Ebola classification: Difference between revisions

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==Overview==
==Overview==
Ebola virus can be classified into suspected and confirmed cases as well as 5 subtypes: ''Zaïre'', ''Sudan'', ''Reston'', ''Tai (Ivory Coast)'' and ''Bundibugyo''.
Ebola virus can be classified into 5 subtypes: ''Zaïre'', ''Sudan'', ''Reston'', ''Tai (Ivory Coast)'' and ''Bundibugyo'', according to the place of discovery.


==Classification==
The table below summarizes the [[ebola virus]] [[strains]] identified until now:
The table below summarizes the [[ebola virus]] [[strains]] identified until now:
{| style="border: 0px; font-size: 90%; margin: 0 18px;"
{| style="border: 0px; font-size: 90%; margin: 0 18px;"
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| style="background: #F5F5F5; padding: 5px;"| November 1989
| style="background: #F5F5F5; padding: 5px;"| November 1989
|-
|-
| style="background: #F5F5F5; padding: 5px; text-align: center;"| '''Tai Forest ebolavirus'''
| style="background: #F5F5F5; padding: 5px; text-align: center;"| '''Ivory Coast ebolavirus'''
| style="background: #DCDCDC; padding: 5px;"| Tai Forest, Ivory Coast.
| style="background: #DCDCDC; padding: 5px;"| Tai Forest, Ivory Coast.
| style="background: #F5F5F5; padding: 5px;"| November 1994
| style="background: #F5F5F5; padding: 5px;"| November 1994
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|}
|}


==Classification by Suspected vs Confirmed Case==
The standard case definition recommended by the [[WHO]]-AFRO for the notification of [[Ebola]] or [[Marburg]] cases is as follows:<ref name=WHO>{{cite web | title = Case definition recommendations for Ebola or Marburg Virus Diseases  | url = http://www.who.int/csr/resources/publications/ebola/ebola-case-definition-contact-en.pdf?ua=1 }}</ref>
====Suspected Ebola or Marburg cases for routine surveillance====
*Disease that presents with onset of [[fever]], no response to [[empiric therapy]] of [[fever]] for that region, and at least one of the following [[signs]]:
:*Bloody [[diarrhea]]
:*[[Bleeding gums]]
:*[[Subcutaneous]] [[bleeding]] ([[purpura]])
:*[[Conjunctival hemorrhage]] and [[hematuria]]
====Confirmed Ebola or Marburg cases for routine surveillance====
A suspected case with laboratory confirmation (positive [[IgM]] [[antibody]], positive [[PCR]] or [[viral]] isolation)
==Classification by Virus Type==
=====''Zaïre Ebolavirus''=====
=====''Zaïre Ebolavirus''=====
*Among the five [[strains]], ''Zaïre Ebolavirus'' carries the highest [[mortality rate]].
*Among the five [[strains]], ''Zaïre Ebolavirus'' carries the highest [[mortality rate]].
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:*It is found in the Democratic Republic of the Congo, Gabon, or the Republic of the Congo.
:*It is found in the Democratic Republic of the Congo, Gabon, or the Republic of the Congo.
:*It has a [[genome]] with two or three [[gene]] overlaps (''VP35''/''VP40'', ''GP''/''VP30'', ''VP24''/''L'').
:*It has a [[genome]] with two or three [[gene]] overlaps (''VP35''/''VP40'', ''GP''/''VP30'', ''VP24''/''L'').
:*It has a [[genomic sequence]] that differs from the type [[virus]] by less than 30%.
:*It has a [[genomic sequence]] that differs from the [[virus]] type by less than 30%.


=====''Sudan Ebolavirus''=====
=====''Sudan Ebolavirus''=====
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:*It has a [[genomic]] sequence different from ''[[Ebola virus]]'' by ≥30%, but different from that of Sudan [[virus]] by <30%.
:*It has a [[genomic]] sequence different from ''[[Ebola virus]]'' by ≥30%, but different from that of Sudan [[virus]] by <30%.


