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Transboundary and Emerging Diseases

Wiley

Preprints posted in the last 30 days, ranked by how well they match Transboundary and Emerging Diseases's content profile, based on 37 papers previously published here. The average preprint has a 0.03% match score for this journal, so anything above that is already an above-average fit.

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Emerging parvovirus associated with an outbreak in Dutch pig farms also detected in pigs and wildlife in Denmark

Canuti, M.; Juncher Hoeg, F.; Vedsted Hammer, A. S.; Kare Jensen, T.; Lauge Quaade, M.; Ryt-Hansen, P.; Droce, A.; Salomonsen, C. M.; Sorensen, S. S.; Larsen, L. E. E.

2026-06-25 microbiology 10.64898/2026.06.24.734170 medRxiv
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A parvovirus recently associated with an outbreak in Dutch pigs was found in Denmark in symptomatic pigs and in fox (Vulpes vulpes) feces and spleens. Pig viruses were more closely related to each other than to viruses found in the respective local wildlife, suggesting a link between the farm outbreaks.

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Prediction of brucellosis incidence in China's five highest-incidence provinces: Comparing time-series models with multi-source environmental predictors

QIN, Y.; Gao, Q.; Liu, H.; Fan, H.; Wang, Q.; Zhang, W.; Li, C.; Chen, Q.; Cui, Z.

2026-07-13 epidemiology 10.64898/2026.07.09.26357632 medRxiv
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Background Brucellosis is a severe zoonotic disease with pronounced seasonality and regional heterogeneity in high-incidence areas of China. Reliable forecasting tools are needed to inform prevention strategies, but the optimal modeling approach across different regions remains unclear. Principal Findings We collected monthly brucellosis incidence and 17 environmental variables from 2014 to 2024 across five high-incidence provinces: Inner Mongolia, Xinjiang, Shanxi, Heilongjiang, and Hebei. A three-step procedure--cross-correlation analysis, multicollinearity diagnostics, and stepwise regression--was used to select exogenous predictors. We then compared four time-series models: seasonal autoregressive integrated moving average (SARIMA), SARIMA with exogenous variables (SARIMAX), long short-term memory (LSTM), and LSTM with exogenous variables (LSTMX). All five provinces showed a unimodal seasonal pattern with peaks between April and July, though environmental drivers and optimal lag periods varied substantially by region, ranging from 1 to 6 months. In forecasting performance, LSTM achieved the highest accuracy in Shanxi (R2=0.925), Hebei (R2=0.876), and Xinjiang (R2=0.829), outperforming SARIMA and SARIMAX. LSTMX performed best in Inner Mongolia (R2=0.759) and Heilongjiang (R2=0.772) but showed weaker performance than LSTM in Shanxi and Hebei. Overall, adding exogenous variables did not consistently improve predictions across provinces. Conclusions Our findings demonstrate that LSTM-based models offer clear advantages for brucellosis forecasting in most high-incidence provinces, but the value of incorporating environmental predictors is region-dependent. These results support the development of tailored early warning systems and precision prevention strategies for brucellosis in high-risk areas of China.

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Q fever in Spain: epidemiology and demographic characteristics of hospitalized patients (2016-2023)

Garcia-Carretero, R.; Valle-Borrego, B.; Peiro-Villalba, C.; Martin-Rodrigo, M.-D.; Quevedo-Soriano, S.-M.

2026-07-13 epidemiology 10.64898/2026.07.09.26357673 medRxiv
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Background: Q fever, caused by Coxiella burnetii, is a zoonosis with significant public health implications. Spain has the highest number of cases in the European Union/European Economic Area, but the clinical and hospitalization burdens remain poorly characterized. This study described the epidemiology, demographic and clinical characteristics, and geographical distribution of hospitalized Q fever patients in Spain from 2016 to 2023. Methods: We conducted a nationwide, retrospective study using the Spanish Minimum Basic Data Set for Hospitalization (MBDS-H). All hospital admissions with an ICD-10-CM code for Q fever (A78) between 2016 and 2023 were included. We analyzed demographic data, comorbidities, complications, length of stay, intensive care unit (ICU) admission, and mortality. We calculated hospitalization rates per 100,000 population. Temporal trends were assessed using Poisson regression. Results: We identified 3,358 hospitalizations for Q fever, representing an overall hospitalization rate of 0.89 per 100,000 population. The median patient age was 56 years (interquartile range [IQR] 42-70), and the cohort was predominantly male (72%). The median hospital length of stay was 9 days (IQR 6-15), and 8.3% required ICU admission. The overall mortality rate was 2.4%. The most common complication was pneumonia (32%). Significant upward trends were observed over the study period for patient age, hypertension, and acute heart failure (p<0.05). Geographical analysis revealed the highest hospitalization rates in the Canary Islands (2.33), La Rioja (2.16), and the Balearic Islands (1.93). Conclusion: This study highlights the hospitalization burden due to Q fever in Spain. The risk of hospitalization increases with age and the presence of predisposing conditions. The marked regional heterogeneity and high frequency of complications such as pneumonia underscore the need for enhanced surveillance and a strengthened One Health approach to control this zoonosis.

