcped.2014.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2013] [Revised: 01/30/2014] [Accepted: 09/21/2014] [Indexed: 11/18/2022]
Abstract
Hemorrhagic fever with renal syndrome (HFRS) is due to an infection by the virus of the Hantavirus genus. Rodent hosts of Hantavirus are present in restricted areas in France; consequently, there are ecological niches and microepidemics of human Hantavirus infections. A HFRS case was diagnosed in the Paris region. The 11-year-old child had an acute debut fever-persistent despite antipyretic medication-asthenia, headache, abdominal pain, myalgia, thrombocytopenia, as well as renal failure with proteinuria. The diagnosis was made with a relevant clinical history and the specific serology of Puumala hantavirus. Therefore, a kidney biopsy was not necessary. What was interesting was the diagnostic approach because of the difference between the place and time of contamination and where the child became ill and developed the symptoms. The child was infected by Puumala hantavirus in Les Ardennes, a high-risk area, but became ill in the Paris region, an area with no prevalence. We review Hantavirus infections in France and its differential diagnosis.
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Affiliation(s)
- A Dandolo
- Service des urgences, institut hospitalier Franco-Britannique, 92300 Levallois-Perret, France.
| | - N Prajs
- Service de pédiatrie, institut hospitalier Franco-Britannique, 92300 Levallois-Perret, France
| | - M Lizop
- Service de pédiatrie, institut hospitalier Franco-Britannique, 92300 Levallois-Perret, France
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15
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Li S, Ren H, Hu W, Lu L, Xu X, Zhuang D, Liu Q. Spatiotemporal heterogeneity analysis of hemorrhagic fever with renal syndrome in China using geographically weighted regression models. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2014; 11:12129-47. [PMID: 25429681 PMCID: PMC4276605 DOI: 10.3390/ijerph111212129] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2014] [Revised: 11/17/2014] [Accepted: 11/18/2014] [Indexed: 11/24/2022]
Abstract
Hemorrhagic fever with renal syndrome (HFRS) is an important public health problem in China. The identification of the spatiotemporal pattern of HFRS will provide a foundation for the effective control of the disease. Based on the incidence of HFRS, as well as environmental factors, and social-economic factors of China from 2005–2012, this paper identified the spatiotemporal characteristics of HFRS distribution and the factors that impact this distribution. The results indicate that the spatial distribution of HFRS had a significant, positive spatial correlation. The spatiotemporal heterogeneity was affected by the temperature, precipitation, humidity, NDVI of January, NDVI of August for the previous year, land use, and elevation in 2005–2009. However, these factors did not explain the spatiotemporal heterogeneity of HFRS incidences in 2010–2012. Spatiotemporal heterogeneity of provincial HFRS incidences and its relation to environmental factors would provide valuable information for hygiene authorities to design and implement effective measures for the prevention and control of HFRS in China.
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Affiliation(s)
- Shujuan Li
- State Key Laboratory of Resources and Environmental Information System, Institute of Geographical Sciences and Natural Resources Research, Chinese Academy of Sciences, 11A Datun Road, Chaoyang District, Beijing 100101, China.
| | - Hongyan Ren
- State Key Laboratory of Resources and Environmental Information System, Institute of Geographical Sciences and Natural Resources Research, Chinese Academy of Sciences, 11A Datun Road, Chaoyang District, Beijing 100101, China.
| | - Wensheng Hu
- Center for Health Statistics and Information, National Health and Family Planning Commission, No.38 Beilishi Road, Xicheng District, Beijing 100044, China.
| | - Liang Lu
- State Key Laboratory for Infectious Diseases Prevention and Control, National Institute for Communicable Disease Control and Prevention, China CDC, 5 Changbai Road, Changping, Beijing 102206, China.
| | - Xinliang Xu
- State Key Laboratory of Resources and Environmental Information System, Institute of Geographical Sciences and Natural Resources Research, Chinese Academy of Sciences, 11A Datun Road, Chaoyang District, Beijing 100101, China.
| | - Dafang Zhuang
- State Key Laboratory of Resources and Environmental Information System, Institute of Geographical Sciences and Natural Resources Research, Chinese Academy of Sciences, 11A Datun Road, Chaoyang District, Beijing 100101, China.
| | - Qiyong Liu
- State Key Laboratory for Infectious Diseases Prevention and Control, National Institute for Communicable Disease Control and Prevention, China CDC, 5 Changbai Road, Changping, Beijing 102206, China.
