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This chapter provides details of the viruses associated with maculopapular, vesicular and haemorrhagic skin rashes (parvovirus, rubellavirus, measlesvirus, enteroviruses, adenoviruses, HHV6, HHV7 , HSV, VZV, poxviruses , monkeypox and molluscum contagiosum). It gives details of symptoms, diagnosis and treatment.
This chapter provides an overview of the antiviral drugs currently available, including maraviroc, aciclovir, penciclovir, ganciclovir, amantadine, zydovudine, adefovir, ribavirin, indinavir , oseltamivir, zanamivir, interferon alpha, rituximab , palivizumab, cidofovir, brincidofovir, foscarnet, remdesivir and paxlovid with an indication of their modes of action for treating virus infections, including HIV, herpes viruses, respiratory viruses, HBV, HCV, CMV, adenoviruses , BK, EBV (especially for PTLD), RSV, poxviruses and SARS-CoV-2.
This chapter provides a basic introduction to virology, dealing with the history of viruses, taxonomy, virus replication stages (attachment, entry, uncoating, transcription, translation, assembly and release). It also deals with the immune response to viruses, including innate immune response, adaptive immunity, cell-mediated response, antibody-mediated response, viral pathogenesis, viral tropisms, viral spread, viral persistence, viral virulence and host factors.
This chapter deals with how infection control procedures can be used to minimise the spread of viral infections transmitted via the respiratory, gastrointestinal, blood-borne, sexual, vertical and vector-borne routes. It also details infection control strategies in hospitals and in the community via universal precautions, respiratory precautions, enteric precautions and those for highly dangerous pathogens. Post-exposure prophylaxis and management of outbreaks is also discussed along with a list of notifiable infections.
The immune system maintains homeostasis within human organisms and protects them from pathogenic threats. But sometimes it cannot provide this protection on its own, and vaccines may be necessary to ensure our health and survival. Immune functions can become dysregulated and result in autoimmune disease or multi-system damage. Pharmacological and genomic interventions may activate or modulate immune functions to prevent these outcomes. This Element is an analysis and discussion of some of the ethical implications of these interventions. After describing the main components of innate and adaptive immunity and how it might be enhanced, it considers the potential benefit and harm from vaccines against addiction and viruses, immunotherapy for cancer, neuroimmunomodulating agents to prevent or treat neurodevelopmental and neurodegenerative diseases, and gene editing of immunity to enable xenotransplantation and prevent infectious disease. The Element concludes with an exploration of a possible outcome of natural competition between humans and microbes.
Many diseases that affect humans are directly or indirectly connected to wild and domestic meat and to wildlife in general. All have different impacts ranging from mild to lethal. In this chapter we concentrate on those emerging zoonotic diseases which are directly linked to wild meat and which have the most serious impact on humans (mainly viral diseases). The chapter first reviews re-emerging zoonotic diseases, such as plague and yellow fever, and then describes zoonotic emerging diseases, including Ebola, SARS and the pandemic COVID-19. Our intention here is to catalogue and explain in some detail the most important zoonotic diseases. We continue by highlighting the risk factors likely to cause the emergence of such diseases, including wild meat hunting and trade and environmental changes. We end by proposing solutions.
The first chapter, “Pathogens and Parasites,” introduces the major helminthic, protozoal, viral, and bacterial intestinal disease agents, and it provides estimates of their current prevalence and contribution to the burden of human disease. The chapter discusses the biological and social determinants of infectious intestinal disease transmission, and it makes the point that, although a range of hygienic practices can have a significant influence on transmission, owing to a range of ecological and cultural variables, few universal rules apply. It discusses some recent findings from the microbiome project that provide new ways of thinking about infectious intestinal disease, and it makes the case that a deeper understanding of the historical epidemiology of infectious intestinal diseases can potentially improve the public health outcomes from contemporary interventions.
