1
|
de la Fuente J, Ghosh S, Lempereur L, Garrison A, Sprong H, Lopez-Camacho C, Maritz-Olivier C, Contreras M, Moraga-Fernández A, Bente DA. Interventions for the control of Crimean-Congo hemorrhagic fever and tick vectors. NPJ Vaccines 2024; 9:181. [PMID: 39353956 PMCID: PMC11445411 DOI: 10.1038/s41541-024-00970-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Accepted: 09/19/2024] [Indexed: 10/03/2024] Open
Abstract
Crimean-Congo hemorrhagic fever (CCHF) is a zoonotic disease associated with its principal tick vector, Hyalomma spp. with increasing fatal incidence worldwide. Accordingly, CCHF is a World Health Organization-prioritized disease with the absence of effective preventive interventions and approved vaccines or effective treatments. This perspective raised from a multidisciplinary gap analysis considering a One Health approach beneficial for human and animal health and the environment exploring international collaborations, gaps and recommendations.
Collapse
Affiliation(s)
- José de la Fuente
- SaBio, Instituto de Investigación en Recursos Cinegéticos IREC-CSIC-UCLM-JCCM, 13005, Ciudad Real, Spain.
- Department of Veterinary Pathobiology, Center for Veterinary Health Sciences, Oklahoma State University, Stillwater, OK, 74078, USA.
| | - Srikant Ghosh
- Entomology Laboratory, Parasitology Division, ICAR-Indian Veterinary Research Institute, Bareilly, 243122, Uttar Pradesh, India
- Eastern Regional Station, Indian Veterinary Research Institute, Kolkata, 700037, West Bengal, India
| | - Laetitia Lempereur
- One Health & Disease Control Group (NSAH-CJW), Food and Agriculture Organization of the United Nations, 00153, Rome, Italy
| | - Aura Garrison
- Virology Division, US Army Medical Research Institute of Infectious Diseases, Frederick, MD, 21702, USA
| | - Hein Sprong
- Centre for Infectious Disease Control (CIb), National Institute of Public Health and Environment (RIVM), 3720 MA, Bilthoven, The Netherlands
| | | | - Christine Maritz-Olivier
- Department of Biochemistry, Genetics and Microbiology, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria, Gauteng, South Africa
| | - Marinela Contreras
- SaBio, Instituto de Investigación en Recursos Cinegéticos IREC-CSIC-UCLM-JCCM, 13005, Ciudad Real, Spain
| | - Alberto Moraga-Fernández
- SaBio, Instituto de Investigación en Recursos Cinegéticos IREC-CSIC-UCLM-JCCM, 13005, Ciudad Real, Spain
| | - Dennis A Bente
- Galveston National Laboratory, Institute for Human Infection and Immunity, Department of Microbiology & Immunology, University of Texas Medical Branch, Galveston, TX, USA
| |
Collapse
|
2
|
Ngom D, Khoulé A, Faye ET, Sène O, Diop SM, Sagne SN, Diallo MK, Dia M, Barry MA, Diaw Y, Bocoum M, Ndiaye EHM, Sall Y, Diop B, Faye O, Faye O, Diallo M, Simon-Lorière E, Sakuntabhai A, Fall G, Diallo D. Crimean-Congo haemorrhagic fever outbreak in Northern Senegal in 2022: Prevalence of the virus in livestock and ticks, associated risk factors and epidemiological implications. Zoonoses Public Health 2024; 71:696-707. [PMID: 38627964 PMCID: PMC11368619 DOI: 10.1111/zph.13136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Revised: 03/26/2024] [Accepted: 04/08/2024] [Indexed: 09/03/2024]
Abstract
OBJECTIVE Crimean-Congo haemorrhagic fever (CCHF) is a severe zoonotic arboviral disease that occurs widely in Eastern and Western Europe, Asia and Africa. The disease is becoming of growing public health importance in Senegal. However, analysis of tick infestation, CCHF virus (CCHFV) circulation extent and risk factors during ongoing outbreak are scarce. A thorough outbreak investigation was carried out during a CCHF outbreak in Podor (Northern Senegal) in August 2022. METHODS Ticks and blood samples were collected from animals (cattle, goats and sheep) randomly selected from confirmed CCHF human cases houses, neighbourhoods and surrounding villages. Blood samples were tested for CCHFV antibodies using a commercial enzyme-linked immunosorbent assay (ELISA) test. Tick samples were screened for CCHFV RNA by RT-PCR. RESULTS Overall, tick infestation rate (TIR) and CCHFV seroprevalence of livestock were 52.12% (95% confidence interval (CI): 45.54%-58.64%) and 43.28% (95% CI: 36.33%-50.44%), respectively. The TIRs were 87.7% in cattle, 57.6% in sheep and 20.0% in goats. These rates were significantly associated with location, host species and tick control (p < 0.001) but not with animal age and sex (p > 0.7). CCHFV seroprevalence was 80.4% (95% CI: 67.57%-89.77%) in cattle, 35.4% (95% CI: 25.00%-47.01%) in sheep and 21.2% (95% CI: 12.11%-33.02%) in goats. Age, sex, location, animal host and presence of ticks were significantly associated to the presence of antibodies. The 950 ticks collected included among other species, Hyalomma impeltatum (48.84%) and H. rufipes (10.21%). Five pools of Hyalomma ssp. were found CCHFV RT-PCR positive. These infected ticks included 0.86% (4/464) of H. impeltatum collected on cattle and sheep and 1.03% (1/97) of H. rufipes collected on a sheep. CONCLUSIONS To our knowledge, this is the first report on the extend of tick infestation and CCHFV infection in livestock during an outbreak in Senegal. The results highlight the risk of human infections and the importance of strengthening vector, animal and human surveillance as well as tick control measures in this area to prevent CCHF infections in humans.
Collapse
Affiliation(s)
- Déthié Ngom
- Institut Pasteur de Dakar, Pole of Zoology, Dakar, Senegal
| | - Aliou Khoulé
- Institut Pasteur de Dakar, Pole of Zoology, Dakar, Senegal
| | | | | | | | - Samba Niang Sagne
- Institut Pasteur de Dakar, Pole of Epidemiology, Clinical Research & Data Science, Dakar, Senegal
| | - Mamadou Korka Diallo
- Institut Pasteur de Dakar, Pole of Epidemiology, Clinical Research & Data Science, Dakar, Senegal
| | - Moussa Dia
- Institut Pasteur de Dakar, Dakar, Senegal
| | - Mamadou Aliou Barry
- Institut Pasteur de Dakar, Pole of Epidemiology, Clinical Research & Data Science, Dakar, Senegal
| | - Yoro Diaw
- Departmental Service of Livestock of Podor, Podor, Senegal
| | | | | | - Yoro Sall
- Ministère de la Santé et de l'Action Sociale (MSAS), Dakar, Senegal
| | - Boly Diop
- Ministère de la Santé et de l'Action Sociale (MSAS), Dakar, Senegal
| | - Oumar Faye
- Institut Pasteur de Dakar, Dakar, Senegal
| | | | | | - Etienne Simon-Lorière
- Institut Pasteur, Université de Paris, G5 Evolutionary Genomics of RNA Viruses, Paris, France
| | - Anavaj Sakuntabhai
- Department of Global Health, Functional Genetics of Infectious Diseases Unit, Institut Pasteur, Université de Paris, Paris, France
- International Vaccine Design Center (vDesC), the Institute of Medical Science, The University of Tokyo (IMSUT), Tokyo, Japan
| | - Gamou Fall
- Institut Pasteur de Dakar, Dakar, Senegal
| | - Diawo Diallo
- Institut Pasteur de Dakar, Pole of Zoology, Dakar, Senegal
| |
Collapse
|
3
|
Degui D, Hachid A, Derrar F, Messahel NE, Bia T, Mockbel Y, Trabelsi MK, Khardine AF, Bellout L, Benaissa MH, Leulmi H, Lafri M, Khelef D, Kaidi R, Bouguedour R, Bitam I, Hakem A, Lafri I. A survey of the tick-borne disease Crimean-Congo hemorrhagic fever in southern Algeria: First serological evidence in the dromedary camel population. Vet Parasitol Reg Stud Reports 2024; 54:101089. [PMID: 39237233 DOI: 10.1016/j.vprsr.2024.101089] [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: 07/26/2023] [Revised: 06/24/2024] [Accepted: 07/21/2024] [Indexed: 09/07/2024]
Abstract
Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne viral zoonosis caused by a Nairovirus, Crimean-Congo hemorrhagic fever virus (CCHFV). Despite its wide geographical distribution, the epidemiology of CCHF in northern Africa is incompletely understood and its occurrence in Algeria is virtually unknown. The present survey aimed to determine the prevalence of CCHF antibodies and to identify the potential risk factors associated with CCHFV seropositivity among the one-humped camel (Camelus dromedarius) in southern Algeria. A total of 269 camels selected randomly from slaughterhouses in three wilayas were employed in the study. Sera sampled were tested for the presence of CCHFV-specific IgG antibodies using enzyme-linked immunosorbent assay (ELISA). CCHFV seropositivity was recorded in 255 out of 269 camels accounting for a prevalence rate of 94.8% (95%CI = 92.14-97.45). The seroprevalence by origin was determined to be 97% (193/199) in imported camels and 86% (49/57) in local ones (p > 0.25). Tick presence (OR = 12.35, 95%CI = 1.41-107.43, p < 0.05) was recorded as the only potential risk factor for contracting CCHFV. This study shows for the first time that camels are exposed to CCHFV in Algeria with a significantly high seroprevalence. It also underlines the need for further research to investigate the broader extent of circulating CCHFV in the country, whether in humans, animals, or ticks.
Collapse
Affiliation(s)
- Djilali Degui
- Institut des Sciences Vétérinaires, Université de Blida 1, Blida 09000, Algeria; Laboratoire des Biotechnologies Liées à la Reproduction Animale (LBRA), Institut des Sciences Vétérinaires, Université de Blida 1, Blida 09000, Algeria
| | - Aissam Hachid
- Faculté de Pharmacie, Université d'Alger 1, Alger 16000, Algeria; Laboratoire des Arbovirus et Virus Emergents, Institut Pasteur d'Algérie, Alger 16000, Algeria
| | - Fawzi Derrar
- Faculté de Médecine, Université d'Alger 1, Alger 16000, Algeria; Laboratoire des Grippes et Virus Respiratoires, Institut Pasteur d'Algérie, Alger 16000, Algeria
| | - Nacer Eddine Messahel
- Faculté des Sciences de la Nature et de la Vie, Université Sétif 1, Sétif 19000, Algeria
| | - Taha Bia
- Faculté des Sciences de la Nature et de la Vie, Université de Mostaganem, Mostaganem 27000, Algeria
| | - Youcef Mockbel
- Inspection Vétérinaire, Direction des Services Agricoles de la wilaya de Tindouf, Algeria
| | - Melissa Katia Trabelsi
- Institut des Sciences Vétérinaires, Université de Blida 1, Blida 09000, Algeria; Laboratoire des Biotechnologies Liées à la Reproduction Animale (LBRA), Institut des Sciences Vétérinaires, Université de Blida 1, Blida 09000, Algeria
| | - Ahmed Fayez Khardine
- Laboratoire des Arbovirus et Virus Emergents, Institut Pasteur d'Algérie, Alger 16000, Algeria
| | - Lydia Bellout
- Institut des Sciences Vétérinaires, Université de Blida 1, Blida 09000, Algeria
| | - Mohammed Hocine Benaissa
- Centre de Recherche Scientifique Et Technique Sur Les Régions Arides (CRSTRA), 55000, Touggourt, Algeria
| | - Hamza Leulmi
- Faculté des Sciences de la Nature et de la Vie, Université de Blida 1, Blida 09000, Algeria
| | - Mohamed Lafri
- Institut des Sciences Vétérinaires, Université de Blida 1, Blida 09000, Algeria; Laboratoire des Biotechnologies Liées à la Reproduction Animale (LBRA), Institut des Sciences Vétérinaires, Université de Blida 1, Blida 09000, Algeria
| | - Djamel Khelef
- Ecole Nationale Supérieure Vétérinaire, Alger 16000, Algeria
| | - Rachid Kaidi
- Institut des Sciences Vétérinaires, Université de Blida 1, Blida 09000, Algeria; Laboratoire des Biotechnologies Liées à la Reproduction Animale (LBRA), Institut des Sciences Vétérinaires, Université de Blida 1, Blida 09000, Algeria
| | - Rachid Bouguedour
- Organisation Mondiale de la Santé Animale (OMSA), Représentation Sous Régionale de l'Afrique du Nord, 17 Avenue d'Afrique - El Menzah 5, 2091 Tunis, Tunisia
| | - Idir Bitam
- Centre de Recherche en Agropastoralisme (CRAPast) Djelfa, Djelfa 17000, Algeria
| | - Ahcéne Hakem
- Centre de Recherche en Agropastoralisme (CRAPast) Djelfa, Djelfa 17000, Algeria
| | - Ismail Lafri
- Institut des Sciences Vétérinaires, Université de Blida 1, Blida 09000, Algeria; Laboratoire de Bactériologie Vétérinaire, Département de Microbiologie et Pathologie Vétérinaire, Institut Pasteur d'Algérie, Alger 16000, Algeria.
| |
Collapse
|
4
|
Srivastava S, Kumar S, Sharma PK, Rustagi S, Mohanty A, Donovan S, Henao‐Martinez AF, Sah R, Franco‐Paredes C. Control strategies for emerging infectious diseases: Crimean-Congo hemorrhagic fever management. Health Sci Rep 2024; 7:e70053. [PMID: 39229478 PMCID: PMC11368823 DOI: 10.1002/hsr2.70053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Revised: 06/27/2024] [Accepted: 08/20/2024] [Indexed: 09/05/2024] Open
Abstract
Background and Aims Crimean-Congo Hemorrhagic Fever (CCHF) is a significant public health concern transmitted by ticks. This study seeks to thoroughly grasp the epidemiology and transmission patterns of CCHF, which is caused by the CCHF virus (CCHFV), a member of the Nairovirus genus in the Bunyaviridae family. Methods The study investigates the global distribution and endemicity of CCHF, its mortality rates, modes of transmission (including tick bites, contact with infected animal blood, and limited person-to-person transmission), and factors influencing its prevalence across different regions. Genetic diversity within CCHFV and its impact on transmission dynamics are explored, along with efforts to control the disease through tick prevention, antiviral treatment, and the development of vaccines and diagnostics. Results CCHFV exhibits widespread distribution, particularly in the Middle East, Africa, Asia, and Eastern Europe, with an overall mortality rate of approximately 30% and a case fatality rate ranging from 10% to 40%. Transmission occurs primarily through tick bites and contact with infected animal blood, with limited person-to-person transmission. Livestock workers, slaughterhouse employees, and animal herders in endemic areas are most affected by their frequent interaction with sick animals and ticks. Genetic diversity within CCHFV contributes to variations in transmission dynamics, complicating control efforts. Antiviral ribavirin shows efficacy in treating CCHF infection. Conclusion This study underscores the importance of further research to understand the enzootic environment, transmission routes, and genetic diversity of CCHFV for effective control measures, including the development of vaccines, treatment options, and diagnostics.