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16
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Hantavirus infection in rodents and haemorrhagic fever with renal syndrome in Shaanxi province, China, 1984-2012. Epidemiol Infect 2014; 143:405-11. [PMID: 24787374 DOI: 10.1017/s0950268814001009] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
The transmission of haemorrhagic fever with renal syndrome (HFRS) is deeply influenced by the reservoir and hantavirus prevalence rate. In this study, a surveillance on human HFRS cases, relative rodent abundance, and hantavirus infection prevalence was conducted in Shaanxi province, China, during 1984-2012. A generalized linear model with Poisson-distributed residuals and a log link was used to quantify the relationship between reservoir, virus and HFRS cases. The result indicated that there was a significant association of HFRS incidence with relative rodent density and the prevalence rate. This research provides evidence that the changes of infection prevalence in the reservoir could lead directly to the emergence of a new epidemic. It was concluded that the measurement of a number of these variables could be used in disease surveillance to give useful advance warning of potential disease epidemics.
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Xiao D, Wu K, Tan X, Yan T, Li H, Yan Y. The impact of the vaccination program for hemorrhagic fever with renal syndrome in Hu County, China. Vaccine 2014; 32:740-5. [DOI: 10.1016/j.vaccine.2013.11.024] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2013] [Revised: 11/01/2013] [Accepted: 11/06/2013] [Indexed: 11/24/2022]
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18
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Engler O, Klingström J, Aliyev E, Niederhauser C, Fontana S, Strasser M, Portmann J, Signer J, Bankoul S, Frey F, Hatz C, Stutz A, Tschaggelar A, Mütsch M. Seroprevalence of hantavirus infections in Switzerland in 2009: difficulties in determining prevalence in a country with low endemicity. Euro Surveill 2013; 18:20660. [DOI: 10.2807/1560-7917.es2013.18.50.20660] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Binary file ES_Abstracts_Final_ECDC.txt matches
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Affiliation(s)
- O Engler
- SPIEZ LABORATORY, Federal Office for Civil Protection, Spiez, Switzerland
| | - J Klingström
- Swedish Institute for Communicable Disease Control, Solna, Sweden
- Center for Infectious Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden
| | - E Aliyev
- Institute of Social and Preventive Medicine (ISPM), Division of Communicable Diseases, World Health Organization (WHO) Collaborating Centre for Travellers’ Health, University of Zurich, Zurich, Switzerland
| | - C Niederhauser
- Blood Transfusion Service, Swiss Red Cross Berne, Berne, Switzerland
| | - S Fontana
- Blood Transfusion Service, Swiss Red Cross Berne, Berne, Switzerland
| | - M Strasser
- SPIEZ LABORATORY, Federal Office for Civil Protection, Spiez, Switzerland
| | - J Portmann
- SPIEZ LABORATORY, Federal Office for Civil Protection, Spiez, Switzerland
| | - J Signer
- SPIEZ LABORATORY, Federal Office for Civil Protection, Spiez, Switzerland
| | - S Bankoul
- CBRN Defence of the Swiss Armed Forces, Medical Services Directorate, Ittigen, Switzerland
| | - F Frey
- Military Medical Service, Swiss Armed Forces, Ittigen, Switzerland
| | - C Hatz
- Institute of Social and Preventive Medicine (ISPM), Division of Communicable Diseases, World Health Organization (WHO) Collaborating Centre for Travellers’ Health, University of Zurich, Zurich, Switzerland
| | - A Stutz
- Institute of Social and Preventive Medicine (ISPM), Division of Communicable Diseases, World Health Organization (WHO) Collaborating Centre for Travellers’ Health, University of Zurich, Zurich, Switzerland
| | - A Tschaggelar
- Blood Transfusion Service, Swiss Red Cross Berne, Berne, Switzerland
| | - M Mütsch
- Institute of Social and Preventive Medicine (ISPM), Division of Communicable Diseases, World Health Organization (WHO) Collaborating Centre for Travellers’ Health, University of Zurich, Zurich, Switzerland
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Xiao H, Lin X, Gao L, Huang C, Tian H, Li N, Qin J, Zhu P, Chen B, Zhang X, Zhao J. Ecology and geography of hemorrhagic fever with renal syndrome in Changsha, China. BMC Infect Dis 2013; 13:305. [PMID: 23819824 PMCID: PMC3708768 DOI: 10.1186/1471-2334-13-305] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2012] [Accepted: 06/17/2013] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Hemorrhagic fever with renal syndrome (HFRS) is an important public health problem in mainland China. HFRS is particularly endemic in Changsha, the capital city of Hunan Province, with one of the highest incidences in China. The occurrence of HFRS is influenced by environmental factors. However, few studies have examined the relationship between environmental variation (such as land use changes and climate variations), rodents and HFRS occurrence. The purpose of this study is to predict the distribution of HFRS and identify the risk factors and relationship between HFRS occurrence and rodent hosts, combining ecological modeling with the Markov chain Monte Carlo approach. METHODS Ecological niche models (ENMs) were used to evaluate potential geographic distributions of rodent species by reconstructing details of their ecological niches in ecological dimensions, and projecting the results onto geography. The Genetic Algorithm for Rule-set Production was used to produce ENMs. Data were collected on HFRS cases in Changsha from 2005 to 2009, as well as national land survey data, surveillance data of rodents, meteorological data and normalized difference vegetation index (NDVI). RESULTS The highest occurrence of HFRS was in districts with strong temperature seasonality, where elevation is below 200 m, mean annual temperature is around 17.5°C, and annual precipitation is below 1600 mm. Cultivated and urban lands in particular are associated with HFRS occurrence. Monthly NDVI values of areas predicted present is lower than areas predicted absent, with high seasonal variation. The number of HFRS cases was correlated with rodent density, and the incidence of HFRS cases in urban and forest areas was mainly associated with the density of Rattus norvegicus and Apodemus agrarius, respectively. CONCLUSIONS Heterogeneity between different areas shows that HFRS occurrence is affected by the intensity of human activity, climate conditions, and landscape elements. Rodent density and species composition have significant impacts on the number of HFRS cases and their distribution.