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Does Borrelia afzelii outer surface protein E coevolve with complement factor H of its rodent host? Insights from GxG and spatial associations

Rozanska-Wrobel, J.; Przesmycka, K.; Wasilewska, J.; Grzybek, M.; Notarnicola, R. F.; Bajer, A.; Dwuznik-Szarek, D.; Alsarraf, M.; Behnke-Borowczyk, J.; Behnke, J. M.; Radwan, J.

2026-07-11 evolutionary biology 10.64898/2026.07.10.737716 medRxiv
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BackgroundLyme borreliosis is a common tick-borne disease in Europe caused by spirochetes of the Borrelia burgdorferi sensu lato complex, including Borrelia afzelii, which is maintained in nature through interactions with rodent reservoir hosts. These spirochetes have evolved several surface proteins to manipulate rodent host immunity, some of which remain polymorphic in Borrelia populations. Among these proteins, OspE, which binds the host complement-regulating factor CFH to evade destruction by complement, is one of the most variable. Yet, what evolutionary forces maintain this polymorphism is not well understood. Motivated by a recent discovery of CFH polymorphism in the bank vole (Clethrionomys glareolus), the main reservoir host of B. afzelii, we hypothesized that the polymorphism is maintained by host-parasite coevolution involving specific associations between host and parasite genetic variants. MethodsWe analyzed associations between bank vole CFH alleles and B. afzelii OspE variants across three datasets sampled in Poland. Selection acting on OspE was evaluated using omegaMap. Host-pathogen genotype associations were tested using partial redundancy analysis (RDA), and co-structure was assessed using co-correspondence analysis (CoCA). ResultsWe found that OspE evolves under positive selection, however, we found no evidence for an association between OspE and host CFH variants at the individual level based on RDA or at the population level based on CoCA. ConclusionsDespite evidence of positive selection acting on OspE, we found no support for specific genetic matching between B. afzelii and its bank vole host at the CFH-OspE interface. These results suggest that the evolution of CFH and OspE may be shaped by broader selective pressures, potentially including interactions with multiple host species.

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Characterization of an Arctic-like 1a rabies virus from a 54-day-old puppy with atypical presentation, Pune, India, 2026

Ullas, P. T.; Sharma, V.; Vipat, V.; Choudhari, S.; Ashraf, A. F.; Raju, R. M.; Kotturi, V.; Sakhare, K. S.; Bondre, V. P.

2026-07-13 infectious diseases 10.64898/2026.07.09.26357633 medRxiv
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Rabies remains a significantly underreported fatal zoonosis in India, where the Arctic-like 1a (AL1a) lineage predominates in dog populations. While atypical clinical presentations in dogs can delay diagnosis and increase human exposure risk, genomic and clinical data on neonatal canine rabies remain limited. This study reports an exceptional case of rabies in a 54-day old unvaccinated German shepherd puppy which presented with severe pruritus and self-biting behaviour. The puppy was euthanized due to poor clinical response. Post-mortem testing revealed viral antigen (by Direct Fluorescent Antibody Test) and viral RNA (by real-time RTPCR) in the brain tissue. Whole-genome sequencing recovered a near-complete rabies virus genome (11,947 nucleotides; 99.5% genome coverage), classified within the AL1a_A1.1 sublineage. Phylogenetic analysis revealed close genetic relatedness to contemporary Indian rabies virus strains. Comparative genomic analysis identified 4, 3, 6, and 8 non-synonymous substitutions in the phosphoprotein, matrix, glycoprotein, and polymerase genes, respectively. This case is one of the youngest documented cases of canine rabies with atypical manifestations, caused by the AL1a viral clade. Our findings highlight the risks associated with neonatal canine rabies, the need for heightened clinical suspicion in atypical cases, and the importance of genomic surveillance to monitor evolving rabies virus lineages in endemic regions.

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Climate change and socioeconomic vulnerability: The Carpathian Basin as a potential hotspot in the dissemination of Dirofilaria repens in Europe

Csivincsik, A.; Nagy, E.; Zam, I.; Tari, T.; Kucsera, I.; Nagy, G.; Sreter, T.

2026-07-01 ecology 10.64898/2026.06.30.735485 medRxiv
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Background: Dirofilaria repens is a zoonotic parasite expanding unnoticed across Europe due to climate change. We hypothesised that in this process, the Carpathian Basin has a facilitating effect. Methods: Using 426 georeferenced European cases, the probability of infection occurrence was determined in relation to climatic factors, surface water availability, regional social deprivation, and stray dog population density. To analyse the potential impacts of ecological and social factors (deprivation and stray dog population density), the MaxEnt algorithm, and spatial Empirical Bayes smoothing and Bivariate Local Indicators of Spatial Association (BiLISA) index calculation were employed, respectively. Results: MaxEnt analysis revealed that the mean warmest month temperature (22.8 - 25.1 oC), winter mean minimum temperature (> -2.1 oC), and summer precipitation (28.6 - 231 mm) have the strongest impact on the probability of the parasite's occurrence in Europe. Social factors have significance in the eastern Balkans and the Carpathian Basin, but not in Western Europe. The Carpathian Basin appears to be a hotspot, similar to Mediterranean coastal areas. Furthermore, the Danube Valley acts as an ecological corridor for subtropical vector-borne parasites. Conclusions: Our findings confirm that summer warmth is the primary ecological driver of the parasite's range expansion, which is facilitated by the Carpathian Basin due to climatic and socioeconomic conditions.

