TY - JOUR
T1 - Nipah virus transmission from bats to humans associated with drinking traditional liquor made from date palm sap, Bangladesh, 2011-2014
AU - Islam, M. Saiful
AU - Sazzad, Hossain M.S.
AU - Satter, Syed Moinuddin
AU - Sultana, Sharmin
AU - Hossain, M. Jahangir
AU - Hasan, Murshid
AU - Rahman, Mahmudur
AU - Campbell, Shelley
AU - Cannon, Deborah L.
AU - Ströher, Ute
AU - Daszak, Peter
AU - Luby, Stephen P.
AU - Gurley, Emily S.
N1 - Publisher Copyright:
© 2016, Centers for Disease Control and Prevention (CDC). All rights reserved.
PY - 2016/4
Y1 - 2016/4
N2 - Nipah virus (NiV) is a paramyxovirus, and Pteropus spp. bats are the natural reservoir. From December 2010 through March 2014, hospital-based encephalitis surveillance in Bangladesh identified 18 clusters of NiV infection. The source of infection for case-patients in 3 clusters in 2 districts was unknown. A team of epidemiologists and anthropologists investigated these 3 clusters comprising 14 case-patients, 8 of whom died. Among the 14 case-patients, 8 drank fermented date palm sap (tari) regularly before their illness, and 6 provided care to a person infected with NiV. The process of preparing date palm trees for tari production was similar to the process of collecting date palm sap for fresh consumption. Bat excreta was reportedly found inside pots used to make tari. These findings suggest that drinking tari is a potential pathway of NiV transmission. Interventions that prevent bat access to date palm sap might prevent tariassociated NiV infection.
AB - Nipah virus (NiV) is a paramyxovirus, and Pteropus spp. bats are the natural reservoir. From December 2010 through March 2014, hospital-based encephalitis surveillance in Bangladesh identified 18 clusters of NiV infection. The source of infection for case-patients in 3 clusters in 2 districts was unknown. A team of epidemiologists and anthropologists investigated these 3 clusters comprising 14 case-patients, 8 of whom died. Among the 14 case-patients, 8 drank fermented date palm sap (tari) regularly before their illness, and 6 provided care to a person infected with NiV. The process of preparing date palm trees for tari production was similar to the process of collecting date palm sap for fresh consumption. Bat excreta was reportedly found inside pots used to make tari. These findings suggest that drinking tari is a potential pathway of NiV transmission. Interventions that prevent bat access to date palm sap might prevent tariassociated NiV infection.
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U2 - 10.3201/eid2204.151747
DO - 10.3201/eid2204.151747
M3 - Article
C2 - 26981928
AN - SCOPUS:84961225996
SN - 1080-6040
VL - 22
SP - 664
EP - 670
JO - Emerging infectious diseases
JF - Emerging infectious diseases
IS - 4
ER -