Abstract

Over the past decade, pandemics caused by pandemic H1N1 (pH1N1) influenza virus in 2009 and severe acute respiratory syndrome virus type 2 (SARS-CoV-2) in 2019 have emerged. Both are high-impact respiratory pathogens originating from animals. Their wide distribution in the human population subsequently results in an increased risk of human-to-animal transmission: reverse zoonosis. Although there have only been rare reports of reverse zoonosis events associated with the ongoing coronavirus disease 2019 (COVID-19) pandemic from SARS-CoV-2 so far, comparison with the pH1N1 influenza pandemic can provide a better understanding of the possible consequences of such events for public and animal health. The results of our review suggest that similar factors contribute to successful crossing of the host species barriers in both pandemics. Specific risk factors include sufficient interaction between infected humans and recipient animals, suitability of the animal host factors for productive virus infection, and suitability of the animal host population for viral persistence. Of particular concern is virus spread to susceptible animal species, in which group housing and contact network structure could potentially result in an alternative virus reservoir, from which reintroduction into humans can take place. Virus exposure in high-density populations could allow sustained transmission in susceptible animal species. Identification of the risk factors and serological surveillance in SARS-CoV-2-susceptible animal species that are group-housed should help reduce the threat from reverse zoonosis of COVID-19.

Highlights

  • Over the past decade, pandemics caused by pandemic H1N1 influenza virus in 2009 and severe acute respiratory syndrome virus type 2 (SARS-CoV-2) in 2019 have emerged

  • To get a better understanding about the possible consequences of such events for public health and animal health, we think that it is worthwhile to review what happened during the H1N1 influenza pandemic in 2009 (Fig. 2)

  • PH1N1 influenza is caused by a different virus, it is similar to COVID-19 in that it targets the respiratory tract and is often transmitted by respiratory droplets

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Summary

Farm Animals

Events of human-to-pig transmission were the most frequently reported reverse zoonosis of pH1N1 influenza. Viral RNA was first detected in a nasal swab of a tiger (Panthera tigris) with respiratory signs such as dry cough and wheezing.[42] Subsequently, another 3 tigers and 2 lions (Panthera leo) at the same facility were all confirmed with SARS-CoV-2 infection, based on viral RNA detection in fecal samples.[37] Sequencing analysis showed that viruses from infected animals were identical to SARS-CoV-2 in humans These data suggest that the virus could have been transmitted by a zookeeper who might not have developed symptoms of COVID-19 at the time of exposure to these animals.[74] Whether subsequent animal-to-animal transmission occurred is not known

Experimental Studies
Host Species Barriers
Conclusions
Findings
Epidemiology and Serological Surveillance in Reverse Zoonosis Events
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