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Modelling sterilisation strategies to maximise population impact and cost-efficiency in free-roaming dog populations

Fielding, H. R.; Bessell, P. R.; Gibson, A. D.; Fernandes, K. A.; Amulya, V. R.; Gamble, L.; Bronsvoort, B. M. d. C.; Handel, I. G.; King, R.; Mellanby, R. J.; Mazeri, S.

2026-07-03 ecology 10.64898/2026.07.02.735983 medRxiv
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Free-roaming dog populations pose challenges to public health and animal welfare, and their management and protection is legally mandated in many countries to control zoonotic diseases such as rabies, reduce bites, mitigate fear of aggressive dogs, and preserve animal welfare. Although international organisations recommend holistic dog population management with surgical sterilisation as a key component, stakeholders report a lack of evidence-based guidance on effective and cost-efficient strategies. To address this, we developed a deterministic model of a closed free-roaming dog (FRD) population, including dogs dependent on and independent of humans, parameterised using data from southern India. We evaluated a wide range of sterilisation strategies varying duration, interval, frequency, intensity, targeting different population subsets, and fixed or responsive approaches. Strategies were assessed based on their effects on independent FRD population size and implementation costs. Female sterilisation coverage (FSC) strongly determined population reduction and cost-effectiveness. Repeated, short sterilisation periods with appropriately timed intervals and high early intensity best balanced population reduction and cost-efficiency. Excluding dependent dogs (cared for by humans) severely constrained population reduction, while male sterilisation enhanced impact at little extra cost, assuming direct effects on pregnancy rates. Costs and population impacts can be visualised on an interactive web application (https://field.shinyapps.io/DogPopSimApp), allowing practitioners and policymakers to explore sterilisation strategy outcomes. Overall, cost-effective population reduction required sustained commitment and coverage-driven strategies that balance welfare, population reduction and the operational needs of dog-mediated rabies control.

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Effect of CSFV on Differential Genes of Histone Lactylation at H3K18 in the PI3K-AKT Signaling Pathway

Zhang, H.; Han, Z.; Zhao, X.; Zhu, J.; Shao, N.; Sun, K.; Li, W.; Yao, Y.; Liang, X.; Yang, M.; Gao, Y.; Chen, J.; Liang, Y.; Liu, Q.; Li, X.; Cao, Z.

2026-06-29 microbiology 10.64898/2026.06.26.734696 medRxiv
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Classical swine fever (CSF) is a highly contagious disease caused by Classical swine fever virus (CSFV), posing a serious threat to the global swine industry. This study aimed to investigate the effect of CSFV on differential genes of histone lactylation at the H3K18 site in the PI3K-AKT signaling pathway. The site with the most significant change in histone lactylation antibody level was screened by Western blot. Omics analysis was performed using CUT&Tag technology to identify differential genes in the PI3K-AKT pathway between the CSFV-infected group and the mock group, followed by validation using RT-qPCR. Functional analysis of significantly differential proteins was conducted, and the protein expression level of THBS4 was detected by Western blot. The results showed that after CSFV infection of 3D4/21 cells, the H3K18la site exhibited the most significant difference in antibody level. A total of 8,859 differential genes at the H3K18la site were identified by CUT&Tag analysis, including 6,349 up-regulated genes and 2,510 down-regulated genes. Further focusing on the PI3K-AKT signaling pathway, 10 differential genes were identified, comprising 6 up-regulated genes and 4 down-regulated genes. Compared with the control group, the mRNA expression levels of CD19, LAMA1, PDGFRA, BDNF, ANGPT4, and THBS4 were up-regulated in the CSFV-infected group, while FOXO3 and NRTN were down-regulated. Western blot results showed that the protein expression level of THBS4 increased after CSFV infection. These findings lay an important foundation for understanding the molecular mechanisms regulating viral replication and immune evasion, and have significant scientific implications and potential application value.

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First report on Chicken Pediculosis in Modern Battery-Cage Layer Farms in Bangladesh: Behavioral, Pathological and Production Performance Impacts

Rabbi, M. R. R.; Safowan, M.; Miti, A. A.; Salafi, M. A. M.; Rahman, D. M. Z.

