Field Hume E
EcoHealth Alliance, New York, NY, USA.
Curr Opin Virol. 2016 Feb;16:120-125. doi: 10.1016/j.coviro.2016.02.004. Epub 2016 Mar 12.
Hendra virus causes acute and highly fatal infection in horses and humans. Pteropid bats (flying-foxes) are the natural host of the virus, with age and species being risk factors for infection. Urine is the primary route of excretion in flying-foxes, with viral RNA more frequently detected in Pteropus alecto and P. conspicillatus than other species. Infection prevalence in flying-foxes can vary between and within years, with a winter peak of excretion occurring in some regions. Vertical transmission and recrudescing infection has been reported in flying-foxes, but horizontal transmission is evidently the primary mode of transmission. The most parsimonious mode of flying-fox to horse transmission is equine contact (oro-nasal, conjunctival) with infected flying-fox urine, either directly, or via urine-contaminated pasture or surfaces. Horse to horse transmission is inefficient, requiring direct contact with infected body fluids. Flying-fox to human transmission has not been recorded; all human cases have been associated with close and direct contact with infected horses. Canine cases (subclinical) have also been limited to equine case properties. Notwithstanding the recent availability of an effective vaccine for horses, a comprehensive understanding of Hendra virus ecology and transmission is essential to limit inter-species transmission.
亨德拉病毒可在马和人类中引发急性且极具致命性的感染。狐蝠(飞狐)是该病毒的自然宿主,年龄和物种是感染的风险因素。尿液是狐蝠排泄病毒的主要途径,在黑首狐蝠和眼镜狐蝠中比在其他物种中更频繁地检测到病毒RNA。狐蝠中的感染流行率在不同年份以及同一年份内都可能有所不同,在一些地区排泄会在冬季达到高峰。据报道,狐蝠存在垂直传播和复发感染的情况,但水平传播显然是主要传播方式。狐蝠将病毒传播给马的最简约方式是马直接或通过受尿液污染的牧场或表面与受感染狐蝠的尿液发生口鼻部、结膜接触。马与马之间的传播效率低下,需要直接接触受感染的体液。尚未记录到狐蝠将病毒传播给人类的情况;所有人类病例都与与受感染马匹的密切直接接触有关。犬类病例(亚临床)也仅限于与马病例相关的场所。尽管最近已为马研制出有效的疫苗,但全面了解亨德拉病毒的生态学和传播对于限制种间传播至关重要。