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Mayaro virus: a forest virus primed for a trip to the city?
Ian M Mackay1, Katherine E Arden2
1Department of Health, Public and Environmental Health Virology Laboratory, Forensic and Scientific Services, Archerfield, QLD, Australia; The University of Queensland, St Lucia, QLD, Australia.
Abstract:
Mayaro virus (MAYV) is an emerging arthropod-borne virus (arbovirus). Infection by MAYV can produce Mayaro virus disease (MAYVD) which is usually a clinically diagnosed, acute, febrile illness associated with prolonged and painful joint inflammation and swelling. MAYVD may be clinically indistinguishable from dengue, chikungunya fever, malaria, rabies, measles or other arboviral diseases. The full spectrum of disease, sequelae, routes of infection, virus shedding and any rarer means of transmission remain undefined. MAYVD cases in humans have so far been localised to Central and South America, particularly regions in and around the Amazon basin. MAYV usually circulates in a sylvan cycle of forest mosquitoes and vertebrates, however it has also been found in more urban locations alongside anthropophilic (preferring humans) insect vectors. If transmission via anthropophilic mosquitoes becomes more efficient following viral change, or existing vectors change their habitat and biting habits, the risk of urban establishment and further spread into non-forested areas will grow. Surveillance, testing and vector control remain key to monitoring and preventing global spread and establishment. The possibility of MAYV becoming further urbanized is worthy of note, consideration and action to ensure MAYV does not spread beyond the forests and establish in the world's cities.
Insights
Mayaro virus (MAYV) causes Mayaro virus disease (MAYVD), an emerging febrile illness with joint pain. MAYV
Area of Science:
- Arbovirology
- Infectious Diseases
- Public Health
Background:
- Mayaro virus (MAYV) is an emerging arthropod-borne virus (arbovirus) causing Mayaro virus disease (MAYVD).
- MAYVD presents as an acute febrile illness with prolonged, painful joint inflammation, often clinically indistinguishable from other arboviral diseases.
- Current MAYVD cases are concentrated in Central and South America, primarily the Amazon basin.
Purpose of the Study:
- To define the full spectrum of Mayaro virus disease, including sequelae, transmission routes, and shedding.
- To assess the risk of Mayaro virus urbanization and potential spread beyond endemic forest regions.
- To highlight the importance of surveillance, testing, and vector control for Mayaro virus prevention.
Main Methods:
- Literature review on Mayaro virus epidemiology and clinical presentation.
- Analysis of Mayaro virus transmission cycles (sylvan and potential urban).
- Assessment of factors influencing vector behavior and habitat.
Main Results:
- The complete disease spectrum, sequelae, and transmission routes of Mayaro virus remain incompletely understood.
- Mayaro virus circulates in a sylvan cycle but has been detected in urban settings with anthropophilic vectors.
- Changes in vector behavior or viral adaptation could facilitate urban establishment and wider spread.
Conclusions:
- Mayaro virus poses a growing public health concern due to its potential for urban establishment.
- Enhanced surveillance, diagnostic capabilities, and targeted vector control are crucial for managing and preventing Mayaro virus spread.
- Proactive measures are necessary to mitigate the risk of Mayaro virus expanding beyond its current geographical and ecological boundaries.
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