2026-07-11 pathology 10.64898/2026.07.07.737031 medRxiv
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The recent shift in Bangladesh from tradition backyard rearing system to modern commercial layer farming has made the birds immune to infectious diseases. Pediculosis, however, continues to pose a challenge in modern production system due to its invasive nature, often going unnoticed and neglected as it is typically non-lethal, yet capable of causing significant production losses. Lice infestation is a persistent threat in poultry production; however, its implications in battery-caged commercial layer hens in Bangladesh remain insufficiently characterized. The study aimed to identify the causative louse species and evaluate its associations with clinical pathology, hematological alteration and productive performance in 30 white-feathered (15 infested + 15 non-infested) and 30 brown-feathered (15 infested + 15 non-infested) laying birds from two commercial farms in Tangail. Morphological characterization confirmed the parasite as Menacanthus stamineus, distinguished by a dorsoventrally flattened body, parabolicallly rounded head wider than long, concealed club-shaped antennae, an oblong-oval abdomen with fine setae and three pairs of short legs each bearing paired claws. Infested birds exhibited consistent clinical pathology, including pale combs, petechial hemorrhages around the vent, severe feather damage with alopecic and exudative areas and incidence of irregular and broken-shelled eggs. Production performance analysis revealed significant reduction in hen-day egg production, egg weight, and feed intake, accompanied by significantly increased feed conversion ratios. Hematological evaluation demonstrated significantly reduced hemoglobin concentration, hematocrit and erythrocyte counts in infested hens, indicating mild anemia and compromised oxygen-carrying capacity. Collectively, pediculosis was strongly associated with lice-induced self-inflicted injury and cannibalism, systemic physiological stress, impaired erythropoiesis, reduced production efficiency and compromised welfare in caged laying hens. To best of our knowledge, it was the first integrative reports from Bangladesh documenting M. stramineus infestation in battery-caged commercial layer system with concurrent evidence of hematological disruption and measurable productivity losses, underscoring its epidemiological and economic significance and urgent need for targeted, evidence-based ectoparasite control strategies.

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Genomic Surveillance of Respiratory Syncytial Virus among Patients with Acute Respiratory Infection through Hospital-Based Influenza Surveillance Platforms in Bangladesh, August 2024-December 2025

Alam, M. S.; Begum, M. N.; Rahman, M.; Chowdhury, F.; Jubair, M.; Karim, Y.; Shanto, M. R. R.; Howlader, R.; Rahman, T.; Talha, M.

2026-07-03 evolutionary biology 10.64898/2026.07.02.736091 medRxiv
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Background: RSV is a major cause of severe lung infections in young children, with over 95% of deaths occurring in poorer countries. Bangladesh has high rates of RSV illness in children but lacks genetic data from after the COVID-19 pandemic. New vaccines and antibody treatments are now available, making local genetic information essential. Objectives: We sequenced complete RSV genomes from Bangladeshi patients to study virus types, genetic changes, and protein mutations, and shared our data openly. Methods: From August 2024 to December 2025, we took 59 RSV-positive samples with high virus levels from hospital patients and sequenced their full genomes using Oxford Nanopore technology. Results: Among 11,874 patients, 1,390 (11.7%) had RSV, mostly RSV-A (94.6%). We obtained 49 good-quality full genomes from the 59 samples (83% success): 43 RSV-A (ON1 type, five sub-lineages) and 6 RSV-B (BA9 type). We found S276N in 35% of RSV-A and S389P in all RSV-B, but neither stops current antibody treatments. All RSV-A viruses gained a new sugar attachment site on their F protein, and most RSV-B viruses gained one too. We uploaded all 49 genomes to GISAID for public use. Conclusion: This work shows we can do full RSV genome sequencing in Bangladesh. The viruses here still match the targets of new vaccines and antibodies, which is reassuring. Our findings provide a foundation for planning RSV prevention in Bangladesh and South Asia.

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Transmission dynamics of Nipah virus in Bangladesh and India, 2001-2026: systematic review and inference on reproduction number, offspring dispersion, and serial interval

Kim, S.; Mogasale, V. V.; Vesga, J. F.; Kang, H.; Skrip, L.; Jung, S.-m.; Islam, A.; Endo, A.; Edmunds, W. J.; Abbas, K.

2026-07-19 epidemiology 10.64898/2026.07.16.26357631 medRxiv
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Background Nipah virus (NiV) is a priority zoonotic pathogen causing high-fatality outbreaks. Early NiV outbreaks in Malaysia and Singapore had limited transmission beyond spillover events. However, since 2001, NiV outbreaks with person-to-person transmission have occurred in Bangladesh and India, driven by the NiV-Bangladesh genotype and NiV-India genotype. Our study aims to estimate the reproduction number, offspring dispersion, and serial interval governing NiV transmission in Bangladesh and India during 2001-2026. Methods We conducted a systematic review of NiV outbreak investigations in Bangladesh and India, searching PubMed, Embase, Web of Science, and grey literature through 28 February 2026. Case-level offspring counts from 27 eligible sources (323 cases across 67 outbreaks) were used as input to a hierarchical Bayesian negative binomial offspring distribution model. The serial interval was estimated by parametric distribution fitting to 137 transmission pairs. Country-stratified and sensitivity analyses were performed to evaluate the robustness of estimates. Results Pooling across 67 outbreaks, we estimated a median reproduction number of 0.46 (95% CrI: 0.28-0.73), an offspring dispersion parameter of 0.07 (0.05-0.10), and a serial interval of 13.3 days (95% CI: 12.8-13.8). Country-stratified median reproduction numbers were 0.48 (0.23-0.97) for India and 0.35 (0.19-0.59) for Bangladesh, and dispersion parameters were 0.04 (0.02-0.07) and 0.11 (0.06-0.18), respectively, indicating marked overdispersion in both settings. Conclusion NiV transmission is self-limiting on average and highly overdispersed, suggesting that a disproportionate share of onward transmission arises from a small number of cases. This epidemiological profile supports targeted containment measures, including contact tracing and quarantine, for effective NiV outbreak control.