=====Reston Ebolavirus=====
=====''Reston Ebolavirus''=====
 
{{Main|Reston ebolavirus}}
 
*A [[virus]] of the [[genus]] ''[[Ebolavirus]]'' is considered member of the [[species]] ''Reston ebolavirus'' if:<ref name="KuhnBecker2010">{{cite journal|last1=Kuhn|first1=Jens H.|last2=Becker|first2=Stephan|last3=Ebihara|first3=Hideki|last4=Geisbert|first4=Thomas W.|last5=Johnson|first5=Karl M.|last6=Kawaoka|first6=Yoshihiro|last7=Lipkin|first7=W. Ian|last8=Negredo|first8=Ana I.|last9=Netesov|first9=Sergey V.|last10=Nichol|first10=Stuart T.|last11=Palacios|first11=Gustavo|last12=Peters|first12=Clarence J.|last13=Tenorio|first13=Antonio|last14=Volchkov|first14=Viktor E.|last15=Jahrling|first15=Peter B.|title=Proposal for a revised taxonomy of the family Filoviridae: classification, names of taxa and viruses, and virus abbreviations|journal=Archives of Virology|volume=155|issue=12|year=2010|pages=2083–2103|issn=0304-8608|doi=10.1007/s00705-010-0814-x}}</ref>
*A [[virus]] of the [[genus]] ''[[Ebolavirus]]'' is considered member of the [[species]] ''Reston ebolavirus'' if:<ref name="KuhnBecker2010">{{cite journal|last1=Kuhn|first1=Jens H.|last2=Becker|first2=Stephan|last3=Ebihara|first3=Hideki|last4=Geisbert|first4=Thomas W.|last5=Johnson|first5=Karl M.|last6=Kawaoka|first6=Yoshihiro|last7=Lipkin|first7=W. Ian|last8=Negredo|first8=Ana I.|last9=Netesov|first9=Sergey V.|last10=Nichol|first10=Stuart T.|last11=Palacios|first11=Gustavo|last12=Peters|first12=Clarence J.|last13=Tenorio|first13=Antonio|last14=Volchkov|first14=Viktor E.|last15=Jahrling|first15=Peter B.|title=Proposal for a revised taxonomy of the family Filoviridae: classification, names of taxa and viruses, and virus abbreviations|journal=Archives of Virology|volume=155|issue=12|year=2010|pages=2083–2103|issn=0304-8608|doi=10.1007/s00705-010-0814-x}}</ref>
:*If its [[genome]] diverges from that of the prototype ''Reston [[virus]]'', the ''Reston virus'' variant Pennsylvania, by ≤10% at the [[nucleotide]] level.
:*If its [[genome]] diverges from that of the prototype ''Reston [[virus]]'', the ''Reston virus'' variant Pennsylvania, by ≤10% at the [[nucleotide]] level.
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*A [[virus]] of the [[genus]] ''[[Ebolavirus]]'' is considered member of the [[species]] ''Tai Forest ebolavirus'' if:<ref name="KuhnBecker2010">{{cite journal|last1=Kuhn|first1=Jens H.|last2=Becker|first2=Stephan|last3=Ebihara|first3=Hideki|last4=Geisbert|first4=Thomas W.|last5=Johnson|first5=Karl M.|last6=Kawaoka|first6=Yoshihiro|last7=Lipkin|first7=W. Ian|last8=Negredo|first8=Ana I.|last9=Netesov|first9=Sergey V.|last10=Nichol|first10=Stuart T.|last11=Palacios|first11=Gustavo|last12=Peters|first12=Clarence J.|last13=Tenorio|first13=Antonio|last14=Volchkov|first14=Viktor E.|last15=Jahrling|first15=Peter B.|title=Proposal for a revised taxonomy of the family Filoviridae: classification, names of taxa and viruses, and virus abbreviations|journal=Archives of Virology|volume=155|issue=12|year=2010|pages=2083–2103|issn=0304-8608|doi=10.1007/s00705-010-0814-x}}</ref>
*A [[virus]] of the [[genus]] ''[[Ebolavirus]]'' is considered member of the [[species]] ''Tai Forest ebolavirus'' if:<ref name="KuhnBecker2010">{{cite journal|last1=Kuhn|first1=Jens H.|last2=Becker|first2=Stephan|last3=Ebihara|first3=Hideki|last4=Geisbert|first4=Thomas W.|last5=Johnson|first5=Karl M.|last6=Kawaoka|first6=Yoshihiro|last7=Lipkin|first7=W. Ian|last8=Negredo|first8=Ana I.|last9=Netesov|first9=Sergey V.|last10=Nichol|first10=Stuart T.|last11=Palacios|first11=Gustavo|last12=Peters|first12=Clarence J.|last13=Tenorio|first13=Antonio|last14=Volchkov|first14=Viktor E.|last15=Jahrling|first15=Peter B.|title=Proposal for a revised taxonomy of the family Filoviridae: classification, names of taxa and viruses, and virus abbreviations|journal=Archives of Virology|volume=155|issue=12|year=2010|pages=2083–2103|issn=0304-8608|doi=10.1007/s00705-010-0814-x}}</ref>
:*It is [[endemic]] in Côte d'Ivoire.
:*It is [[endemic]] in Côte d'Ivoire.
:*It has a [[genome]] with three [[gene]] overlaps (''[[VP35]]''/''[[VP40]]'', ''[[GP]]''/''[[VP30]]'', ''[[VP24]]''/''[[L]]'').
:*It has a [[genome]] with three [[gene]] overlaps (''VP35''/''VP40'', ''GP''/''VP30'', ''VP24''/''L'').
:*It has a [[genomic]] sequence different from ''[[Ebola virus]]'' by ≥30% but different from that of Tai Forest [[virus]] by <30%.
:*It has a [[genomic]] sequence different from ''[[Ebola virus]]'' by ≥30% but different from that of Tai Forest [[virus]] by <30%.


