Skip to main content
Log in

Serosurvey of pathogenic hantaviruses among forestry workers in Hungary

  • Original Paper
  • Published:
International Journal of Occupational Medicine and Environmental Health

Abstract

Objectives

The aim of the study was to survey the prevalence of human hantavirus infections among forestry workers, who are considered a risk population for contracting the disease. Sera collected from volunteers were tested for antibodies against Dobrava-Belgrade (DOBV) and Puumala (PUUV) viruses.

Material and Methods

For serological analyses, full capsid proteins of DOBV and PUUV viruses were produced in a bacterial expression system, while Ni-resin was used for protein purification. Samples were screened for anti-hantavirus antibodies by ELISA, results were confirmed by Western blot analysis.

Results

A total of 835 samples collected from 750 males and 85 females were tested by indirect ELISA and positive test results were confirmed by Western blot assay. Out of the 45 ELISA-reactive samples, 38 were confirmed by Western blot analysis. The regional distribution of seropositive individuals was as follows: 1.9% (2/107) in the Danube-Tisza Plateau (Great Plains), 3.1% (10/321) in the Southern Transdanubian region, 5.2% (13/248) in the Northern Transdanubian, and 8.2% (13/159) in the North Hungarian Mountains.

Conclusions

Our data show marked geographic differences in seroprevalence of pathogenic hantaviruses within Hungary, indicating elevated exposure to hantavirus infections in some areas.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kruger DH, Ulrich R, Lundkvist A. Hantavirus infections and their prevention. Microbes Infect. 2001;3(13):1129–1144, http://dx.doi.org/10.1016/S1286-4579(01)01474-5.

    Article  PubMed  CAS  Google Scholar 

  2. Caramello P, Canta F, Bonino L, Moiraghi C, Navone F, Lipani F, et al. Puumala virus pulmonary syndrome in a Romanian immigrant. J Travel Med. 2002;9(6):326–329, http://dx.doi.org/10.2310/7060.2002.30014.

    Article  PubMed  Google Scholar 

  3. Clement J, Colson P, McKenna P. Hantavirus pulmonary syndrome in New England and Europe. N Engl J Med. 1994;331(8):545–548, http://dx.doi.org/10.1056/NEJM199408253310813.

    Article  PubMed  CAS  Google Scholar 

  4. Hoier S, Aberle SW, Langner C, Schnedl W, Hogenauer C, Reisinger EC, et al. Puumala virus RNA in patient with multiorgan failure. Emerg Infect Dis. 2006;12:356–357, http://dx.doi.org/10.3201/eid1202.050634.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Seitsonen E, Hynninen M, Kolho E, Kallio-Kokko H, Pettila V. Corticosteroids combined with continuous veno-venous hemodiafiltration for treatment of hantavirus pulmonary syndrome caused by Puumala virus infection. Eur J Clin Microbiol Infect Dis. 2006;25:261–266, http://dx.doi.org/10.1007/s10096-006-0117-z.

    Article  PubMed  CAS  Google Scholar 

  6. Rasmuson J, Andersson C, Norrman E, Haney M, Evander M, Ahlm C. Time to revise the paradigm of hantavirus syndromes? Hantavirus pulmonary syndrome caused by European hantavirus. Eur J Clin Microbiol Infect Dis. 2011;30:685–690, http://dx.doi.org/10.1007/s10096-010-1141-6.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  7. Clement J, Maes P, Lagrou K, van Ranst M, Lameire N. A unifying hypothesis and a single name for a complex globally emerging infection: Hantavirus disease. Eur J Clin Microbiol Infect Dis. 2012;31:1–5, http://dx.doi.org/10.1007/s10096-011-1456-y.

    Article  PubMed  CAS  Google Scholar 

  8. Clement J, Maes P, van Ranst M. Hemorrhagic fever with renal syndrome in the new, and hantavirus pulmonary syndrome in the old world: Paradi(se)gm lost - or regained? Virus Res. 2014;187:55–58, http://dx.doi.org/10.1016/j.virusres.2013.12.036.

    Article  PubMed  CAS  Google Scholar 

  9. Klempa B, Meisel H, Rath S, Bartel J, Ulrich R, Kruger DH. Occurrence of renal and pulmonary syndrome in a region of northeast Germany where Tula hantavirus circulates. J Clin Microbiol. 2003;41(10):4894–4897, http://dx.doi.org/10.1128/JC M.41.10.4894-4897.2003.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Zelená H, Mrázek J, Kuhn T. Tula hantavirus infection in immunocompromised host, Czech Republic. Emerg Infect Dis. 2013;19(11):1873–1875, http://dx.doi.org/10.3201/eid 1911.130421.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Schultze D, Lundkvist A, Blauenstein U, Heyman P. Tula virus infection associated with fever and exanthema after a wild rodent bite. Eur J Clin Microbiol Infect Dis. 2002;21(4):304–306, http://dx.doi.org/10.1007/s10096-002-0705-5.

