Mayaro virus – the next Chikungunya?


Earlier in May, researchers at the Federal University of Rio de Janeiro announced that they had discovered patients infected by the Mayaro virus in the state of Rio de Janeiro.

What is Mayaro virus? It’s related to Chikungunya, and produces very similar symptoms - fevers and intense muscular pains. Mayaro had previously been thought to be restricted to areas of the Amazon forest, where it is transmitted primarily by the forest mosquito Haemagogas janthinomys

However, the recent cases followed analysis of 3 workers in Niteroi, a city next to Rio, diagnosed with Chikungunya, but whose subsequent tests were negative. Significantly, none of the patients had been to Amazonia, implying Mayaro was circulating in the local population. 

James Gathany - PHIL, CDC, Public Domain,
The route of transmission in these cases is unknown, and one possibility is that the virus was again carried by Haemagogas janthinomys, which although traditionally a mosquito of the Amazon, has been detected in forest areas near cities in the south of Brazil, and has been implicated in an outbreak of Yellow Fever in 2016 (de Abreu et al 2019). 

There is however a more worrying possibility. It has been previously reported (Long et al 2011) that Mayaro can be transmitted by the mosquito Aedes aegypti, which is both much more common in urban areas, and more homophagous. 

There are doubts about how good a vector Aedes aegypti would be for Mayaro (Brustolin et al 2018), and it should be stressed that Aedes aegypti was infected in the laboratory, and no wild caught individuals have yet been found with the disease. However, if it does turn out to be an urban vector this is a matter for serious concern.

Sources

Pesquisadores da UFRJ anunciam que descobriram virus mayaro no estado do Rio. Globo. 16 May 2019.

Virus Mayaro, transmitido pelo Aedes aegypti, chega ao Rio. Globo. 17 May 2019. https://globoplay.globo.com/v/7622100/

Anopheles mosquitoes may drive invasion and transmission of Mayaro virus across geographically diverse regions. Brustolin, M. et al. (2018). PLOS Neglected Tropical Diseases 12(11), e0006895.

Haemagogus leucocelaenus and Haemagogus janthinomys are the primary vectors in the major yellow fever outbreak in Brazil, 2016–2018. De Abreu et al. (2019). Emerging Microbes & Infections, 8, 218-231.

Experimental transmission of Mayaro virus by Aedes aegypti. Long, K.C. (2011). Am J Trop Med Hyg., 85(4), 750-757.

No comments:

Post a Comment