Person-to-Person Transmission of Andes Virus

Martínez, Valeria P.; Bellomo, Carla; Juan, Jorge San; Pinna, Diego M.; Forlenza, Raúl; Elder, Malco; Padula, Paula

doi:10.3201/eid1112.050501

Cited by 228 publications

(201 citation statements)

References 19 publications

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“…Interpersonal transmission of hantavirus has been reported only in Argentina and Chile, but further investigation indicated that this possibility is very unlikely [4][5][6] . The contact with hantavirus in and of itself does not cause HPS, since infection is dependent on the quantity of viral particles, such that lower concentrations of particles could lead to subclinical infection.…”

Section: Introductionmentioning

confidence: 99%

Serosurvey of hantavirus infection in humans in the border region between Brazil and Argentina

Souza

Machado

Figueiredo

et al. 2011

Rev. Soc. Bras. Med. Trop.

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Introduction: According to reports by the Ministry of Health, in the far western region of the State of Santa Catarina, there have been no reports of hantavirus pulmonary syndrome, a zoonotic disease transmitted by feces of infected rodents. A seroepidemiological study of residents of this region, was conducted, with the aim of determining the presence of hantavirus infections. A total of 340 volunteers of both genus, from the towns of Belmonte and Paraíso, were studied. Methods: The serum of these patients was collected and used to detect IgG antibodies against recombinant N protein of Araraquara hantavirus, by ELISA assay. The positive samples were then titrated and confirmed by immunofluorescence assay. Results: This study demonstrated the presence of IgG antibodies against hantavirus N protein in 3.5% of the population. The most frequent occupation was farm worker, 81% had direct and indirect contact with rodents, 91.7% of positive cases were farm workers, indicating that the probable cause of infection occurred during barn cleaning. These antibodies are noteworthy, given that the levels of antibodies were verified in individuals whose contact with hantavirus may have occurred many years ago. Conclusions: This study shows the circulation of hantavirus in the region, a fact that until now, had not reported. All the serum reagents had contact with the pathogen, but did not develop pulmonary and cardiovascular syndrome. It is important to remain alert, because hantavirus is a serious and emerging disease of some relevance. Keywords: Hantavirus. Seroprevalence in Santa Catarina. Morbidity. RESUMO Introdução:De acordo com relatórios do Ministério da Saúde, na região do extremo oeste do Estado de Santa Catarina, não há relatos de síndrome pulmonar por hantavírus, doença zoonótica transmitida por excretas de roedores contaminados. Com a finalidade de demosntrar a infecção por hantavírus, um estudo soroepidemiológico de moradores da região foi realizado. Assim, foi estudado um total de 340 voluntários de ambos os gêneros, dos municípios de Belmonte e Paraíso. Métodos: O soro destes pacientes foi coletado e usado para a detecção de anticorpos IgG contra a proteína N recombinante de hantavírus Araraquara, pelo teste de ELISA. As amostras positivas foram tituladas e confirmadas por imunofluorescência indireta. Resultados: Este estudo demonstrou a presença de anticorpos IgG contra a proteína N hantavírus em 3,5% da população. A ocupação de lavrador foi a mais frequente, e 81% tiveram contato direto e indireto com os roedores, 91,7% dos casos positivos foram os agricultores, a causa provável da infecção foi através da limpeza de celeiros. Estes anticorpos são notáveis, dado que os níveis de anticorpos são encontrados nos indivíduos cujo contato com o hantavírus pode ter ocorrido há muitos anos. Conclusões: Este estudo mostra a circulação de hantavírus na região, um fato que até então não havia relatado, todos os reagentes soro tiveram contato com o patógeno, mas não desenvolveram a síndrome pulmonar e cardiovascu...

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Section: Introductionmentioning

confidence: 99%

Serosurvey of hantavirus infection in humans in the border region between Brazil and Argentina

Souza

Machado

Figueiredo

et al. 2011

Rev. Soc. Bras. Med. Trop.

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“…However, ANDV is the only hantavirus in which person-to-person transmission, primarily in small clusters among sex partners and other close household contacts, also occurs. [6][7][8] The annual incidence of HCPS in Chile ranges from 0.2-0.5/ 100.000 inhabitants. Seventy percent of cases occur in men, and the median age is 32 with a range of 6 weeks to 80 y.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes, and practices regarding hantavirus disease and acceptance of a vaccine trial in rural communities of southern Chile