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Tick-Induced Mammalian Meat Allergy in Australia: National Prevalence and Geographic Distribution from Laboratory Surveillance, 2014-2024

Smith, E.; Campbell, P.; Kennedy, C.; Baumgart, K.; Wallman, L.; Barker, S. C.; van Nunen, S.; Walker, A. A.; Gofton, A. W.

2026-07-15 epidemiology 10.64898/2026.07.13.26358004 medRxiv
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Objectives: To characterise the national epidemiology of tick-induced mammalian meat allergy (MMA) in Australia, including temporal trends in Gal specific IgE testing and case detection, geographic distribution, demographic risk factors, and longitudinal antibody dynamics. Design: Retrospective analysis of Gal sIgE ImmunoCAP test results from 1 January 2014 to 31 December 2024. Setting, Participants: Deidentified laboratory records from 14,075 individuals tested across Australia, with residential postcodes mapped to Statistical Areas Level 3 (SA3). A subset of 1,515 individuals with repeat testing contributed to longitudinal analyses. Main outcome measures: Test volumes, suspected MMA case counts, positivity rates, spatial clustering metrics, demographic risk ratios, and longitudinal Gal sIgE trajectories. Results: Overall, 35.7% (5,025) of individuals tested positive. Testing volume increased 331% over the study period, with case detection accelerating sharply from 2020. Decomposition analysis attributed 59-81% of case growth to expanded testing, with the remainder unexplained by surveillance expansion alone. Cases were concentrated along the eastern seaboard within the range of Ixodes holocyclus, with extreme spatial clustering: three SA3 regions accounted for over one-quarter of national cases. Females comprised the majority of positive cases, and MMA risk increased with age, peaking at 45-74 years. Among 1,515 individuals with serial testing, Gal sIgE levels antibodies declined predictably in 93% of people. Conclusions: This first national assessment of MMA in Australia reveals a substantial, geographically concentrated, and growing burden. The extreme spatial concentration of cases suggests that targeted public health interventions could efficiently address a large proportion of national disease burden. While testing expansion is the dominant driver of rising case numbers, it does not fully account for observed trends, and prospective studies are needed to disentangle surveillance effects from genuine disease emergence. Declining antibody levels support the utility of serial testing for clinical monitoring, though persistent sensitisation underscores the need for sustained risk mitigation and continued surveillance.

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Inter-population connectivity of southern elephant seals and the likely intra-species transmission pathways of high pathogenicity avian influenza

McMahon, C.; Hindell, M.; Harcourt, R.; Lerpiniere, I.; Jonsen, I.; Guinet, C.; Woods, R.; Bester, M.; Younger, J. L.; Fountain Jones, N. M.; Burgess, T.

2026-07-08 ecology 10.64898/2026.07.07.737127 medRxiv
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High Pathogenicity Avian Influenza (HPAI) H5N1 clade 2.3.4.4b has spread beyond birds to affect seals across the Southern Ocean and sub-Antarctic region, with southern elephant seals (Mirounga leonina) particularly devastated. The virus, likely introduced via spillover from infected migratory birds, has killed tens of thousands of adult seals and pups throughout most of their range, though Macquarie Island remains unaffected so far. We used twenty years of elephant seal movement data from the southern Indian and Pacific oceans to assess whether seal-to-seal transmission could spread HPAI H5N1 between breeding colonies, despite the vast distances separating them (Marion Island, Iles Crozet, Iles Kerguelen, and Macquarie Island). There was substantial overlap in seals' at-sea distributions during their winter post-moult trips, when seals travel for weeks at average speeds of 3.5 km/h. Two transmission pathways were examined: (1) terrestrial "stepping stone" routes, where infected seals could pass the virus between colonies during short intervals to remain infectious were feasible from Marion Island to Kerguelen but not from Kerguelen to Macquarie Island; and (2) at-sea encounters between seals, which occurred frequently enough to enable transmission. The findings suggest that once established at Macquarie Island, the virus could potentially spread further to New Zealand's sub-Antarctic islands and mainland New Zealand. While seal-to-seal transmission appears possible, we conclude this is unlikely. Nonetheless, understanding at-sea contact rates enhances knowledge of H5N1 epidemiology and demonstrates the value of combining long-term population monitoring with movement data to understand wildlife disease dynamics.

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Clinical Manifestations and Risk Factors of Pediatric Leptospirosis: A Cross-Sectional Study at a Tertiary Care Center in Northern Vietnam

Thuy, N. T.; Huong, T. T. T.; Long, H. B.; Lam, N. V.; Taylor-Robinson, A. W.

