Venezuelan Equine Encephalomyelitis

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چکیده

The VEE complex of viruses includes six antigenic subtypes (I–VI). Within subtype I there are five antigenic variants (variants AB–F). Originally, subtypes I-A and I-B were considered to be distinct variants, but they are now considered to be identical (I-AB). Antigenic variants I-AB and I-C are associated with epizootic activity in equids and human epidemics. Historically, severe outbreaks have involved many thousands of human and equine cases. The other three variants of subtype I (I-D, I-E, I-F) and the other five subtypes of VEE (II–VI) circulate in natural enzootic cycles. Equidae serve as amplifying hosts for epizootic VEE strains while enzootic VEE viruses cycle primarily between sylvatic rodents and mosquitoes. Enzootic variants and subtypes have been considered to be nonpathogenic for equids, but can cause clinical disease in humans. During 1993 and 1996 limited outbreaks of encephalitis in horses in Mexico were shown to be caused by enzootic VEE viruses of subtype I-E. More recently, sporadic outbreaks have occurred in Mexico, Central America, and northern and western parts of South America. Human enzootic subtypes reach more broadly into northern Central America and South America (Weaver, 2012).

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تاریخ انتشار 2013