Ecologic, Geoclimatic, and Genomic Factors Modulating Plague Epidemics in Primary Natural Focus, Brazil

Plague is a deadly zoonosis that still poses a threat in many regions of the world. We combined epidemiologic, host, and vector surveillance data collected during 1961-1980 from the Araripe Plateau focus in northeastern Brazil with ecologic, geoclimatic, and Yersinia pestis genomic information to el...

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Published inEmerging infectious diseases Vol. 30; no. 9; pp. 1850 - 1864
Main Authors Bezerra, Matheus F, Fernandes, Diego L R S, Rocha, Igor V, Pitta, João L L P, Freitas, Natan D A, Oliveira, André L S, Guimarães, Ricardo J P S, Gomes, Elainne C S, de Andreazzi, Cecília Siliansky, Sobreira, Marise, Rezende, Antonio M, Cordeiro-Estrela, Pedro, Almeida, Alzira M P
Format Journal Article
LanguageEnglish
Published United States U.S. National Center for Infectious Diseases 01.09.2024
Centers for Disease Control and Prevention
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Summary:Plague is a deadly zoonosis that still poses a threat in many regions of the world. We combined epidemiologic, host, and vector surveillance data collected during 1961-1980 from the Araripe Plateau focus in northeastern Brazil with ecologic, geoclimatic, and Yersinia pestis genomic information to elucidate how these factors interplay in plague activity. We identified well-delimited plague hotspots showing elevated plague risk in low-altitude areas near the foothills of the plateau's concave sectors. Those locations exhibited distinct precipitation and vegetation coverage patterns compared with the surrounding areas. We noted a seasonal effect on plague activity, and human cases linearly correlated with precipitation and rodent and flea Y. pestis positivity rates. Genomic characterization of Y. pestis strains revealed a foundational strain capable of evolving into distinct genetic variants, each linked to temporally and spatially constrained plague outbreaks. These data could identify risk areas and improve surveillance in other plague foci within the Caatinga biome.
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Author contributions: M.F.B, D.L.S.R., and A.M.P.A. conceived the project; D.L.S.R., E.C.S.G., A.L.S.O, and R.J.P.S. performed the geoprocessing analysis; I.V.R. and M.S. performed the Yersinia pestis culture-related experiments and curated the Fiocruz-CYP collection data; I.V.R. performed the genomic sequencing; J.L.L.P.P. and A.M.R. performed the bioinformatic analysis; N.D.A.F., C.S.A., and P.C.E. performed the ecological networks analysis; M.F.B. and A.M.P.A. performed the epidemiological and animal surveillance analysis; A.M.P.A. and D.L.S.R. accessed the PPP documentary collection to acquire epidemiologic and animal surveillance data; A.M.P.A., M.S., and M.F.B. acquired the funding; M.F.B. wrote the original draft of the manuscript, and all authors revised and approved the submitted version.
ISSN:1080-6040
1080-6059
1080-6059
DOI:10.3201/eid3009.240468