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An Improved and High Throughput Respiratory Syncytial Virus RSV Micro-neutralization Assay
Published on: January 26, 2019
Epidemiological changes of respiratory syncytial virus (RSV) infections in Israel
Shira Hirsh1, Musa Hindiyeh2, Liat Kolet2
1The Mina & Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan, Israel.
Insights
Respiratory Syncytial Virus (RSV) epidemiology in Israel shifted significantly post-2008, with both RSV A and B types co-circulating. RSV infections were also delayed by the 2009 H1N1 pandemic.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Respiratory Syncytial Virus (RSV) is a primary cause of infant lower respiratory tract infections.
- Characterizing RSV epidemiology is crucial for understanding disease burden and informing public health strategies.
Observation:
- This study analyzed RSV A and B distribution in 11,018 hospitalized patients in Israel from 2005-2012.
- Pre-2008, a single dominant RSV type circulated annually.
- Post-2008, both RSV A and B co-circulated significantly, especially in infants aged 0-2 years.
Findings:
- Significant shifts in circulating RSV A and B subtypes were observed since 2008.
- The emergence of the H1N1pdm09 influenza virus in 2009 coincided with a delay in RSV infections.
- RSV infections occurred primarily after H1N1pdm09 circulation declined.
Implications:
- The changing RSV epidemiology necessitates updated surveillance and intervention strategies.
- Understanding viral interference, like that observed with H1N1pdm09, is vital for predicting respiratory illness patterns.
- These findings contribute to the global understanding of RSV dynamics and co-infections.
Abstract:
RSV is the leading cause of lower respiratory-tract infections in infants and therefore demands in-depth epidemiological characterization. We investigated here the distribution of RSV types in Israel between the years 2005-2012. Clinical samples were collected from 11,018 patients hospitalized due to respiratory illnesses and were evaluated for the presence of various respiratory viruses, including RSV A and RSV B. Until 2008, each year was characterized by the presence of one dominant type of RSV. However, from 2008, both RSV A and B types were detected at significant levels, particularly among infants aged 0-2 years. Furthermore, significant changes in the RSV A and RSV B subtypes circulating in Israel since 2008 were observed. Finally, we demonstrate that, irrespectively of the changes observed in RSV epidemiology, when the pandemic H1N1pdm09 influenza virus appeared in 2009, RSV infections were delayed and were detected when infection with H1N1pdm09 had declined.
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