DISPATCHESPCR and immunofluorescence) and then aggregated bysubregion. These samples may not be geographicallyrepresentative. Additional data will be needed to determinewhether the characteristics of 1 subregion reliablypredict influenza epidemics in another. New viral strainsthat appear might be introduced from outside the Americas(3).In summary, health officials in North and CentralAmerica may find clues about which influenza A virusstrains are likely to predominate during an upcomingseason by observing which were predominant in SouthAmerica and vice versa. Our findings underscore the needto share timely and representative specimens with WorldHealth Organization Collaborating Centres. In the future,shorter vaccine production times using novel technologymight facilitate matching vaccine composition more closelyto circulating virus strains.This paper is dedicated to the memory of Alexander Klimov.Dr. Azziz-Baumgartner works at the US Centers for DiseaseControl, Influenza Division, collaborating with the Pan AmericanHealth Organization and its member countries. His research interestsare surveillance improvements, disease and economic burdenstudies, and influenza vaccine impact studies.References1. Cheng PY, Palekar R, Azziz-Baumgartner E, Iuliano D,Alencar AP, Bresee J, et al. Burden of influenza-associated deathsin the Americas, 2002–2008. Influenza Other Respir Viruses.In press 2015.2. Ropero-Álvarez AM, Kurtis HJ, Danovaro-Holliday MC,Ruiz-Matus C, Andrus JK. Expansion of seasonal influenzavaccination in the Americas. BMC Public Health. 2009;9:361.http://dx.doi.org/ 10.1186/1471-2458-9-3613. Russell CA, Jones TC, Barr IG, Cox NJ, Garten RJ, Gregory V,et al. Influenza vaccine strain selection and recent studies on the globalmigration of seasonal influenza viruses. Vaccine. 2008;26(Suppl4):D31–4. http://dx.doi.org/10.1016/j.vaccine.2008.07.0784. Johnson L, Clará W, Gambhir M, Chacón-Fuentes R,Marín-Correa C, Jara J, et al. Improvements in pandemicpreparedness in 8 Central American countries, 2008–2012. BMCHealth Serv Res. 2014;14:209.5. World Health Organization. Global Influenza Surveillance andResponse System (GISRS) [cited 2013 May 26].http://www.who.int/influenza/gisrs_laboratory/en/6. United Nations, Department of Economic and Social Affairs. Worldpopulation prospects: the 2010 revision [cited 2015 May 5]. http://esa.un.org/ Wpp/Documentation/WPP%202010%20publications.htm7. Azziz Baumgartner E, Dao CN, Nasreen S, Bhuiyan MU,Mah-E-Muneer S, Al Mamun A, et al. Seasonality,timing, and climate drivers of influenza activity worldwide. J InfectDis. 2012;206:838–46. http://dx.doi.org/10.1093/infdis/jis4678. Secretaria de Vigilância em Saúde. Ministério da Saúde. Influenza:monitoramento até a semana epidemiológica 29 de 2013. BoletimEpidemiológico. 2013;44:1–9.Address for correspondence: Eduardo Azziz-Baumgartner,Centers for Disease Control and Prevention, 1600 Clifton RdNE, Mailstop A32, Atlanta, GA, USA 30329-4027; email:eazzizbaumgartner@cdc.govFind emerginginfectious diseaseinformationonhttp://www.facebook.com1212 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 21, No. 7, July 2015
Novel Arenavirus Isolates from NamaquaRock Mice, Namibia, Southern AfricaPeter T. Witkowski, René Kallies, Julia Hoveka,Brita Auste, Ndapewa L. Ithete,Katarína Šoltys, Tomáš Szemes,Christian Drosten, Wolfgang Preiser,Boris Klempa, John K.E. Mfune, Detlev H. KrugerArenaviruses are feared as agents that cause viral hemorrhagicfevers. We report the identification, isolation, and geneticcharacterization of 2 novel arenaviruses from Namaquarock mice in Namibia. These findings extend knowledge ofthe distribution and diversity of arenaviruses in Africa.Arenaviruses are known to cause severe hemorrhagicfevers across the globe with case fatality rates up to30% (1). The viruses possess a bisegmented, single-strandedRNA genome with ambisense coding strategy consistingof a small segment coding for the nucleoprotein andglycoprotein and a large (L) segment coding for the RNAdependentRNA polymerase and matrix protein.In Africa, Lassa virus (LASV) and Lujo virus are theonly known members of the family Arenaviridae that causehuman disease (2,3); however, evidence for lymphocyticchoriomeningitis virus, another Arenaviridae sp., was recentlyreported in Gabon (4). Several other arenaviruses ofunknown pathogenic potential have also been found in Africa:Gbagroube, Kodoko, and Menekre viruses from westernAfrica (5,6); Ippy (IPPYV) and Mobala viruses fromcentral Africa; Mopeia, Morogoro, Luna, and Lunk virusesfrom eastern Africa; and Merino Walk virus (MWV) fromsouthern Africa (7,8). All of these viruses are carried byrodents of the family Muridae.Until now, no molecular detection of arenaviruses hasbeen reported from Namibia. A study in 1991 described alow seroprevalence (0.8%) for LASV antibodies in humansin northern Namibia (9). Because of lack of data about arenavirusoccurrence and effects in southwestern Africa, weAuthor affiliations: Charité Medical School, Berlin, Germany(P.T. Witkowski, B. Auste, B. Klempa, D.H. Kruger); HelmholtzCentre for Environmental Research–UFZ, Leipzig, Germany(R. Kallies); University of Bonn Medical Center, Bonn, Germany(R. Kallies, C. Drosten); University of Namibia, Windhoek,Namibia (J. Hoveka, J.K.E. Mfune); Stellenbosch University andNational Health Laboratory Services Tygerberg, Cape Town,South Africa (N.L. Ithete, W. Preiser); Comenius University,Bratislava, Slovakia (K. Šoltys, T. Szemes); Slovak Academy ofSciences, Bratislava (B. Klempa)DOI: http://dx.doi.org/10.3201/eid2106.141341conducted a study of small mammals from Namibia to detectinfection with arenaviruses.The StudyDuring 2010–2012, animal trapping was performed in8 areas in central and northern Namibia (Figure 1), andsamples from 812 rodents and shrews were obtained (Table1). The animals were dissected in the field and storedindividually in a field freezer at –20°C and later at −80°C.For primary arenavirus screening, lung sections of allanimals were homogenized, and RNA was extracted andreversely transcribed by using random hexamer primers.Screening was performed by arenavirus genus-specificreverse transcription PCR (RT-PCR) (10) to detect the Lgenomic segment. From samples testing positive byFigure 1. Screening for arenaviruses in Namibia. Trappinglocations (named according to the nearest urban settlement)of small mammals. Sites where samples positive for newarenaviruses were found are marked by a crossed circle andunderlined locality names. Geographic positioning systemcoordinates of the trapping sites: Ben Hur, 22°87.26′S,19°21.10′E; Cheetah Conservation Fund (CCF), 16°39.0′E,20°28.12′S; Mariental, 24°62.08′S, 17°95.93′E; Okahandja,(21°98.33′S, 16°91.32′E); Palmwag, 19°53.23′S, 13°56.35′E;Rundu, 17°56.645′S, 20°05.109′E; Talismanis, 21°84.30′S,20°73.91′E; Windhoek, 22°49.93′S, 17°34.76′E.Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 21, No. 7, July 2015 1213
- Page 3 and 4:
July 2015SynopsisOn the CoverMarian
- Page 5 and 6:
1240 Gastroenteritis OutbreaksCause
- Page 7 and 8:
SYNOPSISDisseminated Infections wit
- Page 9 and 10:
Disseminated Infections with Talaro
- Page 11 and 12:
Disseminated Infections with Talaro
- Page 13 and 14:
Macacine Herpesvirus 1 inLong-Taile
- Page 15 and 16:
Macacine Herpesvirus 1 in Macaques,
- Page 17 and 18:
Macacine Herpesvirus 1 in Macaques,
- Page 19:
Macacine Herpesvirus 1 in Macaques,
- Page 23:
Malaria among Young Infants, Africa
- Page 26 and 27:
RESEARCHFigure 3. Dynamics of 19-kD
- Page 28 and 29:
Transdermal Diagnosis of MalariaUsi
- Page 30 and 31:
RESEARCHFigure 2. A) Acoustic trace
- Page 32 and 33:
RESEARCHof malaria-infected mosquit
- Page 34 and 35:
Lack of Transmission amongClose Con
- Page 36 and 37:
RESEARCH(IFA) and microneutralizati
- Page 38 and 39:
RESEARCHoropharyngeal, and serum sa
- Page 40 and 41:
RESEARCH6. Assiri A, McGeer A, Perl
- Page 42 and 43:
RESEARCHadvanced genomic sequencing
- Page 44 and 45:
RESEARCHTable 2. Next-generation se
- Page 46 and 47:
RESEARCHTable 3. Mutation analysis
- Page 48 and 49:
RESEARCHReferences1. Baize S, Panne
- Page 50 and 51:
Parechovirus Genotype 3 Outbreakamo
- Page 52 and 53:
RESEARCHFigure 1. Venn diagramshowi
- Page 54 and 55:
RESEARCHTable 2. HPeV testing of sp
- Page 56 and 57:
RESEARCHFigure 5. Distribution of h
- Page 58 and 59:
RESEARCHReferences1. Selvarangan R,
- Page 60 and 61:
RESEARCHthe left lobe was sampled b
- Page 62 and 63:
RESEARCHTable 2. Middle East respir
- Page 64 and 65:
RESEARCHseroprevalence in domestic
- Page 66 and 67:
RESEARCHmeasure their current surve
- Page 68 and 69: RESEARCHTable 2. States with labora
- Page 70 and 71: RESEARCHFigure 2. Comparison of sur
- Page 72 and 73: RESEARCH9. Centers for Disease Cont
- Page 74 and 75: RESEARCHthe analyses. Cases in pers
- Page 76 and 77: RESEARCHTable 3. Sampling results (
- Page 78 and 79: RESEARCHpresence of Legionella spp.
