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Arbovirus Arbovirus • viruses from various families which are transmitted via arthropods from one vertebrates to another. • Diseases caused by arboviruses – Encephalitis – febrile diseases – hemorrhagic fevers Flaviviridae Family Encephalitis B virus Dengue virus Forest encephalitis virus Epidemic encephalitis B fever, hemorrhagic fever Forest encephalitis Asiasubtropic or tropic regions Mosquito Worldwide – tropic regions Mosquito Worldwide Tick Xinjiang, China Tick Bunyaviridae Family Xinjiang hemorrhagic fever virus Xinjiang hemorrhagic fever Encephalitis B virus • Japanese encephalitis virus • Epidemic encephalitis B Biological Properties • • • • • • 30-40nm +ssRNA envelope icosahedral only one serotype E protein Epidemiology • Source – Mosquito and livestocks • Vector – mainly Culex tritaeniorhynchus • epidemic region – sub-tropic and tropic of Asia Encephalitis B virus pathogenicity • Pathogenesis – Two viremia • Clinical findings – subclinical infections – Acute encephalitis Prevent and Treatment • Prevention – Vector control • Avoid being bitten by mosquito • Eliminating all Culex breeding places – vaccination • man • Animal resovior • Treatment – no Dengue Virus • Flaviviridae • Flavivirus • four virus serotypes Pathogenicity • Source – human and primate • Vector – Mosquito • Occurrence – world wide---tropic or subtropic areas • Transmission – two viremia Aedes aegypti Mosquito Pathogenicity • Clinical Findings – dengue fever (DF) – dengue hemorrhagic fever/dengue shock syndrome (DHF/DSS) – Hypothesis on Pathogenesis of DHF • Antibody-dependent enhancement (ADE) Homologous Antibodies Form Non-infectious Complexes Dengue 1 virus Neutralizing antibody to Dengue 1 virus Non-neutralizing antibody Complex formed by neutralizing antibody and virus Heterologous Antibodies Form Infectious Complexes Dengue 2 virus Non-neutralizing antibody to Dengue 1 virus Complex formed by non-neutralizing antibody and virus Heterologous Complexes Enter More Monocytes, Where Virus Replicates Dengue 2 virus Non-neutralizing antibody Complex formed by nonneutralizing antibody and Dengue 2 virus Dengue virus 皮 下 出 血 hantavirus