Hemorrhagic Fever Research Articles

Development of an entirely cloned cDNA-based reverse genetics system for Tofla virus of orthonairovirus

The genus Orthonairovirus includes highly pathogenic tick-borne viruses such as the Crimean-Congo hemorrhagic fever orthonairovirus (CCHFV). A reverse genetics system is an indispensable tool for determining the viral factors related to pathogenicity. Tofla orthonairovirus (TFLV) is a recently identified virus isolated from ticks in Japan and our research has suggested that TFLV is a useful model for studying pathogenic orthonairoviruses. In this study, we successfully established a reverse genetics system for TFLV using T7 RNA polymerase. Recombinant TFLV was generated by transfecting cloned complementary DNAs encoding the TFLV genome into BSR T7/5 cells expressing T7 RNA polymerase. We were able to rescue infectious recombinant TFLV mutant (rTFLVmt) and wild-type TFLV (rTFLVpt) viruses, which exhibited indistinguishable growth kinetics in mammalian cells and pathogenicity in A129 mice compared with the authentic virus. Our approach provides a valuable method for establishing reverse genetics system for orthonairoviruses.

NMR side-chain assignments of the Crimean–Congo hemorrhagic fever virus glycoprotein n cytosolic domain

Abstract. We assigned the side-chain resonances of the Crimean–Congo hemorrhagic fever virus (CCHFV) glycoprotein n (Gn) cytosolic domain that is 69 amino acids long to complete the backbone resonances previously published by Estrada et al. (2011). The process was facilitated by three factors. First, sample preparation using cell-free protein synthesis (CFPS) was completed in less than 2 d and allowed for correct zinc finger formation by adding zinc ions to the reaction. Second, access to NMR platforms with standardized pulse sequences allowed for data acquisition in 18 d. Third, data analysis using the online platform NMRtist allowed sequential resonance assignments to be made in a day, and assignments were verified and finalized in less than a week. Our work thus provides an example of how NMR assignments, including side chains, of small and well-behaved proteins can be approached in a rapid routine, at protein concentrations of 150 µM.

The six-year prevalence of Crimean-Congo Hemorrhagic Fever (CCHF) in Erzurum, Turkey.

Crimean-Congo Hemorrhagic Fever disease (CCHF) is a potentially deadly viral disease and Turkey is the country in which the disease is seen the most. The purpose of this study is to estimate the frequency and case fatality ratio (CFR) of CCHF disease in Erzurum/Turkey between years 2015-2021. The CCHF positivity in patients was detected on serum samples via RT-PCR method with RNA detection. Demographic data belonging to positive patients, such as, age, sex, region of residence, tick contact was analyzed retrospectively. It was detected that the RT-PCR test of 521 patients out of a total of 1378 sent to the laboratory were positive. Each sample belonged to a single patient and repeating samples were left out of the research. The year with least positive patient ratio in relation to potential CCHF positive samples was 2017 (21.12%) whereas the year with the most positivity ratio was 2020 (55.48%) The case fatality ratio in the six-year period was calculated to be 1.34%. This study has demonstrated that there is a significant rise in CCHF patient numbers, especially in 2020 when the Covid-19 pandemic started. In order to prevent this rise, it is crucial that the effect of Covid-19 pandemic on the increase in interactions of humans with ticks is researched thoroughly, a biological intervention is made and the public awareness on CCHF disease is increased.

An Analytical Study of the Number of Communicable Diseases and Health Institutions in Iraq using Two-Way Analysis of Variance, Friedman and Scheffe Tests

