Dear Editor,Crimean–Congo hemorrhagic fever(CCHF),caused by the CCHF virus(CCHFV),is a severe tick-borne illness with a wide geographical distribution,posing a significant threat with case fatality rates ranging from...Dear Editor,Crimean–Congo hemorrhagic fever(CCHF),caused by the CCHF virus(CCHFV),is a severe tick-borne illness with a wide geographical distribution,posing a significant threat with case fatality rates ranging from 5%to 70%(Hawman and Feldmann,2023).Due to the lack of approved vaccines and therapeutics,the World Health Organization(WHO)has listed CCHF as one of the priority diseases(Semper et al.,2024).CCHF initially presents as a nonspecific febrile illness,characterized by fever,malaise,myalgia,and nausea,which can rapidly progress to hemorrhagic disease.The hemorrhagic stage is particularly pronounced in severe cases,with rapid progression to disseminated intravascular coagulation(DIC),overt bleeding,kidney or liver failure,and shock(Frank et al.,2024).Up to date,there is an absence of a suitable animal model that can accurately mimic the coagulopathy and bleeding associated with CCHFV infection.Consequently,our understanding of the pathogenic mechanisms underlying these conditions remains limited(Rodriguez et al.,2022).展开更多
Crimean-Congo hemorrhagic fever virus(CCHFV) is responsible for widespread tick-borne zoonotic viral disease CCHF in African, Middle Eastern, Asian, and European countries. CCHFV can be spread to humans through tick b...Crimean-Congo hemorrhagic fever virus(CCHFV) is responsible for widespread tick-borne zoonotic viral disease CCHF in African, Middle Eastern, Asian, and European countries. CCHFV can be spread to humans through tick bites or contact with infected animals or humans, and it often progresses from asymptomatic to severe/lethal illness, with fatality rates ranging from 10% to 40% in humans. Today, CCHF is growing into a significant public health concern due to its very high prevalence, severity of the condition, and lack of available vaccines and specific treatments. Recent research has been drawn towards a more accurate study of CCHFV characteristics, including the structure, genetic diversity, mechanisms involved in pathogenesis and immunopathogenesis, and clinical features. In addition, the use of animal models(mouse and non-human primates) and advanced diagnostic tools in recent years has resulted in a significant advance in CCHF related studies. In this context, we summarized the latest findings about CCHF research, its health complications, animal models, current diagnosis, vaccination, and CCHF treatments, and therapeutic strategies. Furthermore, we discussed existing deficiencies and problems in CCHFV analysis, as well as areas that still need to yield conclusive answers.展开更多
Background: Crimean-Congo hemorrhagic fever virus (CCHFV) is a member of the Nairovirus genus in the Bunyaviridae family and is transmitted by ticks of the Hyalomma genus. It causes severe disease in humans with morta...Background: Crimean-Congo hemorrhagic fever virus (CCHFV) is a member of the Nairovirus genus in the Bunyaviridae family and is transmitted by ticks of the Hyalomma genus. It causes severe disease in humans with mortality rates between 3% and 30%. The first case in Iraq was reported in 1979;immediately thereafter, 10 cases were reported, resulting in seven deaths. Several cases were also reported in 1980 in Halabja city in Iraq’s Sulaimani province. Methods: Blood samples were collected from two study populations, human and cattle, including butchers working at a slaughterhouse. Ticks were also collected for virus detection from three villages in the Sharazoor district of Sulaimani province. Results: Results of the Reverse Transcription-Polymerase Chain Reaction (RT-PCR) were negative for all human and cattle sera. The tissue prepared from ticks also was negative for CCHFV. An Enzyme-Linked Immunosorbent Assay (ELISA) technique showed that 30 (46.87%) of 64 human sera were positive for the anti-CCHFV IgG antibody. Conclusion: Results show that symptomatic Crimean-Congo hemorrhagic fever (CCHF) is an uncommon disease in the Sulaimani province of Iraq and no clinical cases is reported, due to the eradication of ticks implemented by veterinary authorities. However, other preventive approaches and strategies should be implemented and monitored regularly by local authorities.展开更多
Objective:To determine the rate of Crimean-Congo hemorrhagic fever virus(CCHFV) infection in hard ticks(Ixodidae) in Yazd province of Iran.Methods:A molecular survey on hard ticks (Ixodidae) was conducted in Yazd prov...Objective:To determine the rate of Crimean-Congo hemorrhagic fever virus(CCHFV) infection in hard ticks(Ixodidae) in Yazd province of Iran.Methods:A molecular survey on hard ticks (Ixodidae) was conducted in Yazd province during 2008 -2009.A total of 140 hard ticks(three genera and 7 species) were collected from randomly selected villages and were exanimate for presence of CCHFV reverse transcription-polymerase chain reaction(RT-PCR) method.Results: CCHFV genome was found in 5.71%of hard ticks.All positive ticks were from Hyalomma genus. Positive ticks including:Hyalomma dromedarii,Hyalomma marginatum,Hyalomma anatolicum, Hyalomma detritum,Hyalomma asiaticum.We were not able to find virus in in Rhipicephalus sanguineus and Dermacentor marginatus.Results exhibited that Hyalomma is the main vector in the study area.Conclusions:Due to the presence of virus in 24 provinces’ out of 31,we recommend the use of acaricides and repellent to prevent disease transmission among humans. Greta care should be taken by the people who are working in slaughter houses.展开更多
基金supported in part by grants from the Strategic Priority Research Program of the Chinese Academy of Sciences(XDB0490000 to Z.H.)National Key Research and Development Program(2021YFF0702002 to J.L.,2022YFC2303300 to Z.H.,and 2023YFC2305900 to M.W.)+3 种基金“Youth Commando”project(2023QNTJ-02 TO J.L.)Key Project(2024JZZD-02 to Z.H.)of State Key Laboratory of Virology and BiosafetyWuhan Institute of Virology,the National Natural Science Foundation of China(U22A20336 to Z.H.and Y.Z.)Wuhan Natural Science Foundation(202404071010067 to M.W.and 202404071010068 to J.L.).
