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Localized Outbreaks of Epidemic Polyarthritis among Military Personnel Caused by Different Sublineages of Ross River Virus, Northeastern Australia, 2016-2017
Journal article   Peer reviewed

Localized Outbreaks of Epidemic Polyarthritis among Military Personnel Caused by Different Sublineages of Ross River Virus, Northeastern Australia, 2016-2017

Wenjun Liu, Joanne R. Kizu, Luke R. Le Grand, Christopher Moller, Tracy L. Carthew, Ian R. Mitchell, Ania J. Gubala and John G Aaskov
Emerging Infectious Diseases, Vol.25(10), pp.1793-1801
2019
PMID: 31538560
url
https://doi.org/10.3201/eid2510.181610View
Published Version Open

Abstract

Public health Infectious diseases Immunology Infectious Diseases Life Sciences & Biomedicine Science & Technology
Two outbreaks of epidemic polyarthritis occurred among Australian Defence Force personnel during and following short military exercises in the Shoalwater Bay Training Area, northeastern Australia, in 2016 and 2017. Ross River virus (RRV) IgM was detected in acute-phase serum samples from most patients (28/28 in 2016 and 25/31 in 2017), and RRV was recovered from 4/38 serum samples assayed (1/21 in 2016 and 3/17 in 2017). Phylogenetic analyses of RRV envelope glycoprotein E2 and nonstructural protein nsP3 nucleotide sequences segregated the RRV isolates obtained in 2016 and 2017 outbreaks into 2 distinct sublineages, suggesting that each outbreak was caused by a different strain of RRV. The spatiotemporal characteristics of the 2016 outbreak suggested that some of the infections involved human-mosquito-human transmission without any intermediate host. These outbreaks highlight the importance of personal protective measures in preventing vectorborne diseases for which no vaccine or specific prophylaxis exists.

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Immunology
Infectious Diseases

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