In this research paper, data were analyzed from Environmental Statistics in Iraq (Health Indicators for 2019)/ Central Statistical Organization /Iraqi Ministry of Planning. The data represents the number of health institutions distributed across all governorates of Iraq (government hospitals, private hospitals, popular clinics, specialized health centers (dental, chest, allergy, asthma, other specialties), primary health care centers (main and subsidiary), other health institutions (insurance clinics). health care, health homes), training health center, family medicine health center, family planning center, central health laboratories, forensic medicine, blood bank). In addition to other data representing the number of infections with communicable diseases in Iraq (polio, acute flaccid paralysis, whooping cough, measles, German measles, mumps, congenital tetanus, adult tetanus, hydatid cysts, typhoid, malaria, schistosomiasis, bacillus dysentery, rabies, Diphtheria, chicken pox, hemorrhagic fever, Malta fever, pneumonia, cholera, scabies, cutaneous leishmaniasis, black fever, animal bites, meningitis of all kinds, bird flu, swine flu). It was determined whether there are significant differences in the number of health institutions in terms of their distribution across all governorates of Iraq, or not. Also, is there a significant difference in the number of infections with communicable diseases in all governorates of Iraq or not? If there is a significant difference in the number of health institutions or the number of infections with communicable diseases, whichever number is higher. The study included the total number of health institutions in Iraq, as well as the total number of communicable diseases of various types in all governorates of Iraq. The results were obtained by applying the Friedman test, in addition to two-way analysis of variance, as well as the Scheffé test.

Enzyme immunoassay system for serological diagnosis of hemorrhagic fever with renal syndrome based on inactivated purified Puumala virus (Hantaviridae: Orthohantavirus)

Hemorrhagic fever with renal syndrome (HFRS) is the most common zoonotic human viral disease in the Russian Federation. More than 98% of the HFRS cases are caused by Puumala orthohantavirus (PUU). Effective serological tests are required for laboratory diagnosis of HFRS. Construction of an enzyme immunoassay (ELISA) test system for detection of specific antibodies using standard antigen in the form of highly purified inactivated PUU virus as immunosorbent. Preparation of PUU virus antigen, designing the ELISA for detection of specific antibodies, developing parameters of the ELISA system, parallel titration of HFRS patients sera by fluorescent antibody technique (FAT) and the new ELISA. For the first time, ELISA based on purified inactivated PUU virus as standard antigen directly absorbed onto immunoplate was developed. Parallel titration of 50 samples from HFRS patients blood sera using FAT and the developed ELISA showed high sensitivity and specificity of this ELISA, with 100% concordance of testing results and significant level of correlation between the titers of specific antibodies in the two assays. The ELISA based on purified inactivated PUU virus as an immunosorbent can be effectively used for HFRS serological diagnosis and for mass seroepidemiological studies.

Microvascular Changes during Viral Infections: A Systematic Review of Studies Using Retinal Vessel Diameter Assessments.

Viral infection frequently affects the cardiovascular system, and vascular disturbances in patients can lead to health complications. One essential component of the cardiovascular system that is vulnerable to the inflammatory effects of viral infections is the microcirculatory system. As a suitable and practical non-invasive method to assess the structure and function of the retinal microcirculation, a proxy for the microcirculatory system, retinal fundus imaging can be used. We examined the impact of viral infections on retinal vessel diameters and performed a systematic analysis of the literature. Our search was carried out on PubMed using predefined search queries. After a methodological filtering process, we were able to reduce the corpus of 363 publications to 16 studies that met the search parameters. We used a narrative review style to summarise the observations. Six studies covered COVID-19, seven described HIV, and three were included in the subgroup called others, covering viruses, such as Dengue Fever and Crimean-Congo Haemorrhagic Fever. Analysis of the literature showed that viral infections are associated with alterations in the retinal vessels' vasoactivity. COVID-19 and other infections cause inflammation-associated the vasodilatation of microvasculature as a short-term effect of the infection. Long COVID-19 as well as HIV are the cause of chronic inflammation impacting microvascular morphology via retinal vessel diameter narrowing. The review emphasises the importance of the understudied area of viral infections' effects on retinal microcirculation. Continuous research in this area is needed to further verify retinal fundus imaging as an innovative tool for the optimal diagnosis of microvascular changes. As changes in the microvasculature precede changes in bigger arteries, the early detection of microvascular changes can go a long way in reducing the morbidity and mortality associated with cardiovascular diseases.