    Article  PubMed  CAS  Google Scholar 

  12. Clement J, Frans J, van Ranst M. Human Tula virus infection or rat-bite fever? Eur J Clin Microbiol Infect Dis. 2003;22(5):332–333.

    PubMed  CAS  Google Scholar 

  13. Trencséni T, Keleti B. Clinical aspects and epidemiology of haemorrhagic fever with renal syndrome: Analysis of clinical and epidemiological experiences in Hungary. Budapest: Akadémiai Kiadó; 1971.

    Google Scholar 

  14. Faludi G, Ferenczi E. Serologically verified hantavirus infections in Hungary. Acta Microbiol Immunol Hung. 1995;42(4):419–426.

    PubMed  CAS  Google Scholar 

  15. Jakab F, Sebok J, Ferenczi E, Horváth G, Szucs G. First detection of Dobrava hantavirus from a patient with severe haemorrhagic fever with renal syndrome by SYBR Green-based real time RT-PCR. Scand J Infect Dis. 2007;39(10): 902–906, http://dx.doi.org/10.1080/00365540701387072.

    Article  PubMed  CAS  Google Scholar 

  16. Jakab F, Sebok J, Szántó Z, Hang D, Imre M, Németh V, et al. Dobrava-Belgrade hantavirus infection mimics acute appendicitis. J Clin Virol. 2011;50(2):164–166, http://dx.doi.org/10.1016/j.jcv.2010.10.009.

    Article  PubMed  Google Scholar 

  17. Oldal M, Németh V, Madai M, Kemenesi G, Dallos B, Péterfi Z, et al. Identification of hantavirus infection by Western blot assay and TaqMan PCR in patients hospitalized with acute kidney injury. Diagn Microbiol Infect Dis. 2014;79(2):166–170, http://dx.doi.org/10.1016/j.diagmicrobio.2014.01.032.

    Article  PubMed  CAS  Google Scholar 

  18. Jakab F, Horváth G, Ferenczi E, Sebok J, Varecza Z, Szucs G. Detection of Dobrava hantaviruses in Apodemus agrarius mice in the Transdanubian region of Hungary. Virus Res. 2007;128(1–2):149–152, http://dx.doi.org/10.1016/j.virusres.2007.04.015.

    Article  PubMed  CAS  Google Scholar 

  19. Scharninghausen JJ, Meyer H, Pfeffer M, Davis DS, Honeycutt RL. Genetic evidence of Dobrava virus in Apodemus agrarius in Hungary. Emerg Infect Dis. 1999;5(3):468–470, http://dx.doi.org/10.3201/eid0503.990324.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  20. Németh V, Oldal M, Madai M, Horváth G, Kemenesi G, Dallos B, et al. Molecular characterization of Dobrava and Kurkino genotypes of Dobrava-Belgrade hantavirus detected in Hungary and Northern Croatia. Virus Genes. 2013;47(3): 546–549, http://dx.doi.org/10.1007/s11262-013-0963-6.

    Article  PubMed  Google Scholar 

  21. Jakab F, Horváth G, Ferenczi E, Sebok J, Szucs G. First detection of Tula hantaviruses in Microtus arvalis voles in Hungary. Arch Virol. 2008;153(11):2093–2096, http://dx.doi.org/10.1007/s00705-008-0216-5.

    Article  PubMed  CAS  Google Scholar 

  22. Kang HJ, Bennett SN, Sumibcay L, Arai S, Hope AG, Mocz G, et al. Evolutionary insights from a genetically divergent hantavirus harbored by the European common mole (Talpa europaea). PLoS One. 2009;4(7):e6149, http://dx.doi.org/10.1371/journal.pone.0006149.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Kang HJ, Arai S, Hope AG, Song JW, Cook JA, Yanagihara R. Genetic diversity and phylogeography of Seewis virus in the Eurasian common shrew in Finland and Hungary. Virol J. 2009;6:208, http://dx.doi.org/10.1186/1743-422X-6-208.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Sibold C, Meisel H, Lundkvist A, Schulz A, Cifire F, Ulrich R, et al. Short report: Simultaneous occurrence of Dobrava, Puumala, and Tula Hantaviruses in Slovakia. Am J Trop Med Hyg. 1999;61(3):409–411.

