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Epidemiology of HPS Slideset

HPS Teaching Slideset
    Slides 1-13:
General
    Slides 14-25:
Clinical, Diagnosis, and Pathology
    Slides 26-28:
Epidemiology
    Slides 29-37:
Prevention
    Slides 38-43:
Surveillance
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Clinical Update '99 Video (on SPB web page)
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HPS Teaching Slideset
slides 1-13: General Overview of Hantaviruses

slides 1-13   slides 14-25     slides 26-28      slides 29-37      slides 38-43

Download or view complete slideset as a PowerPoint Show

Slide 1 Hantavirus Pulmonary Syndrome Title Slide
Slide 1
Hantavirus Pulmonary Syndrome

Hantavirus pulmonary syndrome (HPS), caused by a previously unknown hantavirus, was first recognized in May 1993. The disease begins with nonspecific symptoms that can include fever, muscle aches, headache, abdominal pain, nausea, and vomiting, followed later by coughing and shortness of breath. The symptoms usually occur between 1 and 6 weeks after exposure to virus-laden rodent excreta. The disease rapidly progresses to cardiac and respiratory failure, requiring that the patient receive intensive care.

Slide 2:  Family Bunyaviridae
Slide 2
Family Bunyaviridae

Family Bunyaviridae: Hantaviruses are members of the family Bunyaviridae, which consists of 5 genera and 250 species. Hantaviruses can cause hantavirus pulmonary syndrome (HPS) or hemorrhagic fever with renal syndrome (HFRS). The 5 genera of Bunyaviridae include Bunyavirus, Phlebovirus, Nairovirus, Tospovirus, and Hantavirus.

Slide 3: Characteristics of Hantaviruses
Slide 3
Characteristics of Hantaviruses

Characteristics of Hantaviruses: Hantaviruses are unique among Bunyaviridae genera in that they are not associated with an arthropod vector. In general, a distinct rodent species is the reservoir for each hantavirus. Transmission of hantaviruses to humans most often occurs via inhalation of aerosolized, virus-laden rodent excreta.

Slide 4: Transmission of Hantaviruses
Slide 4
Transmission of Hantaviruses

Transmission of Hantaviruses: The virus is horizontally transmitted between rodents through intraspecific aggressive behaviors, such as biting. The virus is transmitted to humans from aerosolized rodent excreta, particularly urine. Transmission to humans also can occur from inhalation of secondary aerosols, and from rodent bites or other direct contact of infectious material with mucous membranes or broken skin.
Slide 5: Phlogeny of Hantaviruses: S segment
Slide 5
Phylogeny of Hantaviruses: 
Based on Sequence of S Segment 

Phylogeny of Hantaviruses, Based on the Sequence of the S Segment (one of three genomic RNA segments): This phylogenetic tree depicts the relationship among the viruses, the primary rodent reservoir of the virus, and the geographic origin of the characterized virus.
Slide 6: Phylogeny of Hantaviruses: M segment
Slide 6
Phylogeny of Hantaviruses: 
Based on Sequence of M Segment

Phylogeny of Hantaviruses, Based on the Sequence of the M Segment (one of three genomic RNA segments): This phylogenetic tree depicts the relationship among the viruses, the primary rodent reservoir of the virus, and the geographic origin of the characterized virus.
Slide 7: Hantaviruses in the Old World
Slide 7
Hantaviruses in the Old World

Hantaviruses in the Old World: At least four Old World hantaviruses -- Hantaan, Dobrava, Seoul, and Puumala viruses -- can cause hemorrhagic fever with renal syndrome (HFRS) and are endemic in parts of Europe and Asia. Murine rodents carry Hantaan, Dobrava, and Seoul viruses. An Arvicoline rodent species carries Puumala virus, which causes a milder form of HFRS. Numerous other Old World hantaviruses have been identified but have not been linked to human disease.
Slide 8: Hantaviruses in the New World (1)
Slide 8
Hantaviruses in the New World (1)