Design of a novel multi-epitope vaccine against Marburg virus using immunoinformatics studies

Marburg virus (MARV) is a highly contagious and virulent agent belonging to Filoviridae family. MARV causes severe hemorrhagic fever in humans and non-human primates. Owing to its highly virulent nature, preventive approaches are promising for its control. There is currently no approved drug or vaccine against MARV, and management mainly involves supportive care to treat symptoms and prevent complications. Our aim was to design a novel multi-epitope vaccine (MEV) against MARV using immunoinformatics studies. In this study, various proteins (VP35, VP40 and glycoprotein precursor) were used and potential epitopes were selected. CTL and HTL epitopes covered 79.44% and 70.55% of the global population, respectively. The designed MEV construct was stable and expressed in Escherichia coli (E. coli) host. The physicochemical properties were also acceptable. MARV MEV candidate could predict comprehensive immune responses such as those of humoral and cellular in silico. Additionally, efficient interaction to toll-like receptor 3 (TLR3) and its agonist (β-defensin) was predicted. There is a need for validation of these results using further in vitro and in vivo studies.

Pendidikan Kesehatan Tentang Bahaya Penyakit Demam Berdarah Dengue (DBD) Pada Masyarakat

Dengue Fever disease is a disease whose sufferers tend to increase. Dengue fever disease is an illness that is heard by Dengue virus. Increased cases of dengue high fever can be influenced by the population density factor. The population density factor affects the transmission or transfer of disease from one person to another associated with a vector of disease. This community service activity was carried out in the PB Selayang II Community Health Center Work Area on 18-19 June 2024. The health education media used were videos and leaflets. The implementation is carried out during the day for people who can come during the day. The average number of people attending is ten to twenty people. Health education about the dangers of dengue hemorrhagic fever was carried out in three sessions. After carrying out community service activities, it can be concluded that there has been an increase in public knowledge about the dangers of dengue hemorrhagic fever before and after this activity. After conducting health education, the public understands more about the dangers of dengue hemorrhagic fever.

Environmental and Social Risk Factors in the Event of Dengue Hemorrhagic Fever (DHF) in the Work Area of Jiwan Health Center, Madiun Regency

Environmental and Social Risk Factors in the Event of Dengue Hemorrhagic Fever (DHF) in the Work Area of Jiwan Health Center, Madiun Regency

THE LABORATORY TESTING OF THE PCR-BASED PROTOCOL OF DETECTION OF THE RABBIT HAEMORRHAGIC DISEASE VIRUS RNA

Rabbit Haemorrhagic Disease (RHD), also known as Rabbit Viral Haemorrhagic Disease (RVHD), is a highly contagious and often fatal viral disease that affects domestic and wild rabbits. It's caused by two related viruses: Rabbit Haemorrhagic Disease Virus (RHDV) and Rabbit Haemorrhagic Disease Virus 2 (RHDV2). The disease is endemic in many European, Asian and American countries, but the agent is still recognized as an emergent infection, associated with mass losses and extremely high mortality in rabbits of all breeds. One Health Scientific and Research Institute, PSI in collaboration with SRI ‘Veterinary Biotechnologies’, LLC developed the in house PCR-based protocol for RHDV detection and RHDV-2 differentiation, that requires fast implementation. This diagnostics kit evaluation in described under OIE requirements with determination of the sensitivity, specificity, repeatability and domain-specificity. Detection kit is recommended for practical application.

