Publications by authors named "Fabian H Leendertz"

Background/objectives: Antibiotic-resistant bacteria pose a significant global public health threat that demands serious attention. The proliferation of antimicrobial resistance (AMR) is primarily attributed to the overuse of antibiotics in humans, livestock, and the agro-industry. However, it is worth noting that antibiotic-resistant genes (ARGs) can be found in all ecosystems, even in environments where antibiotics have never been utilized.

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  • An older female chimpanzee was discovered deceased, found to have a significant calcium oxalate stone in her kidney.
  • Examination revealed various kidney issues, including glomerulosclerosis and interstitial nephritis.
  • Increased levels of urinary albumin-creatinine ratio were noted 15 months prior to her death, but the exact causes of her kidney disease are still unknown.
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  • - Bombali virus (BOMV) is a new type of ebolavirus found in free-tailed bats across several African countries including Sierra Leone, Guinea, Kenya, and Mozambique.
  • - Researchers screened bat lungs and blood samples from Côte d'Ivoire and Tanzania but only found BOMV RNA in one bat from Tanzania, which is the first time ebolavirus has been detected in that country.
  • - This discovery extends the known distribution of BOMV and confirms that these bats can serve as natural hosts for the virus.
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  • Campylobacter spp. is a major cause of bacterial gastroenteritis worldwide, but its impact in Burkina Faso is underreported due to poor surveillance.
  • A study conducted from 2018 to 2021 analyzed fecal samples from 1,295 patients with acute gastroenteritis, using molecular techniques to identify Campylobacter species.
  • Results showed that 25% of samples tested positive for Campylobacter, predominantly in children under 5, highlighting the need for improved surveillance to monitor this public health issue.
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  • Viral gastrointestinal infections are a significant health issue in developing countries, including Burkina Faso, where limited data on the circulating viruses and their genetic diversity exist.
  • This study analyzed stool samples from 1,295 patients between 2018 and 2021, finding that 34.1% had detectable viruses, with norovirus and sapovirus being the most common.
  • The research highlights a reduction in viral prevalence but a high diversity of strains, emphasizing the need for routine surveillance and improved management strategies for diarrhea, particularly for children.
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Long-term observations of wildlife are key to understanding the ecological foundations of disease emergence. They provide unique opportunities to detect pathogens with zoonotic potential that could threaten human health but also pose a threat for the animals. [Image: see text]

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Nematodes belonging to the genus Oesophagostomum frequently infect wild chimpanzees (Pan troglodytes) across widely separated field sites. Nodular lesions (granulomas) containing Oesophagostomum are commonly seen in the abdomen of infected chimpanzees post-mortem. At Taï National Park, Côte d'Ivoire, previous studies have identified larvae of a variety of Oesophagostomum spp.

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Background: Exposure to antibiotics has been shown to be one of the drivers of antimicrobial resistance (AMR) and is critical to address when planning and implementing strategies for combatting AMR. However, data on antibiotic use in sub-Saharan Africa are still limited. Using hospital-based surveillance data from the African Network for Improved Diagnostics, Epidemiology and Management of Common Infectious Agents (ANDEMIA), we assessed self-reported antibiotic use in multiple sub-Saharan African countries.

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To decipher the evolution of the hominoid brain and its functions, it is essential to conduct comparative studies in primates, including our closest living relatives. However, strong ethical concerns preclude neuroimaging of great apes. We propose a responsible and multidisciplinary alternative approach that links behavior to brain anatomy in non-human primates from diverse ecological backgrounds.

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  • The study assesses the impact of SARS-CoV-2 on healthcare workers (HCWs) in central sub-Saharan Africa, particularly in the South Kivu province of the Democratic Republic of the Congo during the first wave of the pandemic.
  • A total of 1029 HCWs were tested for antibody presence against SARS-CoV-2, revealing a significant overall seroprevalence of 33.1%, with higher rates in urban hospitals compared to rural ones.
  • The findings suggest that while protective measures were more available in urban settings, the higher COVID-19 exposure outside of work in urban areas likely contributed to the increased seropositivity compared to rural hospitals.
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Advances in viral discovery techniques have led to the identification of numerous novel viruses in human samples. However, the low prevalence of certain viruses in humans raises doubts about their association with our species. To ascertain the authenticity of a virus as a genuine human-infecting agent, it can be useful to investigate the diversification of its lineage within hominines, the group encompassing humans and African great apes.

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West Nile virus (WNV), a mosquito-borne flavivirus, is endemic to South Africa. However, its contribution to acute febrile and neurological disease in hospitalized patients in South Africa is unknown. This study examined two patient cohorts for WNV using molecular testing and IgM serology with confirmation of serological results by viral neutralization tests (VNT) to address this knowledge gap.

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Terrestrial vertebrates are threatened by anthropogenic activities around the world. The rapid biodiversity loss that ensues is most intense in the tropics and affects ecosystem functions, such as seed dispersal, or may facilitate pathogen transmission. Monitoring vertebrate distributions is essential for understanding changes in biodiversity and ecosystems and also for adaptive management strategies.

