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– Just the tip of the iceberg

Last week, the renowned medical journal featured New England Journal of Medicine that Chinese scientists recently discovered a completely new virus, referred to as the Langya virus.

35 people are said to be infected with the new virus, which belongs to the Paramyxoviridae family. The virus family is known to cause fatal disease.

Other known viruses from the family are the hendra virus and the nipah virus. Nipah virus is according to Major medical encyclopedias (SML) among the zoonotic diseases, which means that the virus can be transmitted from animals to humans.

Infection from the nipah virus causes mild disease in pigs, but severe disease in humans. The virus got its name from the Nypa date palm, which is sought out by fruit-eating bats. Fruit bats are known as natural reservoirs (host animals) for the virus.

Infection with the related hendra virus causes disease with high mortality both in horses and in humans, according to SML.

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Sound the alarm

Scientists have repeatedly sounded the alarm about the increased risk of zoonotic diseases, especially since the world’s population is increasingly coming closer to wild animals through hunting or due to development. Covid-19 is believed to come from animals at a market in the Chinese city of Wuhan.

– We vastly underestimate the number of zoonotic cases in the world, and this Langya virus is only the tip of the iceberg, says Leo Poon, professor at the University of Hong Kong School of Public Health, to CNN.

Infection researcher Linfa Wang, who is one of the authors behind the study, tells the channel that the newly discovered virus is unlikely to develop into a pandemic, but still believes that there is every reason to be aware.

– This shows that such zoonotic events happen more often than we think or know, says Wang.

Recent contact with animals

The new virus, which has been named Langya henipavirus (LayV), was discovered in connection with examinations of febrile patients in the eastern part of China. The patients must have had in common that they had all had recent contact with animals, according to the study.

The doctors managed to isolate a completely new and previously unknown virus when they tested a throat sample from one of the patients. Later, the doctors discovered that a total of 35 patients from the provinces of Shandong and Henan were infected by this new virus.

26 of the patients only tested positive for langyavirus, and no other disease-causing bacteria or viruses. All of the 26 were affected by fever. The doctors also reported symptoms such as fatigue in those affected.

Suspect shrew

Many also had symptoms such as cough, loss of appetite and muscle pain. Some also reported nausea, headache and vomiting, as well as an abnormally low concentration of blood platelets, abnormally low values ​​of white blood cells and impaired function of both the liver and kidneys.

The researchers examined various domestic animals in the area to find out which animals could be carriers of the virus. The virus was found in a few goats and dogs, but the researchers found the most infected when they examined shrews.

– 27 percent of the shrews that we tested were positive, which suggests that the shrew can be a natural host organism for the virus, they write.

The fact that the virus has been found in so many patients does not necessarily mean that a causal link has been established between the virus and the disease.

– Higher viral loads

In order for the researchers to establish a connection, four criteria – the so-called Koch’s postulate – must be met, according to the website Medicinenett:

The microorganism must be present in all sick individuals. It must be able to be isolated and grow in a culture. It must cause a specific disease state in an individual, and it must be able to be isolated from the infected individual.

In the new Chinese study, not all of these four criteria are met, but the researchers point to several findings that suggest that the langya virus is the cause:

– The virus was the only potential pathogen we discovered in 26 of the 35 patients who had an acute infection.

The researchers also point out that the amount of virus seemed to increase in patients who were in an acute phase of the disease.

– The amount of virus in the blood could be linked to the acute infection. Patients who had pneumonia had higher viral loads than those who did not have pneumonia, they write.

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