An increasingly asked question is 'can we confidently link bats with emerging
viruses?'. No, or not yet, is the qualified answer based on the evidence available.
Although more than 200 viruses - some of them deadly zoonotic viruses - have been
isolated from or otherwise detected in bats, the supposed connections between bats,
bat viruses and human diseases have been raised more on speculation than on evidence
supporting their direct or indirect roles in the epidemiology of diseases (except for
rabies). However, we are convinced that the evidence points in that direction and
that at some point it will be proved that bats are competent hosts for at least a few
zoonotic viruses. In this review, we cover aspects of bat biology, ecology and
evolution that might be relevant in medical investigations and we provide a
historical synthesis of some disease outbreaks causally linked to bats. We provide
evolutionary-based hypotheses to tentatively explain the viral transmission route
through mammalian intermediate hosts and to explain the geographic concentration of
most outbreaks, but both are no more than speculations that still require formal
assessment.
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