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  • The study focuses on SARS-CoV-2 variant epidemiology in Côte d'Ivoire, examining how variants with increased transmissibility and immune evasion have influenced the COVID-19 pandemic.
  • Utilizing 234 full SARS-CoV-2 genomes collected during the first and second waves of the pandemic in the country, researchers identified 20 viral lineages, with the Alpha and Eta variants notably driving the second wave in 2021.
  • The findings indicate that the spread of these variants in Côte d'Ivoire was primarily due to regional travel within West Africa, rather than international travel from outside the continent.
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  • The study focuses on how flies that associate with nonhuman primates are moving between natural habitats and more populated human areas around Kibale National Park in Uganda.
  • Researchers used a mark-recapture method to track the movement of these flies, marking a large number in nine different primate groups and later recapturing some in human-inhabited areas.
  • Genetic analysis showed that these flies carry DNA from various primate parasites, suggesting they could be spreading diseases between nonhuman primates, livestock, and humans in these biodiverse regions.
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  • A novel hantavirus called Kiwira virus was detected in Angolan free-tailed bats in Tanzania and the Democratic Republic of Congo, indicating its presence in wildlife across two African countries.
  • The virus showed the highest RNA levels in the bats' spleens, and genetic sequencing revealed it is closely related to other bat-infecting hantaviruses.
  • The findings suggest that Kiwira virus is actively replicating in bats, which could pose a risk for potential transmission to humans, especially since these bats often roost near human habitats.
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  • Flies are significant carriers of pathogens in primates, and this study examines their association with six monkey species.
  • Fly densities are higher within monkey groups than outside, with larger groups attracting more flies.
  • The strongest correlation between group size and fly density is seen in colobine monkeys, suggesting that their movement and smaller home ranges influence these associations.
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Human respiratory pathogens have repeatedly caused lethal outbreaks in wild great apes across Africa, leading to population declines. Nonetheless, our knowledge of potential genomic changes associated with pathogen introduction and spread at the human-great ape interface remains sparse. Here, we made use of target enrichment coupled with next generation sequencing to non-invasively investigate five outbreaks of human-introduced respiratory disease in wild chimpanzees living in Taï National Park, Ivory Coast.

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The human parasite Plasmodium malariae has relatives infecting African apes (Plasmodium rodhaini) and New World monkeys (Plasmodium brasilianum), but its origins remain unknown. Using a novel approach to characterise P. malariae-related sequences in wild and captive African apes, we found that this group comprises three distinct lineages, one of which represents a previously unknown, highly divergent species infecting chimpanzees, bonobos and gorillas across central Africa.

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Decades after its discovery in East Africa, Zika virus (ZIKV) emerged in Brazil in 2013 and infected millions of people during intense urban transmission. Whether vertebrates other than humans are involved in ZIKV transmission cycles remained unclear. Here, we investigate the role of different animals as ZIKV reservoirs by testing 1723 sera of pets, peri-domestic animals and African non-human primates (NHP) sampled during 2013-2018 in Brazil and 2006-2016 in Côte d'Ivoire.

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Humans are considered as the main host for Mycobacterium leprae, the aetiological agent of leprosy, but spillover has occurred to other mammals that are now maintenance hosts, such as nine-banded armadillos and red squirrels. Although naturally acquired leprosy has also been described in captive nonhuman primates, the exact origins of infection remain unclear. Here we describe leprosy-like lesions in two wild populations of western chimpanzees (Pan troglodytes verus) in Cantanhez National Park, Guinea-Bissau and Taï National Park, Côte d'Ivoire, West Africa.

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  • Distinct SARS-CoV-2 lineage B.1.620 was identified in Lithuania, featuring multiple mutations in the spike protein commonly found in concerning variants like E484K and S477N.
  • The study highlights the lineage's potential resistance to neutralizing antibodies and documents local instances of transmission in Europe, particularly in Lithuania.
  • Evidence suggests that B.1.620 likely originated in Central Africa, supported by advanced phylogeographic methods and travel history data from infected individuals.
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Seven years after the declaration of the first epidemic of Ebola virus disease in Guinea, the country faced a new outbreak-between 14 February and 19 June 2021-near the epicentre of the previous epidemic. Here we use next-generation sequencing to generate complete or near-complete genomes of Zaire ebolavirus from samples obtained from 12 different patients. These genomes form a well-supported phylogenetic cluster with genomes from the previous outbreak, which indicates that the new outbreak was not the result of a new spillover event from an animal reservoir.

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Over the last two decades, the viromes of our closest relatives, the African great apes (AGA), have been intensively studied. Comparative approaches have unveiled diverse evolutionary patterns, highlighting both stable host-virus associations over extended evolutionary timescales and much more recent viral emergence events. In this chapter, we summarize these findings and outline how they have shed a new light on the origins and evolution of many human-infecting viruses.

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Background: In sub-Saharan Africa, acute respiratory infections (ARI), acute gastrointestinal infections (GI) and acute febrile disease of unknown cause (AFDUC) have a large disease burden, especially among children, while respective aetiologies often remain unresolved. The need for robust infectious disease surveillance to detect emerging pathogens along with common human pathogens has been highlighted by the ongoing novel coronavirus disease 2019 (COVID-19) pandemic. The African Network for Improved Diagnostics, Epidemiology and Management of Common Infectious Agents (ANDEMIA) is a sentinel surveillance study on the aetiology and clinical characteristics of ARI, GI and AFDUC in sub-Saharan Africa.

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