2026-07-21 infectious diseases 10.64898/2026.07.19.26357440 medRxiv
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Background: Leptospirosis causes around 1 million cases and 60,000 deaths globally annually, predominantly affecting flood-prone tropical regions. Transmitted through contact with water or soil contaminated by animal urine infected with Leptospira spp., this bacterial zoonosis is classified as a high-risk Group B infectious disease in Vietnam. However, epidemiological and clinical data are scarce, particularly in pediatric populations. This study evaluated clinical and laboratory characteristics of leptospirosis cases at the National Children's Hospital, Hanoi, from January 2023 to August 2025. Methodology : All children admitted with probable or confirmed leptospirosis were enrolled. Clinical and laboratory data were analyzed to characterize disease manifestations and identify risk factors for severe leptospirosis. This was defined by the presence of organ dysfunction, including liver or renal failure, hemorrhage (particularly pulmonary), aseptic meningitis, cardiac arrhythmias, pulmonary insufficiency, or hemodynamic collapse. Principal Findings : Of 84 patients (37 confirmed, 47 probable), the mean age was 9.4 years, with 52.4% male and over half aged [&ge;] 10 years. Fever was the most common presenting symptom (85.7%); gastrointestinal and renal manifestations were frequent, including oliguria in 26.2% of cases. Key laboratory abnormalities included elevated D-dimer (81.8%), elevated C-reactive protein (75.6%), hypoalbuminemia (74.3%), increased liver enzymes (AST 63.3%, ALT 53.2%), and renal impairment ({approx} 46%). Severe disease developed in 48.8% of patients, most frequently as acute kidney injury. Hematuria was independently associated with increased severity (OR = 4.89). Conversely, fever, higher baseline albumin, and longer symptom duration prior to hospitalization were associated with a significantly reduced risk of severe disease. Conclusions : Pediatric leptospirosis in this cohort frequently presented with systemic inflammation and multi-organ involvement, particularly renal impairment. Nearly half the patients developed severe disease. Early recognition of renal signs, especially hematuria, and careful monitoring of albumin levels are critical to identifying children at risk for severe progression and optimizing clinical management.

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Development and Evaluation of the Effectiveness of a PCR Test System for Identifying Salmonella Bacteria in Clinical and Epidemiological Materials

Yessimseit, D.; Kassenova, A.; Abdeliyev, B.; Rysbekova, A.; Zhumadilova, Z.; Abdel, Z.; Mussagaliyeva, R.; Meka-Mechenko, T.; Begimbayeva, E.; Nusipzhanova, Z.; Maksatova, A.; Agzam, S.; Abdrassilova, G.; Kulbek, B.; Reva, O.; Abdirassilova, A.

2026-06-24 microbiology 10.64898/2026.06.24.734224 medRxiv
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BackgroundReliable detection of Salmonella remains a major challenge for public health surveillance and food safety due to the growing diversity of circulating serovars and the limitations of existing molecular targets. This study aimed to identify an optimal molecular target and develop a TaqMan real-time PCR assay for the detection of Salmonella spp. MethodsBased on the results screening for Salmonella genes suitability as molecular markers, a TaqMan real-time PCR assay targeting the hilA gene was developed and validated. Analytical sensitivity, analytical specificity, and performance on bacterial isolates and artificially contaminated food samples were assessed. ResultsAmong all candidate targets, hilA demonstrated the broadest coverage and was detected in all tested Salmonella isolates, including representatives of rare serological groups, whereas invA conventionally used for this pathogen detection, was absent in a subset of strains. The assay exhibited a limit of detection of 100 bacterial cells/mL and 100 fg/L of genomic DNA. No cross-reactivity was observed with DNA from Shigella flexneri, Shigella sonnei, Yersinia pestis, Y. pseudotuberculosis, Y. enterocolitica, Y. kristensenii, Bacillus anthracis, Vibrio cholerae, or Francisella tularensis. The assay successfully detected Salmonella DNA in all artificially contaminated food samples tested. Evaluation using a collection of 25 bacterial isolates demonstrated positive amplification in all 24 confirmed Salmonella strains, while a strain initially identified by conventional bacteriology as Salmonella but subsequently confirmed by whole-genome sequencing as Proteus mirabilis yielded a negative result. ConclusionsThe hilA gene represents a highly conserved and reliable molecular target for the detection of Salmonella spp. The developed TaqMan real-time PCR assay demonstrated high analytical sensitivity, excellent specificity, and broad serovar coverage, supporting its application in laboratory detection of Salmonella, food safety monitoring, and epidemiological surveillance.

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Emergence and co-circulation of Monkeypox virus Clade Ia and Clade Ib in South Kivu, Democratic Republic of the Congo, January to May 2026

Murhula, L.; Udahemuka, J.; Nieuwenhuijse, D. F.; Chasinga, B.; Sindayiheba, R.; Schuele, L.; Cassidy, H.; Bacon Benimana, F.; Chigabo, A.; Bihando, J.; Nzigire Barhatwira, G.; Bengehya Mbiribindi, J.; Ndoli Minega, J.; Lang, T. A.; Lulihoshi Willy, K.; Ngabo, P.; Mitchell, S.; Gortazar, C.; M. Aarestrup, F.; Bahizire, E.; Koopmans, M.; Oude Munnink, B.; Ndishimye, P.

