Natural reservoir

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Cows are natural reservoirs of African trypanosomiasis

In infectious disease ecology and epidemiology, a natural reservoir, also known as a disease reservoir or a reservoir of infection, is the population of organisms or the specific environment in which an infectious pathogen naturally lives and reproduces, or upon which the pathogen primarily depends for its survival. A reservoir is usually a living host of a certain species, such as an animal or a plant, inside of which a pathogen survives, often (though not always) without causing disease for the reservoir itself. By some definitions a reservoir may also be an environment external to an organism, such as a volume of contaminated air or water.[1][2]

Because of the enormous variety of infectious

vector species,[2] which are otherwise distinct from natural reservoirs. Significantly, species considered reservoirs for a given pathogen may not experience symptoms
of disease when infected by the pathogen.

Identifying the natural reservoirs of infectious pathogens has proven useful in treating and preventing large outbreaks of disease in humans and domestic animals, especially those diseases for which no vaccine exists. In principle, zoonotic diseases can be controlled by isolating or destroying the pathogen's reservoirs of infection. The mass culling of animals confirmed or suspected as reservoirs for human pathogens, such as birds that harbor avian influenza, has been effective at containing possible epidemics in many parts of the world; for other pathogens, such as the ebolaviruses, the identity of the presumed natural reservoir remains obscure.

Definition and terminology

The great diversity of infectious pathogens, their possible hosts, and the ways in which their hosts respond to infection has resulted in multiple definitions for "natural reservoir", many of which are conflicting or incomplete. In a 2002 conceptual exploration published in the

Emerging Infectious Diseases, the natural reservoir of a given pathogen is defined as "one or more epidemiologically connected populations or environments in which the pathogen can be permanently maintained and from which infection is transmitted to the defined target population."[2] The target population is the population or species in which the pathogen causes disease; it is the population of interest because it has disease when infected by the pathogen (for example, humans are the target population in most medical epidemiological studies).[3]

A common criterion in other definitions distinguishes reservoirs from non-reservoirs by the degree to which the infected host shows symptoms of disease. By these definitions, a reservoir is a host that does not experience the symptoms of disease when infected by the pathogen, whereas non-reservoirs show symptoms of the disease.[4] The pathogen still feeds, grows, and reproduces inside a reservoir host, but otherwise does not significantly affect its health; the relationship between pathogen and reservoir is more or less commensal, whereas in susceptible hosts that do develop disease caused by the pathogen, the pathogen is considered parasitic.[citation needed]

What further defines a reservoir for a specific pathogen is where it can be maintained and from where it can be transmitted. A "multi-host" organism is capable of having more than one natural reservoir.[citation needed]

Types of reservoirs

Natural reservoirs can be divided into three main types: human, animal (non-human), and environmental.[1]

Human reservoirs

Human reservoirs are human beings infected by pathogens that exist on or within the human body.

sexually transmitted diseases, measles, mumps, streptococcal infection, various respiratory pathogens, and the smallpox virus.[1]

Bushmeat being prepared for cooking in Ghana, 2013. Human consumption of animals as bushmeat in equatorial Africa has caused the transmission of diseases, including Ebola, to people.[7]

Animal reservoirs

Animal (non-human) reservoirs consist of domesticated and wild animals infected by pathogens.

coccidiomycosis and salmonella.[10]

Common animal reservoirs include: bats, rodents, cows, pigs, sheep, swine, rabbits, raccoons, dogs, other mammals.[1][6]

Common animal reservoirs

Bats

Numerous zoonotic diseases have been traced back to bats.

