Things that caught my admittedly very untrained eye in this article in the New England Journal of Medicine after the 2018-19 #HantaVirus / #AndesVirus outbreak in Argentina

https://www.nejm.org/doi/pdf/10.1056/NEJMoa2009040

“Super-Spreaders” and Person-to-Person Transmission of Andes Virus in Argentina

The super-spreading capability of the #ANDV shows a facility (R>2) for sustaining continuous chains of transmission if no control measures are enforced.

1/

... The absence of evidence for #ANDV adaptation within or between hosts or for differences in viral diversity between spreaders and nonspreaders indicates that permissive ecology and social factors have a more substantial influence than genetic changes in sustaining person-to-person transmission in human hosts.

Although the Epuyén/18–19 and Epilink/96 sequences were sampled 22 years apart...

2/

#HantaVirus #AndesVirus

few genomic mutations were identified among the strains involved in the outbreak that were transmitted from person to person.

In addition to their capabilities for sustaining person-to-person transmission, the genomic similarity of the Epuyén/18–19 and Epilink/96 strains suggests that they share the baseline genetic traits for ...

3/
#ANDV #HantaVirus #AndesVirus

...successful cross-species transmission (facilitating spillover into humans) and transmission within a species (facilitating person-to-person transmission) without a need for adaptation to improve viral fitness, while a large number of contacts per infected patient and a sufficient critical community size (i.e., social gatherings and extensive contact) fueled early super-spreading events...

4/

#ANDV #HantaVirus #AndesVirus

... Genetic factors that facilitated person-to-person transmission may have been maintained in reservoir rodent host populations before the cross-species transmission that occurred in October 2018.

5/5

#ANDV #HantaVirus #AndesVirus