2026-06-29 epidemiology 10.64898/2026.06.25.26356562 medRxiv
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In September 2023, the first infections with a novel lineage of mpox were detected in South Kivu. Since then, the virus has spread regionally, nationally and internationally. As part of continued efforts to understand the mpox ecology and epidemiology, the South Kivu district of public health and partners have set up systematic case finding and follow-up, including strain characterisation through PCR and sequencing. Samples were collected from 595 hospitalized patients with a confirmed mpox virus infection. A clade differentiating RT-PCR showed that 545 (92%) of samples were positive for clade Ib but also remarkably that Clade Ia infections were diagnosed for the first time in South Kivu. First detected in cases in week 7 in Kamituga, 50 cases were identified over the whole study period (8,40% of all cases). Phylogenetic analysis of initial cases revealed introductions of clade Ia into the South Kivu province alongside the continuation of the clade Ib mpox virus outbreak. These findings underscore the increasing complexity of clade I mpox virus outbreaks in the DRC.

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The effects of fox movement and landscape heterogeneity on the spread of sarcoptic mange in urban settings

Dimitrov, N.; Gelmi-Candusso, T. A.; Krkosek, M.; Fortin, M.-J.

2026-06-25 ecology 10.64898/2026.06.24.734291 medRxiv
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ContextThe movement of vertebrate hosts across urbanized landscapes can play a key role in the transmission of direct-contact diseases. Understanding how wildlife hosts move in urban landscapes, and how transmission is affected by their landscape-constrained and disease-altered movements, is imperative for better predicting the spread of disease. ObjectiveWe assess how the movement of red foxes (Vulpes vulpes) according to landcover type, and their infection status, affect the spread of mange (caused by Sarcoptes scabiei) in an urbanized landscape. MethodsWe developed a mange transmission model (MTM) using an agent-based model to compare two movement behaviours of foxes in Scarborough (Ontario, Canada): random and landcover-based. We further assessed the effects of movement on disease transmission by considering the foxs infection status and comparing a range of movement probability scenarios. We quantified the number of effective contact events and the effective reproduction number (Re) according to each scenario. ResultsWe found that both landcover-dependent movement and infection status influenced the spread of mange within fox populations. The number of effective contact events and effective reproduction number Re was greatest when landscape heterogeneity was included in the model and foxes moved through paths of least resistance to movement, and when susceptible and infected foxes had an equal probability of leaving a fragmented habitat patch. ConclusionsOur findings suggest that mange spread may be accelerated along movement corridors in fragmented, heterogenous landscapes. As urban areas expand and remnant habitat within these is further lost and animals are relegated to fewer movement pathways, disease transmission may increase.

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The national burden from Onyongnyong and chikungunya viruses in Cameroon

Ngu Njei, A.; Puri, A.; White, M.; Garcia, L.; Lambert, C.; Jakpou, S.; Brice Tchatchueng Mbougu, J.; Cortes-Azuero, O.; Weaver, S. C.; Salje, H.; Njouom, R.

2026-07-01 epidemiology 10.64898/2026.06.24.26356335 medRxiv
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Onyongnyong (ONNV) and chikungunya (CHIKV) are arboviruses that have been identified nearly throughout Africa. However, the disease burden from the viruses has been rarely quantified as surveillance systems are poorly equipped to identify cases. Here, we tested 6,324 serum samples collected as part of the Yellow Fever testing program between 2010 and 2023 in individuals of all ages from all the health districts of Cameroon. We used a novel multiplex assay that incorporated antigens from three alphaviruses (ONNV, CHIKV and MAYV) and mathematical models that explicitly consider cross-reactivity to reconstruct individual and population infection histories for each virus. We found that despite no cases reported in Cameroon, ONNV has circulated endemically across the country for decades with an average of 332,000 annual infections and 8 million individuals with a history of infection. By contrast, we found evidence of only sporadic CHIKV outbreaks, with an estimated prevalence of 1.7%. Models that did not explicitly consider cross-reactivity between the alphaviruses lead to incorrect conclusions about the circulation of the viruses. This work highlights the need for systematic efforts to identify ONNV incident cases and the development of a vaccine development investment case against this neglected pathogen.

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An endogenous retrovirus insertion disrupting bovine ALKBH8 causes a failure-to-thrive syndrome with immunodeficiency associated with juvenile mortality in Brown Swiss cattle

Glatthard, S.; Kadri, N. K.; Seefried, F. R.; Voitl, L. R.; Weber, B. A.; Schwarzenbacher, H.; Meister, S. L.; Gurtner, C.; OGrady, J. F.; Osbahr, M.; Leonard, A. S.; Meylan, M.; Pausch, H.; Droegemueller, C.; Jacinto, J.