    PubMed  CAS  Google Scholar 

  25. Gut W, Siennicka J, Sadkowska-Todys M, Baumann A, Litwińska B. [Hantavirus specific IgG antibodies in population of zoologists and forest workers]. Przegl Epidemiol. 2007;61(3):483–488. Polish.

    PubMed  Google Scholar 

  26. Grygorczuk S, Pancewicz S, Zajkowska J, Kondrusik M, Swierzbińska R, Moniuszko A, et al. [Detection of anti-hantavirus antibodies in forest workers in the north-east of Poland]. Przegl Epidemiol. 2008;62(3):531–537. Polish.

    PubMed  Google Scholar 

  27. Schultze D, Fierz W, Matter HC, Bankoul S, Niedrig M, Schmiedl A. Cross-sectional survey on hantavirus seroprevalence in Canton St. Gallen, Switzerland. Swiss Med Wkly. 2007;137(1–2):21–26.

    PubMed  Google Scholar 

  28. Mertens M, Hofmann J, Petraityte-Burneikiene R, Ziller M, Sasnauskas K, Friedrich R, et al. Seroprevalence study in forestry workers of a non-endemic region in eastern Germany reveals infections by Tula and Dobrava-Belgrade hantaviruses. Med Microbiol Immunol. 2011;200(4):263–268, http://dx.doi.org/10.1007/s00430-011-0203-4.

    Article  PubMed  Google Scholar 

  29. Németh V, Madai M, Maráczi A, Bérczi B, Horváth G, Oldal M, et al. Detection of Dobrava-Belgrade hantavirus using recombinant-nucleocapsid-based enzyme-linked immunosorbent assay and SYBR Green-based real-time reverse transcriptase-polymerase chain reaction. Arch Virol. 2011;156(9):1655–1660, http://dx.doi.org/10.1007/s00705-011-1013-0.

    Article  PubMed  Google Scholar 

  30. Dobly A, Cochez C, Goossens E, de Bosschere H, Hansen P, Roels S, et al. Sero-epidemiological study of the presence of hantaviruses in domestic dogs and cats from Belgium. Res Vet Sci. 2012;92(2):221–224, http://dx.doi.org/10.1016/j.rvsc.2011.02.003.

    Article  PubMed  CAS  Google Scholar 

  31. Suchomel J. Contribution to the knowledge of Clethrionomys glareolus populations in forests of managed landscape in Southern Moravia (Czech Republic). J For Sci. 2007;53(7):340–344.

    Google Scholar 

  32. Trubenovį K, Miklós P. Population ecology of Apodemus flavicollis in a montane beech-spruce forest in the western Tatra mountains. Acta Univ Comen. 2007;47(1):83–90.

    Google Scholar 

  33. Ferenczi E, Rácz G, Szekeres J, Balog K, Tóth E, Takács M, et al. New data for the public health importance of hantaviruses in Hungary. Orv Hetil. 2003;144(10):467–474.

    PubMed  Google Scholar 

  34. Heyman P, Ceianu CS, Christova I, Tordo N, Beersma M, João Alves M, et al. A five-year perspective on the situation of haemorrhagic fever with renal syndrome and status of the hantavirus reservoirs in Europe, 2005–2010. Euro Surveill. 2011;16(36):ii:19961.

    PubMed  Google Scholar 

  35. Krüger DH, Ulrich RG, Hofmann J. Hantaviruses as zoonotic pathogens in Germany. Dtsch Arztebl Int. 2013;110: 461–467, http://dx.doi.org/10.3238/arztebl.2013.0461.

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ferenc Jakab.

Additional information

Research activity of Ferenc Jakab was supported by the TÁMOP 4.2.4. A/2-11-1-2012 0001 — National Excellence Program Elaborating and Operating an Inland Student and Researcher Personal Support System. The project was subsidized by the European Union and co-financed by the European Social Fund. This study was supported by the Hungarian Scientific Research Fund (OTKA; PD77977) project. Krisztián Bányai was supported by the “Momentum program.”

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Oldal, M., Németh, V., Madai, M. et al. Serosurvey of pathogenic hantaviruses among forestry workers in Hungary. IJOMEH 27, 766–773 (2014). https://doi.org/10.2478/s13382-014-0308-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2478/s13382-014-0308-2

Key words

Navigation