Building a Special Pathogen Response Center from the Ground Up

Background: In September 2022, UNC Hospitals was awarded a Regional Emerging Special Pathogens Treatment Center (RESPTC) grant by the U.S. Department of Health and Human Services Administration for Strategic Preparedness and Response (ASPR) to care for up to two patients with viral hemorrhagic fever, or similar pathogen, and up to ten patients with novel respiratory pathogens. Intensive infection prevention efforts and timely multidisciplinary commitment was required to develop the Space, Strategy, Staff, and Stuff needed to care for patients with a special pathogen. Methods: Multiple space needs assessments were undertaken to acquire spaces for the care of patients, simulation training, and a dedicated laboratory. Strategies for developing the response plan required collaboration with hospital executives, nursing leadership, public health leaders, and regional partners. Staff were recruited across various disciplines to join the response team and were provided hands-on skills training which was assessed by post-training surveys. Specialized ‘stuff’ (i.e., PPE, training equipment, and waste management devices) were researched and procured for use by the team. Results: Patient care and dedicated laboratory space was identified within existing infrastructure, and renovation plans were developed to adapt the space for these specialized activities. A waste management plan that benefits the hospital for routine waste and allows for Category A waste management was approved. Fifty-three staff members were recruited from 3 main disciplines (RNs, MDs, Paramedics), and across numerous settings (Medicine Acute Care & ICU, Pediatric ICU & Stepdown, Air Care/Transport, Burn ICU, Surgery Stepdown, Emergency Medicine, Infection Prevention, Infectious Disease) were trained during five 4-hour training sessions, culminating in an exercise involving transporting a rule–out Ebola patient to the hospital’s special pathogens unit. Post-training evaluations demonstrated a very high level of confidence (‘strongly agree’) in staffs’ knowledge about the RESPTC site (92.3%), special pathogens (80.8%), collaboration needed for managing patient care (80.8%), and in their comfort with special PPE donning and doffing (73.1%). Conclusions: Using a systematic approach to develop Space, Strategy, Staff, and Stuff, a large academic hospital readied itself to become a new RESPTC site. Key lessons learned include the importance of a multidisciplinary response team; local, state, and regional coordination for care planning and delivery; and early community partnership development. Logistical infrastructure and waste management challenges continue to require partnership with hospital leadership to optimize workflows and patient care. Holistic decision-making around infrastructure has led to changes that benefit all hospital patients and offer efficiencies toDisclosure: William Fischer: Consultant - Roche, Merck, Inhalon Biopharma; Speaker for ACGME - IMG. David J Weber: Consultant on vaccines: Pfizer; DSMB chair: GSK; Consultant on disinfection: BD, GAMA, PDI, Germitec

Modelling Lassa virus dynamics in West African Mastomys natalensis and the impact of human activities.

Lassa fever is a West African rodent-borne viral haemorrhagic fever that kills thousands of people a year, with 100 000 to 300 000 people a year probably infected by Lassa virus (LASV). The main reservoir of LASV is the Natal multimammate mouse, Mastomys natalensis. There is reported asynchrony between peak infection in the rodent population and peak Lassa fever risk among people, probably owing to differing seasonal contact rates. Here, we developed a susceptible-infected-recovered ([Formula: see text])-based model of LASV dynamics in its rodent host, M. natalensis, with a persistently infected class and seasonal birthing to test the impact of changes to seasonal birthing in the future owing to climate and land use change. Our simulations suggest shifting rodent birthing timing and synchrony will alter the peak of viral prevalence, changing risk to people, with viral dynamics mainly stable in adults and varying in the young, but with more infected individuals. We calculate the time-average basic reproductive number, [Formula: see text], for this infectious disease system with periodic changes to population sizes owing to birthing using a time-average method and with a sensitivity analysis show four key parameters: carrying capacity, adult mortality, the transmission parameter among adults and additional disease-induced mortality impact the maintenance of LASV in M. natalensis most, with carrying capacity and adult mortality potentially changeable owing to human activities and interventions.

Results of Epizootiological Survey of the Territories of the Republic of Crimea and Sevastopol in 2015–2022