Microbial parasites adapted to thrive at mammalian mucosal surfaces have evolved multiple times from phylogenetically distant lineages into various extracellular and intracellular life styles. Their symbiotic relationships can range from commensalism to parasitism and more recently some host–parasites interactions are thought to have evolved into mutualistic associations too. It is increasingly appreciated that this diversity of symbiotic outcomes is the product of a complex network of parasites–microbiota–host interactions. Refinement and broader use of DNA based detection techniques are providing increasing evidence of how common some mucosal microbial parasites are and their host range, with some species being able to swap hosts, including from farm and pet animals to humans. A selection of examples will illustrate the zoonotic potential for a number of microbial parasites and how some species can be either disruptive or beneficial nodes in the complex networks of host–microbe interactions disrupting or maintaining mucosal homoeostasis. It will be argued that mucosal microbial parasitic diversity will represent an important resource to help us dissect through comparative studies the role of host–microbe interactions in both human health and disease.
In this review, we explore the state-of-the-art of sand fly relationships with microbiota, viruses and Leishmania, with particular emphasis on the vector immune responses. Insect-borne diseases are a major public health problem in the world. Phlebotomine sand flies are proven vectors of several aetiological agents including viruses, bacteria and the trypanosomatid Leishmania, which are responsible for diseases such as viral encephalitis, bartonellosis and leishmaniasis, respectively. All metazoans in nature coexist intimately with a community of commensal microorganisms known as microbiota. The microbiota has a fundamental role in the induction, maturation and function of the host immune system, which can modulate host protection from pathogens and infectious diseases. We briefly review viruses of public health importance present in sand flies and revisit studies done on bacterial and fungal gut contents of these vectors. We bring this information into the context of sand fly development and immune responses. We highlight the immunity mechanisms that the insect utilizes to survive the potential threats involved in these interactions and discuss the recently discovered complex interactions among microbiota, sand fly, Leishmania and virus. Additionally, some of the alternative control strategies that could benefit from the current knowledge are considered.
The last universal common ancestor (LUCA) has been considered as the branching point on which Bacteria, Archaea and Eukaryotes have diverged. However, the increased information relating to viruses’ genomes and the perception that many virus genes do not have homologs in other organisms opened a new discussion. Based on these facts, there has emerged the idea of an early LUCA that should be moved further into the past to include viruses, implicating that life should have originated before the appearance of cellular life forms. Another point of view from advocates of the RNA-world suggests that the origin of life happened a long time before organisms were capable of organizing themselves into cellular entities. Relevant data about the origin of ribosomes indicate that the catalytic unit of the large ribosomal subunit is what should actually be considered as the turning point that separated chemistry from biology. Other researchers seem to think that a tRNA was probably some sort of a strange attractor on which life has originated. Here we propose a theoretical synthesis that tries to provide a crosstalk among the theories and define important points on which the origin of life could have been originated and made more complex, taking into account gradualist assumptions. Thus, discussions involving the origin of biological activities in the RNA-world might lead into a world of progenotes on which viruses have been taken part until the appearance of the very first cells. Along this route of complexification, we identified some key points on which researchers may consider life as an emerging principle.
The Chinese black honey bee is a distinct honey bee subspecies distributed in the Xinjiang, Heilongjiang and Jilin Provinces of China. We conducted a study to investigate the genetic origin and the parasite/pathogen profile on Chinese black honeybees. The phylogenetic analysis indicated that Chinese black honeybees were two distinct groups: one group of bees formed a distinct clade that was most similar to Apis mellifera mellifera and the other group was a hybrid of the subspecies, Apis mellifera carnica, Apis mellifera anatolica and Apis mellifera caucasica. This suggests that the beekeeping practices might have promoted gene flow between different subspecies. Screening for pathogens and parasites showed that Varroa destructor and viruses were detected at low prevalence in Chinese black honeybees, compared with Italian bees. Further, a population of pure breeding black honeybees, A. m. mellifera, displayed a high degree of resistance to Varroa. No Varroa mites or Deformed wing virus could be detected in any examined bee colonies. This finding suggests that a population of pure breeding Chinese black honeybees possess some natural resistance to Varroa and indicated the need or importance for the conservation of the black honeybees in China.
