The Importance of Lassa Fever and Its Disease Management in West Africa

Lassa virus (LASV) is a zoonotic pathogen endemic throughout western Africa and is responsible for a human disease known as Lassa fever (LF). Historically, LASV has been emphasized as one of the greatest public health threats in West Africa, with up to 300,000 cases and 5000 associated deaths per ye...

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Main Authors: Rachel A. Reyna, Kirsten E. Littlefield, Nathan Shehu, Tomoko Makishima, Junki Maruyama, Slobodan Paessler
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/16/2/266
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author Rachel A. Reyna
Kirsten E. Littlefield
Nathan Shehu
Tomoko Makishima
Junki Maruyama
Slobodan Paessler
author_facet Rachel A. Reyna
Kirsten E. Littlefield
Nathan Shehu
Tomoko Makishima
Junki Maruyama
Slobodan Paessler
author_sort Rachel A. Reyna
collection DOAJ
description Lassa virus (LASV) is a zoonotic pathogen endemic throughout western Africa and is responsible for a human disease known as Lassa fever (LF). Historically, LASV has been emphasized as one of the greatest public health threats in West Africa, with up to 300,000 cases and 5000 associated deaths per year. This, and the fact that the disease has been reported in travelers, has driven a rapid production of various vaccine candidates. Several of these vaccines are currently in clinical development, despite limitations in understanding the immune response to infection. Alarmingly, the host immune response has been implicated in the induction of sensorineural hearing loss in LF survivors, legitimately raising safety questions about any future vaccines as well as efficacy in preventing potential hearing loss. The objective of this article is to revisit the importance and prevalence of LF in West Africa, with focus on Nigeria, and discuss current therapeutic approaches and ongoing vaccine development. In addition, we aim to emphasize the need for more scientific studies relating to LF-associated hearing loss, and to promote critical discussion about potential risks and benefits of vaccinating the population in endemic regions of West Africa.
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spelling doaj.art-0eba0fa94bca4fe08943835468dcac3e2024-02-23T15:37:39ZengMDPI AGViruses1999-49152024-02-0116226610.3390/v16020266The Importance of Lassa Fever and Its Disease Management in West AfricaRachel A. Reyna0Kirsten E. Littlefield1Nathan Shehu2Tomoko Makishima3Junki Maruyama4Slobodan Paessler5Department of Pathology, University of Texas Medical Branch, Galveston, TX 77555, USADepartment of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX 77555, USADepartment of Pathology, University of Texas Medical Branch, Galveston, TX 77555, USADepartment of Otolaryngology, University of Texas Medical Branch, Galveston, TX 77555, USADepartment of Pathology, University of Texas Medical Branch, Galveston, TX 77555, USADepartment of Pathology, University of Texas Medical Branch, Galveston, TX 77555, USALassa virus (LASV) is a zoonotic pathogen endemic throughout western Africa and is responsible for a human disease known as Lassa fever (LF). Historically, LASV has been emphasized as one of the greatest public health threats in West Africa, with up to 300,000 cases and 5000 associated deaths per year. This, and the fact that the disease has been reported in travelers, has driven a rapid production of various vaccine candidates. Several of these vaccines are currently in clinical development, despite limitations in understanding the immune response to infection. Alarmingly, the host immune response has been implicated in the induction of sensorineural hearing loss in LF survivors, legitimately raising safety questions about any future vaccines as well as efficacy in preventing potential hearing loss. The objective of this article is to revisit the importance and prevalence of LF in West Africa, with focus on Nigeria, and discuss current therapeutic approaches and ongoing vaccine development. In addition, we aim to emphasize the need for more scientific studies relating to LF-associated hearing loss, and to promote critical discussion about potential risks and benefits of vaccinating the population in endemic regions of West Africa.https://www.mdpi.com/1999-4915/16/2/266arenavirusLassa virussensorineural hearing loss
spellingShingle Rachel A. Reyna
Kirsten E. Littlefield
Nathan Shehu
Tomoko Makishima
Junki Maruyama
Slobodan Paessler
The Importance of Lassa Fever and Its Disease Management in West Africa
Viruses
arenavirus
Lassa virus
sensorineural hearing loss
title The Importance of Lassa Fever and Its Disease Management in West Africa
title_full The Importance of Lassa Fever and Its Disease Management in West Africa
title_fullStr The Importance of Lassa Fever and Its Disease Management in West Africa
title_full_unstemmed The Importance of Lassa Fever and Its Disease Management in West Africa
title_short The Importance of Lassa Fever and Its Disease Management in West Africa
title_sort importance of lassa fever and its disease management in west africa
topic arenavirus
Lassa virus
sensorineural hearing loss
url https://www.mdpi.com/1999-4915/16/2/266
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