Introduction: Systematic studies of endemic zoonotic diseases on the Crimean Peninsula resumed in 2015 after a long break. Objective: To specify boundaries and determine epizootiological activity of the natural foci of infectious diseases in the Crimea and to update the list of possible reservoir hosts and vectors based on the results of field studies conducted in 2015–2022. Materials and methods: Counting and trapping of small mammals, ixodid ticks and mosquitoes, collecting of pellets of birds of prey, sampling of water and other zoological and entomological materials were carried out in the Crimea in the years 2015 to 2022. Results and discussion: According to the results of epidemiological and epizootiological monitoring of the Crimean Peninsula, the samples tested positive for tularemia were collected on the territory of 14 administrative entities, leptospirosis – 21, hantaviruses – 12, tick-borne encephalitis – 2, Crimean-Congo hemorrhagic fever – 7, Lyme borreliosis – 21, West Nile fever – 3, Q fever – 2, Marseilles fever – 6, monocytic ehrlichiosis – 1, and granulocytic anaplasmosis – 8 entities. A new hantavirus was identified in the Leninsky district. Positive findings of markers of the Crimean-Congo hemorrhagic fever virus were registered not only in the main vector, but also in other species of ixodid ticks. True boundaries of the natural foci of Lyme borreliosis in the Crimea were much wider and ran through both forest and steppe zones. A stable reproducing population of epidemiologically significant Ae. albopictus mosquitoes was found on the southern coast of Crimea. Conclusions: Based on the findings, we specified the boundaries and confirmed the activity of natural foci of infectious diseases during the study period, updated sources of infections, reservoir hosts and vectors, and compiled the “List of enzootic (endemic) territories of the Crimea, on which circulation of infectious agents common to humans and animals was found based on the results of field material studies in 2015–2022,” all facilitating managerial decisions on prevention of natural focal infections.

Crimean-Congo hemorrhagic fever survivors elicit protective non-neutralizing antibodies that target 11 overlapping regions on glycoprotein GP38

Crimean-Congo hemorrhagic fever virus can cause lethal disease in humans yet there are no approved medical countermeasures. Viral glycoprotein GP38, exclusive to Nairoviridae, is a target of protective antibodies and is a key antigen in preclinical vaccine candidates. Here, we isolate 188 GP38-specific antibodies from human survivors of infection. Competition experiments show that these antibodies bind across 5 distinct antigenic sites, encompassing 11 overlapping regions. Additionally, we show structures of GP38 bound with 9 of these antibodies targeting different antigenic sites. Although these GP38-specific antibodies are non-neutralizing, several display protective efficacy equal to or better than murine antibody 13G8 in two highly stringent rodent models of infection. Together, these data expand our understanding regarding this important viral protein and may inform the development of broadly effective CCHFV antibody therapeutics.

Investigation of hsa-miR-1908 and hsa-miR-144 Expression Levels in Crimean-Congo Hemorrhagic Fever Patients

Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne zoonotic viral disease. MicroRNAs (miRNAs), which play an important role in the regulation of gene expression, are involved in many processes essential for cell life such as development, differentiation, survival, apoptosis and aging. If miRNAs fail to fulfill their functions, they cause susceptibility to many diseases, including viral infections or cause the disease to be experienced in different clinical situations, such as severe or mild. In this study, we aimed to determine the expression levels of hsa-miR-144 and hsa-miR-1908 in CCHF patients and to compare the results in different clinical courses of CCHF disease. In this study, expression levels of hsa-miR-144 and hsa-miR-1908 were detected by quantitative reverse transcription polymerase chain reaction (RT-qPCR) in blood samples obtained from 60 CCHF patients and 40 healthy individuals. We also investigated the differences in the expression levels of the microRNAs between patients with severe and non-severe disease or between patients who died and survived. Quantitative polymerase chain reaction data were uploaded to the "Data Analysis Center" (Qiagen, Germany) and analyzed using the ΔΔCq (ΔΔCt) method. p value was calculated according to Student's t test for genes in the study groups. The expression level of hsa-miR-144 decreased (fold change= 0.09) and the expression level of hsa-miR-1908 increased 1.44-fold in CCHF patients compared to the control group. The expression of hsa-miR-144 and hsa-miR-1908 increased 2 and 2.36-fold, respectively, in severe patients compared to non-severe patients. The expression levels of hsa-miR-144 and hsa-miR-1908 were 16.3- and 14.3-fold higher, respectively, in fatal cases compared to surviving patients and these results were statistically significant. In addition, the expression level of hsa-miR-144 was significantly decreased in patients with low leukocyte counts and the expression level of hsa-miR-1908 was significantly increased in patients with prolonged prothrombin time (PT). This is the first study in the literature investigating the expression level of hsa-miR-1908 in CCHF patients. In conclusion, the data of this study suggest that hsa-miR-144 and hsa-miR-1908 may be important biomarkers in predicting the prognosis and clinical course of CCHF disease.