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Affiliation(s)
- Hong Xiao
- College of Resources and Environment Science, Hunan Normal University, Changsha, 410081, China
| | - Xiaoling Lin
- College of Resources and Environment Science, Hunan Normal University, Changsha, 410081, China
| | - Lidong Gao
- Hunan Provincial Center for Disease Control and Prevention, Changsha, 410002, China
| | - Cunrui Huang
- Centre for Environment and Population Health, School of Environment, Griffith University, Brisbane, Queensland, 4111, Australia
| | - Huaiyu Tian
- College of Resources and Environment Science, Hunan Normal University, Changsha, 410081, China
| | - Na Li
- West China School of Public Health, Sichuan University, Chengdu, 610041, China
| | - Jianxin Qin
- College of Resources and Environment Science, Hunan Normal University, Changsha, 410081, China
| | - Peijuan Zhu
- College of Resources and Environment Science, Hunan Normal University, Changsha, 410081, China
| | - Biyun Chen
- Hunan Provincial Center for Disease Control and Prevention, Changsha, 410002, China
| | - Xixing Zhang
- Changsha Municipal Center for Disease Control and Prevention, Changsha, 410001, China
| | - Jian Zhao
- Peking University Health Science Center, Beijing, 100191, China
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Environmental variability and the transmission of haemorrhagic fever with renal syndrome in Changsha, People's Republic of China. Epidemiol Infect 2012; 141:1867-75. [PMID: 23158456 DOI: 10.1017/s0950268812002555] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
The transmission of haemorrhagic fever with renal syndrome (HFRS) is influenced by climatic, reservoir and environmental variables. The epidemiology of the disease was studied over a 6-year period in Changsha. Variables relating to climate, environment, rodent host distribution and disease occurrence were collected monthly and analysed using a time-series adjusted Poisson regression model. It was found that the density of the rodent host and multivariate El Niño Southern Oscillation index had the greatest effect on the transmission of HFRS with lags of 2–6 months. However, a number of climatic and environmental factors played important roles in affecting the density and transmission potential of the rodent host population. It was concluded that the measurement of a number of these variables could be used in disease surveillance to give useful advance warning of potential disease epidemics.
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Association of haemorrhagic fever with renal syndrome and weather factors in Junan County, China: a case-crossover study. Epidemiol Infect 2012; 141:697-705. [PMID: 22793368 DOI: 10.1017/s0950268812001434] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Haemorrhagic fever with renal syndrome (HFRS) is a type of vector-borne zoonosis sensitive to climate change. To explore the short-term effect of air temperature and amount of precipitation on HFRS incidence, a total of 13 722 clinically confirmed HFRS cases from January 1977 to December 2001 in Junan County, China were included in this study. According to symmetric bidirectional case-crossover design, the hazard period (the three calendar months preceding the month when the case was diagnosed) and the control period (the same calendar month of the year before and the year after the hazard period) matched and conditional logistic regression was used to examine the effect of monthly mean temperature and precipitation on the risk of HFRS. The results showed the facilitating climatic conditions for HFRS included: condition with moderate mean air temperature (10-25 °C) and abundant precipitation (>120 mm) 3 months before [odds ratio (OR) 1·346, 95% confidence interval (CI) 1·191-1·522] and 2 months before (OR 1·193, 95% CI 1·063-1·339); and condition with temperature >25 °C and abundant precipitation (>120 mm) 3 months before (OR 1·17, 95% CI 1·004-1·363). Temperature of 10-25 °C and moderate precipitation (10-120 mm) in the current month was the most favourable condition for HFRS incidence.
