Epidemiology of Camelpox: New Aspects

L. F. Stovba, V. N. Lebedev, O. V. Chukhralia, A. L. Khmelev, S. L. Kuznetsov, S. Borisevich
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Abstract

After the abolition of the mandatory smallpox vaccination, the humanity lost the immunity not only to smallpox, but also to infections caused by pathogens of this family (Orthopoxvirus): monkeypox, cowpox, buffalo pox, camelpox. Since the camelpox and African gerbil viruses are the closest to the variola virus (genomic homology is 97%) in phylogenetic and genetic terms, it cannot be ruled out that a mutation in a small fragment of the genome of one of these viruses will lead to the replacement of a relatively safe virus with an epidemically dangerous pathogen. The purpose of is article is to summarize materials on the study of camelpox virus. The sources for this research is scientific articles and other English-language literature available via the Internet. The research method is an analysis of scientific sources on camelpox from the general to the specific. The authors considered the epizootic danger of the virus, its virulence for humans, phylogenetic relationship with other orthopoxviruses, means of specific prevention and treatment of camel pox in camels. The discussion and the results. The causative agent of camelpox causes a nodular-pastular rash on the skin and mucous membranes in Camelus dromedaries and Camelus bactrianus. The disease is contagious, and its epizootics lead to significant economic damage. From December 2008 to May 2009, several laboratory-confirmed cases of camelpox in humans were reported in India, Somalia and eastern Sudan. Nowadays for the identification of the camelpox virus, a RT-PCR test system with primers for the C18L gene is usually offered, which detects only this virus. The established host range of the virus is limited to one animal - the camel. To treat sick camels, chemotherapy drugs are used: cidofovir and tocoverimate (ST-246). For immunoprophylaxis, live and inactivated vaccines are used. The conclusion. Camelpox virus poses a risk to humans in regions where people raise camels and are in close contact with them. The immunodeficient populations of people may serve as an additional «window» for the penetration of this virus into human society. The genetic variability of the virus and the plasticity of its genome make it possible to obtain virus strains with altered properties. Synthetic biology methods create a risk, through small substitutions in the genome of the virus, of turning it into an epidemic danger for humans. Constant monitoring of this disease is necessary, since there is a danger of the transmission of camelpox from Kazakhstan to areas bordering the Russian Federation.
骆驼毒的流行病学:新的方面
取消天花疫苗强制接种后,人类不仅失去了对天花的免疫力,还失去了对该科病原体(正痘病毒)引起的感染的免疫力:猴痘、牛痘、水痘、驼痘。由于驼痘病毒和非洲沙鼠病毒在系统发育和遗传学方面与水痘病毒最为接近(基因组同源性为 97%),因此不能排除其中一种病毒基因组小片段的突变会导致相对安全的病毒被具有流行危险的病原体所取代。本文旨在总结有关骆驼蓬病毒研究的材料。这项研究的资料来源是科学文章和互联网上的其他英文文献。研究方法是从总体到具体分析有关驼痘的科学资料。作者考虑了该病毒的流行危险性、对人类的致病力、与其他正痘病毒的系统发育关系、骆驼痘的具体预防和治疗方法。讨论和结果。骆驼痘的病原体会在单峰骆驼和双峰骆驼的皮肤和粘膜上引起结节状皮疹。该病具有传染性,其流行会造成重大经济损失。2008 年 12 月至 2009 年 5 月,印度、索马里和苏丹东部报告了几例实验室确诊的人类骆驼痘病例。目前,在鉴定驼痘病毒时,通常会使用一种 RT-PCR 测试系统,该系统使用 C18L 基因引物,只能检测出驼痘病毒。该病毒的宿主范围仅限于一种动物--骆驼。为治疗患病骆驼,可使用化疗药物:西多福韦(cidofovir)和托卡维尔(tocoverimate)(ST-246)。免疫预防则使用活疫苗和灭活疫苗。结论在有人饲养骆驼并与骆驼密切接触的地区,驼痘病毒对人类构成威胁。免疫缺陷人群可能是这种病毒渗入人类社会的另一个 "窗口"。病毒的基因变异性及其基因组的可塑性使人们有可能获得特性发生改变的病毒株。合成生物学方法通过对病毒基因组进行微小的置换,有可能使病毒对人类造成流行性威胁。有必要对这一疾病进行持续监测,因为驼痘有可能从哈萨克斯坦传播到与俄罗斯联邦接壤的地区。
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