Abstract

In South Asia, Haemaphysalis spinigera tick transmits Kyasanur Forest Disease Virus (KFDV), a flavivirus that causes severe hemorrhagic fever with neurological manifestations such as mental disturbances, severe headache, tremors, and vision deficits in infected human beings with a fatality rate of 3–10%. The disease was first reported in March 1957 from Kyasanur forest of Karnataka (India) from sick and dying monkeys. Since then, between 400 and 500 humans cases per year have been recorded; monkeys and small mammals are common hosts of this virus. KFDV can cause epizootics with high fatality in primates and is a level-4 virus according to the international biosafety rules. The density of tick vectors in a given year correlates with the incidence of human disease. The virus is a positive strand RNA virus and its genome was discovered to code for one polyprotein that is cleaved post-translationally into 3 structural proteins (Capsid protein, Envelope Glycoprotein M and Envelope Glycoprotein E) and 7 non-structural proteins (NS1, NS2A, NS2B, NS3, NS4A, NS4B, and NS5). KFDV has a high degree of sequence homology with most members of the TBEV serocomplex. Alkhurma virus is a KFDV variant sharing a sequence similarity of 97%. KFDV is classified as a NIAID Category C priority pathogen due to its extreme pathogenicity and lack of US FDA approved vaccines and therapeutics; also, the infectious dose is currently unknown for KFD. In India, formalin-inactivated KFDV vaccine produced in chick embryo fibroblast is being used. Nevertheless, further efforts are required to enhance its long-term efficacy. KFDV remains an understudied virus and there remains a lack of insight into its pathogenesis; moreover, specific treatment to the disease is not available to date. Environmental and climatic factors involved in disseminating Kyasanur Forest Disease are required to be fully explored. There should be a mapping of endemic areas and cross-border veterinary surveillance needs to be developed in high-risk regions. The involvement of both animal and health sector is pivotal for circumscribing the spread of this disease to new areas.

Highlights

  • Ticks are known as the most common obligate blood-sucking ectoparasites

  • Kyasanur Forest Disease Virus is classified in risk group 4 pathogens and causes endemic disease whose ecology and epidemiology is unpredictable because it is a forest borne disease and involves different vertebrate species for its transmission cycle (Carroll et al, 2010)

  • Further in-depth analysis of Kyasanur Forest Disease Virus (KFDV) and its pathogenesis is vital as it will pave the way for the development of better preventive and therapeutic approaches to counter Kyasanur Forest V Disease (KFD)

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Summary

INTRODUCTION

Ticks are known as the most common obligate blood-sucking ectoparasites. In contemporary era, a growing number of cases have been registered and, simultaneously, ticks are spreading worldwide and expanding to new geographical locations. Transmission of many bacterial, viral, and rickettsial diseases happens through ticks as they act as a vector for pathogenic organisms Their bite is painless, in significantly a number of cases, they remain unnoticed (Otranto et al, 2014). Kyasanur Forest Disease is one of tick-borne associated diseases of flaviviruses caused by infected tick bite of Haemaphysalis spingera It was first discovered in 1957 in India in Kyasanar forest of Shimoga district, state of Karnataka. Kyasanur Forest Disease Virus is classified in risk group 4 pathogens and causes endemic disease whose ecology and epidemiology is unpredictable because it is a forest borne disease and involves different vertebrate species (including monkeys, shrews, bats, birds, and small rodents) for its transmission cycle (Carroll et al, 2010). Since 1957, after the discovery of KFDV many sporadic cases have been observed in the endemic state of Karnataka every year, mostly in five

Q fever
19 African tick-bite B fever
29 Crimean-Congo V hemorrhagic fever
35 Cytauxzoonosis P
36 Babesiosis
Findings
CONCLUSION
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