title: Hantavirus outbreak in Western Europe: reservoir host infection dynamics related to human disease patterns.
abstract: Within Europe, Puumala virus (PUUV) is the causal agent of nephropathia epidemica (NE) in humans, a zoonotic disease with increasing significance in recent years. In a region of Belgium with a historically high incidence of NE, bank voles (the PUUV reservoir hosts), were monitored for PUUV IgG antibody prevalence in nine study sites before, during, and after the highest NE outbreak recorded in Belgium in 2005. We found that the highest numbers of PUUV IgG-positive voles coincided with the peak of NE cases at the regional level, indicating that a PUUV epizootic in bank voles directly led to the NE outbreak in humans. On a local scale, PUUV infection in voles was patchy and not correlated to NE incidence before the epizootic. However, during the epizootic period PUUV infection spread in the vole populations and was significantly correlated to local NE incidence. Initially, local bank-vole numbers were positively associated with local PUUV infection risk in voles, but this was no longer the case after the homogeneous spreading of PUUV during the PUUV outbreak.
authors.affiliation: Department of Biology, Evolutionary Ecology group, University of Antwerp, Antwerp, Belgium. Katrien.Tersago@ua.ac.be
authors.forename: K
authors.initials: K
authors.lastname: Tersago
authors.forename: R
authors.initials: R
authors.lastname: Verhagen
authors.forename: O
authors.initials: O
authors.lastname: Vapalahti
authors.forename: P
authors.initials: P
authors.lastname: Heyman
authors.forename: G
authors.initials: G
authors.lastname: Ducoffre
authors.forename: H
authors.initials: H
authors.lastname: Leirs
mesh_terms: D000818:Animals; D000914:Antibodies, Viral / Q000097:blood; D003411:Arvicolinae / Q000821:virology*; D004196:Disease Outbreaks; D004197:Disease Reservoirs; D005060:Europe / Q000453:epidemiology; D005260:Female; D018778:Hantavirus Infections / Q000453:epidemiology* / Q000662:veterinary*; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D015994:Incidence; D008297:Male; D029262:Puumala virus / Q000276:immunology / Q000302:isolation & purification; D015047:Zoonoses / Q000453:epidemiology / Q000821:virology
chemical_list: D000914:Antibodies, Viral; D007074:Immunoglobulin G