Collapse
Affiliation(s)
- Shriyansh Srivastava
- Department of PharmacologyDelhi Pharmaceutical Sciences and Research University (DPSRU)Sector 3 Pushp ViharNew DelhiIndia
- Department of Pharmacy, School of Medical and Allied SciencesGalgotias UniversityGreater NoidaIndia
| | - Sachin Kumar
- Department of PharmacologyDelhi Pharmaceutical Sciences and Research University (DPSRU)Sector 3 Pushp ViharNew DelhiIndia
| | - Pramod Kumar Sharma
- Department of Pharmacy, School of Medical and Allied SciencesGalgotias UniversityGreater NoidaIndia
| | - Sarvesh Rustagi
- School of Applied and Life SciencesUttaranchal UniversityDehradunUttarakhandIndia
| | - Aroop Mohanty
- Department of MicrobiologyAll India Institute of Medical SciencesGorakhpurIndia
| | - Suzanne Donovan
- Department of MedicineDavid Geffen School of Medicine at UCLALos AngelesCaliforniaUSA
| | | | - Ranjit Sah
- Department of MicrobiologyTribhuvan University Teaching Hospital, Institute of MedicineKathmanduNepal
- Department of MicrobiologyDr. D. Y. Patil Medical College, Hospital and Research CentreDr. D. Y. Patil VidyapeethPuneMaharashtraIndia
- Department of Public Health DentistryDr. D.Y. Patil Dental College and HospitalDr. D.Y. Patil VidyapeethPuneMaharashtraIndia
| | - Carlos Franco‐Paredes
- Hospital Infantil de México, Federico Gómez, México; and Department of Microbiology, Immunology, and PathologyColorado State UniversityFort CollinsColoradoUSA
| |
Collapse
|
5
|
Djiman TA, Biguezoton AS, Saegerman C. Tick-Borne Diseases in Sub-Saharan Africa: A Systematic Review of Pathogens, Research Focus, and Implications for Public Health. Pathogens 2024; 13:697. [PMID: 39204297 PMCID: PMC11356977 DOI: 10.3390/pathogens13080697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2024] [Revised: 08/11/2024] [Accepted: 08/12/2024] [Indexed: 09/03/2024] Open
Abstract
Sub-Saharan Africa, with its hot and humid climate, is a conducive zone for tick proliferation. These vectors pose a major challenge to both animal and human health in the region. However, despite the relevance of emerging diseases and evidence of tick-borne disease emergence, very few studies have been dedicated to investigating zoonotic pathogens transmitted by ticks in this area. To raise awareness of the risks of tick-borne zoonotic diseases in sub-Saharan Africa, and to define a direction for future research, this systematic review considers the trends of research on tick-borne bacteria, parasites, and viruses from 2012 to 2023, aiming to highlight the circulation of these pathogens in ticks, cattle, sheep, goats, and humans. For this purpose, three international databases were screened to select 159 papers fitting designed inclusion criteria and used for qualitative analyses. Analysis of these studies revealed a high diversity of tick-borne pathogens in sub-Saharan Africa, with a total of 37 bacterial species, 27 parasite species, and 14 viruses identified. Among these, 27% were zoonotic pathogens, yet only 11 studies investigated their presence in humans. Furthermore, there is growing interest in the investigation of bacteria and parasites in both ticks and ruminants. However, research into viruses is limited and has only received notable interest from 2021 onwards. While studies on the detection of bacteria, including those of medical interest, have focused on ticks, little consideration has been given to these vectors in studies of parasites circulation. Regarding the limited focus on zoonotic pathogens transmitted by ticks, particularly in humans, despite documented cases of emerging zoonoses and the notable 27% proportion reported, further efforts should be made to fill these gaps. Future studies should prioritize the investigation of zoonotic pathogens, especially viruses, which represent the primary emerging threats, by adopting a One Health approach. This will enhance the understanding of their circulation and impact on both human and animal health. In addition, more attention should be given to the risk factors/drivers associated to their emergence as well as the perception of the population at risk of infection from these zoonotic pathogens.
Collapse
Affiliation(s)
- Tidjani A. Djiman
- Research Unit of Epidemiology and Risk Analysis Applied to Veterinary Sciences (UREAR-ULiège), Fundamental and Applied Research for Animals and Health (FARAH) Center, Faculty of Veterinary Medicine, University of Liege, 4000 Liège, Belgium;
- Vector-Borne Diseases and Biodiversity Unit (UMaVeB), International Research and Development Centre on Livestock in Sub-humid Areas (CIRDES), Bobo-Dioulasso 454, Burkina Faso;
| | - Abel S. Biguezoton
- Vector-Borne Diseases and Biodiversity Unit (UMaVeB), International Research and Development Centre on Livestock in Sub-humid Areas (CIRDES), Bobo-Dioulasso 454, Burkina Faso;
| | - Claude Saegerman
- Research Unit of Epidemiology and Risk Analysis Applied to Veterinary Sciences (UREAR-ULiège), Fundamental and Applied Research for Animals and Health (FARAH) Center, Faculty of Veterinary Medicine, University of Liege, 4000 Liège, Belgium;
| |
Collapse
|
6
|
Wang J, Shah T, Zhou J, Long X, Wang Y, Chen J, Shi M, Shah Z, Wang B, Xia X. Identification, Characterization, and Homology Analysis of a Novel Strain of the Crimean-Congo Hemorrhagic Fever Virus from Yunnan, China. Microorganisms 2024; 12:1466. [PMID: 39065234 PMCID: PMC11278756 DOI: 10.3390/microorganisms12071466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2024] [Revised: 07/06/2024] [Accepted: 07/17/2024] [Indexed: 07/28/2024] Open
Abstract
Wildlife serve as potential microbial reservoirs, accounting for approximately 70% of emerging infectious diseases. Crimean-Congo hemorrhagic fever virus (CCHFV), which causes Crimean-Congo hemorrhagic fever (CCHF) in humans, is a highly pathogenic tick-borne virus prevalent in several parts of Asia, Africa, and Europe with high case fatality rates. Several CCHFV cases have been reported in Asia, the Middle East, Africa, and Southern and Eastern Europe. The disease is endemic in several parts of western China, particularly Xinjiang. Ticks of the genus Hyalomma have been identified as a principal vector and reservoir for CCHFV, although other tick species may also have a crucial role in maintaining CCHFV in endemic regions. On infection, CCHF begins as a nonspecific febrile illness that can progress to severe hemorrhagic manifestations with a higher case fatality due to the unavailability of vaccines or other therapeutic agents. In this study, we collected tissue samples from a wild dead Chinese serow (Capricornis milneedwardsii) and three Naemorhedus griseuses from Deqin County, Tibetan Autonomous Prefecture, Yunnan, China, to investigate for contagious viruses that could be transmitted to humans. We identified a novel CCHFV strain, YNDQL-415G, in the liver tissue of a dead C. milneedwardsii. We performed nucleotide and amino acid sequence homology on the full-length viral genome. The results revealed significant homology between the viral S segment to that of the Africa1 strain, while the M and L segments showed similarity with the Asia CCHFV strain, indicating potential gene reassortment in the YNDQL-415G strain. The genetic characterization of a novel CCHFV strain from a dead C. milneedwardsii raises concerns about the possibility of a new zoonotic infection. A regular survey program is recommended to track the distribution of wild animals as well as the viruses they may transmit to humans and other domestic mammals in the region.
Collapse
Affiliation(s)
- Jiale Wang
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming 650500, China (T.S.)
| | - Taif Shah
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming 650500, China (T.S.)
- State Key Laboratory for Conservation and Utilization of Bio-Resources in Yunnan, Yunnan University, Chenggong, Kunming 650091, China
| | - Jiuxuan Zhou
- Research Institute of Forest Protection, Yunnan Academy of Forestry and Grassland, Kunming 650500, China
| | - Xinhua Long
- Research Institute of Forest Protection, Yunnan Academy of Forestry and Grassland, Kunming 650500, China
| | - Yixuan Wang
- Research Institute of Forest Protection, Yunnan Academy of Forestry and Grassland, Kunming 650500, China
| | - Jie Chen
- Yunnan Province Baimaxueshan National Nature Reserve Management Bureau, Shangri-La 674400, China
| | - Mingfei Shi
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming 650500, China (T.S.)
| | - Zahir Shah
- College of Veterinary Sciences, The University of Agriculture, Peshawar 25130, Pakistan;
| | - Binghui Wang
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming 650500, China (T.S.)
- School of Public Health, Kunming Medical University, Kunming 650500, China
| | - Xueshan Xia
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming 650500, China (T.S.)
- School of Public Health, Kunming Medical University, Kunming 650500, China
| |
Collapse
|
7
|
Okesanya OJ, Olatunji GD, Kokori E, Olaleke NO, Adigun OA, Manirambona E, Lucero-Prisno DE. Looking Beyond the Lens of Crimean-Congo Hemorrhagic Fever in Africa. Emerg Infect Dis 2024; 30:1319-1325. [PMID: 38916548 PMCID: PMC11210649 DOI: 10.3201/eid3007.230810] [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] [Indexed: 06/26/2024] Open
Abstract
Crimean-Congo hemorrhagic fever (CCHF) is a lethal viral disease that has severe public health effects throughout Africa and a case fatality rate of 10%-40%. CCHF virus was first discovered in Crimea in 1944 and has since caused a substantial disease burden in Africa. The shortage of diagnostic tools, ineffective tick control efforts, slow adoption of preventive measures, and cultural hurdles to public education are among the problems associated with continued CCHF virus transmission. Progress in preventing virus spread is also hampered by the dearth of effective serodiagnostic testing for animals and absence of precise surveillance protocols. Intergovernmental coordination, creation of regional reference laboratories, multiinstitutional public education partnerships, investments in healthcare infrastructure, vaccine development, and a One Health approach are strategic methods for solving prevention challenges. Coordinated efforts and financial commitments are needed to combat Crimean-Congo hemorrhagic fever and improve all-around readiness for newly developing infectious illnesses in Africa.
Collapse
|
8
|
Rekik S, Hammami I, Timoumi O, Maghzaoua D, Khamassi Khbou M, Schulz A, Groschup MH, Gharbi M. A Review on Crimean-Congo Hemorrhagic Fever Infections in Tunisia. Vector Borne Zoonotic Dis 2024; 24:325-337. [PMID: 38457645 DOI: 10.1089/vbz.2023.0079] [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] [Indexed: 03/10/2024] Open
Abstract
Crimean-Congo hemorrhagic fever (CCHF) is a zoonotic tick-borne disease, caused by an arbovirus of the genus Orthonairovirus and the family Nairoviridae. Crimean-Congo hemorrhagic fever virus (CCHFV) is widespread in several regions of the world. While the virus is not pathogenic to all susceptible livestock and wild mammals, it can lead to severe hemorrhagic fever in humans. In this review, we compiled published data on CCHFV infections in humans, animals, and ticks in Tunisia. Based on that, we discussed the epidemiology and the distribution patterns of CCHFV infections highlighting the risk factors for this virus in the country. CCHF infection prevalence in humans was estimated to 2.76% (5/181) and 5% (2/38) in Tunisian febrile patients and Tunisian slaughterhouse workers, respectively. Concurrently, seroprevalence in domestic ungulates (sheep, goats, cattle, and dromedaries) ranged from zero to 89.7%, and only one Hyalomma impeltatum tick specimen collected from dromedaries in southern Tunisian was positive for CCHFV by reverse transcriptase-polymerase chain reaction (0.6%; 1/165). As Tunisian studies on CCHFV are geographically scattered and limited due to very small sample sizes, further studies are needed to improve the knowledge on the epidemiology of CCHF in Tunisia.
Collapse
Affiliation(s)
- Syrine Rekik
- Laboratory of Parasitology, Zoonoses, and Sanitary Regulation, University of Manouba, Institution of Agricultural Research and Higher Education, National School of Veterinary Medicine of Sidi Thabet, Sidi Thabet, Tunisia
| | - Ines Hammami
- Laboratory of Parasitology, Zoonoses, and Sanitary Regulation, University of Manouba, Institution of Agricultural Research and Higher Education, National School of Veterinary Medicine of Sidi Thabet, Sidi Thabet, Tunisia
| | - Oumayma Timoumi
- Laboratory of Parasitology, Zoonoses, and Sanitary Regulation, University of Manouba, Institution of Agricultural Research and Higher Education, National School of Veterinary Medicine of Sidi Thabet, Sidi Thabet, Tunisia
| | - Dhekra Maghzaoua
- Laboratory of Parasitology, Zoonoses, and Sanitary Regulation, University of Manouba, Institution of Agricultural Research and Higher Education, National School of Veterinary Medicine of Sidi Thabet, Sidi Thabet, Tunisia
| | - Médiha Khamassi Khbou
- Laboratory of Infectious Animal Diseases, Zoonoses, and Sanitary Regulation, University of Manouba, Institution of Agricultural Research and Higher Education, National School of Veterinary Medicine of Sidi Thabet, Sidi Thabet, Tunisia
| | - Ansgar Schulz
- Friedrich-Loeffler-Institut, Institute of Novel and Emerging Infectious Diseases, Insel Riems, Germany
| | - Martin H Groschup
- Friedrich-Loeffler-Institut, Institute of Novel and Emerging Infectious Diseases, Insel Riems, Germany
| | - Mohamed Gharbi
- Laboratory of Parasitology, Zoonoses, and Sanitary Regulation, University of Manouba, Institution of Agricultural Research and Higher Education, National School of Veterinary Medicine of Sidi Thabet, Sidi Thabet, Tunisia
| |
Collapse
|
9
|
Tahir I, Motwani J, Moiz MA, Kumar V, Shah HH, Hussain MS, Tahir HM, Haque MA. Crimean-Congo hemorrhagic fever outbreak affecting healthcare workers in Pakistan: an urgent rising concern. Ann Med Surg (Lond) 2024; 86:3201-3203. [PMID: 38846901 PMCID: PMC11152863 DOI: 10.1097/ms9.0000000000002127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Accepted: 04/22/2024] [Indexed: 06/09/2024] Open
Affiliation(s)
- Iman Tahir
- Department of Medicine, Liaquat National Hospital and Medical College
| | - Jatin Motwani
- Department of Medicine, Liaquat National Hospital and Medical College
| | - Muhammad A. Moiz
- Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan
| | - Vijay Kumar
- Department of Medicine, Liaquat National Hospital and Medical College
| | - Hussain H. Shah
- Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan
| | - Muhammad S. Hussain
- Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan
| | - Haya M. Tahir
- Department of Medicine, Liaquat National Hospital and Medical College
| | - Md Ariful Haque
- Department of Public Health, Atish Dipankar University of Science and Technology
- Voice of Doctors Research School, Dhaka, Bangladesh
- Department of Orthopedic Surgery, Yan’an Hospital Affiliated to Kunming Medical University, Kunming, Yunnan, People’s Republic of China
| |
Collapse
|
10
|
Jannath S, Islam MR. The current pathogenicity and potential risk evaluation of Crimean-Congo hemorrhagic fever virus to cause mysterious "Disease X"-An updated literature review. Health Sci Rep 2024; 7:e2209. [PMID: 38915357 PMCID: PMC11194469 DOI: 10.1002/hsr2.2209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Revised: 05/24/2024] [Accepted: 06/06/2024] [Indexed: 06/26/2024] Open
Abstract
Background and Aims Crimean-Congo hemorrhagic fever (CCHF) is a severe and potentially lethal illness. Tick bites of the Hyalomma genus are the primary source of transmission of CCHF to humans. The virus responsible for CCHF is the CCHF virus (CCHFV). It is a single-stranded negative sensed RNA virus. The virus belongs to the Orthonairoviridae genus within the Nairoviridae family. It occurs in an extensive geographical area spanning the Middle East, western China, southern Asia, southeastern Europe, and much of Africa. The current study aimed to evaluate the pathogenicity and potential risk of CCHFV to cause a public health emergency of international concern. Methods We searched updated relevant information from PubMed, Google Scholar, and Scopus databases using Crimean-Congo hemorrhagic fever, tick-borne virus, and Nairovirus as keywords. Results The case fatality rate (CFR) varies by region. It can be more than 30% in some cases. Three segments in the genome of CCHFV (L, M, and S) are different in size and function. It is unknown whether the pathogenicity of CCHFV varied based on the genomic diversity. CCHFV can be transmitted through tick bites, handling of infected ticks, contact with infected humans, contaminated body fluids, and so on. A wide range of severity is associated with CCHF, ranging from a moderate fever with no apparent cause to increased vascular permeability, failure of several organs, bleeding, and shock. Hospitals with high-level isolation units should be the first choice for treating CCHF patients. Individual safety equipment is crucial in healthcare to prevent the spread of the virus. In the farm environment, using integrated pest management techniques, minimizing activity in tick-infested regions, and dressing appropriately in long sleeves and pants will help to reduce the risk of CCHFV infection via tick bites. Conclusion There are no approved vaccinations or therapeutics for CCHF except supportive therapeutic approaches. Therefore, scientists recommend early ribavirin therapy for cases of high-risk exposures.
