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Tuesday, December 18, 2018
AGRIBUSINESS:Lassa fever controls need to consider human-human transmission and role of super spreaders.
AGRIBUSINESS:Lassa fever controls need to consider human-human transmission and role of super spreaders.One in five cases of Lassa fever -- a disease that kills around 5,000 people a year in West Africa -- could be due to human-to-human transmission, with a large proportion of these cases caused by 'super-spreaders,' according to new research published in the journal PLOS Neglected Tropical Diseases.
Lassa fever is an acute viral haemorrhagic illness caused by Lassa virus. First identified in the village of Lassa, Nigeria, in 1969, the disease is thought to be transmitted to humans from contact with food or household items contaminated with rat urine or faeces.
There have also been recorded cases of human-to-human transmission within hospital settings, but until now the risk -- or mode -- of transmission has not been clear. Understanding the different modes of transmission and how they are affected by factors such as people's interaction with their environment is crucial for understanding the link between Lassa and changes in the ecosystem, and has important implications for public health strategies.
The researchers estimated that around one in five cases (20%) of infection is caused by human-to-human transmission. However, the study also highlighted the disproportionate number of infections that could be traced back to a small number of people, whom the researchers describe as 'super-spreaders' -- rather than passing their infection on to just one other person (if at all), these individuals infected multiple others. It is not clear what makes them a super-spreader -- their physiology, the environment in which they live, their social interactions or probably a combination of these factors.
Dr Donald Grant, chief physician at the Lassa ward in Kenema Governmental Hospital and co-author of the research, said: "Simple messages to the local people could change their perceptions of risk and hopefully make the difference. For example, making people aware that the virus can remain in urine for several weeks during the recovery period, could promote improved hygienic practices.
Related posts.
1) Rats and Lassa fever.
2) Rats the missing link in disease transmission.
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