Valdivieso

González

Nájera

et al. 2017

Human Vaccines & Immunotherapeutics

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Andes hantavirus cardiopulmonary syndrome, transmitted by Oligoryzomys longicaudatus, has no approved treatment, a case fatality rate of 35%, and documented person-to-person transmission. An Andes vaccine, highly needed for prevention, is in development. We aimed to evaluate knowledge, attitudes and practices (KAP) regarding hantavirus disease and willingness to participate in a future Andes vaccine trials through a cross sectional face-to-face oral survey of a randomly selected adult sample from 2 rural communes in southern Chile. Human subjects approval was obtained from our institutional IRBs, and participants signed informed consent. We enrolled 319 subjects from Corral and 321 from Curarrehue; 98% had heard about hantavirus disease and its reservoir but only half knew about transmission, symptoms and prevention. Participants fear the disease but are only partially aware of their own risk. One third of participants reported presence of rodents inside their homes. Despite moderate confidence in their health system, most subjects perceived vaccines as beneficial, and 93% would accept an approved hantavirus vaccine. Half would agree to participate in a vaccine trial and 29% would allow their children to participate. Motivations to participate were mainly altruistic, while risk perception was the main reason for declining. Knowledge about hantavirus disease and prevention practices require reinforcement, and a vaccine trial seems feasible in these populations.

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“…c) el manejo del shock con infusión cautelosa de líquidos e inicio precoz de las catecolaminas (42,43); d) el manejo del shock cardiogénico severo con oxigenación extracorpórea a través de membrana (ECMO) (44). Algunos autores aconsejan el uso de antibióticos de amplio espectro hasta la exclusión de otras patologías que, como la leptospirosis o la sepsis bacteriana, cursan con cuadros respiratorios similares.…”

Section: Diagnosisunclassified

“…c) shock management with a cautious infusion of fluids and an early star of catecholamines (42,43). D) severe cardiogenic shock management with extracorporeal membrane oxygenation (ECMO) (44).…”

Section: Diagnosismentioning

confidence: 99%

Infecciones por hantavirus

Tous

et al. 2017

Rev MVZ Córdoba

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Hantaviruses are the causative agents of hantavirus pulmonary syndrome in humans in the Americas; The primary reservoirs are in the rodents of the subfamily Sigmodontinae. In South America, cases of hantavirus pulmonary syndrome caused by numerous viral genotypes have been diagnosed. In Colombia, different serological studies have reported the circulation of hantavirus in humans and rodents. These viruses act in an intimate association with a rodent species that serves as a reservoir and have a distribution around the wild rodent, being limited to a specific geographic region. In South America, the first HPS-associated hantavirus was described in 1993 in Brazil and was called Juquitiva and from 1993 to 2012, more than 1400 cases had been identified in Brazil. This syndrome should be suspected in all patients with respiratory distress syndrome of unclear etiology, in areas endemic for the disease, especially if accompanied by fever, marked leukocytosis and thrombocytopenia and bilateral interstitial infiltrates. Hemorrhagic febrile syndrome has not yet been described in the Americas. There are no clinical or laboratory signs that are pathognomonic of hantavirus infection. The treatment is based on adequate hydration, use of antipyretics and anti-inflammatories and patients with signs of severity should establish a more aggressive management. Triage is indispensable, patients with co-morbidities have a higher mortality risk and therefore should be hospitalized. Future research in Colombia should be directed to multidisciplinary studies that include viral isolation, different clinical forms of case presentation, epidemiological differences, risk factors, and taxonomy of viruses and rodents.Keyswords: Arenavirus, bunyaviridae, reservoirs, rodentia, public health (Source: DeCS). RESUMENLos hantavirus, virus que son los agentes causantes de síndrome pulmonar por hantavirus en humanos en America; los reservorios primarios están en los roedores de la sub-familia Sigmodontinae. En Suramérica, se han diagnosticado casos del síndrome pulmonar por hantavirus y se han identifico numerosos genotipos virales. En Colombia, se han publicado diferentes estudios serológicos que reportaron la circulación de hantavirus en humanos y roedores. Estos virus actúan en una íntima asociación con una especie de roedor que le sirve de reservorio y presentan una distribución alrededor del roedor silvestre, limitándose a una región geográfica especifica. En Suramérica, el primer hantavirus asociado a SPH fue descrito en 1993 en Brasil y se denominó Juquitiva y desde 1993 hasta el 2012, se habían identificado más de 1400 casos en Brasil. Se debe sospechar de este síndrome en todo paciente con síndrome de distrés respiratorio de etiología no clara, en las zonas endémicas para la enfermedad sobre todo si se acompaña de fiebre, leucocitosis marcada y trombocitopenia e infiltrados intersticiales bilaterales. El síndrome febril hemorrágico aún no se han descrito casos en las Américas. No existen signos clínicos o de laboratorio que sean pato...

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Person-to-Person Transmission of Andes Virus

Abstract: Epidemiologic and genetic data show that person-to-person spread likely took place during the prodromal phase or shortly after it ended.

Cited by 228 publications

References 19 publications

Serosurvey of hantavirus infection in humans in the border region between Brazil and Argentina

Serosurvey of hantavirus infection in humans in the border region between Brazil and Argentina

Knowledge, attitudes, and practices regarding hantavirus disease and acceptance of a vaccine trial in rural communities of southern Chile

Infecciones por hantavirus

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