The structure of the microbial food web was studied in six estuary areas along the eastern Adriatic coast during March, July and October 2012. Limitation by phosphorus, not nitrogen, was a common feature for all studied estuaries. Heterotrophic bacteria and autotrophic picoplankton (APP) (particularly picoeukaryotes and Synechococcus) can reach notable abundances and biomasses, suggesting potential importance of the picoplankton community in P-limited estuarine environments. The main features of the microbial community structure in these environments included: (1) higher heterotrophic biomass in comparison to autotrophic biomass within the picoplankton community; (2) general domination of picoeukaryotes within the APP community, and increase of absolute and relative biomass of prokaryotic autotrophs (Prochlorococcus and Synechococcus) in the total APP in P-limited conditions; (3) domination of Synechococcus over Prochlorococcus biomass in all studied conditions, and common spatial distribution of these two groups of cyanobacteria, which was mostly determined by concentration of phosphorus; (4) relatively high contribution (about 50%) of LNA bacteria in the total bacterial abundance; and (5) relatively high contribution (about 33%) of heterotrophic pico-flagellates in the total flagellate abundance.
Viral gene therapy is a promising new treatment modality for head and neck cancer. This paper provides the reader with a review of the relevant literature in this field.
Results:
There are government licensed viral gene therapy products currently in use for head and neck cancer, utilised in conjunction with established treatment modalities. The viruses target tumour-associated genes, with the first licensed virus replacing p53 gene function, which is frequently lost in tumourigenesis. Oncolytic viruses selectively destroy cancer cells through viral replication and can be armed with therapeutic transgenes.
Conclusion:
Despite considerable advances in this field over the last 40 years, further research is needed to improve the overall efficacy of the viruses and allow their widespread utilisation in the management of head and neck cancer.
We investigated the distribution and dynamics of viruses, prokaryotes and small eukaryotic phytoplankton in Sidi Salem freshwater reservoir (Northern Tunisia). Samples were collected from the deepest station at different depths throughout the water column for 2 years (February 2009 to January 2011). The reservoir was characterized by seasonal alternations of thermal stratification and homothermy. Among the different microbial communities counted using flow cytometry (FCM), picocyanobacteria constituted an important autotrophic component since they were always present and their highest concentration reached 3.02 and 2.65×105 cells.mL−1 in March 2009 and June 2010, respectively. The heterotrophic prokaryotic communities (represented mainly by bacteria) were characterized by a clear separation between two subgroups referred to as high-DNA and low-DNA content populations, and the highest concentrations of heterotrophic bacteria (i.e., 3.8×107 cells.mL−1) were recorded in spring 2009. Several viral groups referred to as virus-like particles (VLP) groups 1, 2 and 3 could also be discriminated using FCM. VLP1 and VLP2 displayed a significant correlation with the heterotrophic bacteria (r=0.80 and 0.78, P<0.001) but seem to be independent from picocyanobacteria and/or chlorophyll a, suggesting these VLPs were mainly bacteriophages. At last, the virus to prokaryotic ratio could be high, especially in summer (mean=22, max=487), suggesting a strong coupling between bacteria and viruses, at least at certain periods of the year.
Zoonoses are an issue of growing interest in South-East Asia, where environmental factors and socio-economic context favor the endemization of well-known diseases and the emergence of new pathogens at the human–wildlife interface. However, the health status of the region with respect to many zoonotic diseases remains poorly defined, despite the high overall burden of zoonoses on the countries of the area, and the global risk of new biological threats in the region. The first objective of this paper was to provide an update of data on the zoonoses commonly described by the scientific community and reported by governmental institutions and international organizations in continental South-East Asia. The analysis of the available data led to the identification of some trends in the evolution of the diseases, as well as some gaps in knowledge and in the current surveillance and control networks. In light of these findings, we discuss measures for effectively addressing zoonotic disease issues in South-East Asia, such as the allocation of funds for research and for surveillance and control programs, and a multi-sectoral and multi-disciplinary approach at various levels.
Concomitant infections are common in nature and often involve parasites. A number of examples of the interactions between protozoa and viruses, protozoa and bacteria, protozoa and other protozoa, protozoa and helminths, helminths and viruses, helminths and bacteria, and helminths and other helminths are described. In mixed infections the burden of one or both the infectious agents may be increased, one or both may be suppressed or one may be increased and the other suppressed. It is now possible to explain many of these interactions in terms of the effects parasites have on the immune system, particularly parasite-induced immunodepression, and the effects of cytokines controlling polarization to the Th1 or Th2 arms of the immune response. In addition, parasites may be affected, directly or indirectly, by cytokines and other immune effector molecules and parasites may themselves produce factors that affect the cells of the immune system. Parasites are, therefore, affected when they themselves, or other organisms, interact with the immune response and, in particular, the cytokine network. The importance of such interactions is discussed in relation to clinical disease and the development and use of vaccines.
