Towards a Sustainable One Health Approach to Crimean–Congo Hemorrhagic Fever Prevention: Focus Areas and Gaps in Knowledge

Crimean–Congo hemorrhagic fever virus (CCHFV) infection is identified in the 2018 World Health Organization Research and Development Blueprint and the National Institute of Allergy and Infectious Diseases (NIH/NIAID) priority A list due to its high risk to public health and national security. Tick-b...

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Main Authors: Teresa E. Sorvillo, Sergio E. Rodriguez, Peter Hudson, Megan Carey, Luis L. Rodriguez, Christina F. Spiropoulou, Brian H. Bird, Jessica R. Spengler, Dennis A. Bente
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/5/3/113
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author Teresa E. Sorvillo
Sergio E. Rodriguez
Peter Hudson
Megan Carey
Luis L. Rodriguez
Christina F. Spiropoulou
Brian H. Bird
Jessica R. Spengler
Dennis A. Bente
author_facet Teresa E. Sorvillo
Sergio E. Rodriguez
Peter Hudson
Megan Carey
Luis L. Rodriguez
Christina F. Spiropoulou
Brian H. Bird
Jessica R. Spengler
Dennis A. Bente
author_sort Teresa E. Sorvillo
collection DOAJ
description Crimean–Congo hemorrhagic fever virus (CCHFV) infection is identified in the 2018 World Health Organization Research and Development Blueprint and the National Institute of Allergy and Infectious Diseases (NIH/NIAID) priority A list due to its high risk to public health and national security. Tick-borne CCHFV is widespread, found in Europe, Asia, Africa, the Middle East, and the Indian subcontinent. It circulates between ticks and several vertebrate hosts without causing overt disease, and thus can be present in areas without being noticed by the public. As a result, the potential for zoonotic spillover from ticks and animals to humans is high. In contrast to other emerging viruses, human-to-human transmission of CCHFV is typically limited; therefore, prevention of spillover events should be prioritized when considering countermeasures. Several factors in the transmission dynamics of CCHFV, including a complex transmission cycle that involves both ticks and vertebrate hosts, lend themselves to a One Health approach for the prevention and control of the disease that are often overlooked by current strategies. Here, we examine critical focus areas to help mitigate CCHFV spillover, including surveillance, risk assessment, and risk reduction strategies concentrated on humans, animals, and ticks; highlight gaps in knowledge; and discuss considerations for a more sustainable One Health approach to disease control.
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spelling doaj.art-037ddeb6444b4f97846115b1d8797fdc2023-11-20T06:02:59ZengMDPI AGTropical Medicine and Infectious Disease2414-63662020-07-015311310.3390/tropicalmed5030113Towards a Sustainable One Health Approach to Crimean–Congo Hemorrhagic Fever Prevention: Focus Areas and Gaps in KnowledgeTeresa E. Sorvillo0Sergio E. Rodriguez1Peter Hudson2Megan Carey3Luis L. Rodriguez4Christina F. Spiropoulou5Brian H. Bird6Jessica R. Spengler7Dennis A. Bente8One Health Institute, School of Veterinary Medicine, University of California Davis, 1089 Veterinary Medicine Drive, Davis, CA 95616, USAViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA 30333, USAHuck Institutes of the Life Sciences, The Pennsylvania State University, University Park, PA 16802, USADepartment of Microbiology & Immunology, University of Texas Medical Branch, Galveston, TX 77555, USAForeign Animal Disease Research Unit, Plum Island Animal Disease Center, Agricultural Research Service, United States Department of Agriculture, Orient Point, NY 11957, USAViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA 30333, USAOne Health Institute, School of Veterinary Medicine, University of California Davis, 1089 Veterinary Medicine Drive, Davis, CA 95616, USAViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA 30333, USADepartment of Microbiology & Immunology, University of Texas Medical Branch, Galveston, TX 77555, USACrimean–Congo hemorrhagic fever virus (CCHFV) infection is identified in the 2018 World Health Organization Research and Development Blueprint and the National Institute of Allergy and Infectious Diseases (NIH/NIAID) priority A list due to its high risk to public health and national security. Tick-borne CCHFV is widespread, found in Europe, Asia, Africa, the Middle East, and the Indian subcontinent. It circulates between ticks and several vertebrate hosts without causing overt disease, and thus can be present in areas without being noticed by the public. As a result, the potential for zoonotic spillover from ticks and animals to humans is high. In contrast to other emerging viruses, human-to-human transmission of CCHFV is typically limited; therefore, prevention of spillover events should be prioritized when considering countermeasures. Several factors in the transmission dynamics of CCHFV, including a complex transmission cycle that involves both ticks and vertebrate hosts, lend themselves to a One Health approach for the prevention and control of the disease that are often overlooked by current strategies. Here, we examine critical focus areas to help mitigate CCHFV spillover, including surveillance, risk assessment, and risk reduction strategies concentrated on humans, animals, and ticks; highlight gaps in knowledge; and discuss considerations for a more sustainable One Health approach to disease control.https://www.mdpi.com/2414-6366/5/3/113One Healthspilloveranimal-human interfaceCrimean–Congo hemorrhagic fevertick-borne virusoutbreak response
spellingShingle Teresa E. Sorvillo
Sergio E. Rodriguez
Peter Hudson
Megan Carey
Luis L. Rodriguez
Christina F. Spiropoulou
Brian H. Bird
Jessica R. Spengler
Dennis A. Bente
Towards a Sustainable One Health Approach to Crimean–Congo Hemorrhagic Fever Prevention: Focus Areas and Gaps in Knowledge
Tropical Medicine and Infectious Disease
One Health
spillover
animal-human interface
Crimean–Congo hemorrhagic fever
tick-borne virus
outbreak response
title Towards a Sustainable One Health Approach to Crimean–Congo Hemorrhagic Fever Prevention: Focus Areas and Gaps in Knowledge
title_full Towards a Sustainable One Health Approach to Crimean–Congo Hemorrhagic Fever Prevention: Focus Areas and Gaps in Knowledge
title_fullStr Towards a Sustainable One Health Approach to Crimean–Congo Hemorrhagic Fever Prevention: Focus Areas and Gaps in Knowledge
title_full_unstemmed Towards a Sustainable One Health Approach to Crimean–Congo Hemorrhagic Fever Prevention: Focus Areas and Gaps in Knowledge
title_short Towards a Sustainable One Health Approach to Crimean–Congo Hemorrhagic Fever Prevention: Focus Areas and Gaps in Knowledge
title_sort towards a sustainable one health approach to crimean congo hemorrhagic fever prevention focus areas and gaps in knowledge
topic One Health
spillover
animal-human interface
Crimean–Congo hemorrhagic fever
tick-borne virus
outbreak response
url https://www.mdpi.com/2414-6366/5/3/113
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