Hantaviruses in the New World -- North America: Hantaviruses in the New World are associated with hantavirus pulmonary syndrome (HPS). Sigmodontine rodents carry the hantaviruses that cause HPS and are found throughout the Americas. Sin Nombre virus, carried by Peromyscus maniculatus, is the predominant cause of HPS in the United States and Canada. Mononghela, New York, Bayou, and Black Creek Canal viruses also cause HPS and are found in eastern Canada and eastern and southeastern United States. Numerous other hantaviruses have been identified but have not been linked to human disease.
Slide 9: Hantaviruses in the New World (2)
Slide 9
Hantaviruses in the New World (2)

Hantaviruses in the New World - South and Central America: In South and Central America, hantaviruses that have been identified as causing HPS are Andes virus in Argentina and Chile; Andes-like viruses including Oran, Lechiguanas, and Hu39694 in Argentina; Laguna Negra virus in Bolivia and Paraguay; Bermejo virus in Argentina; Juquitiba virus in Brazil; and Choclo virus in Panama. Numerous other hantaviruses have been identified but have not been linked to human disease.
Slide 10: New World Hantaviruses Map
Slide 10
New World Hantaviruses Map

A map of Western Hemisphere shows the distribution of New World hantaviruses and their associated rodent hosts. The viruses in bold print cause disease in humans including: Sin Nombre, Choclo, Orán, Andes, New York, Bayou, Black Creek Canal, Juquitiba, Laguna Negra, Hu39694, and Lechiguanas.

Virus (Rodent Host)
Sin Nombre (Peromyscus maniculatus)
Muleshoe (Sigmodon hispidus)
Isla Vista (Microtus californicus)
El Moro Canyon (Reithrodontomys megalotis)
Calabazo (Zygodontomys brevicauda)
Choclo (Oligoryzomys fulvescens)
Caño Delgadito (Sigmodon alstoni)
Rio Mamore (Oligoryzomys microtis)
Orán (Oligoryzomys longicaudatus)
Bermejo (Oligoryzomys chacoensis)
Andes (Oligoryzomys longicaudatus)
New York (Peromyscus leupous)
Prospect Hill (Microtus pennsylcanicus)
Bloodland Lake (Microtus ochrogaster)
Bayou (Oryzomys palustris)
Black Creek Canal (Sigmodon hispidus)
Rio Segundo (Reithrodontomys mexicanus)
Juquitiba (Unknown host)
Laguna Negra (Calomys laucha)
Maciel (Necromys benefactus)
Hu39694 (Unknown host)
Lechiguanas (Oligoryzomys flavescens)
Pergamino (Akodon azarae)

Slide 11: Hantavirus Case Numbers
Slide 11
Hantavirus Case Numbers

A map of Western Hemisphere shows the number of cases of Hantavirus Pulmonary Syndrome in the respective country.

Country (Number of Cases)
Argentina (404)
Brazil (168)
Bolivia (20)
Canada (36)
Chile (273)
Panama (31)
Paraguay (74)
United States (335)
Uruguay (23)

Slide 12: Rodent Carrier Images
Slide 12
Rodent Carrier Images

Deer Mouse (Peromyscus maniculatus) and Cotton Rat (Sigmodon hispidus): The deer mouse is the primary rodent host for Sin Nombre virus, the main etiologic agent of HPS in North America. The cotton rat is the primary rodent host for the Black Creek Canal virus. Infected rodents show no visible evidence of acute or chronic infection.
Slide 13: Sin Nombre Virus Characteristics
Slide 13
Sin Nombre Virus Characteristics

Characteristics of Sin Nombre Virus: Sin Nombre virus belongs to the family Bunyaviradae and contains three genomic RNA segments of negative polarity. The virion of Sin Nombre virus is spherical and is 80-120nm in diameter. The virion contains two glycoproteins, G1 and G2, located on the outer surface, which are the nucleoprotein and the viral polymerase.


slides 1-13  
slides 14-25     slides 26-28      slides 29-37      slides 38-43


Download or view complete slideset as a PowerPoint Show

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This page last reviewed Friday, June 18, 2004

Special Pathogens Branch
Division of Viral and Rickettsial Diseases
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