- Page 80 and 81: Seroprevalence for Hepatitis Eand O
- Page 82 and 83: RESEARCHTable 1. Description of stu
- Page 84 and 85: RESEARCHTable 3. Crude and adjusted
- Page 86 and 87: RESEARCHrates by gender or HIV stat
- Page 88 and 89: RESEARCH25. Taha TE, Kumwenda N, Ka
- Page 90 and 91: POLICY REVIEWDutch Consensus Guidel
- Page 92 and 93: POLICY REVIEWTable 3. Comparison of
- Page 94 and 95: POLICY REVIEW6. Botelho-Nevers E, F
- Page 96 and 97: DISPATCHESFigure 1. Phylogenetic tr
- Page 98 and 99: DISPATCHESSevere Pediatric Adenovir
- Page 100 and 101: DISPATCHESTable 1. Demographics and
- Page 102 and 103: DISPATCHES13. Kim YJ, Hong JY, Lee
- Page 104 and 105: DISPATCHESTable. Alignment of resid
- Page 106 and 107: DISPATCHESFigure 2. Interaction of
- Page 108 and 109: DISPATCHESSchmallenberg Virus Recur
- Page 110 and 111: DISPATCHESFigure 2. Detection of Sc
- Page 112 and 113: DISPATCHESFigure 1. Histopathologic
- Page 114: DISPATCHESFigure 2. Detection of fo
- Page 117: Influenza Virus Strains in the Amer
- Page 121 and 122: Novel Arenaviruses, Southern Africa
- Page 123 and 124: Readability of Ebola Informationon
- Page 125 and 126: Readability of Ebola Information on
- Page 127 and 128: Patients under investigation for ME
- Page 129 and 130: Patients under investigation for ME
- Page 131 and 132: Wildlife Reservoir for Hepatitis E
- Page 133 and 134: Asymptomatic Malaria and Other Infe
- Page 135 and 136: Asymptomatic Malaria in Children fr
- Page 137 and 138: Bufavirus in Wild Shrews and Nonhum
- Page 139 and 140: Bufavirus in Wild Shrews and Nonhum
- Page 141 and 142: Range Expansion for Rat Lungworm in
- Page 143 and 144: Slow Clearance of Plasmodium falcip
- Page 145 and 146: Slow Clearance of Plasmodium falcip
- Page 147 and 148: Gastroenteritis Caused by Norovirus
- Page 149 and 150: Ebola Virus Stability on Surfaces a
- Page 151 and 152: Ebola Virus Stability on Surfaces a
- Page 153 and 154: Outbreak of Ciprofloxacin-Resistant
- Page 155 and 156: Outbreak of S. sonnei, South KoreaT
- Page 157 and 158: Rapidly Expanding Range of Highly P
- Page 159 and 160: Cluster of Ebola Virus Disease, Bon
- Page 161 and 162: Cluster of Ebola Virus Disease, Lib
- Page 163 and 164: ANOTHER DIMENSIONThe Past Is Never
- Page 165 and 166: Measles Epidemic, Boston, Massachus
- Page 167 and 168: LETTERSInfluenza A(H5N6)Virus Reass
- Page 169 and 170:
LETTERSsystem (8 kb-span paired-end
- Page 171 and 172:
LETTERS3. Van Hong N, Amambua-Ngwa
- Page 173 and 174:
LETTERSTable. Prevalence of Bartone
- Page 175 and 176:
LETTERSavian influenza A(H5N1) viru
- Page 177 and 178:
LETTERSprovinces and a total of 200
- Page 179 and 180:
LETTERS7. Manian FA. Bloodstream in
- Page 181 and 182:
LETTERSforward projections. N Engl
- Page 183 and 184:
LETTERS3. Guindon S, Gascuel OA. Si
- Page 185 and 186:
BOOKS AND MEDIAin the port cities o
- Page 187 and 188:
ABOUT THE COVERNorth was not intere
- Page 189 and 190:
Earning CME CreditTo obtain credit,
- Page 191:
Emerging Infectious Diseases is a p