Collapse
Affiliation(s)
- Sanjida Jannath
- Department of PharmacyUniversity of Asia PacificFarmgateBangladesh
| | | |
Collapse
|
11
|
Deézsi-Magyar N, Dénes B, Novák B, Zsidei G, Déri D, Henczkó J, Pályi B, Kis Z. First Broad-Range Serological Survey of Crimean-Congo Hemorrhagic Fever among Hungarian Livestock. Viruses 2024; 16:875. [PMID: 38932166 PMCID: PMC11209279 DOI: 10.3390/v16060875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2024] [Revised: 05/27/2024] [Accepted: 05/28/2024] [Indexed: 06/28/2024] Open
Abstract
(1) Background: Crimean-Congo hemorrhagic fever (CCHF) is an emerging tick-borne disease endemic in Africa, Asia, the Middle East, and the Balkan and Mediterranean regions of Europe. Although no human CCHF cases have been reported, based on vector presence, serological evidence among small vertebrates, and the general human population, Hungary lies within high evidence consensus for potential CCHF introduction and future human infection. Thus, the aim of our pilot serosurvey was to assess CCHF seropositivity among cattle and sheep as indicator animals for virus circulation in the country. (2) Methods: In total, 1905 serum samples taken from free-range cattle and sheep in 2017 were tested for the presence of anti-CCHF virus IgG antibodies using commercial ELISA and commercial and in-house immunofluorescent assays. (3) Results: We found a total of eleven reactive samples (0.58%) from five administrative districts of Hungary comprising 8 cattle and 3 sheep. The most affected regions were the south-central and northwestern parts of the country. (4) Conclusions: Based on these results, more extended surveillance is advised, especially in the affected areas, and there should be greater awareness among clinicians and other high-risk populations of the emerging threat of CCHF in Hungary and Central Europe.
Collapse
Affiliation(s)
- Nóra Deézsi-Magyar
- National Biosafety Laboratory, National Center for Public Health and Pharmacy, 1097 Budapest, Hungary (B.N.); (D.D.)
- School of PhD Studies, Semmelweis University, 1091 Budapest, Hungary
| | - Béla Dénes
- Department of Microbiology and Infectious Diseases, University of Veterinary Medicine Budapest, 1143 Budapest, Hungary;
- National Laboratory of Infectious Animal Diseases, Antimicrobial Resistance, Veterinary Public Health and Food Chain Safety, University of Veterinary Medicine Budapest, 1078 Budapest, Hungary
- Veterinary Diagnostic Directorate, National Food Chain Safety Office, 1024 Budapest, Hungary
| | - Bereniké Novák
- National Biosafety Laboratory, National Center for Public Health and Pharmacy, 1097 Budapest, Hungary (B.N.); (D.D.)
| | - Gyula Zsidei
- National Biosafety Laboratory, National Center for Public Health and Pharmacy, 1097 Budapest, Hungary (B.N.); (D.D.)
| | - Dániel Déri
- National Biosafety Laboratory, National Center for Public Health and Pharmacy, 1097 Budapest, Hungary (B.N.); (D.D.)
| | - Judit Henczkó
- National Biosafety Laboratory, National Center for Public Health and Pharmacy, 1097 Budapest, Hungary (B.N.); (D.D.)
- School of PhD Studies, Semmelweis University, 1091 Budapest, Hungary
| | - Bernadett Pályi
- National Biosafety Laboratory, National Center for Public Health and Pharmacy, 1097 Budapest, Hungary (B.N.); (D.D.)
- European Research Infrastructure on Highly Pathogenic Agents (ERINHA-AISBL), B-1050 Brussels, Belgium
| | - Zoltán Kis
- National Biosafety Laboratory, National Center for Public Health and Pharmacy, 1097 Budapest, Hungary (B.N.); (D.D.)
- European Research Infrastructure on Highly Pathogenic Agents (ERINHA-AISBL), B-1050 Brussels, Belgium
- Institute of Medical Microbiology, Faculty of Medicine, Semmelweis University, 1085 Budapest, Hungary
| |
Collapse
|
12
|
Bozkurt I. We Need More Accuracy in Crimean-Congo Hemorrhagic Fever Diagnosis upon Initial Presentation in Endemic Areas. Vector Borne Zoonotic Dis 2024. [PMID: 38770687 DOI: 10.1089/vbz.2024.0040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2024] Open
Abstract
Background: The primary aim of this study was to highlight the considerable rate of misdiagnosis associated with Crimean-Congo Hemorrhagic Fever (CCHF) during initial hospital admission. Materials and Methods: A comprehensive face-to-face survey was carried out on hospitalized patients living in endemic areas with confirmed diagnosis of CCHF. The structured questionnaire covered demographic information, specifics of hospital admissions before diagnosis, and adherence to the diagnostic criteria for CCHF as determined by the Ministry of Health (MoH). Results: This cohort consisted of 100 patients with a mean age of 44 (20-77) years, of which 65 (65%) were male. Each patient had undergone at least one hospital visit (0-3) before receiving the confirmed diagnosis of CCHF. Only 45 (45%) patients were thoroughly evaluated in line with the clinical diagnostic criteria set forth by the MoH, while 21% had initially received provisional CCHF diagnoses before final confirmation. Conclusions: This study indicates the urgent necessity to improve diagnostic accuracy for CCHF during the initial presentation in endemic regions.
Collapse
Affiliation(s)
- Ilkay Bozkurt
- Department of Clinical Microbiology and Infectious Diseases. Ondokuz Mayis, University School of Medicine, Samsun, Turkiye
- Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
| |
Collapse
|
13
|
Manjunathachar HV, Raut CG, Tiwari P, Chouksey V, Barde PV, Yadav PD, Sharma RK, Das A. Crimean-Congo hemorrhagic fever virus prevalence in livestock of Jabalpur, Madhya Pradesh, Central India and its implications for public health. Res Vet Sci 2024; 171:105243. [PMID: 38564980 DOI: 10.1016/j.rvsc.2024.105243] [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: 12/28/2023] [Revised: 03/21/2024] [Accepted: 03/24/2024] [Indexed: 04/04/2024]
Abstract
The rise of Crimean-Congo Hemorrhagic Fever (CCHF), poses a significant global health challenge, urging immediate action and continuous surveillance. With no available vaccines, monitoring pathogen presence is critical to identify at-risk areas promptly. A study was designed to assess the incidence of CCHF virus in goats and cattle using commercial ELISA IgG kits in tribal-dominated regions. Overall, 16% of the samples (n = 63/393) were positive for CCHF virus-specific IgG antibodies, whereas sero-prevalence detected in cattle 11.6% [95% CI:7-17.7] and in goats 18.9% [95% CI: 13.76-24.01], respectively. Statistically, Animal gender and age didn't significantly affect prevalence (p-value >0.05). Our finding indicates unnoticed CCHF virus circulation. Notably, lack of public awareness about zoonotic diseases in the study region was recorded. To combat this emerging tick-borne disease effectively, it's crucial to screen individuals with hemorrhagic manifestations in healthcare settings and active surveillance of ticks to prevent unwarranted public health outbreaks and design preventive interventions.
Collapse
Affiliation(s)
- Haranahally Vasanthachar Manjunathachar
- Division of In-vivo Research, ICMR- National Institute of Research in Tribal Health (NIRTH), Jabalpur- 482003, Madhya Pradesh, India; ICMR-National Institute of Traditional Medicine, Belagavi, Karnataka 590010, India.
| | - Chandrashekar Ganapat Raut
- Division of In-vivo Research, ICMR- National Institute of Research in Tribal Health (NIRTH), Jabalpur- 482003, Madhya Pradesh, India
| | - Prakash Tiwari
- Division of In-vivo Research, ICMR- National Institute of Research in Tribal Health (NIRTH), Jabalpur- 482003, Madhya Pradesh, India
| | - Vivek Chouksey
- Division of In-vivo Research, ICMR- National Institute of Research in Tribal Health (NIRTH), Jabalpur- 482003, Madhya Pradesh, India
| | - Pradip Vijay Barde
- ICMR- National Institute of Virology (Central Zone), Jabalpur- 482003, Madhya Pradesh, India
| | - Pragya D Yadav
- Maximum Containment Laboratory, ICMR-National Institute of Virology, Pune, Maharashtra-411021, India
| | | | - Aparup Das
- Division of Vector borne diseases, ICMR- National Institute of Research in Tribal Health (NIRTH), Jabalpur-482003, Madhya Pradesh, India
| |
Collapse
|
14
|
Frank MG, Weaver G, Raabe V. Crimean Congo Hemorrhagic Fever Virus for Clinicians-Virology, Pathogenesis, and Pathology. Emerg Infect Dis 2024; 30:847-853. [PMID: 38666566 PMCID: PMC11060449 DOI: 10.3201/eid3005.231646] [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] [Indexed: 05/02/2024] Open
Abstract
Crimean-Congo hemorrhagic fever (CCHF), caused by CCHF virus, is a tickborne disease that can cause a range of illness outcomes, from asymptomatic infection to fatal viral hemorrhagic fever; the disease has been described in >30 countries. We conducted a literature review to provide an overview of the virology, pathogenesis, and pathology of CCHF for clinicians. The virus life cycle and molecular interactions are complex and not fully described. Although pathogenesis and immunobiology are not yet fully understood, it is clear that multiple processes contribute to viral entry, replication, and pathological damage. Limited autopsy reports describe multiorgan involvement with extravasation and hemorrhages. Advanced understanding of CCHF virus pathogenesis and immunology will improve patient care and accelerate the development of medical countermeasures for CCHF.
Collapse
|
15
|
Frank MG, Weaver G, Raabe V. Crimean-Congo Hemorrhagic Fever Virus for Clinicians-Epidemiology, Clinical Manifestations, and Prevention. Emerg Infect Dis 2024; 30:854-863. [PMID: 38666548 PMCID: PMC11060446 DOI: 10.3201/eid3005.231647] [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] [Indexed: 04/30/2024] Open
Abstract
Crimean-Congo hemorrhagic fever (CCHF) is a tickborne infection that can range from asymptomatic to fatal and has been described in >30 countries. Early identification and isolation of patients with suspected or confirmed CCHF and the use of appropriate prevention and control measures are essential for preventing human-to-human transmission. Here, we provide an overview of the epidemiology, clinical features, and prevention and control of CCHF. CCHF poses a continued public health threat given its wide geographic distribution, potential to spread to new regions, propensity for genetic variability, and potential for severe and fatal illness, in addition to the limited medical countermeasures for prophylaxis and treatment. A high index of suspicion, comprehensive travel and epidemiologic history, and clinical evaluation are essential for prompt diagnosis. Infection control measures can be effective in reducing the risk for transmission but require correct and consistent application.
Collapse
|
16
|
Frank MG, Weaver G, Raabe V. Crimean-Congo Hemorrhagic Fever Virus for Clinicians-Diagnosis, Clinical Management, and Therapeutics. Emerg Infect Dis 2024; 30:864-873. [PMID: 38666553 PMCID: PMC11060459 DOI: 10.3201/eid3005.231648] [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] [Indexed: 04/30/2024] Open
Abstract
Crimean-Congo hemorrhagic fever virus (CCHFV) is the most geographically widespread tickborne viral infection worldwide and has a fatality rate of up to 62%. Despite its widespread range and high fatality rate, no vaccines or treatments are currently approved by regulatory agencies in the United States or Europe. Supportive treatment remains the standard of care, but the use of antiviral medications developed for other viral infections have been considered. We reviewed published literature to summarize the main aspects of CCHFV infection in humans. We provide an overview of diagnostic testing and management and medical countermeasures, including investigational vaccines and limited therapeutics. CCHFV continues to pose a public health threat because of its wide geographic distribution, potential to spread to new regions, propensity for genetic variability, potential for severe and fatal illness, and limited medical countermeasures for prophylaxis and treatment. Clinicians should become familiar with available diagnostic and management tools for CCHFV infections in humans.
Collapse
|
17
|
Umair M, Rehman Z, Whitmer S, Mobley M, Fahim A, Ikram A, Salman M, Montgomery JM, Klena JD. Crimean-Congo Hemorrhagic Fever Virus Diversity and Reassortment, Pakistan, 2017-2020. Emerg Infect Dis 2024; 30:654-664. [PMID: 38526059 PMCID: PMC10977834 DOI: 10.3201/eid3004.231155] [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] [Indexed: 03/26/2024] Open
Abstract
Sporadic cases and outbreaks of Crimean-Congo hemorrhagic fever (CCHF) have been documented across Pakistan since 1976; however, data regarding the diversity of CCHF virus (CCHFV) in Pakistan is sparse. We whole-genome sequenced 36 CCHFV samples collected from persons infected in Pakistan during 2017-2020. Most CCHF cases were from Rawalpindi (n = 10), followed by Peshawar (n = 7) and Islamabad (n = 4). Phylogenetic analysis revealed the Asia-1 genotype was dominant, but 4 reassorted strains were identified. Strains with reassorted medium gene segments clustered with Asia-2 (n = 2) and Africa-2 (n = 1) genotypes; small segment reassortments clustered with the Asia-2 genotype (n = 2). Reassorted viruses showed close identity with isolates from India, Iran, and Tajikistan, suggesting potential crossborder movement of CCHFV. Improved and continuous human, tick, and animal surveillance is needed to define the diversity of circulating CCHFV strains in Pakistan and prevent transmission.
