Ebola
virus a threat to great ape populations
IRD - institut de recherche pour le développement
The Ebola virus, identified for the first time in 1976 in the Democratic
Republic of Congo (ex-Zaire), has unleashed several lethal epidemics in
Central Africa. For several years, many outbreaks have been occurring
simultaneously in the Republic of Congo and Gabon, making the control
of Ebola virus infection a major public health priority for these countries.
In humans infection triggers haemorrhagic fever. In 80% of cases it leads
to death in a few days. High mortality generated by this particularly
virulent virus, transmitted by direct contact, engenders serious social
and economic consequences for the countries affected. There is no therapy
or vaccine available and preventive measures and rapid abatement of epidemics
by isolating patients are the only weapons that can hinder spread of the
disease.
The IRD researchers and their co-workers from other organizations, who
have been studying the virus since 2001 in West central Africa, have been
investigating the virus transmission mechanisms from the still-unidentified
animal reservoir to humans. Human epidemics appear to result from two
successive waves of contamination between species. The first propagates
from the reservoir to certain susceptible species, such as gorillas, chimpanzees
and duikers (Bovidae). A second stems from humans infected through contact
with infected carcasses of animal victims of the virus. Epidemiological
data obtained during human epidemics that occurred between 1976 and 2001
shows that each of these developed from a single-animal source, then spread
from person to person. However, in the study undertaken between 2001 and
2003, epidemiological findings suggest on the contrary that several different
and concomitant epidemic chains exist, each stemming from a different
single-animal source. Gene sequencing analyses of the virus performed
on patients blood samples confirmed these observations, and showed
in addition that these chains do not result from a common transmitted
viral strain but from several strains.
A further discovery came from an organized count of carcasses found in
the forest coupled with calculations of rates of presence of these animals
(from occurrence of dung, tracks, nests, and so on). There have been large
increases in mortality in some animal species before and during the human
epidemics. The populations of gorillas and duikers plummeted 50% between
2002 and 2003 in the Lossi animal sanctuary (320 km2) in the Republic
of Congo and Chimpanzee numbers fell by 88%. Hundreds or even thousands
of animals may well have died during the latest epidemics that hit the
region. Laboratory analyses of samples taken from animal carcasses during
human epidemics confirmed that these carcasses were Ebola-virus infected.
The rapid decline in animal populations in this part of Africa could therefore
be due to Ebola epidemics. Gene analyses conducted on the samples have
also shown the involvement of several infecting viral strains, as has
been found in humans.
Ebola virus epidemics in the large apes hence appear not to stem from
propagation of a single epidemic from one individual to another, but rather
from massive simultaneous infections of these primates from the original
carrier animal facilitated by a particular set of environmental conditions.
Infection of humans occurs in a second phase, usually by contact with
animal carcasses. The discovery of infected carcasses can therefore be
taken as a warning sign of a human epidemic. Detection and diagnosis of
Ebola infection on these carcasses could help define Ebola human transmission
prevention and control programmes before any human epidemics arise, and
thus increase the possibilities for containing or avoiding them.
Outbreaks among the great apes seem to hit mainly at times of seasonal
changes. However, the exact environmental conditions
that foster their emergence are not known. Neither
is the host, the natural reservoir of the virus,
which contaminates the animals. Research is under
way to identify the factors involved.
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