Medical News Blog Information

Showing posts with label Philippines. Show all posts
Showing posts with label Philippines. Show all posts

Evidence that Reston ebolavirus resides in live bats in the Philippines...

Update #1 18JUN2015
Jayme and colleagues find some
"smoking bats"-possible bat reservoir
species for
Reston ebolavirus
in the Philippines.
In what I think is only the second example of this, a new collaborative study from Jayme and a team of eminent researchers in the Philippines, Australia, Vietnam and the United States, have reported the finding of Reston ebolavirus (RESTV) viral RNA and antibodies to viral infection in a range of different bat species....some more "smoking bats" - bats with more than just past evidence, sometimes considered vague and unreliable, of an ebolavirus being hosted by the animal.

The finding of RNA is not the same as actual infectious virus, but RNA is a very specific marker for the virus nonetheless. And the authors note that they didn't want to kill the bats so only a small volume of sample was available-not enough for culture.

Leroy and colleagues had previously reported finding Zaire ebolavirus RNA and antibodies against this species of virus in Hypsignathus monstrosus, Epomops franqueti and Myonycteris torquatebats, all fruit-eating megabats of the family Pteropodidae. These are considered to be important reservoir hosts, yet they do not show signs of disease.[2] 

According to one of the authors on the latest study, bats in the Philippines also seemed clinically well...

Locating the Philippine RESTV sequences
on the ebolavirus phylogenetic tree.
Jayme et al. Virology J. (2105) 12:107.[1]
Jayme's findings are important to the story of RESTV importations to animal facilities in the United States from the Philippines which occurred multiple times between 1989 to 1996. These fed into the dramatized retelling we know of as The Hot Zone. There were also signs of antibodies to the virus in humans working with infected non human primates in the Philippines in 1994, 1996 and 2008.

The amount of viral RNA in most of the bats was quite low - but was usually repeatably detectable. I'm a firm believer in PCR giving a specific signal when there is something specific present to detect (assuming it was done in a professional laboratory setting that reduces the risk of false positives-which it was in this instance). So low viral loads are not no viral loads.

RESTV RNA was repeatably found in oropharyngeal swabs taken from bats assigned to the following species:

...and in one sample from:
  • Chaerephon plicata (Wrinkle-lipped Free-tailed Bat; range; insectivorous bats)
What's particularly interesting to me is that some of these bat species are found in Australia. However, keep in mind that the range of some (?many) bats may be underestimated. The example here is using the IUCN Red List's described range for M. schreibersii-apparently it's a bat that inhabits an area around the Mediterranean.[4] Last I looked, the Philippines is a bit south of there. In the past, as Wikipedia lists, a much bigger range was ascribed to this bat, also including Australia,[5] Guinea, Liberia and Sierra Leone - among many others. Looks like there may be lots of work to do in the area of bat census.

Jayme and colleagues also sampled the blood of 61 flying foxes (of the fruit-eating bat family Pteropodidae) and antibodies were found by ELISA and Western blot in 3 Acerodon jubatus (giant golden crowned flying foxrange) bats and by ELISA alone in a Pteropus vampyrus (Large flying foxrange). If you trust the test, then this indicates past exposure.

Superman and the Joker know very well - Bats can be very tricky. But at least this finding helps to further address the Riddle(r) of the reservoir. Now, if only we could only nail down the specific culprit(s) in West Africa.

References...
  1. Molecular evidence of Ebola Reston virus infection in Philippine bats
  2. Fruit bats as reservoirs of Ebola virus
  3. Many details about bats to be found at the excellent IUCN Red List
    http://www.iucnredlist.org/
  4. Population Structure of a Cave-Dwelling Bat, Miniopterus schreibersii: Does It Reflect History and Social Organization?
    http://jhered.oxfordjournals.org/content/100/5/533.full
  5. Seasonal movements of the Schreibers� bat, Miniopterus schreibersii, in the northern Iberian Peninsulahttp://www.tandfonline.com/doi/abs/10.1080/11250000801927850#.Vamrtvnzp1M
Updates...
  1. Added bat specie range data (and discussion) from IUCN Red List and Wikipedia.

2 Middle East respiratory syndrome coronavirus (MERS-CoV) cases emerge in the Philippines and Malaysia [UPDATED]

In a surprising pair of temporally related announcements, there has been an imported and fatal case of MERS occurring in a 54-year old man (54M) originally from Johor, Malaysia [1] and a distinct case in a  recently returned 45-year old [5] Filipino male nurse working in the United Arab Emirates (UAE).[2,3,4]
  • 54M had returned from performing an Umrah pilgrimage ("mini-Hajj")  at Mecca (Makkah), Saudi Arabia on 29-March , becoming ill 8-9-Apr, dying of pneumonia secondary to his MERS-CoV infection, 13-Apr.[8]
    • Passengers on board the same flights are urged to contact the Health Ministry for testing but he was not symptomatic while in transit [8]
    • Diabetic (a comorbidity) [6]
    • Had visited a camel farm but source of infection remains unknown [6]
  • 45M, currently in quarantine with his family, was a friend of the recent fatal MERS case in a Filipino paramedic
    • The nurse was asymptomatic
    • Returning from vacation in the Philippines when retrospective testing results were released to Philippines embassy by UAE authorities  [5]
    • Testing was conducted in the UAE, referred to as a "blood test" ?serology not PCR-based?
    • Source of infection remains unknown
    In 2013, Kingdom of Saudi Arabia's (KSA) Health Minister Abdullah Al-Rabeeah, said that 4,800,000 pilgrims visited to perform Umrah and not one left having had MERS-CoV infection. That will not be the case in 2014.

    References...


    1. FluTrackers thread on fatal MERS-CoV case in 54M, Malaysia
      http://www.flutrackers.com/forum/showthread.php?t=221664
    2. FluTrackers on Filipino nurse positive for MERS-CoV
      http://www.flutrackers.com/forum/showthread.php?p=531474#post531474
    3. http://www.gmanetwork.com/news/story/357189/news/nation/pinoy-nurse-tests-positive-for-mers-virus-first-case-in-phl
    4. OFW who returned home from UAE tests positive for MERS-CoV � DOH chief|Inquirer.net article http://newsinfo.inquirer.net/594740/ofw-who-returned-home-from-uae-tests-positive-for-mers-cov-doh-chief#ixzz2z2x7xUEr
    5. OFW with MERS arrives in Manila
      http://www.philstar.com/headlines/2014/04/17/1313580/ofw-mers-arrives-manila
    6. Health Ministry Confirms Umrah Pilgrim Died Of MERS-CoV
      http://www.bernama.com/bernama/v7/bu/newsmarkets.php?id=1031217
    7. MERS Coronavirus Makes First Appearance In Asia: Malaysia, Philippines Report MERS-CoV Cases
      http://www.theglobaldispatch.com/mers-coronavirus-makes-first-appearance-in-asia-malaysia-philippines-report-mers-cov-cases-43672/
    8. First Mers death recorded in Asia
      http://www.thenational.ae/world/first-mers-death-recorded-in-asia
    9. Mike Coston on Malaysia imported case
      http://afludiary.blogspot.com.au/2014/04/malaysian-moh-statement-on-imported.html
    10. Mike Coston on Philippines imported case
      http://afludiary.blogspot.com.au/2014/04/philippines-quarantines-imported.html

    Like Us

    Blog Archive