Friday, January 03, 2025

Emerg. Microbes & Inf.: Concurrent Severe Fever with Thrombocytopenia Syndrome Virus Outbreaks on Multiple Fox Farms, China, 2023

 
Credit Wikipedia 

#18,523


Although it doesn't appear to have anywhere near the pandemic potential of either COVID or avian flu, we've been following the spread of an emerging tick borne Phlebovirus - one which causes SFTS (Severe Fever with Thrombocytopenia Syndrome) - for more than a dozen years.

Also known as the Dabie bandavirus, SFTS is believed be carried and transmitted by the Asian Longhorned tick (along with Amblyomma testudinarium & Ixodes nipponensis).

The virus was first discovered in China in 2009, but has subsequently been found in Japan, South Korea and Vietnam - and in 2019 was detected for the first time in Taiwan. 

The fatality rate in humans has ranged from the single digits to > 30%, depending on the region. 
Ten months ago, we looked at a report from Japan's Institute for Infectious Diseases on that country's first confirmed case of Human-to-Human transmission of the virus; from an elderly patient to an attending doctor.

As we've discussed previous (as recently as yesterday), fur farms make excellent `disease factories' due to their high animal density and often poor biosecurity.

Long chains of infection (see graphic below) can provide an emerging virus with ample opportunities to adapt to a new host species, furthering its evolution.

In 2023 we saw 70+ Finnish fur farms ravaged by H5N1, and over the years we've seen similar outbreaks of COVID in mink farms, and avian flu in raccoon dogs (which are neither raccoons or dogs, but are foxes) which are raised for fur  in China

Last May, we looked at a report in the EID Journal: Outbreak of Natural Severe Fever with Thrombocytopenia Syndrome Virus Infection in Farmed Minks, ChinaA brief excerpt from that report:
We describe an outbreak of SFTS on a mink farm situated in Shandong, China. During late May through early July, 2022, >1,500 minks on this farm exhibited symptoms such as vomiting, diarrhea, and, in a small number, limb convulsions.
Most minks exhibiting clinical manifestations died of the disease

All of which brings us to another report on a much larger outbreak of SFTS in Arctic foxes raised on farms in Shandong and Liaoning provinces, China.  This report not only finds the virus is evolving, it has marked tropism for multiple organ systems, including the brain

The link, Abstract, and a couple of small excerpts from the study follow, but the full article is well worth reading. I'll have a brief post script when you return.

Jian Sun,Lei Qian,Delong Li,Xiurong Wang,Hong Zhou,Cixiu Li, show all

Article: 2447610 | Accepted author version posted online: 27 Dec 2024

ABSTRACT

The role of farmed animals in the viral spillover from wild animals to humans is of growing importance. Between July and September of 2023 infectious disease outbreaks were reported on six Arctic fox (Vulpes lagopus) farms in Shandong and Liaoning provinces, China, which lasted for 2-3 months and resulted in tens to hundreds of fatalities per farm

Severe Fever with Thrombocytopenia Syndrome Virus (SFTSV) was identified in tissue/organ and swab samples from all the 13 foxes collected from these farms. These animals exhibited loss of appetite and weight loss, finally resulting in death. In autopsy and histopathology, prominently enlarged spleens and extensive multi-organ hemorrhage were observed, respectively, indicating severe systemic effects.

Viral loads were detected in various tissues/organs, including brains from 12 of the 13 foxes. SFTSV was also detected in serum, anal swabs, as well as in environmental samples, including residual food in troughs used by dying foxes in two follow-up studies at two farms. The 13 newly sequenced SFTSV genomes shared >99.43% nucleotide identity with human strains from China.

 Phylogenetic analyses showed that the 13 sequences belonged to three genotypes, and that two sequences from Liaoning were genomic reassortants, indicative of multiple sources and introduction events. 

This study provides the first evidence of SFTSV infection, multi-tissue tropism, and pathogenicity in farmed foxes, representing an expanded virus host range. However, the widespread circulation of different genotypes of SFTSV in farmed animals from different provinces and the diverse transmission routes, highlight its increasing and noticeable public health risk in China.

       (SNIP)

Of note, SFTSV RNA was present in multiple organs of the infected foxes, including the heart, liver, spleen, lungs, kidneys, brain, and intestine (14, 48). In particular, spleen was found to be the major target organ, which exhibited especially high viral loads. This is consistent with earlier observations in animal models (e.g., mice), where high viral loads in the spleen were typically associated with severe pathological changes (49). Further, the neurotropism of SFTSV was previously reported in an aged ferret model (48), and SFTSV RNA was also found in the brain in 12 of the 13 dead foxes in this study. 

However, the symptoms of neurotropism of SFTSV in the infected foxes remain to be determined. Viral RNA was also detected in tissues such as the trachea, nasal turbinate, bladder, and pancreas, which have not been previously reported. Furthermore, SFTSV nucleic acid was positive in oral swabs and serum in the case studies and the follow-up studies.

These results suggest that foxes could be potent hosts for SFTSV, which is crucial for assessing the potential of the virus to spread among wildlife populations.

        (SNIP)

In summary, this study describes concurrent SFTSV outbreaks in multiple fox farms in Shandong and Liaoning provinces, expanding our understanding of viral host range and revealing the complex transmission dynamics of SFTSV. SFTSV RNA was detected in many different tissues/organs in the infected foxes, and our results highlight the potential role of wildlife in the spread of emerging infectious diseases (57).
Considering the close contact between humans and animals in the farms, enhancing surveillance and biosecurity measures to mitigate the risk of zoonotic diseases in fur-producing industry is of clear importance.

       (Continue . . . )

Although the fur trade has largely fallen out of favor in the United States, and fur farms have been recently banned in a number of EU nations, it is still a major industry in parts of Northern Europe, Russia, and China.

Like Lassa Fever, CCHF, Nipah, and even the recently discovered Langya virus, SFTS is one of those relatively obscure zoonotic diseases that - while currently lacking pandemic potential - could easily become a bigger public health threat over time.

While that might eventually happen in the wild, fur farms are essentially unmonitored GOF (Gain of Function) experiments, conducted on a global scale, with little regard for biosecurity. 

Making fur farming a dangerous luxury, whose ultimate costs to society may be far higher than we currently realize.