Abstract
Nipah virus (NiV) is an emerging bat-borne zoonotic virus that causes near-annual outbreaks of fatal encephalitis in South Asia-one of the most populous regions on Earth. In Bangladesh, infection occurs when people drink date-palm sap contaminated with bat excreta. Outbreaks are sporadic, and the influence of viral dynamics in bats on their temporal and spatial distribution is poorly understood. We analyzed data on host ecology, molecular epidemiology, serological dynamics, and viral genetics to characterize spatiotemporal patterns of NiV dynamics in its wildlife reservoir, bats, in Bangladesh. We found that NiV transmission occurred throughout the country and throughout the year. Model results indicated that local transmission dynamics were modulated by density-dependent transmission, acquired immunity that is lost over time, and recrudescence. Increased transmission followed multiyear periods of declining seroprevalence due to bat-population turnover and individual loss of humoral immunity. Individual bats had smaller host ranges than other species (spp.), although movement data and the discovery of a Malaysia-clade NiV strain in eastern Bangladesh suggest connectivity with bats east of Bangladesh. These data suggest that discrete multiannual local epizootics in bat populations contribute to the sporadic nature of NiV outbreaks in South Asia. At the same time, the broad spatial and temporal extent of NiV transmission, including the recent outbreak in Kerala, India, highlights the continued risk of spillover to humans wherever they may interact with pteropid bats and the importance of limiting opportunities for spillover throughout 's range. [Abstract copyright: Copyright © 2020 the Author(s). Published by PNAS.]
| Original language | English |
|---|---|
| Pages (from-to) | 29190-29201 |
| Journal | Proceedings of the National Academy of Sciences of the United States of America |
| Volume | 117 |
| Issue number | 46 |
| Early online date | 2 Nov 2020 |
| DOIs | |
| Publication status | Published - 17 Nov 2020 |
Bibliographical note
Impact: This study was funded by NIH National Institute of Allergy and Infectious Diseases (NIAID) Awards AI067549 and U01AI153420 (to J.H.E.) and AI054715 (to C.C.B.); NIH Fogarty International Center Ecology and Evolution of Infectious Diseases (EEID) Award R01 TW005869 (to P.D.); NSF-NIH EEID Award EF-0914866 (to A.M.K.); NIH NIAID Award U19 AI109761 (to W.I.L.); US Agency for International Development PEER Award 226 (to M.S.U.K.); and the US Agency for International Development Emerging Pandemic Threats: PREDICT Program (P.D., J.H.E., Ariful Islam, S.J.A., N.R., C.Z.-T., and K.J.O.). The ICDDR,B is also grateful to the Governments of Bangladesh, Canada, Sweden, and the United Kingdom for providing core/unrestricted support.Keywords
- Epidemiology and public health
- Nipah virus
- Pteropus
- bats
- disease modeling
- henipavirus