Collapse
Affiliation(s)
| | | | - Shannon Whitmer
- National Institutes of Health Pakistan, Islamabad, Pakistan (M. Umair, Z. Rehman, A. Ikram, M. Salman)
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA (S. Whitmer, M. Mobley, J.M. Montgomery, J.D. Klena)
- The Indus Hospital and Health Networks, Karachi, Pakistan (A. Fahim)
| | - Melissa Mobley
- National Institutes of Health Pakistan, Islamabad, Pakistan (M. Umair, Z. Rehman, A. Ikram, M. Salman)
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA (S. Whitmer, M. Mobley, J.M. Montgomery, J.D. Klena)
- The Indus Hospital and Health Networks, Karachi, Pakistan (A. Fahim)
| | - Ammad Fahim
- National Institutes of Health Pakistan, Islamabad, Pakistan (M. Umair, Z. Rehman, A. Ikram, M. Salman)
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA (S. Whitmer, M. Mobley, J.M. Montgomery, J.D. Klena)
- The Indus Hospital and Health Networks, Karachi, Pakistan (A. Fahim)
| | - Aamer Ikram
- National Institutes of Health Pakistan, Islamabad, Pakistan (M. Umair, Z. Rehman, A. Ikram, M. Salman)
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA (S. Whitmer, M. Mobley, J.M. Montgomery, J.D. Klena)
- The Indus Hospital and Health Networks, Karachi, Pakistan (A. Fahim)
| | - Muhammad Salman
- National Institutes of Health Pakistan, Islamabad, Pakistan (M. Umair, Z. Rehman, A. Ikram, M. Salman)
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA (S. Whitmer, M. Mobley, J.M. Montgomery, J.D. Klena)
- The Indus Hospital and Health Networks, Karachi, Pakistan (A. Fahim)
| | - Joel M. Montgomery
- National Institutes of Health Pakistan, Islamabad, Pakistan (M. Umair, Z. Rehman, A. Ikram, M. Salman)
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA (S. Whitmer, M. Mobley, J.M. Montgomery, J.D. Klena)
- The Indus Hospital and Health Networks, Karachi, Pakistan (A. Fahim)
| | - John D. Klena
- National Institutes of Health Pakistan, Islamabad, Pakistan (M. Umair, Z. Rehman, A. Ikram, M. Salman)
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA (S. Whitmer, M. Mobley, J.M. Montgomery, J.D. Klena)
- The Indus Hospital and Health Networks, Karachi, Pakistan (A. Fahim)
| |
Collapse
|
18
|
Shaker DA, Abd MT, Alsalih NJ, Mahdi SG, Alsaadawi M, Aakef IR, Aljandeel TJ. A retrospective study of Crimean-Congo hemorrhagic fever in Iraq. Afr Health Sci 2024; 24:59-68. [PMID: 38962343 PMCID: PMC11217854 DOI: 10.4314/ahs.v24i1.8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/05/2024] Open
Abstract
Background CCHF is transmitted via ticks biting and directly by contact with tissue or blood of infected patients or viremic animals. This study intends to determine the occurrence of CCHF in Iraq between 2015 and 2019. Methods This study was designed as a retrospective and descriptive cross-sectional study. It was approved the occurrence of CCHF in Iraq with relation to some epidemiological and demographic data reported in the Iraqi Communicable Diseases Control Center (CDC)/zoonotic diseases section between 2015-2019. Results Out of 206 suspected cases, only 17 were diagnosed as CCHF with a total fatality ratio of 52%, 25%, and 80% in 2015 and 2018 respectively. However, no mortality was reported during 2016, 2017, and 2019. The mean age of the patients was 33 years± 18 SD, in males mainly (76%). Moreover, the risk groups were 29 %, 23 %, 18 % 12 %, and 6 % for butchers, animal dealers, gainers, both housewives and students and children respectively. Conclusion Strict precautions and precise surveillance should be implemented to control the disease and protect the community by improving the diagnosis and treatment of CCHF. The authors recommend another future study to detect the genotyping and sequencing of CCHFV in Iraq.
Collapse
Affiliation(s)
- Doaa Adnan Shaker
- Communicable Diseases Control Center, Zoonotic Diseases section, Baghdad, Iraq
| | - Muna Tawfeeq Abd
- College of Veterinary Medicine, AL-Muthanna University, Samawah, Iraq
| | | | | | | | | | | |
Collapse
|
19
|
Atwan Z, Alhilfi R, Mousa AK, Rawaf S, Torre JD, Hashim AR, Sharquie IK, Khaleel H, Tabche C. Alarming update on incidence of Crimean-Congo hemorrhagic fever in Iraq in 2023. IJID REGIONS 2024; 10:75-79. [PMID: 38173860 PMCID: PMC10762355 DOI: 10.1016/j.ijregi.2023.11.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 11/20/2023] [Accepted: 11/22/2023] [Indexed: 01/05/2024]
Abstract
Objectives In 2021, large outbreak of Crimean-Congo hemorrhagic fever (CCHF) was reported in Iraq and cases have increased without any significant control measures. To raise awareness about the increasing cases in different regions of Iraq, hence remind the necessity to tackle contributing factors and potential outbreak interventions. Methods The study included 511 polymerase chain reaction-confirmed CCHF infection cases out of 1827 suspected cases from 18 Provinces from January to August 2023. Approval from the Ministry of Health for data analyzed. Results Out of 1827 suspected cases, 511 were confirmed positive by polymerase chain reaction. The total case fatality rate (CFR) was 12.7 with varying severity levels among provinces. Erbil had the highest CFR, 38.5, while Sulaimaniya and Anbar report no deaths. Independent t-test showed a significant difference in CFR between provinces west and south of Baghdad compared to north (P <0.05). Trend showed significant surges after Iftar and Adha holidays. Conclusion Differences in CFR among provinces around the religious ceremonies, highlight the need for one public health intervention strategy. Increased temperatures affected vector behavior. Uncontrolled animal movement with neighboring countries is an important factor. Virus or host determinants can shape the clinical case outcomes, which need clinical and extensive laboratory studies to unravel the reasons leading to death.
Collapse
Affiliation(s)
- Zeenah Atwan
- Central Laboratory, College of Medicine, University of Basrah, Basrah, Iraq & WHO Collaborating Centre for Public Health Education and Training, Imperial College London, UK
| | - Riyad Alhilfi
- Directorate of Public Health, Ministry of Health, Baghdad, Iraq
| | - Alaa K Mousa
- Department of Internal Medicine, College of Medicine, University of Basrah, Basrah, Iraq
| | - Salman Rawaf
- Public Health Director, WHO Collaboration Center, Imperial College, London, UK
| | - Juan D.L. Torre
- Professor of Immunology & Microbiology, Scripps Research Institute, San Diego, CA, USA
| | - Ali R Hashim
- Department of Internal Medicine, College of Medicine, University of Basrah, Basrah, Iraq
| | - Inas K Sharquie
- Department of Immunology & Microbiology, College of Medicine, University of Baghdad, Baghdad, Iraq
| | - Hanan Khaleel
- Surveillance section, Communicable Diseases Control Center, Directorate of Public Health, Ministry of Health, Baghdad, Iraq
| | - Celine Tabche
- WHO Collaborating Centre for Public Health Education and Training, Imperial College London, UK
| |
Collapse
|
20
|
Bernard C, Joly Kukla C, Rakotoarivony I, Duhayon M, Stachurski F, Huber K, Giupponi C, Zortman I, Holzmuller P, Pollet T, Jeanneau M, Mercey A, Vachiery N, Lefrançois T, Garros C, Michaud V, Comtet L, Despois L, Pourquier P, Picard C, Journeaux A, Thomas D, Godard S, Moissonnier E, Mely S, Sega M, Pannetier D, Baize S, Vial L. Detection of Crimean-Congo haemorrhagic fever virus in Hyalomma marginatum ticks, southern France, May 2022 and April 2023. Euro Surveill 2024; 29:2400023. [PMID: 38333936 PMCID: PMC10853980 DOI: 10.2807/1560-7917.es.2024.29.6.2400023] [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: 01/10/2024] [Accepted: 02/01/2024] [Indexed: 02/10/2024] Open
Abstract
Crimean-Congo haemorrhagic fever (CCHF), a potentially severe zoonotic viral disease causing fever and haemorrhagic manifestations in humans. As the Crimean-Congo haemorrhagic fever virus (CCHFV) has been detected in ticks in Spain and antibodies against the virus in ruminant sera in Corsica, it was necessary to know more about the situation in France. In 2022-2023, CCHFV was detected in 155 ticks collected from horses and cattle in southern France.
Collapse
Affiliation(s)
- Célia Bernard
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Charlotte Joly Kukla
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
- Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), INRAE, Ecole Nationale Vétérinaire d'Alfort, UMR BIPAR, Laboratoire de Santé Animale, Maisons-Alfort, France
| | - Ignace Rakotoarivony
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Maxime Duhayon
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Frédéric Stachurski
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Karine Huber
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Carla Giupponi
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Iyonna Zortman
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Philippe Holzmuller
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Thomas Pollet
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Mélanie Jeanneau
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Alice Mercey
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Nathalie Vachiery
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | | | - Claire Garros
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | - Vincent Michaud
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| | | | | | | | - Caroline Picard
- National Reference Center for Viral Hemorrhagic Fevers, Lyon, France
- Unité de Biologie des Infections Virales Emergentes, Institut Pasteur - Centre International de Recherche en Infectiologie (CIRI), Université de Lyon, Institut national de la santé et de la recherche médicale (INSERM) U1111, Ecole Normale Supérieure de Lyon, Université Lyon 1, CNRS UMR5308, Lyon, France
| | - Alexandra Journeaux
- National Reference Center for Viral Hemorrhagic Fevers, Lyon, France
- Unité de Biologie des Infections Virales Emergentes, Institut Pasteur - Centre International de Recherche en Infectiologie (CIRI), Université de Lyon, Institut national de la santé et de la recherche médicale (INSERM) U1111, Ecole Normale Supérieure de Lyon, Université Lyon 1, CNRS UMR5308, Lyon, France
| | - Damien Thomas
- National Reference Center for Viral Hemorrhagic Fevers, Lyon, France
- Laboratoire P4 INSERM Jean Mérieux, INSERM Lyon, France
| | - Sabine Godard
- National Reference Center for Viral Hemorrhagic Fevers, Lyon, France
- Laboratoire P4 INSERM Jean Mérieux, INSERM Lyon, France
| | - Elodie Moissonnier
- National Reference Center for Viral Hemorrhagic Fevers, Lyon, France
- Laboratoire P4 INSERM Jean Mérieux, INSERM Lyon, France
| | - Stéphane Mely
- National Reference Center for Viral Hemorrhagic Fevers, Lyon, France
- Laboratoire P4 INSERM Jean Mérieux, INSERM Lyon, France
| | - Manon Sega
- National Reference Center for Viral Hemorrhagic Fevers, Lyon, France
- Laboratoire P4 INSERM Jean Mérieux, INSERM Lyon, France
| | - Delphine Pannetier
- National Reference Center for Viral Hemorrhagic Fevers, Lyon, France
- Laboratoire P4 INSERM Jean Mérieux, INSERM Lyon, France
| | - Sylvain Baize
- National Reference Center for Viral Hemorrhagic Fevers, Lyon, France
- Unité de Biologie des Infections Virales Emergentes, Institut Pasteur - Centre International de Recherche en Infectiologie (CIRI), Université de Lyon, Institut national de la santé et de la recherche médicale (INSERM) U1111, Ecole Normale Supérieure de Lyon, Université Lyon 1, CNRS UMR5308, Lyon, France
| | - Laurence Vial
- Centre de coopération internationale en recherche agronomique pour le développement (CIRAD), University of Montpellier (UMR) Animal Santé Territoires Risques Écosystèmes (ASTRE), Montpellier, France
- ASTRE UMR, CIRAD, Institut national de la recherche agronomique (INRAE), Montpellier, France
| |
Collapse
|
21
|
Nejati J, Mohammadi M, Okati-Aliabad H. Knowledge, attitudes, and practices regarding Crimean-Congo hemorrhagic fever in a high-prevalence suburban community, southeast of Iran. Heliyon 2024; 10:e23414. [PMID: 38148794 PMCID: PMC10750147 DOI: 10.1016/j.heliyon.2023.e23414] [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: 11/19/2022] [Revised: 12/01/2023] [Accepted: 12/04/2023] [Indexed: 12/28/2023] Open
Abstract
Crimean Congo Hemorrhagic Fever (CCHF) is a zoonotic viral disease with a high mortality rate. The World Health Organization has classified it as a high-priority pathogen due to its severity. To manage this disease, knowledge, attitude, and practices (KAP) of the community play an important role. This study was conducted in a suburban area in southeastern Iran, an endemic region with a high occurrence of CCHF. A cross-sectional study was performed among 176 livestock farmers in Zahedan suburb, and data were collected through an interviewer-administered questionnaire. Single-factor and multi-factor analysis of variance was used to identify factors related to participants' knowledge, attitude, and risk of CCHF. All statistical analyses were conducted using SPSS 24, and a significance level of p ≤ 0.05 was adopted to determine statistical significance. Overall, the knowledge level about CCHF was moderate. Participants demonstrated a better understanding of high-risk occupations compared to the transmission routes and symptoms of CCHF. Conversely, their knowledge about the prevention and treatment of CCHF was found to be inadequate. The participants exhibited a good attitude towards CCHF prevention; most considered it a dangerous disease, believed in the effectiveness of preventive measures, and demonstrated the ability to address perceived obstacles. High-frequency engagement in high-risk behaviors related to CCHF was observed among the study participants. In the multi-factor model, the most critical factors associated with knowledge were age (p = 0.044), CCHF infection (p = 0.047), and CCHF education (p = 0.004). Income (p = 0.001), keeping livestock at home (p = 0.028), and receiving CCHF education (p = 0.012) were the most critical factors associated with attitude toward the risk of CCHF. The most important factors related to CCHF high-risk behavior were age (p = 0.045), gender (p = 0.028), and handling livestock (p < 0.001). These findings emphasize the need for maintaining health educational efforts on CCHF.
Collapse
Affiliation(s)
- Jalil Nejati
- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Mahdi Mohammadi
- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Hassan Okati-Aliabad
- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
| |
Collapse
|
22
|
Chanda MM, Kharkwal P, Dhuria M, Prajapathi A, Yogisharadhya R, Shome BR, Shivachandra SB. Quantifying the influence of climate, host and change in land-use patterns on occurrence of Crimean Congo Hemorrhagic Fever (CCHF) and development of spatial risk map for India. One Health 2023; 17:100609. [PMID: 37583365 PMCID: PMC10424211 DOI: 10.1016/j.onehlt.2023.100609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Revised: 08/01/2023] [Accepted: 08/02/2023] [Indexed: 08/17/2023] Open
Abstract
Crimean Congo Hemorrhagic Fever (CCHF), is an emerging zoonosis globally and in India. The present study focused on identifying the risk factors for occurrence of CCHF in the Indian state of Gujarat and development of risk map for India. The past CCHF outbreaks in India were collated for the analyses. Influence of land use change and climatic factors in determining the occurrence of CCHF in Gujarat was assessed using Bayesian spatial models. Change in maximum temperature in affected districts was analysed to identify the significant change points over 110 years. Risk map was developed for Gujarat using Bayesian Additive Regression Trees (BART) model with remotely sensed environmental variables and host (livestock and human) factors. We found the change in land use patterns and maximum temperature in affected districts to be contributing to the occurrence of CCHF in Gujarat. Spatial risk map developed using CCHF occurrence data for Gujarat identified density of buffalo, minimum land surface temperature and elevation as risk determinants. Further, spatial risk map for the occurrence of CCHF in India was developed using selected variables. Overall, we found that combination of factors such as change in land-use patterns, maximum temperature, buffalo density, day time minimum land surface temperature and elevation led to the emergence and further spread of the disease in India. Mitigation measures for CCHF in India could be designed considering disease epidemiology and initiation of surveillance strategies based on the risk map developed in this study.