文摘Dear Editor,Crimean–Congo hemorrhagic fever(CCHF),caused by the CCHF virus(CCHFV),is a severe tick-borne illness with a wide geographical distribution,posing a significant threat with case fatality rates ranging from 5%to 70%(Hawman and Feldmann,2023).Due to the lack of approved vaccines and therapeutics,the World Health Organization(WHO)has listed CCHF as one of the priority diseases(Semper et al.,2024).CCHF initially presents as a nonspecific febrile illness,characterized by fever,malaise,myalgia,and nausea,which can rapidly progress to hemorrhagic disease.The hemorrhagic stage is particularly pronounced in severe cases,with rapid progression to disseminated intravascular coagulation(DIC),overt bleeding,kidney or liver failure,and shock(Frank et al.,2024).Up to date,there is an absence of a suitable animal model that can accurately mimic the coagulopathy and bleeding associated with CCHFV infection.Consequently,our understanding of the pathogenic mechanisms underlying these conditions remains limited(Rodriguez et al.,2022).
文摘Crimean-Congo hemorrhagic fever virus(CCHFV) is responsible for widespread tick-borne zoonotic viral disease CCHF in African, Middle Eastern, Asian, and European countries. CCHFV can be spread to humans through tick bites or contact with infected animals or humans, and it often progresses from asymptomatic to severe/lethal illness, with fatality rates ranging from 10% to 40% in humans. Today, CCHF is growing into a significant public health concern due to its very high prevalence, severity of the condition, and lack of available vaccines and specific treatments. Recent research has been drawn towards a more accurate study of CCHFV characteristics, including the structure, genetic diversity, mechanisms involved in pathogenesis and immunopathogenesis, and clinical features. In addition, the use of animal models(mouse and non-human primates) and advanced diagnostic tools in recent years has resulted in a significant advance in CCHF related studies. In this context, we summarized the latest findings about CCHF research, its health complications, animal models, current diagnosis, vaccination, and CCHF treatments, and therapeutic strategies. Furthermore, we discussed existing deficiencies and problems in CCHFV analysis, as well as areas that still need to yield conclusive answers.
文摘Background: Crimean-Congo hemorrhagic fever virus (CCHFV) is a member of the Nairovirus genus in the Bunyaviridae family and is transmitted by ticks of the Hyalomma genus. It causes severe disease in humans with mortality rates between 3% and 30%. The first case in Iraq was reported in 1979;immediately thereafter, 10 cases were reported, resulting in seven deaths. Several cases were also reported in 1980 in Halabja city in Iraq’s Sulaimani province. Methods: Blood samples were collected from two study populations, human and cattle, including butchers working at a slaughterhouse. Ticks were also collected for virus detection from three villages in the Sharazoor district of Sulaimani province. Results: Results of the Reverse Transcription-Polymerase Chain Reaction (RT-PCR) were negative for all human and cattle sera. The tissue prepared from ticks also was negative for CCHFV. An Enzyme-Linked Immunosorbent Assay (ELISA) technique showed that 30 (46.87%) of 64 human sera were positive for the anti-CCHFV IgG antibody. Conclusion: Results show that symptomatic Crimean-Congo hemorrhagic fever (CCHF) is an uncommon disease in the Sulaimani province of Iraq and no clinical cases is reported, due to the eradication of ticks implemented by veterinary authorities. However, other preventive approaches and strategies should be implemented and monitored regularly by local authorities.
基金supported by Tehran University of Medical Sciences grant No.10446
文摘Objective:To determine the rate of Crimean-Congo hemorrhagic fever virus(CCHFV) infection in hard ticks(Ixodidae) in Yazd province of Iran.Methods:A molecular survey on hard ticks (Ixodidae) was conducted in Yazd province during 2008 -2009.A total of 140 hard ticks(three genera and 7 species) were collected from randomly selected villages and were exanimate for presence of CCHFV reverse transcription-polymerase chain reaction(RT-PCR) method.Results: CCHFV genome was found in 5.71%of hard ticks.All positive ticks were from Hyalomma genus. Positive ticks including:Hyalomma dromedarii,Hyalomma marginatum,Hyalomma anatolicum, Hyalomma detritum,Hyalomma asiaticum.We were not able to find virus in in Rhipicephalus sanguineus and Dermacentor marginatus.Results exhibited that Hyalomma is the main vector in the study area.Conclusions:Due to the presence of virus in 24 provinces’ out of 31,we recommend the use of acaricides and repellent to prevent disease transmission among humans. Greta care should be taken by the people who are working in slaughter houses.
