Crimean-Congo Hemorrhagic Fever Virus Diversity and Reassortment, Pakistan, 2017–2020

Autor: Massab Umair, Zaira Rehman, Shannon Whitmer, Melissa Mobley, Ammad Fahim, Aamer Ikram, Muhammad Salman, Joel M. Montgomery, John D. Klena
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 30, Iss 4, Pp 654-664 (2024)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid3004.231155
Popis: 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.
Databáze: Directory of Open Access Journals