Collapse
Affiliation(s)
- Mohammed Mudassar Chanda
- ICAR-National Institute of Veterinary Epidemiology and Disease Informatics (NIVEDI), Ramagondanahalli, Yelahanka, Bengaluru 560 064, Karnataka, India
| | - Priyanka Kharkwal
- ICAR-National Institute of Veterinary Epidemiology and Disease Informatics (NIVEDI), Ramagondanahalli, Yelahanka, Bengaluru 560 064, Karnataka, India
| | - Meera Dhuria
- National Centre for Disease Control (NCDC), New Delhi, India
| | - Awadesh Prajapathi
- ICAR-National Institute of Veterinary Epidemiology and Disease Informatics (NIVEDI), Ramagondanahalli, Yelahanka, Bengaluru 560 064, Karnataka, India
| | - Revanaiah Yogisharadhya
- ICAR-National Institute of Veterinary Epidemiology and Disease Informatics (NIVEDI), Ramagondanahalli, Yelahanka, Bengaluru 560 064, Karnataka, India
| | - Bibek Ranjan Shome
- ICAR-National Institute of Veterinary Epidemiology and Disease Informatics (NIVEDI), Ramagondanahalli, Yelahanka, Bengaluru 560 064, Karnataka, India
| | - Sathish Bhadravati Shivachandra
- ICAR-National Institute of Veterinary Epidemiology and Disease Informatics (NIVEDI), Ramagondanahalli, Yelahanka, Bengaluru 560 064, Karnataka, India
| |
Collapse
|
23
|
Al-Kuraishy HM, Al-Gareeb AI, El-Bouseary MM, Batiha GES. Crimean-Congo hemorrhagic fever in Iraq: Humanity before heroism. Wien Klin Wochenschr 2023; 135:637-638. [PMID: 37310502 DOI: 10.1007/s00508-023-02230-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 05/22/2023] [Indexed: 06/14/2023]
Affiliation(s)
- Hayder M Al-Kuraishy
- Department of Clinical pharmacology and Medicine, College of Medicine, Al-Mustansiriya University, Baghdad, Iraq
| | - Ali I Al-Gareeb
- Department of Clinical pharmacology and Medicine, College of Medicine, Al-Mustansiriya University, Baghdad, Iraq
| | - Maisra M El-Bouseary
- Department of Pharmaceutical Microbiology, Faculty of Pharmacy, Tanta University, Tanta, Egypt.
| | - Gaber El-Saber Batiha
- Department of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhour University, 22511, Damanhour, AlBeheira, Egypt.
| |
Collapse
|
24
|
Banović P, Rodríguez I, Jakimovski D. Current Status and Challenges Associated with Tick-Borne Pathogens and Diseases: Where Do We Stand? Pathogens 2023; 12:1271. [PMID: 37887787 PMCID: PMC10609814 DOI: 10.3390/pathogens12101271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 10/17/2023] [Accepted: 10/19/2023] [Indexed: 10/28/2023] Open
Abstract
Lyme Borreliosis (LB), caused by Borrelia burgdorferi sensu lato (s [...].
Collapse
Affiliation(s)
- Pavle Banović
- Clinic for Lyme Borreliosis and Other Tick-Borne Diseases, Pasteur Institute Novi Sad, 21000 Novi Sad, Serbia
- Department of Microbiology with Parasitology and Immunology, Faculty of Medicine in Novi Sad, University of Novi Sad, 21000 Novi Sad, Serbia
| | - Islay Rodríguez
- National Reference Laboratory of Treponemes and Special Pathogens, Tropical Medicine Institute “Pedro Kourí”, Havana 10400, Cuba;
| | - Dejan Jakimovski
- Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 1000 Skopje, North Macedonia
- University Clinic for Infectious Diseases and Febrile Conditions, 1000 Skopje, North Macedonia
| |
Collapse
|
25
|
Hussein S, Qurbani K. Potential increase in Crimean-Congo hemorrhagic fever incidence in Iraq Post Eid-al-Adha, 2023. New Microbes New Infect 2023; 54:101175. [PMID: 37727502 PMCID: PMC10505661 DOI: 10.1016/j.nmni.2023.101175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 09/04/2023] [Indexed: 09/21/2023] Open
Affiliation(s)
- Safin Hussein
- Department of Biology, College of Science, University of Raparin, Rania, Sulaymaniyah, 46012, Iraq
| | - Karzan Qurbani
- Department of Biology, College of Science, University of Raparin, Rania, Sulaymaniyah, 46012, Iraq
| |
Collapse
|
26
|
Kaygusuz TÖ, Tartar AS, Balin ŞÖ, Akbulut A, Demirdağ K. Predictive epidemiological, clinical and laboratory parameters in the diagnosis of Crimean-Congo hemorrhagic fever. Biomark Med 2023; 17:533-540. [PMID: 37791843 DOI: 10.2217/bmm-2023-0330] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/05/2023] Open
Abstract
Background: The aim of this study is to determine predictive parameters that can be used in the differential diagnosis of Crimean-Congo Hemorrhagic Fever (CCHF) and other diseases with similar clinical and laboratory findings. Materials & methods: In this study, epidemiological, clinical and laboratory parameters of 107 CCHF-positive and 71 CCHF-negative patients were compared. Results: Alanine amino transferase, aspartate aminotransferase, creatine kinase, lactate dehydrogenase, red blood cell, hemoglobin and hematocrit were significantly higher in CCHF-positive patients, whereas total and direct bilirubin, alkaline phosphatase, prothrombin time, international normalization ratio, white blood cell, C-reactive protein and procalcitonin were higher in CCHF-negative patients. In binary logistic regression analysis, an increase in activated partial thromboplastin time level was identified as an independent predictor of having CCHF, while alanine amino transferase, white blood cell and C-reactive protein elevations were identified as independent predictors of not having CCHF. Conclusion: In endemic areas where PCR and serological tests are delayed, knowing the predictive parameters may be of vital importance in the early diagnosis of CCHF.
Collapse
Affiliation(s)
- Türkkan Ö Kaygusuz
- Department of Infectious Diseases & Clinical Microbiology, Faculty of Medicine, Fırat University, Elazig, Turkey
| | - Ayşe S Tartar
- Department of Infectious Diseases & Clinical Microbiology, Faculty of Medicine, Fırat University, Elazig, Turkey
| | - Şafak Ö Balin
- Department of Infectious Diseases & Clinical Microbiology, Faculty of Medicine, Fırat University, Elazig, Turkey
| | - Ayhan Akbulut
- Department of Infectious Diseases & Clinical Microbiology, Faculty of Medicine, Fırat University, Elazig, Turkey
| | - Kutbeddin Demirdağ
- Department of Infectious Diseases & Clinical Microbiology, Faculty of Medicine, Fırat University, Elazig, Turkey
| |
Collapse
|
27
|
Shah T, Li Q, Wang B, Baloch Z, Xia X. Geographical distribution and pathogenesis of ticks and tick-borne viral diseases. Front Microbiol 2023; 14:1185829. [PMID: 37293222 PMCID: PMC10244671 DOI: 10.3389/fmicb.2023.1185829] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 05/04/2023] [Indexed: 06/10/2023] Open
Abstract
Ticks are obligatory hematophagous arthropods that harbor and transmit infectious pathogens to humans and animals. Tick species belonging to Amblyomma, Ixodes, Dermacentor, and Hyalomma genera may transmit certain viruses such as Bourbon virus (BRBV), Dhori virus (DHOV), Powassan virus (POWV), Omsk hemorrhagic fever virus (OHFV), Colorado tick fever virus (CTFV), Crimean-Congo hemorrhagic fever virus (CCHFV), Heartland virus (HRTV), Kyasanur forest disease virus (KFDV), etc. that affect humans and certain wildlife. The tick vectors may become infected through feeding on viraemic hosts before transmitting the pathogen to humans and animals. Therefore, it is vital to understand the eco-epidemiology of tick-borne viruses and their pathogenesis to optimize preventive measures. Thus this review summarizes knowledge on some medically important ticks and tick-borne viruses, including BRBV, POWV, OHFV, CTFV, CCHFV, HRTV, and KFDV. Further, we discuss these viruses' epidemiology, pathogenesis, and disease manifestations during infection.
Collapse
Affiliation(s)
- Taif Shah
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, Yunnan, China
- Provincial Center for Molecular Medicine, Kunming, China
| | - Qian Li
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, Yunnan, China
- Provincial Center for Molecular Medicine, Kunming, China
| | - Binghui Wang
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, Yunnan, China
- Provincial Center for Molecular Medicine, Kunming, China
| | - Zulqarnain Baloch
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, Yunnan, China
- Provincial Center for Molecular Medicine, Kunming, China
| | - Xueshan Xia
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, Yunnan, China
- Provincial Center for Molecular Medicine, Kunming, China
| |
Collapse
|
28
|
Saunders JE, Gilbride C, Dowall S, Morris S, Ulaszewska M, Spencer AJ, Rayner E, Graham VA, Kennedy E, Thomas K, Hewson R, Gilbert SC, Belij-Rammerstorfer S, Lambe T. Adenoviral vectored vaccination protects against Crimean-Congo Haemorrhagic Fever disease in a lethal challenge model. EBioMedicine 2023; 90:104523. [PMID: 36933409 PMCID: PMC10025009 DOI: 10.1016/j.ebiom.2023.104523] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 02/21/2023] [Accepted: 02/28/2023] [Indexed: 03/18/2023] Open
Abstract
BACKGROUND The tick-borne bunyavirus, Crimean-Congo Haemorrhagic Fever virus (CCHFV), can cause severe febrile illness in humans and has a wide geographic range that continues to expand due to tick migration. Currently, there are no licensed vaccines against CCHFV for widespread usage. METHODS In this study, we describe the preclinical assessment of a chimpanzee adenoviral vectored vaccine (ChAdOx2 CCHF) which encodes the glycoprotein precursor (GPC) from CCHFV. FINDINGS We demonstrate here that vaccination with ChAdOx2 CCHF induces both a humoral and cellular immune response in mice and 100% protection in a lethal CCHF challenge model. Delivery of the adenoviral vaccine in a heterologous vaccine regimen with a Modified Vaccinia Ankara vaccine (MVA CCHF) induces the highest levels of CCHFV-specific cell-mediated and antibody responses in mice. Histopathological examination and viral load analysis of the tissues of ChAdOx2 CCHF immunised mice reveals an absence of both microscopic changes and viral antigen associated with CCHF infection, further demonstrating protection against disease. INTERPRETATION There is the continued need for an effective vaccine against CCHFV to protect humans from lethal haemorrhagic disease. Our findings support further development of the ChAd platform expressing the CCHFV GPC to seek an effective vaccine against CCHFV. FUNDING This research was supported by funding from the Biotechnology and Biological Sciences Research Council (UKRI-BBSRC) [BB/R019991/1 and BB/T008784/1].
Collapse
Affiliation(s)
- Jack E Saunders
- The Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK; Oxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK.
| | - Ciaran Gilbride
- The Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Stuart Dowall
- UK Health Security Agency (UKHSA), Porton Down, Salisbury, Wiltshire, UK
| | - Susan Morris
- The Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Marta Ulaszewska
- The Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Alexandra J Spencer
- The Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Emma Rayner
- UK Health Security Agency (UKHSA), Porton Down, Salisbury, Wiltshire, UK
| | - Victoria A Graham
- UK Health Security Agency (UKHSA), Porton Down, Salisbury, Wiltshire, UK
| | - Emma Kennedy
- UK Health Security Agency (UKHSA), Porton Down, Salisbury, Wiltshire, UK
| | - Kelly Thomas
- UK Health Security Agency (UKHSA), Porton Down, Salisbury, Wiltshire, UK
| | - Roger Hewson
- UK Health Security Agency (UKHSA), Porton Down, Salisbury, Wiltshire, UK
| | - Sarah C Gilbert
- The Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Sandra Belij-Rammerstorfer
- The Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK; Oxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK.
| | - Teresa Lambe
- Oxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK; Chinese Academy of Medical Science (CAMS) Oxford Institute, University of Oxford, Oxford, UK
| |
Collapse
|
29
|
Perveen N, Kundu B, Sudalaimuthuasari N, Al-Maskari RS, Muzaffar SB, Al-Deeb MA. Virome diversity of Hyalomma dromedarii ticks collected from camels in the United Arab Emirates. Vet World 2023; 16:439-448. [PMID: 37041826 PMCID: PMC10082741 DOI: 10.14202/vetworld.2023.439-448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Accepted: 01/30/2023] [Indexed: 03/18/2023] Open
Abstract
Background and Aim: Viruses are important components of the microbiome of ticks. Ticks are capable of transmitting several serious viral diseases to humans and animals. Hitherto, the composition of viral communities in Hyalomma dromedarii ticks associated with camels in the United Arab Emirates (UAE) remains unexplored. This study aimed to characterize the RNA virome diversity in male and female H. dromedarii ticks collected from camels in Al Ain, UAE.
Materials and Methods: We collected ticks, extracted, and sequenced RNA, using Illumina (NovaSeq 6000) and Oxford Nanopore (MinION).
Results: From the total generated sequencing reads, 180,559 (~0.35%) and 197,801 (~0.34%) reads were identified as virus-related reads in male and female tick samples, respectively. Taxonomic assignment of the viral sequencing reads was accomplished based on bioinformatic analyses. Further, viral reads were classified into 39 viral families. Poxiviridae, Phycodnaviridae, Phenuiviridae, Mimiviridae, and Polydnaviridae were the most abundant families in the tick viromes. Notably, we assembled the genomes of three RNA viruses, which were placed by phylogenetic analyses in clades that included the Bole tick virus.
Conclusion: Overall, this study attempts to elucidate the RNA virome of ticks associated with camels in the UAE and the results obtained from this study improve the knowledge of the diversity of viruses in H. dromedarii ticks.
Keywords: camels, Hyalomma dromedarii, nanopore technology, UAE, viral diversity, virome analysis, whole genome sequencing.
Collapse
Affiliation(s)
- Nighat Perveen
- Department of Biology, United Arab Emirates University, Al-Ain, P.O. Box 15551, UAE
| | - Biduth Kundu
- Department of Biology, United Arab Emirates University, Al-Ain, P.O. Box 15551, UAE
| | | | | | - Sabir Bin Muzaffar
- Department of Biology, United Arab Emirates University, Al-Ain, P.O. Box 15551, UAE
| | - Mohammad Ali Al-Deeb
- Department of Biology, United Arab Emirates University, Al-Ain, P.O. Box 15551, UAE
| |
Collapse
|
30
|
Abstract
Zoonoses are diseases and infections naturally transmitted between humans and vertebrate animals. Over the years, zoonoses have become increasingly significant threats to global health. They form the dominant group of diseases among the emerging infectious diseases (EID) and currently account for 73% of EID. Approximately 25% of zoonoses originate in domestic animals. The etiological agents of zoonoses include different pathogens, with viruses accounting for approximately 30% of all zoonotic infections. Zoonotic diseases can be transmitted directly or indirectly, by contact, via aerosols, through a vector, or vertically in utero. Zoonotic diseases are found in every continent except Antarctica. Numerous factors associated with the pathogen, human activities, and the environment play significant roles in the transmission and emergence of zoonotic diseases. Effective response and control of zoonotic diseases call for multiple-sector involvement and collaboration according to the One Health concept.
