Mitigating Future Respiratory Virus Pandemics: New Threats and Approaches to Consider

Despite many recent efforts to predict and control emerging infectious disease threats to humans, we failed to anticipate the zoonotic viruses which led to pandemics in 2009 and 2020. The morbidity, mortality, and economic costs of these pandemics have been staggering. We desperately need a more tar...

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Main Authors: Gregory C. Gray, Emily R. Robie, Caleb J. Studstill, Charles L. Nunn
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/4/637
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author Gregory C. Gray
Emily R. Robie
Caleb J. Studstill
Charles L. Nunn
author_facet Gregory C. Gray
Emily R. Robie
Caleb J. Studstill
Charles L. Nunn
author_sort Gregory C. Gray
collection DOAJ
description Despite many recent efforts to predict and control emerging infectious disease threats to humans, we failed to anticipate the zoonotic viruses which led to pandemics in 2009 and 2020. The morbidity, mortality, and economic costs of these pandemics have been staggering. We desperately need a more targeted, cost-efficient, and sustainable strategy to detect and mitigate future zoonotic respiratory virus threats. Evidence suggests that the transition from an animal virus to a human pathogen is incremental and requires a considerable number of spillover events and considerable time before a pandemic variant emerges. This evolutionary view argues for the refocusing of public health resources on novel respiratory virus surveillance at human–animal interfaces in geographical hotspots for emerging infectious diseases. Where human–animal interface surveillance is not possible, a secondary high-yield, cost-efficient strategy is to conduct novel respiratory virus surveillance among pneumonia patients in these same hotspots. When novel pathogens are discovered, they must be quickly assessed for their human risk and, if indicated, mitigation strategies initiated. In this review, we discuss the most common respiratory virus threats, current efforts at early emerging pathogen detection, and propose and defend new molecular pathogen discovery strategies with the goal of preempting future pandemics.
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spelling doaj.art-34704a7186674633aeafa19d2dff56532023-11-21T14:38:23ZengMDPI AGViruses1999-49152021-04-0113463710.3390/v13040637Mitigating Future Respiratory Virus Pandemics: New Threats and Approaches to ConsiderGregory C. Gray0Emily R. Robie1Caleb J. Studstill2Charles L. Nunn3Division of Infectious Diseases, Duke University School of Medicine, Durham, NC 27710, USADivision of Infectious Diseases, Duke University School of Medicine, Durham, NC 27710, USADivision of Infectious Diseases, Duke University School of Medicine, Durham, NC 27710, USADuke Global Health Institute, Duke University, Durham, NC 27710, USADespite many recent efforts to predict and control emerging infectious disease threats to humans, we failed to anticipate the zoonotic viruses which led to pandemics in 2009 and 2020. The morbidity, mortality, and economic costs of these pandemics have been staggering. We desperately need a more targeted, cost-efficient, and sustainable strategy to detect and mitigate future zoonotic respiratory virus threats. Evidence suggests that the transition from an animal virus to a human pathogen is incremental and requires a considerable number of spillover events and considerable time before a pandemic variant emerges. This evolutionary view argues for the refocusing of public health resources on novel respiratory virus surveillance at human–animal interfaces in geographical hotspots for emerging infectious diseases. Where human–animal interface surveillance is not possible, a secondary high-yield, cost-efficient strategy is to conduct novel respiratory virus surveillance among pneumonia patients in these same hotspots. When novel pathogens are discovered, they must be quickly assessed for their human risk and, if indicated, mitigation strategies initiated. In this review, we discuss the most common respiratory virus threats, current efforts at early emerging pathogen detection, and propose and defend new molecular pathogen discovery strategies with the goal of preempting future pandemics.https://www.mdpi.com/1999-4915/13/4/637pathogen discoverymolecular detectionrespiratory virusesemerging viruses
spellingShingle Gregory C. Gray
Emily R. Robie
Caleb J. Studstill
Charles L. Nunn
Mitigating Future Respiratory Virus Pandemics: New Threats and Approaches to Consider
Viruses
pathogen discovery
molecular detection
respiratory viruses
emerging viruses
title Mitigating Future Respiratory Virus Pandemics: New Threats and Approaches to Consider
title_full Mitigating Future Respiratory Virus Pandemics: New Threats and Approaches to Consider
title_fullStr Mitigating Future Respiratory Virus Pandemics: New Threats and Approaches to Consider
title_full_unstemmed Mitigating Future Respiratory Virus Pandemics: New Threats and Approaches to Consider
title_short Mitigating Future Respiratory Virus Pandemics: New Threats and Approaches to Consider
title_sort mitigating future respiratory virus pandemics new threats and approaches to consider
topic pathogen discovery
molecular detection
respiratory viruses
emerging viruses
url https://www.mdpi.com/1999-4915/13/4/637
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