Fruit bats in particular serve as the reservoir host for Nipah virus (NiV).[13]

Rats

Rats are known to be the reservoir hosts for a number of

zoonotic diseases. Norway rats were found to be infested with the Lyme disease spirochetes.[14] In Mexico rats are known carriers of Trypanosoma cruzi, which causes Chagas disease.[15]

Mice

White-footed mice (

Monkeys

The Zika virus originated from monkeys in Africa. In São José do Rio Preto and Belo Horizonte, Brazil the zika virus has been found in dead monkeys. Genome sequencing has revealed the virus to be very similar to the type that infects humans.[18]

Environmental reservoirs

Environmental reservoirs include living and non-living reservoirs that harbor infectious pathogens outside the bodies of animals. These reservoirs may exist on land (plants and soil), in water, or in the air.

facultative intracellular parasite which causes Legionnaires' disease, and Vibrio cholerae, which causes cholera, can both exist as free-living parasites in certain water sources as well as in invertebrate animal hosts.[1][19]

Disease transmission

A disease reservoir acts as a transmission point between a pathogen and a susceptible host.[1] Transmission can occur directly or indirectly.

Direct transmission

Direct transmission can occur from direct contact or direct droplet spread. Direct contact transmission between two people can happen through skin contact, kissing, and sexual contact. Humans serving as disease reservoirs can be symptomatic (showing illness) or asymptomatic (not showing illness), act as disease carriers, and often spread illness unknowingly. Human carriers commonly transmit disease because they do not realize they are infected, and consequently take no special precautions to prevent transmission. Symptomatic persons who are aware of their illness are not as likely to transmit infection because they take precautions to reduce possible transmission of the disease and/or seek out treatment to prevent the spread of the disease.[1] Direct droplet spread is due to solid particles or liquid droplet suspended in air for some time. Droplet spread is considered the transmission of the pathogen to a susceptible host within a meter of distance; said droplet spread can occur from coughing, sneezing, and/or just by talking.[citation needed]

  • Neisseria gonorrhoeae (Gonorrhea) is transmitted by sexual contact involving the penis, vagina, mouth, and anus through direct contact transmission.
  • Pertussis
    ) is transmitted by cough from human reservoir to susceptible host through direct droplet spread.

Indirect transmission

Indirect transmission can occur by airborne transmission, by vehicles (including fomites), and by vectors.[citation needed]

Airborne transmission is different from direct droplet spread as it is defined as disease transmission that takes place over a distance larger than a meter. Pathogens that can be transmitted through airborne sources are carried by particles such as dust or dried residue (referred to as droplet nuclei).[citation needed]

Vehicles such as food, water, blood and fomites can act as passive transmission points between reservoirs and susceptible hosts. Fomites are inanimate objects (doorknobs, medical equipment, etc.) that become contaminated by a reservoir source or someone/something that is a carrier. A vehicle, like a reservoir, may also be a favorable environment for the growth of an infectious agent, as coming into contact with a vehicle leads to its transmission.[citation needed]

Vector transmission occurs most often from insect bites from mosquitoes, flies, fleas, and ticks. There are two sub-categories of vectors: mechanical (an insect transmits the pathogen to a host without the insect itself being affected) and biological (reproduction of the pathogen occurs within the vector before the pathogen is transmitted to a host). To give a few examples, Morbillivirus (measles) is transmitted from an infected human host to a susceptible host as they are transmitted by respiration through airborne transmission. Campylobacter (campylobacteriosis) is a common bacterial infection that is spread from human or non-human reservoirs by vehicles such as contaminated food and water. Plasmodium falciparum (malaria) can be transmitted from an infected mosquito, an animal (non-human) reservoir, to human host by biological vector transmission.[citation needed]

Implications for public health

LH Taylor found that 61% of all human pathogens are classified as zoonotic.

PREDICT project are focusing on the "detection and discovery of zoonotic diseases at the wildlife-human interface."[22] There are numerous other organizations around the world experimenting with different methods to predict and identify reservoir hosts. Researchers at the University of Glasgow created a machine learning algorithm that is designed to use "viral genome sequences to predict the likely natural host for a broad spectrum of RNA viruses, the viral group that most often jumps from animals to humans."[21]

See also

References

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  7. ^ "African monkey meat that could be behind the next HIV". The Independent. May 26, 2012.
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