Respiratory viruses in individuals with a high frequency of animal exposure in southern and highland Vietnam

J Med Virol. 2020 Aug;92(8):971-981. doi: 10.1002/jmv.25640. Epub 2019 Dec 12.

Abstract

Active surveillance for zoonotic respiratory viruses is essential to inform the development of appropriate interventions and outbreak responses. Here we target individuals with a high frequency of animal exposure in Vietnam. Three-year community-based surveillance was conducted in Vietnam during 2013-2016. We enrolled a total of 581 individuals (animal-raising farmers, slaughterers, animal-health workers, and rat traders), and utilized reverse transcription-polymerase chain reaction to detect 15 common respiratory viruses in pooled nasal-throat swabs collected at baseline or acute respiratory disease episodes. A respiratory virus was detected in 7.9% (58 of 732) of baseline samples, and 17.7% (136 of 770) of disease episode samples (P < .001), with enteroviruses (EVs), rhinoviruses and influenza A virus being the predominant viruses detected. There were temporal and spatial fluctuations in the frequencies of the detected viruses over the study period, for example, EVs and influenza A viruses were more often detected during rainy seasons. We reported the detection of common respiratory viruses in individuals with a high frequency of animal exposure in Vietnam, an emerging infectious disease hotspot. The results show the value of baseline/control sampling in delineating the causative relationships and have revealed important insights into the ecological aspects of EVs, rhinoviruses and influenza A and their contributions to the burden posed by respiratory infections in Vietnam.

Keywords: Vietnam; asymptomatic; cohort study; respiratory disease; viral etiology; zoonoses.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoviridae / isolation & purification
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Coronavirus / isolation & purification
  • Farmers
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Exposure*
  • Orthomyxoviridae / isolation & purification
  • Paramyxoviridae / isolation & purification
  • Picornaviridae / isolation & purification
  • Respiratory Tract Infections / epidemiology*
  • Respiratory Tract Infections / virology*
  • Seasons
  • Vietnam / epidemiology
  • Viral Zoonoses / epidemiology
  • Virus Diseases / epidemiology*
  • Virus Diseases / virology*
  • Young Adult