Collapse
Affiliation(s)
- Oyewale Tomori
- African Centre of Excellence for Genomics of Infectious Diseases (ACEGID), Redeemer's University, Ede, Nigeria; ,
| | - Daniel O Oluwayelu
- Department of Veterinary Microbiology and Centre for Control and Prevention of Zoonoses, University of Ibadan, Ibadan, Oyo State, Nigeria; ,
| |
Collapse
|
31
|
Aslam M, Abbas RZ, Alsayeqh A. Distribution pattern of Crimean-Congo Hemorrhagic Fever in Asia and the Middle East. Front Public Health 2023; 11:1093817. [PMID: 36778537 PMCID: PMC9909290 DOI: 10.3389/fpubh.2023.1093817] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 01/02/2023] [Indexed: 01/27/2023] Open
Abstract
Crimean-Congo Hemorrhagic Fever (CCHF) is one of the most important vector-borne diseases of zoonotic potential that can be acquired following the bite of the Hyalomma species of ticks. It is a highly prevalent disease in Asia and the Middle East. The risk factors of this disease are contact with infected tissue, blood, patient, or livestock in the acute viremic phase, infected tick bites, or the manual removal of ticks. The disease is clinically described as progressive hemorrhages, fever, and pain in musculature. Biochemical tests reveal elevated levels of creatinine phosphokinase, alanine transaminase, aspartate aminotransferase, and lactate dehydrogenase. Clotting time is prolonged in pro-thrombin tests, and pathogenesis is mostly related to the disruption of the epithelium during viral replication and indirectly by secreting cytotoxic molecules. These molecules cause endothelial activation and result in the loss of function. Supportive therapy is given through blood or plasma infusions to treat or manage the patients. According to the most advanced studies, CCHF can be treated by Ribavirin, which is an antiviral drug that shows excellent results in preventing the disease. Health-care staff are more prone to infection. The hemorrhagic phase represents a high risk for accidental exposures. This literature review presents a comprehensive overview of the viral epidemiology, zoonotic perspectives, and significant risk factors of CCHF in various Middle East and Asian countries. Furthermore, the pathophysiology and preventive strategies of CCHF have also been discussed as well as legislation and policies regarding public outreach programs, research, and development aimed at infection prevention and control that are required at a global level.
Collapse
Affiliation(s)
- Munazza Aslam
- Department of Pathology, Faculty of Veterinary Science, University of Agriculture, Faisalabad, Pakistan
| | - Rao Zahid Abbas
- Department of Parasitology, Faculty of Veterinary Science, University of Agriculture, Faisalabad, Pakistan
| | - Abdullah Alsayeqh
- Department of Veterinary Medicine, College of Agriculture and Veterinary Medicine, Qassim University, Buraidah, Qassim, Saudi Arabia,*Correspondence: Abdullah Alsayeqh ✉
| |
Collapse
|
32
|
Large outbreak of Crimean-Congo haemorrhagic fever in Iraq, 2022. IJID REGIONS 2023; 6:76-79. [PMID: 36818019 PMCID: PMC9931897 DOI: 10.1016/j.ijregi.2023.01.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 01/12/2023] [Accepted: 01/12/2023] [Indexed: 01/19/2023]
Abstract
Background Crimean-Congo haemorrhagic fever (CCHF) is reported sporadically in Iraq. The lack of preventive veterinary activities during 2 years of the coronavirus disease 2019 pandemic (2020 and 2021) led to the largest CCHF outbreak in Iraq since 1979. Objective To describe the epidemiological characteristics of CCHF cases that occurred during the first half of 2022 in Iraq in terms of age, sex, residence, history of contact with another case, and history of contact with animals. Materials and methods This descriptive study included laboratory-confirmed cases of CCHF between 1st January 2022 and 26th June 2022. Frequencies and percentages were used to describe the demographic and epidemiologic criteria of the cases. The epidemic curve of the cases was used to describe the timing and duration of the outbreak. Results In total, there were 219 confirmed cases of CCHF from 1st January 2022 to 26th June 2022. The first confirmed case was reported in March 2022, and cases continued to occur through June 2022. The median age of the cases was 34.5 years. The majority of cases were male (n=130, 59.4%), had an unspecified job (n=126, 57.5%) and lived in southern Iraq (n=142, 64.8%). The first case was reported in week 10 of 2022. Case numbers peaked in week 24 (30 cases were reported), and subsequently declined in week 25 (24 cases were reported). The case fatality rate was 16.4%. Conclusion and recommendations The CCHF outbreak in 2022 was the largest in Iraq since the disease was first reported four decades ago. Identification of CCHF strains in Iraq is recommended, together with exploration of the knowledge, attitudes and practices of high-risk groups for CCHF, and a national survey of CCHF vectors in Iraq.
Collapse
|
33
|
Shah SZ, Jabbar B, Mirza MU, Waqas M, Aziz S, Halim SA, Ali A, Rafique S, Idrees M, Khalid A, Abdalla AN, Khan A, Al-Harrasi A. An Immunoinformatics Approach to Design a Potent Multi-Epitope Vaccine against Asia-1 Genotype of Crimean-Congo Haemorrhagic Fever Virus Using the Structural Glycoproteins as a Target. Vaccines (Basel) 2022; 11:61. [PMID: 36679906 PMCID: PMC9867508 DOI: 10.3390/vaccines11010061] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 12/15/2022] [Accepted: 12/22/2022] [Indexed: 12/29/2022] Open
Abstract
Crimean-Congo haemorrhagic fever (CCHF), caused by Crimean-Congo haemorrhagic fever virus (CCHFV), is a disease of worldwide importance (endemic yet not limited to Asia, Middle East, and Africa) and has triggered several outbreaks amounting to a case fatality rate of 10-40% as per the World Health Organization. Genetic diversity and phylogenetic data revealed that the Asia-1 genotype of CCHFV remained dominant in Pakistan, where 688 confirmed cases were reported between the 2012-2022 period. Currently, no approved vaccine is available to tackle the viral infection. Epitope-based vaccine design has gained significant attention in recent years due to its safety, timeliness, and cost efficiency compared to conventional vaccines. In the present study, we employed a robust immunoinformatics-based approach targeting the structural glycoproteins G1 and G2 of CCHFV (Asia-1 genotype) to design a multi-epitope vaccine construct. Five B-cells and six cytotoxic T-lymphocytes (CTL) epitopes were mapped and finalized from G1 and G2 and were fused with suitable linkers (EAAAK, GGGS, AAY, and GPGPG), a PADRE sequence (13 aa), and an adjuvant (50S ribosomal protein L7/L12) to formulate a chimeric vaccine construct. The selected CTL epitopes showed high affinity and stable binding with the binding groove of common human HLA class I molecules (HLA-A*02:01 and HLA-B*44:02) and mouse major histocompatibility complex class I molecules. The chimeric vaccine was predicted to be an antigenic, non-allergenic, and soluble molecule with a suitable physicochemical profile. Molecular docking and molecular dynamics simulation indicated a stable and energetically favourable interaction between the constructed antigen and Toll-like receptors (TLR2, TLR3, and TLR4). Our results demonstrated that innate, adaptive, and humoral immune responses could be elicited upon administration of such a potent muti-epitope vaccine construct. These results could be helpful for an experimental vaccinologist to develop an effective vaccine against the Asia-1 genotype of CCHFV.
Collapse
Affiliation(s)
- Syed Zawar Shah
- Centre of Excellence in Molecular Biology, University of the Punjab, Lahore 53700, Pakistan
| | - Basit Jabbar
- Centre of Excellence in Molecular Biology, University of the Punjab, Lahore 53700, Pakistan
| | - Muhammad Usman Mirza
- Department of Chemistry and Biochemistry, University of Windsor, Windsor, ON N9B 3P4, Canada
| | - Muhammad Waqas
- Department of Biotechnology and Genetic Engineering, Hazara University Mansehra, Mansehra 21120, Pakistan
- Natural and Medical Sciences Research Center, University of Nizwa, Birkat-ul-Mouz 616, Oman
| | - Shahkaar Aziz
- Institute of Biotechnology and Genetic Engineering, The University of Agriculture, Peshawar 25130, Pakistan
| | - Sobia Ahsan Halim
- Natural and Medical Sciences Research Center, University of Nizwa, Birkat-ul-Mouz 616, Oman
| | - Amjad Ali
- Department of Biotechnology and Genetic Engineering, Hazara University Mansehra, Mansehra 21120, Pakistan
| | - Shazia Rafique
- Centre of Excellence in Molecular Biology, University of the Punjab, Lahore 53700, Pakistan
| | - Muhammad Idrees
- Centre of Excellence in Molecular Biology, University of the Punjab, Lahore 53700, Pakistan
| | - Asaad Khalid
- Substance Abuse and Toxicology Research Center, Jazan University, P.O. Box 114, Jazan 45142, Saudi Arabia
- Medicinal and Aromatic Plants and Traditional Medicine Research Institute, National Center for Research, P.O. Box 2404, Khartoum 11111, Sudan
| | - Ashraf N. Abdalla
- Department of Pharmacology and Toxicology, College of Pharmacy, Umm Al-Qura University, Makkah 21955, Saudi Arabia
| | - Ajmal Khan
- Natural and Medical Sciences Research Center, University of Nizwa, Birkat-ul-Mouz 616, Oman
| | - Ahmed Al-Harrasi
- Natural and Medical Sciences Research Center, University of Nizwa, Birkat-ul-Mouz 616, Oman
| |
Collapse
|
34
|
Dzikwi-Emennaa AA, Meseko C, Emennaa P, Adeyinka AJ, Adamu AM, Adegboye OA. Detection of Crimean-Congo Hemorrhagic Fever Virus Antibodies in Cattle in Plateau State, Nigeria. Viruses 2022; 14:v14122618. [PMID: 36560622 PMCID: PMC9787510 DOI: 10.3390/v14122618] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 11/23/2022] [Accepted: 11/23/2022] [Indexed: 11/25/2022] Open
Abstract
Crimean-Congo hemorrhagic fever (CCHF) is a vector-borne viral hemorrhagic disease with global clinical significance. Certain species of ticks are vectors of CCHF, which can be transmitted from animals to humans and humans to humans by direct exposure to blood or other body fluids. The zoonotic transmission at the human-animal interface from viremic animal hosts to humans is a public health concern with a paucity of data in Nigeria. Samples from 184 pastoral cattle from three local government areas (LGAs) of Plateau state, Nigeria, were screened for CCHF virus using a commercial enzyme-linked immunosorbent assay (ID Screen® CCHF Double Antigen for Multi-Species). Overall seropositivity of 30.4% (n = 56) (95% CI: 23.88%, 37.63%) was recorded from the study areas in Plateau State, while 48/126 (38.1%, 95% CI: 29.59%, 47.17%) sampled cows tested positive for CCHFV antibodies. Seropositivity was significantly higher (p < 0.001) among older cattle greater than two years, 54.69% (95% CI: 2.88%, 11.24%) compared to cattle younger than two years, 17.5% (95% CI: 11.17%, 25.50%). The location of farms played a significant role in the seropositivity of CCHF with the least risk observed in Wase LGA. CCHF is an important zoonotic disease in different parts of the globe with a high risk of transmission to pastoralists, livestock keepers/slaughterhouse workers, and veterinarians who handle animals. There is a need for a collaborative one-health approach with various stakeholders to unravel the dynamics of CCHFV epidemiology in Nigeria.
Collapse
Affiliation(s)
- Asabe A. Dzikwi-Emennaa
- Department of Veterinary Public Health and Preventive Medicine, University of Jos, Jos 930003, Nigeria
| | - Clement Meseko
- National Veterinary Research Institute, Vom, Jos 930101, Nigeria
| | - Paulinus Emennaa
- National Veterinary Research Institute, Vom, Jos 930101, Nigeria
| | | | - Andrew M. Adamu
- Department of Veterinary Public Health and Preventive Medicine, University of Abuja, Abuja 900105, Nigeria
- Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD 4811, Australia
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia
- Correspondence: (A.M.A.); (O.A.A.)
| | - Oyelola A. Adegboye
- Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD 4811, Australia
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia
- World Health Organization Collaborating Center for Vector-Borne and Neglected Tropical Diseases, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia
- Correspondence: (A.M.A.); (O.A.A.)
| |
Collapse
|
35
|
Flórez-Álvarez L, de Souza EE, Botosso VF, de Oliveira DBL, Ho PL, Taborda CP, Palmisano G, Capurro ML, Pinho JRR, Ferreira HL, Minoprio P, Arruda E, de Souza Ferreira LC, Wrenger C, Durigon EL. Hemorrhagic fever viruses: Pathogenesis, therapeutics, and emerging and re-emerging potential. Front Microbiol 2022; 13:1040093. [PMID: 36386719 PMCID: PMC9640979 DOI: 10.3389/fmicb.2022.1040093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 10/06/2022] [Indexed: 01/29/2023] Open
Abstract
Hemorrhagic fever viruses (HFVs) pose a threat to global public health owing to the emergence and re-emergence of highly fatal diseases. Viral hemorrhagic fevers (VHFs) caused by these viruses are mostly characterized by an acute febrile syndrome with coagulation abnormalities and generalized hemorrhage that may lead to life-threatening organ dysfunction. Currently, the events underlying the viral pathogenicity associated with multiple organ dysfunction syndrome still underexplored. In this minireview, we address the current knowledge of the mechanisms underlying VHFs pathogenesis and discuss the available development of preventive and therapeutic options to treat these infections. Furthermore, we discuss the potential of HFVs to cause worldwide emergencies along with factors that favor their spread beyond their original niches.