Maturing neutrophils of lower density associate with thrombocytopenia in Puumala orthohantavirus-caused hemorrhagic fever with renal syndrome.

Puumala orthohantavirus-caused hemorrhagic fever with renal syndrome (PUUV-HFRS) is characterized by strong neutrophil activation. Neutrophils are the most abundant immune cell type in the circulation and are specially equipped to rapidly respond to infections. They are more heterogenous than previously appreciated, with specific neutrophil subsets recently implicated in inflammation and immunosuppression. Furthermore, neutrophils can be divided based on their density to either low-density granulocytes (LDGs) or "normal density" polymorphonuclear cell (PMN) fractions. In the current study we aimed to identify and characterize the different neutrophil subsets in the circulation of PUUV-HFRS patients. PMNs exhibited an activation of antiviral pathways, while circulating LDGs were increased in frequency following acute PUUV-HFRS. Furthermore, cell surface marker expression analysis revealed that PUUV-associated LDGs are primarily immature and most likely reflect an increased neutrophil production from the bone marrow. Interestingly, both the frequency of LDGs and the presence of a "left shift" in blood associated with the extent of thrombocytopenia, one of the hallmarks of severe HFRS, suggesting that maturing neutrophils could play a role in disease pathogenesis. These results imply that elevated circulating LDGs might be a general finding in acute viral infections. However, in contrast to the COVID-19 associated LDGs described previously, the secretome of PUUV LDGs did not show significant immunosuppressive ability, which suggests inherent biological differences in the LDG responses that can be dependent on the causative virus or differing infection kinetics.

Relationship of Water Media Characteristics (pH, Temperature, TDS) to Density of Aedes sp Mosquito Flars in Karanggeneng Village, Lamongan District

DHF (Dengue hemorrhagic fever) is a tropical endemic disease in Indonesia with a fluctuating trend in Lamongan. The main factor under control is the larval breeding habitat. This study aimed to determine the relationship between the characteristics of the water medium and the density of Aedes sp. mosquito larvae in Karanggeneng Village, Lamongan Regency. We conducted this quantitative study using a cross-sectional observational method on a sample of 80 houses in Karanggeneng Village, employing a straightforward random sampling technique. We recorded the data collection in the observation sheet and analyzed it with a chi-square test. The results showed that 37 houses were positive for Aedes sp. larvae based on HI (DF = 6), CI (DF = 6), and BI (DF = 7), so Karanggeneng Village has a high mosquito larval density. There is a significant relationship between water media and the presence of Aedes sp. mosquito larvae. The relationship between pH (p-value = 0.000), temperature (p-value = 0.000), and TDS (p-value = 0.000) is significant. We recommend regularly draining the water container weekly to prevent mosquito larvae from using it as a habitat.

Looking Beyond the Lens of Crimean-Congo Hemorrhagic Fever in Africa.

Crimean-Congo hemorrhagic fever (CCHF) is a lethal viral disease that has severe public health effects throughout Africa and a case fatality rate of 10%-40%. CCHF virus was first discovered in Crimea in 1944 and has since caused a substantial disease burden in Africa. The shortage of diagnostic tools, ineffective tick control efforts, slow adoption of preventive measures, and cultural hurdles to public education are among the problems associated with continued CCHF virus transmission. Progress in preventing virus spread is also hampered by the dearth of effective serodiagnostic testing for animals and absence of precise surveillance protocols. Intergovernmental coordination, creation of regional reference laboratories, multiinstitutional public education partnerships, investments in healthcare infrastructure, vaccine development, and a One Health approach are strategic methods for solving prevention challenges. Coordinated efforts and financial commitments are needed to combat Crimean-Congo hemorrhagic fever and improve all-around readiness for newly developing infectious illnesses in Africa.