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Vaheri A, Henttonen H, Voutilainen L, Mustonen J, Sironen T, Vapalahti O. Hantavirus infections in Europe and their impact on public health. Rev Med Virol 2012; 23:35-49. [PMID: 22761056 DOI: 10.1002/rmv.1722] [Citation(s) in RCA: 224] [Impact Index Per Article: 17.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2012] [Revised: 05/04/2012] [Accepted: 05/08/2012] [Indexed: 11/09/2022]
Abstract
Hantaviruses (genus Hantavirus, family Bunyaviridae) are enveloped tri-segmented negative-stranded RNA viruses each carried by a specific rodent or insectivore host species. Several different hantaviruses known to infect humans circulate in Europe. The most common is Puumala (PUUV) carried by the bank vole; another two important, genetically closely related ones are Dobrava-Belgrade (DOBV) and Saaremaa viruses (SAAV) carried by Apodemus mice (species names follow the International Committee on Taxonomy of Viruses nomenclature). Of the two hantaviral diseases, hemorrhagic fever with renal syndrome (HFRS) and hantaviral cardiopulmonary syndrome, the European viruses cause only HFRS: DOBV with often severe symptoms and a high case fatality rate, and PUUV and SAAV more often mild disease. More than 10,000 HFRS cases are diagnosed annually in Europe and in increasing numbers. Whether this is because of increasing recognition by the medical community or due to environmental factors such as climate change, or both, is not known. Nevertheless, in large areas of Europe, the population has a considerable seroprevalence but only relatively few HFRS cases are reported. Moreover, no epidemiological data are available from many countries. We know now that cardiac, pulmonary, ocular and hormonal disorders are, besides renal changes, common during the acute stage of PUUV and DOBV infection. About 5% of hospitalized PUUV and 16%-48% of DOBV patients require dialysis and some prolonged intensive-care treatment. Although PUUV-HFRS has a low case fatality rate, complications and long-term hormonal, renal, and cardiovascular consequences commonly occur. No vaccine or specific therapy is in general use in Europe. We conclude that hantaviruses have a significant impact on public health in Europe.
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Affiliation(s)
- Antti Vaheri
- Department of Virology, Haartman Institute, and Research Programs Unit, Infection Biology, University of Helsinki, Helsinki, Finland.
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Goeijenbier M, Wagenaar J, Goris M, Martina B, Henttonen H, Vaheri A, Reusken C, Hartskeerl R, Osterhaus A, Van Gorp E. Rodent-borne hemorrhagic fevers: under-recognized, widely spread and preventable – epidemiology, diagnostics and treatment. Crit Rev Microbiol 2012; 39:26-42. [DOI: 10.3109/1040841x.2012.686481] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Prediction of Peromyscus maniculatus (deer mouse) population dynamics in Montana, USA, using satellite-driven vegetation productivity and weather data. J Wildl Dis 2012; 48:348-60. [PMID: 22493110 DOI: 10.7589/0090-3558-48.2.348] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Deer mice (Peromyscus maniculatus) are the main reservoir host for Sin Nombre virus, the primary etiologic agent of hantavirus pulmonary syndrome in North America. Sequential changes in weather and plant productivity (trophic cascades) have been noted as likely catalysts of deer mouse population irruptions, and monitoring and modeling of these phenomena may allow for development of early-warning systems for disease risk. Relationships among weather variables, satellite-derived vegetation productivity, and deer mouse populations were examined for a grassland site east of the Continental Divide and a sage-steppe site west of the Continental Divide in Montana, USA. We acquired monthly deer mouse population data for mid-1994 through 2007 from long-term study sites maintained for monitoring changes in hantavirus reservoir populations, and we compared these with monthly bioclimatology data from the same period and gross primary productivity data from the Moderate Resolution Imaging Spectroradiometer sensor for 2000-06. We used the Random Forests statistical learning technique to fit a series of predictive models based on temperature, precipitation, and vegetation productivity variables. Although we attempted several iterations of models, including incorporating lag effects and classifying rodent density by seasonal thresholds, our results showed no ability to predict rodent populations using vegetation productivity or weather data. We concluded that trophic cascade connections to rodent population levels may be weaker than originally supposed, may be specific to only certain climatic regions, or may not be detectable using remotely sensed vegetation productivity measures, although weather patterns and vegetation dynamics were positively correlated.
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