Collapse
Affiliation(s)
| | | | | | | | - Paulo Lee Ho
- Virology Laboratory, Butantan Institute, São Paulo, Brazil
| | | | - Giuseppe Palmisano
- Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | | | - João Renato Rebello Pinho
- Albert Einstein Institute for Teaching and Research (IIEP), Hospital Israelita Albert Einstein, São Paulo, Brazil,Hospital das Clínicas da Faculdade de Medicina, University of São Paulo, São Paulo, Brazil
| | - Helena Lage Ferreira
- Faculty of Animal Science and Food Engineering, University of São Paulo, São Paulo, Brazil
| | | | - Eurico Arruda
- Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Luís Carlos de Souza Ferreira
- Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil,Scientific Platform Pasteur-USP, São Paulo, Brazil
| | - Carsten Wrenger
- Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil,*Correspondence: Carsten Wrenger, ; Edison Luiz Durigon,
| | - Edison Luiz Durigon
- Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil,Scientific Platform Pasteur-USP, São Paulo, Brazil,*Correspondence: Carsten Wrenger, ; Edison Luiz Durigon,
| |
Collapse
|
36
|
Amin S, Rahim F, Mahmood A, Gul H, Noor M, Zia A, Ali B, Wahab A, Khan U, Ul Haq F. Crimean-Congo Hemorrhagic Fever Case Series: a Chronology of Biochemical and Hematological Parameters. Cureus 2022; 14:e29619. [PMID: 36321017 PMCID: PMC9604767 DOI: 10.7759/cureus.29619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/26/2022] [Indexed: 11/12/2022] Open
Abstract
Introduction Crimean-Congo hemorrhagic fever (CCHF) is a widespread tick-borne zoonotic disease. Sporadic outbreaks of CCHF occur in endemic regions, including Pakistan. The clinical spectrum of the illness varies from asymptomatic seroconversion to severe disease which may end in death. The treatment is supportive, including blood and blood products. There is multi-organ involvement in CCHF including acute hepatitis, thrombocytopenia, coagulopathy, acute kidney injury (AKI), and encephalopathy. Hematological and biochemical parameters may identify patients at substantial risk of worse outcomes. Early detection of the disease and forecasting the clinical course may be helpful. This case series aims to evaluate the trends of hematological and biochemical parameters among the survivors and non-survivors of CCHF. Methods All consecutive patients aged 16 years and above admitted to the isolation unit of Hayatabad Medical Complex, Peshawar, Pakistan between 1st July and 30th July 2022 with the diagnosis of CCHF were included in this case series. The diagnosis of CCHF was made by detecting viral ribonucleic acid by a polymerase chain reaction. For all patients, age, gender, address, occupation, clinical presentation, history of contact with animals, and travel history were recorded. All the vitals were taken regularly. The hematological (complete blood count) and biochemical parameters (serum creatinine, alanine aminotransferase (ALT), and C-reactive protein (CRP)) were documented daily. The blood group was determined for all the cases. Results Out of 17 cases, the majority (16 cases, 94.1%) were male and butchers (eight cases, 47.1%) by profession. All cases had significant contact with animals. Four patients (23.5%) died. Three out of the four non-survivors (75%) had ALT < 5 times the upper limit of normal with a static pattern of liver enzymes without much decline in ALT till death. One non-survivor (25%) had marked elevation of ALT at presentation, which had a declining trend till death. Seven out of 13 survivors (53.8%) had moderate to marked elevation in the level of ALT at presentation. The ALT showed a downward trend during the course of illness in all these patients. The remaining survivors (six out of 13, 46.2%) had a mild elevation of ALT and 50% of them showed improvement in the ALT level during hospitalization. All patients had thrombocytopenia at presentation. None of the non-survivors showed a persistent increase in the platelet count, and three cases remained severely thrombocytopenic at the time of death. However, the trend in platelet count among all the survivors was increasing. The CRP level in the majority (three out of four cases, 75%) of the non-survivors remained elevated till death, while all survivors showed a progressive decline in CRP level. A majority (11 out of 17 cases) had blood group B. Half of the non-survivors (two out of four cases) and the majority of the survivors (nine out of 13 cases) had blood group B. AKI was found in all non-survivors, while all the survivors had normal renal function throughout the course. Conclusion A persistently raised ALT and CRP level, a persistently low or decreasing platelet count, and AKI were associated with mortality. Blood group B was the commonest blood group among patients of CCHF, which is not reflective of the blood group distribution of the general population from which this case series has been reported.
Collapse
|
37
|
Lule SA, Gibb R, Kizito D, Nakanjako G, Mutyaba J, Balinandi S, Owen L, Jones KE, Abubakar I, Lutwama JJ, Field N. Widespread exposure to Crimean-Congo haemorrhagic fever in Uganda might be driven by transmission from Rhipicephalus ticks: Evidence from cross-sectional and modelling studies. J Infect 2022; 85:683-692. [PMID: 36152736 DOI: 10.1016/j.jinf.2022.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 09/14/2022] [Accepted: 09/17/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND Crimean-Congo haemorrhagic fever (CCHF) is a widespread tick-borne viral infection, present across Africa and Eurasia, which might pose a cryptic public health problem in Uganda. We aimed to understand the magnitude and distribution of CCHF risk in humans, livestock and ticks across Uganda by synthesising epidemiological (cross-sectional) and ecological (modelling) studies. METHODS We conducted a cross-sectional study at three urban abattoirs receiving cattle from across Uganda. We sampled humans (n = 478), livestock (n = 419) and ticks (n = 1065) and used commercially-available kits to detect human and livestock CCHF virus (CCHFV) antibodies and antigen in tick pools. We developed boosted regression tree models to evaluate the correlates and geographical distribution of expected tick and wildlife hosts, and of human CCHF exposures, drawing on continent-wide data. FINDINGS The cross-sectional study found CCHFV IgG/IgM seroprevalence in humans of 10·3% (7·8-13·3), with antibody detection positively associated with reported history of tick bite (age-adjusted odds ratio = 2·09 (1·09-3·98)). Cattle had a seroprevalence of 69·7% (65·1-73·4). Only one Hyalomma tick (CCHFV-negative) was found. However, CCHFV antigen was detected in Rhipicephalus (5·9% of 304 pools) and Amblyomma (2·9% of 34 pools) species. Modelling predicted high human CCHF risk across much of Uganda, low environmental suitability for Hyalomma, and high suitability for Rhipicephalus and Amblyomma. INTERPRETATION Our epidemiological and ecological studies provide complementary evidence that CCHF exposure risk is widespread across Uganda. We challenge the idea that Hyalomma ticks are consistently the principal reservoir and vector for CCHFV, and postulate that Rhipicephalus might be important for CCHFV transmission in Uganda, due to high frequency of infected ticks and predicted environmental suitability. FUNDING UCL Global Challenges Research Fund (GCRF) and Pan-African Network on Emerging and Re-Emerging Infections (PANDORA-ID-NET) funded by the European and Developing Countries Clinical Trials Partnership (EDCTP) under the EU Horizon 2020 Framework Programme for Research and Innovation.
Collapse
Affiliation(s)
- Swaib A Lule
- Institute for Global Health (IGH), University College London, London, UK
| | - Rory Gibb
- Centre for Biodiversity and Environment Research, Department of Genetics, Evolution and Environment, University College London, London, UK
| | - Dennison Kizito
- Department of Arbovirology, Emerging and Re-Emerging Infectious Diseases (DAERID), Uganda Virus Research Institute (UVRI), Entebbe, Uganda
| | - Gladys Nakanjako
- Department of Arbovirology, Emerging and Re-Emerging Infectious Diseases (DAERID), Uganda Virus Research Institute (UVRI), Entebbe, Uganda
| | - Joseph Mutyaba
- Department of Arbovirology, Emerging and Re-Emerging Infectious Diseases (DAERID), Uganda Virus Research Institute (UVRI), Entebbe, Uganda
| | - Stephen Balinandi
- Department of Arbovirology, Emerging and Re-Emerging Infectious Diseases (DAERID), Uganda Virus Research Institute (UVRI), Entebbe, Uganda
| | - Leah Owen
- Institute for Global Health (IGH), University College London, London, UK
| | - Kate E Jones
- Centre for Biodiversity and Environment Research, Department of Genetics, Evolution and Environment, University College London, London, UK
| | - Ibrahim Abubakar
- Institute for Global Health (IGH), University College London, London, UK
| | - Julius J Lutwama
- Department of Arbovirology, Emerging and Re-Emerging Infectious Diseases (DAERID), Uganda Virus Research Institute (UVRI), Entebbe, Uganda
| | - Nigel Field
- Institute for Global Health (IGH), University College London, London, UK.
| |
Collapse
|
38
|
A Systematic Review of the Distribution of Tick-Borne Pathogens in Wild Animals and Their Ticks in the Mediterranean Rim between 2000 and 2021. Microorganisms 2022; 10:microorganisms10091858. [PMID: 36144460 PMCID: PMC9504443 DOI: 10.3390/microorganisms10091858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 08/28/2022] [Accepted: 09/14/2022] [Indexed: 11/17/2022] Open
Abstract
Tick-borne pathogens (TBPs) can be divided into three groups: bacteria, parasites, and viruses. They are transmitted by a wide range of tick species and cause a variety of human, animal, and zoonotic diseases. A total of 148 publications were found on tick-borne pathogens in wild animals, reporting on 85 species of pathogens from 35 tick species and 17 wild animal hosts between 2000 and February 2021. The main TBPs reported were of bacterial origin, including Anaplasma spp. and Rickettsia spp. A total of 72.2% of the TBPs came from infected ticks collected from wild animals. The main tick genus positive for TBPs was Ixodes. This genus was mainly reported in Western Europe, which was the focus of most of the publications (66.9%). It was followed by the Hyalomma genus, which was mainly reported in other areas of the Mediterranean Rim. These TBPs and TBP-positive tick genera were reported to have come from a total of 17 wild animal hosts. The main hosts reported were game mammals such as red deer and wild boars, but small vertebrates such as birds and rodents were also found to be infected. Of the 148 publications, 12.8% investigated publications on Mediterranean islands, and 36.8% of all the TBPs were reported in seven tick genera and 11 wild animal hosts there. The main TBP-positive wild animals and tick genera reported on these islands were birds and Hyalomma spp. Despite the small percentage of publications focusing on ticks, they reveal the importance of islands when monitoring TBPs in wild animals. This is especially true for wild birds, which may disseminate their ticks and TBPs along their migration path.
Collapse
|
39
|
Perveen N, Khan G. Crimean–Congo hemorrhagic fever in the Arab world: A systematic review. Front Vet Sci 2022; 9:938601. [PMID: 36176697 PMCID: PMC9513365 DOI: 10.3389/fvets.2022.938601] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Accepted: 08/25/2022] [Indexed: 11/23/2022] Open
Abstract
Crimean-Congo hemorrhagic fever (CCHF) is an important tick-borne viral infection with a fatality rate of up to 50% during outbreaks. Crimean-Congo hemorrhagic fever virus (CCHFV) is sustained in the ecosystem in benign form through vertical and horizontal transmission cycles involving tick vectors, wildlife, and livestock. Hyalomma ticks are considered the major source of human infection. CCHF occurs most often among butchers, slaughterhouse workers, and farmworkers through infected tick bites or/and contact with blood and tissues of infected livestock. The nosocomial transmission can occur in auxiliary nurses and physicians through contact with the infected patients. The widespread distribution of CCHFV most probably occurred by ticks on migratory birds, or through international travel and trade of livestock and wildlife. During co-infections of ticks and vertebrates, reassortment among genome segments could play a significant role in generating diversity, and hence, a potential risk for the emergence of novel variants. In this systematic review, we aimed to determine the epidemiology, transmission, distribution, mortality, and clinical features of CCHF in 22 Arab countries, comprising the Arab world. Based on the analysis of 57 studies published from 1978 to 2021, we found 20 tick species that could be associated with CCHFV transmission. During the 43-year period, 321 cases of CCHF were reported from 9/22 Arab countries, Iraq, Kuwait, UAE, Saudi Arabia, Oman, Sudan, Egypt, Tunisia, and Mauritania. The mean case fatality rate was 29% during various outbreaks. Individuals working in abattoirs/slaughter houses, livestock farms, and healthcare were most at risk. Contact with blood or body secretions from infected animals and patients was the most common mode of transmission. A number of different animals, including cattle, goats, sheep, and camels were reported to be seropositive for CCHFV. The highest seroprevalence was observed in camels (29%), followed by cattle (21%), goats (15%), and sheep (14%). We discuss these results in the context of policy-making and potential preventative measures that can be implemented to reduce the burden of CCHF in the Arab world.
Collapse
Affiliation(s)
- Nighat Perveen
- Department of Biology, College of Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Gulfaraz Khan
- Department of Microbiology & Immunology, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates
- *Correspondence: Gulfaraz Khan
| |
Collapse
|
40
|
Mostafavi E, Ghasemian A, Abdinasir A, Nematollahi Mahani SA, Rawaf S, Salehi Vaziri M, Gouya MM, Minh Nhu Nguyen T, Al Awaidy S, Al Ariqi L, Islam MM, Abu Baker Abd Farag E, Obtel M, Omondi Mala P, Matar GM, Asghar RJ, Barakat A, Sahak MN, Abdulmonem Mansouri M, Swaka A. Emerging and Re-emerging Infectious Diseases in the WHO Eastern Mediterranean Region, 2001-2018. Int J Health Policy Manag 2022; 11:1286-1300. [PMID: 33904695 PMCID: PMC9808364 DOI: 10.34172/ijhpm.2021.13] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 02/08/2021] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Countries in the World Health Organization (WHO) Eastern Mediterranean Region (EMR) are predisposed to highly contagious, severe and fatal, emerging infectious diseases (EIDs), and re-emerging infectious diseases (RIDs). This paper reviews the epidemiological situation of EIDs and RIDs of global concern in the EMR between 2001 and 2018. METHODS To do a narrative review, a complete list of studies in the field was we prepared following a systematic search approach. Studies that were purposively reviewed were identified to summarize the epidemiological situation of each targeted disease. A comprehensive search of all published studies on EIDs and RIDs between 2001 and 2018 was carried out through search engines including Medline, Web of Science, Scopus, Google Scholar, and ScienceDirect. RESULTS Leishmaniasis, hepatitis A virus (HAV) and hepatitis E virus (HEV) are reported from all countries in the region. Chikungunya, Crimean Congo hemorrhagic fever (CCHF), dengue fever, and H5N1 have been increasing in number, frequency, and expanding in their geographic distribution. Middle East respiratory syndrome (MERS), which was reported in this region in 2012 is still a public health concern. There are challenges to control cholera, diphtheria, leishmaniasis, measles, and poliomyelitis in some of the countries. Moreover, Alkhurma hemorrhagic fever (AHF), and Rift Valley fever (RVF) are limited to some countries in the region. Also, there is little information about the real situation of the plague, Q fever, and tularemia. CONCLUSION EIDs and RIDs are prevalent in most countries in the region and could further spread within the region. It is crucial to improve regional capacities and capabilities in preventing and responding to disease outbreaks with adequate resources and expertise.
