Community outbreak of adenovirus, Taiwan, 2011

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.

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