2026-07-10 genomics 10.64898/2026.07.09.737535 medRxiv
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The Brown Swiss (BS) cattle breed is one of the major Swiss dairy breeds. Intensive selection and the widespread use of few elite sires in artificial insemination have increased inbreeding and the occurrence of deleterious recessive alleles in the homozygous state. Analyzing life trajectories in large, genotyped cohorts can identify hidden recessive disorders that are difficult to detect using traditional case-control association testing. Long-read DNA sequencing enables precise detection of causal alleles, including structural variants. This study aimed to (1) identify cryptic recessive loci affecting rearing performance in Swiss BS cattle, (2) evaluate their impact on survival, (3) characterize the associated phenotype, (4) identify the causal variant using long-read whole-genome sequencing, and (5) assess its functional impact. Using Homozygous Haplotype Enrichment/Depletion (HHED) mapping, we identified a risk haplotype (BH39) on chromosome 15 spanning from 16,276,819 bp to 16,446,984 bp that was associated with increased juvenile mortality within the first 180 days of life when present in the homozygous state. The BH39 occurred at a frequency of approximately 4.5% in Swiss BS cattle and 5.3% in German and Austrian BS cattle, and homozygous carriers exhibited a significantly reduced first-year survival rate. Five females homozygous for BH39 underwent clinical examination. They all showed recurrent respiratory disease, impaired growth, poor body condition, rough hair coat, and brown-discolored teeth. Pathological examination revealed bronchopneumonia and eosinophilic enteritis. Clinicopathological findings indicated failure to thrive and immunodeficiency. Long-read WGS of two BH39 homozygous calves revealed a private homozygous coding variant that was in high linkage disequilibrium with BH39. The identified structural variant was an insertion of a large transposable element (10.4 kb ERVK[2-1-LTR]) into the third exon of ALKBH8 (NM_001080341.2 c.267_268indel). Full-length RNA sequencing of cerebellum and liver from a homozygous calf revealed that the endogenous retrovirus (ERV) insertion introduces a cryptic transcription termination signal, truncating ALKBH8 mRNA. This study demonstrates that exploring population-scale genomic data and mining thousands of life-history records, followed by veterinary follow-up evaluations and molecular genetic analyses, provides an effective strategy for identifying cryptic recessive disorders that shorten the lifespan of cattle. The findings provide strong evidence that the ERV insertion into the coding sequence of ALKBH8 represents a loss-of-function variant that causes a previously undescribed recessive disorder that results in increased rearing loss. Interpretive summaryWe identified a recessive disorder in Brown Swiss cattle that causes retarded growth, recurrent infections, immunodeficiency, and increased mortality during the first year of life. Using population-scale genomic data, clinical investigations, and long-read sequencing, we linked the disorder to an exonic transposable element insertion disrupting ALKBH8. The identification of the causal variant now enables direct genetic testing and the implementation of genome-based mating strategies to avoid carrier-by-carrier matings and, consequently, prevent the birth of affected homozygous offspring. We demonstrate the utility of integrating large-scale breeding records, veterinary phenotyping, and advanced genomics to identify hidden defects affecting livestock health and productivity.

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Isolation and characterisation of novel fruit bat alphaherpesvirus from Rousettus aegyptiacus bats in Coastal Kenya

Kisoi, G. K.; Bargul, J.; Kinyua, J.; Langat, S.; Koka, H.; Lutomiah, J.; Eyase, F.

2026-06-25 microbiology 10.64898/2026.06.25.734443 medRxiv
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BackgroundHerpesviruses are a group of double-stranded DNA viruses known to infect a wide range of vertebrates and establish life-long latent infections. While bats serve as natural reservoir hosts for numerous viral families, relatively few bat herpesviruses have been successfully isolated. In this study, we report the isolation and characterization of two novel alphaherpesvirus strains obtained from Rousettus aegyptiacus bats in Coastal Kenya. MethodsThe samples of oral and rectal swabs were collected from three different species of bats from coastal Kenya between October 2024 and April 2025; the bat species collected include Hipposideros spp., Coleura afra, and Rousettus aegyptiacus. Virus isolation was performed by inoculation of samples in Vero E6 cells and subsequent monitoring for cytopathic effects (CPE). Total nucleic acids were extracted from CPE positive cultures and subjected to library preparation to enable unbiased detection of both RNA and DNA viruses. The libraries were sequenced using next-generation sequencing with Illumina MiSeq platform. Subsequently, bioinformatic analysis was carried out to identify the virus, generate consensus genomes as well as phylogenetic analysis to determine the placement of identified viruses. ResultsTwo samples from R. aegyptiacus (KIK_460_O and KIK_465_O) induced typical CPE within five days. Sequencing and assembly yielded partial consensus sequences of approximately 60 kb (KIK_460_O) and 70 kb (KIK_465_O), representing extended genomic data for a bat-associated alphaherpesvirus. This virus has a genome of about 140kb, indicating that our partial assemblies account for about 43-50% of the total genome. Both isolates were found to be closely related to Dzifa herpesvirus, an alphaherpesvirus previously identified in Kilifi, Kenya. Alphaherpesvirus was identified based on partial sequencing of UL19 (3,787bp) and UL30 (2,846bp) genes. The two isolates were found to be identical at the UL19 gene, showing that they belonged to the same virus strain. Phylogenetic analysis showed that the novel alphaherpesvirus belongs to primate alphaherpesviruses under the subfamily Alphaherpesvirinae. ConclusionThis study reports the isolation and genomic characterization of a novel fruit bat alphaherpesvirus from Kenyan Rousettus aegyptiacus bats. The partial genome assembly (60-70 kb) represent the first extended genomic data for this virus, covering approximately 43-50% of the estimated 140 kb complete genome. The phylogenetic placement of this alphaherpesvirus near primate viruses, especially Pteropodid alphaherpesvirus 1, suggests bat-association and needs further investigation into its zoonotic potential.