Collapse
Affiliation(s)
- Ehsan Mostafavi
- Department of Epidemiology and Biostatistics, Research Centre for Emerging and Re-emerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran
| | - Abdolmajid Ghasemian
- Department of Epidemiology and Biostatistics, Research Centre for Emerging and Re-emerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran
| | - Abubakar Abdinasir
- Infectious Hazards Management, World Health Organization, Eastern Mediterranean Regional Office, Cairo, Egypt
| | - Seyed Alireza Nematollahi Mahani
- Department of Epidemiology and Biostatistics, Research Centre for Emerging and Re-emerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran
| | - Salman Rawaf
- Department of Primary Care and Public Health, School of Public Health, Faculty of Medicine, Imperial College, London, UK
| | - Mostafa Salehi Vaziri
- Department of Arboviruses and Viral Hemorrhagic Fevers, Research Centre for Emerging and Re-emerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran
| | - Mohammad Mahdi Gouya
- Centre for Communicable Disease Control, Ministry of Health and Medical Education, Tehran, Iran
| | - Tran Minh Nhu Nguyen
- Infectious Hazards Management, World Health Organization, Eastern Mediterranean Regional Office, Cairo, Egypt
| | | | - Lubna Al Ariqi
- Infectious Hazards Management, World Health Organization, Eastern Mediterranean Regional Office, Cairo, Egypt
| | - Md. Mazharul Islam
- Department of Animal Resources, Ministry of Municipality and Environment, Doha, Qatar
- School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu Natal, Durban, South Africa
| | | | - Majdouline Obtel
- Laboratory of Community Medicine, Preventive Medicine and Hygiene, Public Health Department, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
- Laboratory of Epidemiology, Biostatistics and Clinical Research, Public Health Department, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Peter Omondi Mala
- Infectious Hazards Management, World Health Organization, Eastern Mediterranean Regional Office, Cairo, Egypt
| | - Ghassan M. Matar
- Department of Experimental Pathology, Immunology and Microbiology Center for Infectious Diseases Research, American University of Beirut & Medical Center, Beirut, Lebanon
| | - Rana Jawad Asghar
- University of Nebraska Medical Center, Omaha, NE, USA
- Global Health Strategists & Implementers (GHSI), Islamabad, Pakistan
| | - Amal Barakat
- Infectious Hazards Management, World Health Organization, Eastern Mediterranean Regional Office, Cairo, Egypt
| | - Mohammad Nadir Sahak
- Infectious Hazard Management Department, World Health Organization, Kabul, Afghanistan
| | - Mariam Abdulmonem Mansouri
- Communicable Diseases Control Department, Public Health Directorate Unit, Ministry of Health, Kuwait City, Kuwait
- Centre for Public Health, Queen’s University Belfast, Belfast, UK
| | - Alexandra Swaka
- Department of Primary Care and Public Health, School of Public Health, Faculty of Medicine, Imperial College, London, UK
| |
Collapse
|
41
|
The nosebleed fever outbreak in Iraq: Challenges, efforts and recommendations. Ann Med Surg (Lond) 2022; 79:104077. [PMID: 35801169 PMCID: PMC9253622 DOI: 10.1016/j.amsu.2022.104077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 06/22/2022] [Indexed: 11/29/2022] Open
|
42
|
Distribution of Tick-Borne Pathogens in Domestic Animals and Their Ticks in the Countries of the Mediterranean Basin between 2000 and 2021: A Systematic Review. Microorganisms 2022; 10:microorganisms10061236. [PMID: 35744755 PMCID: PMC9228937 DOI: 10.3390/microorganisms10061236] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 06/10/2022] [Accepted: 06/14/2022] [Indexed: 02/01/2023] Open
Abstract
Tick-borne pathogens (TBPs) include a wide range of bacteria, parasites and viruses that cause a large spectrum of animal, human and zoonotic tick-borne diseases (TBDs). The object of this review was to establish an inventory and an analysis of TBPs found in domestic animals in the countries of the Mediterranean Basin. This geographic area occupies a central position between several continents and is an area of movement for animals, humans and pathogens of interest and their vectors, which is important in terms of animal and human health. In this systematic review, we included a total of 271 publications produced between 2000–2021 concerning TBPs in domestic animals. Among this literature, we found a total of 90 pathogen species (known as TBPs) reported in the 20 countries of the area; these were detected in tick species from domestic animals and were also directly detected in domestic animals. In all, 31 tick species were recorded and 12 domestic animal species, the latter comprising nine livestock and three pet species. More than 50% of the publications were from Western Europe. Island data were extracted and assessed, as islands of the Mediterranean Basin were represented in 16% of the publications and 77.8% of the TBPs reported. Our results show the importance of islands in the monitoring of TBPs, despite the low percentage of publications.
Collapse
|
43
|
Greene L, Uwishema O, Nicholas A, Kapoor A, Berjaoui C, Adamolekun E, Khoury C, Mohammed FEA, Onyeaka H. Crimean-Congo haemorrhagic fever during the COVID-19 pandemic in Africa: Efforts, recommendations and challenges at hand. Afr J Emerg Med 2022; 12:117-120. [PMID: 35223387 PMCID: PMC8858690 DOI: 10.1016/j.afjem.2022.02.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Accepted: 02/13/2022] [Indexed: 11/25/2022] Open
Abstract
CCHF is endemic in Africa with a 40% case fatality rate. COVID-19 pandemic leads to Crimean-Congo haemorrhagic fever outbreak in Africa. Some common occupations amongst Africans like agricultural laborers, slaughterhouse employees, and veterinarians, are at a higher risk of contracting CCHF.
Since the beginning of the COVID-19 pandemic, millions have suffered globally and as a result, attention and resources for other diseases, such as Crimean-Congo Haemorrhagic Fever (CCHF), has declined. Despite a significantly lower incidence rate compared to COVID-19, CCHF has a considerably higher mortality rate at approximately 30%. Both diseases share symptoms such as headache, fever, nausea and vomiting, fatigue, sore throat, however they have different modes of transmission, mortality rates, and incubation periods. Public health professionals have faced several challenges when attempting to prevent and control the spread of both diseases and despite their differences, many of the prevention methods remain the same. These include increasing public awareness regarding avoiding contact with infected individuals and animals, training healthcare professionals in emergency and preparedness for disease outbreaks and increasing the investment in medical supplies and treatment to control the spread of both diseases.
Collapse
Affiliation(s)
- Leah Greene
- Memorial Sloan Kettering Cancer Centre, New York, USA
| | - Olivier Uwishema
- Research and Education, Oli Health Magazine Organization, Kigali, Rwanda
- Clinton Global Initiative University, New York, USA
- Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
| | - Aderinto Nicholas
- Research and Education, Oli Health Magazine Organization, Kigali, Rwanda
- Department of Medicine, Ladoke Akintola University of Technology, Ogbomoso, Nigeria
| | - Arushi Kapoor
- Department of Biotechnology, Amity Institute of Biotechnology, Amity University, Delhi, India
| | - Christin Berjaoui
- Research and Education, Oli Health Magazine Organization, Kigali, Rwanda
- Faculty of Medicine and Surgery, Beirut Arab University, Beirut, Lebanon
| | - Emmanuel Adamolekun
- Research and Education, Oli Health Magazine Organization, Kigali, Rwanda
- Olikoye Ransom Kuti Memorial Hospital, Abeokuta, Nigeria
- Helix Biogen Research Institute, Ogbomosho, Nigeria
| | - Carlo Khoury
- Research and Education, Oli Health Magazine Organization, Kigali, Rwanda
- Faculty of Medicine, University of Saint Joseph, Beirut, Lebanon
| | - Fatima Elbasri Abuelgasim Mohammed
- Research and Education, Oli Health Magazine Organization, Kigali, Rwanda
- Faculty of Medicine, University of Khartoum, Khartoum, Sudan
- Corresponding author.
| | - Helen Onyeaka
- School of Chemical Engineering, University of Birmingham, Edgbaston, Birmingham, United Kingdom
| |
Collapse
|
44
|
Freitas N, Legros V, Cosset FL. Crimean-Congo hemorrhagic fever: a growing threat to Europe. C R Biol 2022; 345:17-36. [DOI: 10.5802/crbiol.78] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 04/15/2022] [Indexed: 11/24/2022]
|
45
|
Transmission dynamics and vaccination strategies for Crimean-Congo haemorrhagic fever virus in Afghanistan: A modelling study. PLoS Negl Trop Dis 2022; 16:e0010454. [PMID: 35604940 PMCID: PMC9166359 DOI: 10.1371/journal.pntd.0010454] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 06/03/2022] [Accepted: 04/29/2022] [Indexed: 11/27/2022] Open
Abstract
Background Crimean-Congo haemorrhagic fever virus (CCHFV) is a highly pathogenic virus for which a safe and effective vaccine is not yet available, despite being considered a priority emerging pathogen. Understanding transmission patterns and the use of potential effective vaccines are central elements of the future plan against this infection. Methods We developed a series of models of transmission amongst livestock, and spillover infection into humans. We use real-world human and animal data from a CCHFV endemic area in Afghanistan (Herat) to calibrate our models. We assess the value of environmental drivers as proxy indicators of vector activity, and select the best model using deviance information criteria. Finally we assess the impact of vaccination by simulating campaigns targeted to humans or livestock, and to high-risk subpopulations (i.e, farmers). Findings Saturation deficit is the indicator that better explains tick activity trends in Herat. Recent increments in reported CCHFV cases in this area are more likely explained by increased surveillance capacity instead of changes in the background transmission dynamics. Modelling suggests that clinical cases only represent 31% (95% CrI 28%-33%) of total infections in this area. Vaccination campaigns targeting humans would result in a much larger impact than livestock vaccination (266 vs 31 clinical cases averted respectively) and a more efficient option when assessed in courses per case averted (35 vs 431 respectively). Targeted vaccination of farmers is impactful and more efficient, resulting in 19 courses per case averted (95% CrI 7–62) compared to targeting the general population (35 courses 95% CrI 16–107) Conclusions CCHFV is endemic in Herat, and transmission cycles are well predicted by environmental drivers like saturation deficit. Vaccinating humans is likely to be more efficient and impactful than animals, and importantly targeted interventions to high risk groups like farmers can offer a more efficient approach to vaccine roll-out. Crimean-Congo haemorrhagic fever virus (CCHF) is an understudied emerging pathogen and the cause of increasingly frequent outbreaks of haemorrhagic fever in humans in several parts of the world. Here we bring together an important body of work in different aspects of the ecology and epidemiology of CCHF to shed light on its transmission dynamics into humans and the role of environmental drivers. These results show that over the years an endemic pattern of CCHFV transmission has been established within livestock, and the frequency of human cases mirrors the seasonal pattern of livestock transmission. Our analysis further suggests that an important fraction of cases in humans might be subclinical, and the volume of transmission into humans might be much larger than previously thought. We examine the potential impact of vaccination, which suggest that not only human vaccination could be more impactful than animal vaccination, but also that targeted strategies in human high risk groups could be very effective. Our results raise important insights for future vaccine development and important questions on the optimal conditions for conducting Phase III vaccine trials in humans.
Collapse
|
46
|
Ticks on the Run: A Mathematical Model of Crimean-Congo Haemorrhagic Fever (CCHF)-Key Factors for Transmission. EPIDEMIOLGIA (BASEL, SWITZERLAND) 2022; 3:116-134. [PMID: 36417271 PMCID: PMC9620928 DOI: 10.3390/epidemiologia3010010] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 02/28/2022] [Accepted: 03/02/2022] [Indexed: 12/14/2022]
Abstract
Crimean-Congo haemorrhagic fever (CCHF) is a zoonotic disease caused by the Crimean-Congo hemorrhagic fever virus (CCHFV). Ticks of the genus Hyalomma are the main vectors and represent a reservoir for the virus. CCHF is maintained in nature in an endemic vertebrate-tick-vertebrate cycle. The disease is prevalent in wide geographical areas including Asia, Africa, South-Eastern Europe and the Middle East. It is of great importance for the public health given its occasionally high case/fatality ratio of CCHFV in humans. Climate change and the detection of possible CCHFV vectors in Central Europe suggest that the establishment of the transmission in Central Europe may be possible in future. We have developed a compartment-based nonlinear Ordinary Differential Equation (ODE) system to model the disease transmission cycle including blood sucking ticks, livestock and human. Sensitivity analysis of the basic reproduction number R0 shows that decreasing the tick survival time is an efficient method to control the disease. The model supports us in understanding the influence of different model parameters on the spread of CCHFV. Tick-to-tick transmission through co-feeding and the CCHFV circulation through transstadial and transovarial transmission are important factors to sustain the disease cycle. The proposed model dynamics are calibrated through an empirical multi-country analysis and multidimensional plot reveals that the disease-parameter sets of different countries burdened with CCHF are different. This information may help decision makers to select efficient control strategies.
Collapse
|
47
|
Nasirian H. Ticks infected with Crimean-Congo hemorrhagic fever virus (CCHFV): A decision approach systematic review and meta-analysis regarding their role as vectors. Travel Med Infect Dis 2022; 47:102309. [DOI: 10.1016/j.tmaid.2022.102309] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 02/26/2022] [Accepted: 03/07/2022] [Indexed: 12/07/2022]
|
48
|
Challenges in Diagnosis of Crimean-Congo Hemorrhagic Fever. INFECTIOUS DISEASES IN CLINICAL PRACTICE 2022. [DOI: 10.1097/ipc.0000000000001108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
49
|
Li N, Rao G, Li Z, Yin J, Chong T, Tian K, Fu Y, Cao S. Cryo-EM structure of glycoprotein C from Crimean-Congo hemorrhagic fever virus. Virol Sin 2022; 37:127-137. [PMID: 35234630 PMCID: PMC8922431 DOI: 10.1016/j.virs.2022.01.015] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 11/12/2021] [Indexed: 01/09/2023] Open
Abstract
Crimean-Congo hemorrhagic fever virus (CCHFV) is a causative agent of serious hemorrhagic diseases in humans with high mortality rates. CCHFV glycoprotein Gc plays critical roles in mediating virus-host membrane fusion and has been studied extensively as an immunogen. However, the molecular mechanisms involved in membrane fusion and Gc-specific antibody-antigen interactions remain unresolved largely because structural information of this glycoprotein is missing. We designed a trimeric protein including most of the ectodomain region of Gc from the prototype CCHFV strain, IbAr10200, which enabled the cryo-electron microscopy structure to be solved at a resolution of 2.8 Å. The structure confirms that CCHFV Gc is a class II fusion protein. Unexpectedly, structural comparisons with other solved Gc trimers in the postfusion conformation revealed that CCHFV Gc adopted hybrid architectural features of the fusion loops from hantaviruses and domain III from phenuiviruses, suggesting a complex evolutionary pathway among these bunyaviruses. Antigenic sites on CCHFV Gc that protective neutralizing antibodies target were mapped onto the CCHFV Gc structure, providing valuable information that improved our understanding of potential neutralization mechanisms of various antibodies. Cryo-EM structure of the ectodomain of CCHFV Gc in the postfusion conformation was determined at atomic-resolution. CCHFV Gc is a class II fusion protein and adopts hybrid architectural features of hantaviruses and phenuiviruses. Structural mapping of Gc epitope residues targeted by neutralizing antibodies would facilitate future vaccine development.
Collapse
|
50
|
Shahrear S, Islam ABMMK. Immunoinformatics guided modeling of CCHF_GN728, an mRNA-based universal vaccine against Crimean-Congo hemorrhagic fever virus. Comput Biol Med 2022; 140:105098. [PMID: 34875407 DOI: 10.1016/j.compbiomed.2021.105098] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 11/27/2021] [Accepted: 11/28/2021] [Indexed: 01/25/2023]
Abstract
The Crimean-Congo hemorrhagic fever virus (CCHFV) is a lethal human pathogen belonging to the Nairoviridae family that causes Crimean-Congo hemorrhagic fever (CCHF), a tick-borne infection with an alarming mortality rate of up to 80%. CCHFV is the most widespread tick-borne virus with the potential to trigger a pandemic. To date, no vaccines or therapeutics for CCHF have been authorized. In this study, we implemented immunoinformatics approach for developing CCHF_GN728, a universal mRNA-based multi-epitope vaccine against CCHFV. Glycoprotein precursor (GPC) and nucleoprotein (NP) from the virus were selected and screened for potential immunogenic T- and B-cell epitopes. Our developed antigen exhibited the potential to generate 99.95% population coverage worldwide. Stable epitope-allele interaction was confirmed using molecular docking and dynamics simulation. In silico immune simulation corroborated immune cell response to antigen clearance rate. Optimized codons ensured efficient expression of the mRNA in the host cell. The vaccine exhibited stable and strong interactions with the Toll-like receptors. Our findings suggest that the CCHF_GN728 vaccine will trigger specific anti-CCHFV immune responses. Our model is ready for wet-lab experimentation to assess the efficacy of this putative vaccine candidate.
Collapse
Affiliation(s)
- Sazzad Shahrear
- Department of Genetic Engineering & Biotechnology, University of Dhaka, Dhaka, Bangladesh
| | | |
Collapse
|