Letter

Jorlan Fernandes1 Thayssa Alves Coelho da Silva1 Renata Carvalho de Oliveira1 Alexandro Guterres1 Elaine Cristina de Oliveira2 3 Ana Claudia Pereira Terças4 Silvana C. Levis5 Cor Jesus Fernandes Fontes2 Marina Atakana2 Elba Regina Sampaio de Lemos1

1Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil. 2Hopital Universitário Julio Müller, Universidade Federal do Mato Grosso, Cuiabá, MT, Brasil. 3Secreteria de Estado de Saúde do Mato Grosso, Cuiabá, MT, Brasil. 4Universidade do Estado de Mato Grosso, Tangará da Serra, MT, Brasil. 5Instituto Nacional de Enfermedades Virales Humanas, Pergamino, Argentina.

DOI: 10.1590/0037-8682-0071-2018

Dear Editor,

More than half of all the infectious diseases that affect humans have a zoonotic origin, and as anthropogenic impacts on ecosystems accumulate, the threat of zoonotic disease grows1. The exploitation of forests for timber and mining of gold and other minerals in Brazil has multiple environmental impacts including the associated deforestation, migration of populations, dramatic demographic growth, and sudden changes in the socioeconomic structure2. This has been highlighted by articles published in the Journal of the Brazilian Society of Tropical Medicine25. However, we have observed that most of these studies addressing health concerns are focused on malaria, with relatively little attention given to other potential diseases, many of which might be misdiagnosed as malaria.

Arenavirus hemorrhagic fever is a severe emerging disease characterized by systemic and neurological disorders with high lethality rates in South America, where, to date, five species of mammarenavirus have been associated with human disease: Machupo and Chapare (Bolivia), Junín (Argentina), Guanarito (Venezuela), and Sabiá (Brazil) viruses6. In Brazil, little is known about this rodent-borne infection; only one fatal case of Brazilian hemorrhagic fever was described in the 1990s, and two other cases of nonfatal laboratory-acquired infections were subsequently confirmed6,7.

We conducted a study to estimate the prevalence of anti-arenavirus antibodies among individuals living in Três Fronteiras district, Colniza municipality, Mato Grosso state, Brazil. The study region is divided into three distinct community clusters, according to occupational activity: (i) mining (where mining companies are concentrated); (ii) extraction and processing of wood; and (iii) village (where subsistence trade predominates). This region has no basic sanitation, electricity or access to other basic amenities. Between 2000 and 2007, Colniza presented one of the highest population growth rates in the period – 15.3%. The municipality has also presented high rates of deforestation, having been identified as one of the top cities responsible for the deforestation of the Amazon rainforest8.

One hundred and eight (108) serum samples from a malaria survey conducted in 2013 were tested for anti-mammarenavirus IgG antibodies using ELISA according to Riera et al. (1997)9 at a 1:100 dilution. Demographic and socioeconomic data were collected during randomized home visits conducted in July 2013 among individuals living in Três Fronteiras district, Colniza municipality via the administration of a structured questionnaire to respondents. The study was approved by the Fundação Oswaldo Cruz/Instituto Oswaldo Cruz Ethical Committee (protocol no. CAAE 61629416.2.1001.5248).

Most of the participants were male (63/108, 58.3%), the mean age was 29 (range: 1-66) years and 67.6% (73/108) self-declared as brown/pardo (mixed race). More than half of the study population (81/108, 75.0%) had received <5 years of formal education (elementary school level in Brazil). The main reported work activities were temporarily activities involving mining or agriculture (74/108, 68.5%), followed by vegetal exploration (21/108, 19.1%), and housekeeping (13/108, 12.5%).

Of 108 samples, two (1.85%) tested positive for anti-mammarenavirus IgG; both were females (1- and 35-years-old) and lived in houses made of wood, with daily activities related to housekeeping. Neither of these had current acute malaria infection or known comorbidities. Arenavirus infection can occur in different age groups, as shown by Maiztegui (1975)10, although most infections caused by South American arenaviruses are reported in individuals between 15 and 40 years old10. Regarding studies conducted in Latin America, higher IgG rates have been reported in an indigenous population from Colombia (3.1%)11. However, lower prevalence rates (0.5%)12were reported in convalescent sera obtained from 220 non-malarial febrile patients from the northern coast of Colombia. The prevalence found in this study was similar to that observed in a study conducted by Machado et al. (2010)13, in which five individuals (5/343, 1.4%), also from Mato Grosso state, had antibodies against arenavirus. Recently, in our previous study, we have demonstrated the circulation of arenavirus in Calomys callidus rodents in the same region14. Although the arenavirus detected in these rodents is unrelated to the human disease, it is important to highlight the increasing evidence of arenavirus infections in humans and rodents in Mato Grosso state13,14.

Mining activities and wood exploitation create ecological changes that can contribute to diversity loss and dislocation of wild animals, resulting in frequent contact between humans and rodent reservoirs in various settings (not only at the workplace but also in human habitations, as evidenced by our results). A similar scenario involving deforestation and sociodemographic changes was described during the emergence of Junín and Guanarito viruses in Argentina and Venezuela, respectively6. Furthermore, three arenaviruses have been detected in the Brazilian Amazon region: Amapari, Cupixi and Flexal viruses, the latter being implicated in mild disease due to laboratory-acquired infection6,13.

Individuals living in areas under the influence of mining settlements and wood exploitation enterprises should be included as a population at risk for arenaviruses, and potentially for other zoonotic infections that occur in the Amazon region. Thus, serological surveys can be helpful when addressing potential hazards associated with arenavirus infections driven by the socio-environmental effects of mining and related activities.

ACKNOWLEDGMENT

The authors gratefully acknowledge Alba Valéria Gomes de Melo of Secretaria de Estado de Saúde do Mato Grosso, Cuiabá, MT – Brazil for her collaboration.

REFERENCES

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12. Arroyave E, Londoño AF, Quintero JC, Agudelo-Flórez P, Arboleda M, Díaz FJ, et al. Etiology and epidemiological characterization of non-malarial febrile syndrome in three municipalities of Urabá (Antioquia), Colombia. Biomedica. 2013;33(1):99-107. [ Links ]

13. Machado AM, Figueiredo GG, Campos GM, Lozano ME, Machado AR, Figueiredo LT. Standardization of an ELISA test using a recombinant nucleoprotein from the Junin virus as the antigen and serological screening for arenavirus among the population of Nova Xavantina, State of Mato Grosso. Rev Soc Bras Med Trop . 2010;43(3):229-33. [ Links ]

14. Fernandes J, de Oliveira RC, Guterres A, Barreto-Vieira DF, Terças ACP, Teixeira BR, et al. Detection of Latino virus (Arenaviridae: Mammarenavirus) naturally infecting Calomys callidus. Acta Trop. 2018;179:19-24. [ Links ]

Financial support: This research was supported by FIOCRUZ, Secretaria de Estado de Saúde de Mato Grosso, Universidade Federal de Mato Grosso, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – CAPES, Fundação de Amparo à Pesquisa do Estado de Mato Grosso, proposal nº 005-2015, grant number 219718/2015, Conselho Nacional para o Desenvolvimento Científico e Tecnológico (CNPq), grant number 404762/2016-6.

Received: February 25, 2018; Accepted: September 20, 2018

Corresponding Author: Jorlan Fernandes. e-mail:jorlan@ioc.fiocruz.br

Conflict of interest: The authors declare that there is no conflict of interest.