Related Experiment Video
Updated: May 17, 2026

An Efficient Method for Adenovirus Production
Published on: June 10, 2021
Community outbreak of adenovirus, Taiwan, 2011
Abstract:
In 2011, a large community outbreak of human adenovirus (HAdV) in Taiwan was detected by a nationwide surveillance system. The epidemic lasted from week 11 through week 41 of 2011 (March 14-October 16, 2011). Although HAdV-3 was the predominant strain detected (74%), an abrupt increase in the percentage of infections caused by HAdV-7 occurred, from 0.3% in 2008-2010 to 10% in 2011. Clinical information was collected for 202 inpatients infected with HAdV; 31 (15.2%) had severe infection that required intensive care, and 7 of those patients died. HAdV-7 accounted for 10%, 12%, and 41% of infections among outpatients, inpatients with nonsevere infection, and inpatients with severe infection, respectively (p<0.01). The HAdV-7 strain detected in this outbreak is identical to a strain recently reported in the People's Republic of China (HAdV7-HZ/SHX/CHN/2009). Absence of circulating HAdV-7 in previous years and introduction of an emerging strain are 2 factors that caused this outbreak.
Insights
A 2011 Taiwan outbreak saw increased human adenovirus (HAdV) infections, particularly HAdV-7. This emerging strain caused severe illness and fatalities, highlighting the need for surveillance.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Human adenovirus (HAdV) infections can cause significant community outbreaks.
- Taiwan experienced a large HAdV outbreak in 2011, necessitating investigation into the causative agents and their impact.
Purpose of the Study:
- To analyze the epidemiological characteristics and clinical impact of the 2011 HAdV outbreak in Taiwan.
- To identify the predominant HAdV strains and investigate the emergence of HAdV-7 during the outbreak.
Main Methods:
- Nationwide surveillance data analysis for HAdV detection.
- Collection and review of clinical information from 202 HAdV-infected inpatients.
- Strain characterization and comparison with international isolates.
Main Results:
- HAdV-3 was the predominant strain (74%), but HAdV-7 showed a significant increase from 0.3% (2008-2010) to 10% in 2011.
- HAdV-7 was disproportionately associated with severe infections (41% of severe cases) and fatalities.
- The outbreak strain of HAdV-7 was identical to a strain reported in China.
Conclusions:
- The 2011 HAdV outbreak in Taiwan was driven by the emergence of HAdV-7, previously absent in circulation.
- The introduction of this emerging strain poses a significant public health threat, particularly for severe HAdV infections.
Related Concept Videos
Investigation of Disease Outbreaks
Infectious Diseases and Their Occurrence
Steps in Outbreak Investigation
Influenza
Diphtheria
Bacterial Gastroenteritis