Emergence of rabbit haemorrhagic disease virus 2 in China in 2020
VETERINARY MEDICINE AND SCIENCE
Authors: Hu, Bo; Wei, Houjun; Fan, Zhiyu; Song, Yanhua; Chen, Mengmeng; Qiu, Rulong; Zhu, Weifeng; Xu, Weizhong; Xue, Jiabin; Wang, Fang
Abstract
Rabbit haemorrhagic disease (RHD) is an acute fatal disease caused by theLagovirusrabbit haemorrhagic disease virus (RHDV), which was first reported in 1984 in China. Strains of two different genotypes (GI.1a and GI.1c) have been detected in China to date. In 2010, a new RHDV variant with a unique genetic and antigenic profile was identified in France, designated RHDV2, which rapidly spread throughout continental Europe and nearby islands. Here, we report the first outbreak of RHD induced by RHDV2 (GI.2) in rabbit farms in the Sichuan province of China. We conducted haemagglutination tests and phylogenetic analysis of the new RHDV isolate SC2020/04, which was identified as a non-haemagglutinating strain belonging to the RHDV2 (GI.2) genogroup. Considering the serious risk of RHDV2 to the Chinese rabbit industry, the circulation of RHDV2 in the population should be carefully monitored in China.
Poorly suited heart valve prostheses heighten the plight of patients with rheumatic heart disease
INTERNATIONAL JOURNAL OF CARDIOLOGY
Authors: Scherman, Jacques; Zilla, Peter
Abstract
Rheumatic heart disease (RHD) still affects more patients globally than degenerative valve disease. The vast majority of these patients live in low- to middle-income countries. Once symptomatic, they will need heart valve surgery. Unfortunately, prosthetic valves perform poorly in these patients given their young age, the high incidence of multi-valve disease, late diagnoses and often challenging socio-economic circumstances. Notwithstanding the fact that better valve designs would ideally be available, ill-informed decision making processes between bioprosthetic and mechanical valves are contributing to the poor results. In the absence of multicentred, randomised dinical trials, comparing the current generations of bioprostheses with mechanical valves across all age groups Western guidelines tend to be unaitically applied. As a consequence, mechanical valves are being implanted into patients who are often not able to deal with anticoagulation while bioprosthetic valves may be overly shunned for fear of reoperations. Almost sixty years after the advent of cardiac surgery heart valve prostheses have eventually undergone improvements and several potentially disruptive developments are on the horizon. Until they materialise, however, choices between contemporary valve prostheses need to be made on the basis of individual risk and life-expectancy rather than an uncritical implementation of guidelines that were derived for very different patients and under distinctly different conditions. Given the fast expansion of cardiac surgery in middle-income countries and a growing number of independently operating centres in low-income countries a critical appraisal of facts underlying the choice of heart valve prostheses for patients with RHD seems opportune. (C) 2020 Elsevier B.V. All rights reserved.