Evaluation of the Viral Hemorrhagic Fever Surveillance System in the Assaba region, Mauritania (2020-2022)

Several arboviral diseases have been known to be endemic (e.g., Crimean-Congo hemorrhagic fever, Rift Valley fever) or are emerging (dengue fever, chikungunya, O'nyong-nyong) in human populations in Mauritania, while others have become rare in recent years (e.g. yellow fever). Moreover, domestic animals, especially cattle, camels, goats, and sheep, are also known to be infected with some of these arboviruses (e.g. Crimean-Congo hemorrhagic fever, Rift Valley fever). For these reasons, viral hemorrhagic fever surveillance in Mauritania is part of the Integrated Disease Surveillance and Response (IDSR). However, limited information is available on the efficacy of the viral hemorrhagic fever surveillance system in the Assaba region of Mauritania. The aim of the present study was to assess the performance of the surveillance system, in particular its general utility, simplicity, flexibility, acceptability, and reactivity. A descriptive cross-sectional study was conducted from July to August 2022 in the Assaba region with the objective of evaluating the characteristics of the system by interviewing key actors involved in the surveillance of viral hemorrhagic fevers, with a focus on Rift Valley fever and Crimean-Congo hemorrhagic fever, using questionnaires developed following the guidelines of the Centers for Disease Control and Prevention (Atlanta, Georgia, USA). Data from 2020-2022 on viral hemorrhagic fevers from the National Institute of Public Health laboratory were analyzed. Medians, interquartile ranges, and proportions were calculated using Epi Info® 7.2.5.0 and Excel® 2021. The questionnaire was answered by all twenty-six persons involved in the viral hemorrhagic fever surveillance system in Assaba region. The majority of survey respondents found the system to be useful (51%), simple (63%), acceptable (46%), responsive (64%), and flexible (46%). An analysis of the data revealed a positive predictive value of 28% for Rift Valley Fever. The weekly distribution of cases within the wilaya indicates that the moughataa of Kiffa recorded the highest number of cases in September, with a notable weekly peak during that month in 2020. According to the analysis of the National Institute of Public Health database, cases of viral hemorrhagic fevers were promptly handled. Survey responses and database analysis revealed issues related to data quality and data management mechanisms. These limitations in the surveillance system are likely to be due to insufficient resources and training of the personnel, in particular with regards to data collection and management, which in turn led to incomplete or missing data and invalid data entry. These weak points can be ascribed, at least in part, to financial constraints and inadequate attribution of priority to arboviral diseases. Despite these limitations, disease data generated by the surveillance system were generally reliable. The viral hemorrhagic fever surveillance system in the Assaba region adheres to the organization and functioning of the national viral hemorrhagic fever surveillance system, which is part of the IDSR. The characteristics of utility, simplicity, responsiveness, and flexibility of the viral hemorrhagic fever surveillance system are good, but acceptability and flexibility need further improvement. The earlier the first arboviral human or animal cases are detected, the more likely an active intervention can be organized in response to the emerging epidemic or epizootic and prevent the spread of the disease. An efficient viral surveillance system is the key to reducing the negative impact of arboviral diseases in Assaba region.

Insidensi Ortohantavirus pada Inang Reservoir di Kota Semarang, Jawa Tengah

Orthohantavirus is an RNA virus that causes Hemorrhagic Fever with Renal Syndrome (HFRS) and Hantavirus Pulmonary Syndrome (HPS). Humans can become infected with orthohantaviruses by inhaling virus particles from the urine, saliva, and feces of infective reservoir hosts. Small mammals from the orders Rodensia, Eulipotyphla, and Chiroptera are the main reservoirs of orthohantaviruses. This study aims to detect and calculate the incidence of orthohantavirus in reservoir hosts in Semarang City. The research was conducted descriptively analytically with a cross-sectional study design. The research population was all mice and shrews in the research location (Gayamsari and Tlogosari subdistricts), and the samples were caught mice and shrews (84). The research was carried out in May-September 2023. Orthohantavirus detection was carried out using the Nested PCR test (pre denaturation, denaturation, annealing and extension). A total of 84 individuals were captured, consisting of Rattus novergicus, Rattus tanezumi and Suncus murinus. Orthohantavirus in this study was successfully detected in Rattus norvegicus. The results of the study showed that the incidence of orthohantavirus in Gayamsari Village was (11.1%), Tlogosari Village (2.78%), and the overall total was (2.38%). It is necessary to control mice to prevent transmission of orthohantavirus.