Orthohantaviruses infections in humans and rodents in Baoji, China

PLoS Negl Trop Dis. 2020 Oct 19;14(10):e0008778. doi: 10.1371/journal.pntd.0008778. eCollection 2020 Oct.

Abstract

In recent years, hemorrhagic fever with renal syndrome (HFRS) incidence has been becoming a severe public health problem again due to its significant increase in Shaanxi Province, China. Baoji, located in the Guanzhong Plain in the central part of Shaanxi Province, has been severely affected by HFRS since its first emergence in 1955. To better understand the epidemiology of orthohantaviruses infection in humans and the causative agents carried by the rodents, the long-term incidence patterns were analyzed and a molecular epidemiological investigation of orthohantaviruses infection in humans and rodents was performed. During 1984-2019, 13,042 HFRS cases were registered in Baoji, including 275 death cases. Except the first high prevalence of HFRS in 1988-1993, another two epidemic peaks were observed in 1998-2003 and 2012, respectively, although vaccination project was started since 1996. During the same period, HFRS cases in Baoji mainly were recorded in winter suggesting they may be caused by Hantaan orthohantavirus (HTNV), while a small peak of HFRS was also found in summer with unknown reason. Nucleotide identity and phylogenetic analyses demonstrated that a novel clade of HTNV sequences recovered from HFRS cases were closely related to those from rodents, including species close contact with humans, suggesting a direct viral transmission from rodents to humans and the important role in the HTNV transmission the nontraditional rodent hosts may play. Moreover, two distant related Dabieshan orthohantavirus (DBSV) lineages were also identified in Niviventer niviventer in this area demonstrating its considerable genetic diversity. Our data indicated that continual spillover of HTNV from rodents to humans, contributing to the high prevalence of HFRS in humans in Baoji.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • China / epidemiology
  • Hantaan virus / classification
  • Hantaan virus / genetics
  • Hantaan virus / isolation & purification*
  • Hantaan virus / physiology
  • Hemorrhagic Fever with Renal Syndrome / epidemiology
  • Hemorrhagic Fever with Renal Syndrome / transmission
  • Hemorrhagic Fever with Renal Syndrome / veterinary*
  • Hemorrhagic Fever with Renal Syndrome / virology*
  • Humans
  • Incidence
  • Phylogeny
  • Rodentia / classification
  • Rodentia / virology
  • Seasons

Grants and funding

This study was supported by the National Natural Science Foundation of China (Grant 31700159), Young Talent Program of Higher School in Hebei Province (No. BJ2020024), Scientific Research Foundation for High-level Talents of Chengde Medical University (202001) and Key discipline construction of colleges and universities in Hebei Province (Ji Jiao Gao No. [2013]4). The funders had no role in the study design, data collection and analysis, decision to publish, or the preparation of the manuscript.