Nipah Virus: A Recently Emergent Deadly Paramyxovirus

Kaw Bing Chua(University Malaya Medical Centre), William J. Bellini(National Center for Infectious Diseases), Paul A. Rota(National Center for Infectious Diseases), Brian H. Harcourt(National Center for Infectious Diseases), Azaibi Tamin(National Center for Infectious Diseases), Sai Kit Lam(University Malaya Medical Centre), Thomas G. Ksiazek(National Center for Infectious Diseases), Pierre E. Rollin(National Center for Infectious Diseases), Sherif R. Zaki(National Center for Infectious Diseases), Wun‐Ju Shieh(National Center for Infectious Diseases), Cynthia S. Goldsmith(National Center for Infectious Diseases), D. J. Gubler(Vector & Vector-Borne Diseases Research Institute), John T. Roehrig(Vector & Vector-Borne Diseases Research Institute), Bryan T. Eaton(Australian Centre for Disease Preparedness), A.R. Gould(Australian Centre for Disease Preparedness), James G. Olson(National Center for Infectious Diseases), Hume Field(New South Wales Department of Primary Industries), Peter T. Daniels(Australian Centre for Disease Preparedness), A E Ling(Singapore General Hospital), C. J. Peters(National Center for Infectious Diseases), L. J. Anderson(National Center for Infectious Diseases), Brian W. J. Mahy(National Center for Infectious Diseases)
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Abstract

A paramyxovirus virus termed Nipah virus has been identified as the etiologic agent of an outbreak of severe encephalitis in people with close contact exposure to pigs in Malaysia and Singapore. The outbreak was first noted in late September 1998 and by mid-June 1999, more than 265 encephalitis cases, including 105 deaths, had been reported in Malaysia, and 11 cases of encephalitis or respiratory illness with one death had been reported in Singapore. Electron microscopic, serologic, and genetic studies indicate that this virus belongs to the family Paramyxoviridae and is most closely related to the recently discovered Hendra virus. We suggest that these two viruses are representative of a new genus within the family Paramyxoviridae. Like Hendra virus, Nipah virus is unusual among the paramyxoviruses in its ability to infect and cause potentially fatal disease in a number of host species, including humans.


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