Foodborne zoonoses have a major impact on public health in China. Its booming economy and rapid socioeconomic changes have affected food production, food supplies and food consumption habits, resulting in an increase in the number of outbreaks of foodborne zoonoses. Both emerging and re-emerging foodborne zoonoses have attracted increasing national and international attention in recent years. This paper briefly reviews the main foodborne zoonoses that have had a major impact on public health over the last 20 years in China. The major causative microorganisms, including foodborne bacteria, parasites and viruses, are discussed. The prevention and control of foodborne zoonoses are difficult challenges in China. The information provided here may aid the development of effective prevention and control strategies for foodborne zoonoses.
Viruses are the dominant form of genetically reproducing entities on Earth. Yet, viruses are mostly neglected in the context of astrobiology due to their non-living nature. In this discussion it is considered whether viruses are likely to be transferred within bacterial endospores to other planetary bodies through lithopanspermia. Interestingly, it seems possible that ecosystems of panspermial origin might yield biospheres in which viruses are absent. The evolutionary pathway of life in these systems might differ significantly from the path observed on Earth. We hypothesize that the difference in the two potential ways for the emergence of life, those being panspermial or local origin, on any certain planet could be clarified by analyzing the diversity of virosphere on the planet. The use of viruses as putative biomarkers is also discussed and studied.
West Nile virus (WNV) was probably introduced in southern and northern Mexico from the USA in two independent events. Since then, WNV activity has been reported in several Mexican states bordering the USA and the Gulf of Mexico, but disease manifestations seen there in humans and equids are quite different to those observed in the USA. We have analysed WNV seroprevalence in asymptomatic, unvaccinated equids from two Mexican states where no data had been previously recorded. WNV IgG antibodies were detected in 31·6% (91/288) of equine sera from Chiapas and Puebla states (53·3% and 8·0%, respectively). Analysis by plaque reduction neutralization test (PRNT) showed good specificity (99·4%) and sensitivity (84·9%) with the ELISA results. Further analyses to detect antibodies against three different flaviviruses (WNV, St Louis encephalitis virus, Ilheus virus) by haemagglutination inhibition (HI) tests on a subset of 138 samples showed that 53% of the 83 HI-positive samples showed specific reaction to WNV. These data suggest continuous expansion of WNV through Mexico.
Introduction. Cucumber mosaic virus (CMV), genus Cucumovirus, is distributed worldwide; it is a common pathogen of Musa spp. and it is present in all banana-producing areas. Materials and methods. Banana and plantain (Musa) leaf tissues were collected from six major Musa-growing states of Southern Nigeria in August 2000. A broad-spectrum CMV polyclonal antibody was used in Protein A Sandwich (PAS) ELISA to detect CMV isolates, while a CMV subgroup I-specific polyclonal antibody was used in DAS-ELISA to separate subgroup I isolates. Results. Of 108 Musa leaf samples collected, 76 samples (70.4%) reacted positively with the CMV polyclonal antibodies used, in which 32 samples (42.1%) belonged to CMV subgroup I. Edo and Ondo states had low CMV subgroup I incidence of 13.6% and 17.2%, even though both states had high CMV incidence of 63.6% and 62.1% in infected samples, respectively. Imo state had the highest CMV incidence of 72.4% and subgroup I incidence of 55.2%. Of the 32 leaf samples infected with CMV subgroup I, 18 samples expressed one type of viral symptom such as interveinal chlorosis, chlorotic streaks, leaf puckering and crisp deformed leaf. Thirteen other samples expressed two or three viral symptoms, showing either vein thickening or general leaf chlorosis and any of the former symptoms. One asymptomatic leaf tissue was also infected with the virus. Discussion. Our results confirm that subgroup I and other subgroups are responsible for CMV infection in Musa species in Nigeria. The detection of CMV over a large geographical area underscores the importance of virus control measures. CMV can be controlled by use of virus-free suckers.