Differential Yellow Fever Susceptibility in New World Nonhuman Primates, Comparison with Humans, and Implications for Surveillance

A major outbreak of yellow fever (YF) occurred in Brazil during 2016–2018. Epizootics in New World nonhuman primates are sentinel events for YF virus circulation. However, genus-specific susceptibilities and suitability for YF surveillance remain poorly understood. We obtained and compared epidemiol...

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Main Authors: Natália C.C. de Azevedo Fernandes, Juliana M. Guerra, Josué Díaz-Delgado, Mariana S. Cunha, Leila delC. Saad, Silvia D. Iglezias, Rodrigo A. Ressio, Cinthya dos Santos Cirqueira, Cristina T. Kanamura, Isis P. Jesus, Adriana Y. Maeda, Fernanda G.S. Vasami, Júlia de Carvalho, Leonardo J.T. de Araújo, Renato Pereira de Souza, Juliana S. Nogueira, Roberta M.F. Spinola, José L. Catão-Dias
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2021-01-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/27/1/19-1220_article
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author Natália C.C. de Azevedo Fernandes
Juliana M. Guerra
Josué Díaz-Delgado
Mariana S. Cunha
Leila delC. Saad
Silvia D. Iglezias
Rodrigo A. Ressio
Cinthya dos Santos Cirqueira
Cristina T. Kanamura
Isis P. Jesus
Adriana Y. Maeda
Fernanda G.S. Vasami
Júlia de Carvalho
Leonardo J.T. de Araújo
Renato Pereira de Souza
Juliana S. Nogueira
Roberta M.F. Spinola
José L. Catão-Dias
author_facet Natália C.C. de Azevedo Fernandes
Juliana M. Guerra
Josué Díaz-Delgado
Mariana S. Cunha
Leila delC. Saad
Silvia D. Iglezias
Rodrigo A. Ressio
Cinthya dos Santos Cirqueira
Cristina T. Kanamura
Isis P. Jesus
Adriana Y. Maeda
Fernanda G.S. Vasami
Júlia de Carvalho
Leonardo J.T. de Araújo
Renato Pereira de Souza
Juliana S. Nogueira
Roberta M.F. Spinola
José L. Catão-Dias
author_sort Natália C.C. de Azevedo Fernandes
collection DOAJ
description A major outbreak of yellow fever (YF) occurred in Brazil during 2016–2018. Epizootics in New World nonhuman primates are sentinel events for YF virus circulation. However, genus-specific susceptibilities and suitability for YF surveillance remain poorly understood. We obtained and compared epidemiologic, histopathologic, immunohistochemical, and molecular results from 93 human and 1,752 primate cases submitted during the recent YF outbreak in Brazil (2017), with the support of the Brazilian National YF Surveillance Program. We detected heterogeneous YF-associated profiles among the various genera of primates we analyzed. Alouatta primates were the most reliable sentinel; Sapajus and Callicebus primates had higher viral loads but lower proportional mortality rates. Callithrix primates were the least sensitive, showing lower viral loads, lower proportional mortality rates, and no demonstrable YF virus antigen or extensive lesions in liver, despite detectable viral RNA. These differences in susceptibility, viral load, and mortality rates should be considered in strategic surveillance of epizootics and control measures for YF.
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spelling doaj.art-f9bcb758cebf4649abd968ed1b62c8522022-12-21T21:04:30ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592021-01-01271475610.3201/eid2701.191220Differential Yellow Fever Susceptibility in New World Nonhuman Primates, Comparison with Humans, and Implications for SurveillanceNatália C.C. de Azevedo FernandesJuliana M. GuerraJosué Díaz-DelgadoMariana S. CunhaLeila delC. SaadSilvia D. IgleziasRodrigo A. RessioCinthya dos Santos CirqueiraCristina T. KanamuraIsis P. JesusAdriana Y. MaedaFernanda G.S. VasamiJúlia de CarvalhoLeonardo J.T. de AraújoRenato Pereira de SouzaJuliana S. NogueiraRoberta M.F. SpinolaJosé L. Catão-DiasA major outbreak of yellow fever (YF) occurred in Brazil during 2016–2018. Epizootics in New World nonhuman primates are sentinel events for YF virus circulation. However, genus-specific susceptibilities and suitability for YF surveillance remain poorly understood. We obtained and compared epidemiologic, histopathologic, immunohistochemical, and molecular results from 93 human and 1,752 primate cases submitted during the recent YF outbreak in Brazil (2017), with the support of the Brazilian National YF Surveillance Program. We detected heterogeneous YF-associated profiles among the various genera of primates we analyzed. Alouatta primates were the most reliable sentinel; Sapajus and Callicebus primates had higher viral loads but lower proportional mortality rates. Callithrix primates were the least sensitive, showing lower viral loads, lower proportional mortality rates, and no demonstrable YF virus antigen or extensive lesions in liver, despite detectable viral RNA. These differences in susceptibility, viral load, and mortality rates should be considered in strategic surveillance of epizootics and control measures for YF.https://wwwnc.cdc.gov/eid/article/27/1/19-1220_articleyellow feveryellow fever virusvirusesarbovirusesliverdifferential susceptibility
spellingShingle Natália C.C. de Azevedo Fernandes
Juliana M. Guerra
Josué Díaz-Delgado
Mariana S. Cunha
Leila delC. Saad
Silvia D. Iglezias
Rodrigo A. Ressio
Cinthya dos Santos Cirqueira
Cristina T. Kanamura
Isis P. Jesus
Adriana Y. Maeda
Fernanda G.S. Vasami
Júlia de Carvalho
Leonardo J.T. de Araújo
Renato Pereira de Souza
Juliana S. Nogueira
Roberta M.F. Spinola
José L. Catão-Dias
Differential Yellow Fever Susceptibility in New World Nonhuman Primates, Comparison with Humans, and Implications for Surveillance
Emerging Infectious Diseases
yellow fever
yellow fever virus
viruses
arboviruses
liver
differential susceptibility
title Differential Yellow Fever Susceptibility in New World Nonhuman Primates, Comparison with Humans, and Implications for Surveillance
title_full Differential Yellow Fever Susceptibility in New World Nonhuman Primates, Comparison with Humans, and Implications for Surveillance
title_fullStr Differential Yellow Fever Susceptibility in New World Nonhuman Primates, Comparison with Humans, and Implications for Surveillance
title_full_unstemmed Differential Yellow Fever Susceptibility in New World Nonhuman Primates, Comparison with Humans, and Implications for Surveillance
title_short Differential Yellow Fever Susceptibility in New World Nonhuman Primates, Comparison with Humans, and Implications for Surveillance
title_sort differential yellow fever susceptibility in new world nonhuman primates comparison with humans and implications for surveillance
topic yellow fever
yellow fever virus
viruses
arboviruses
liver
differential susceptibility
url https://wwwnc.cdc.gov/eid/article/27/1/19-1220_article
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