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Related Experiment Video

Updated: Jul 11, 2025

EPA Method 1615. Measurement of Enterovirus and Norovirus Occurrence in Water by Culture and RT-qPCR. II. Total Culturable Virus Assay
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Changes in enterovirus epidemiology after easing of lockdown measures.

Erley Lizarazo Forero1, Marjolein Knoester1, Lilli Gard1

  • 1Department of medical Microbiology and Infection Prevention, University of Groningen, University Medical Center Groningen, The Netherlands.

Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology
|November 17, 2023
PubMed
Summary
This summary is machine-generated.

Public health lockdowns reduced enterovirus (EV) genetic diversity. Five common EV genotypes showed decreased diversity and increased sequence homology post-lockdown, impacting viral circulation.

Keywords:
EnterovirusesEpidemiologyFunnel effectPhylogenetic analysisPost-pandemic changes

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EPA Method 1615. Measurement of Enterovirus and Norovirus Occurrence in Water by Culture and RT-qPCR. I. Collection of Virus Samples
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Area of Science:

  • Virology
  • Epidemiology
  • Public Health

Background:

  • Public health measures, including lockdowns, significantly impacted the circulation of non-SARS-CoV-2 viruses.
  • The
  • funnel effect
  • was observed with some influenza clades disappearing during lockdown periods.
  • The effect of these measures on the genetic diversity of circulating viruses, particularly enteroviruses, remained unclear.

Purpose of the Study:

  • To investigate the impact of lockdown measures on the genetic diversity of circulating enteroviruses (EVs).
  • To analyze changes in enterovirus genotypes and their genetic makeup before and after the implementation of public health lockdown measures.

Main Methods:

  • Enteroviruses were detected in clinical samples using 5'UTR-based PCR.
  • Partial VP-1 sequences of enteroviruses were obtained for genetic analysis.
  • Samples from a wide network of healthcare providers across the Netherlands were included.

Main Results:

  • Five enterovirus genotypes (EV-D68, E-11, CV-A6, CV-B5, CV-A2) showed decreased genetic diversity post-lockdown.
  • Four of these genotypes exhibited significant sequence homology, indicating clustering.
  • Children infected with E-11 and CV-B5 were older post-lockdown compared to pre-lockdown.

Conclusions:

  • Reduced enterovirus transmission during the pandemic led to a decrease in genetic diversity among the five most prevalent enterovirus serotypes.
  • The findings suggest a significant alteration in the evolutionary dynamics of enteroviruses due to public health interventions.