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[[Category:Hemorrhagic fevers]]
[[Category:Hemorrhagic fevers]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Infectious disease]]

Latest revision as of 17:37, 18 September 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Guillermo Rodriguez Nava, M.D. [2]; João André Alves Silva, M.D. [3]

Overview

Ebola virus can be classified into 5 subtypes: Zaïre, Sudan, Reston, Tai (Ivory Coast) and Bundibugyo, according to the place of discovery.

Classification

The table below summarizes the ebola virus strains identified until now:

Ebola Virus Strain Place of Discovery Date Identified
Sudan ebolavirus Nzara and Maridi, Sudan Between June and November 1976
Zaire ebolavirus Yambuku, Democratic Republic of the Congo Between August and November 1976
Reston ebolavirus Reston, Virginia, US. November 1989
Ivory Coast ebolavirus Tai Forest, Ivory Coast. November 1994
Bundibugyo ebolavirus Bundibugyo District, Uganda November 2007
Zaïre Ebolavirus
  • It is found in the Democratic Republic of the Congo, Gabon, or the Republic of the Congo.
  • It has a genome with two or three gene overlaps (VP35/VP40, GP/VP30, VP24/L).
  • It has a genomic sequence that differs from the virus type by less than 30%.
Sudan Ebolavirus
  • It is endemic in Sudan and/or Uganda.
  • It has a genome with three gene overlaps (VP35/VP40, GP/VP30, VP24/L).
  • It has a genomic sequence different from Ebola virus by ≥30%, but different from that of Sudan virus by <30%.
Reston Ebolavirus
  • If its genome diverges from that of the prototype Reston virus, the Reston virus variant Pennsylvania, by ≤10% at the nucleotide level.
Tai (Ivory Coast) Ebolavirus
  • It is endemic in Côte d'Ivoire.
  • It has a genome with three gene overlaps (VP35/VP40, GP/VP30, VP24/L).
  • It has a genomic sequence different from Ebola virus by ≥30% but different from that of Tai Forest virus by <30%.
Bundibugyo Ebolavirus
  • It is endemic in Uganda.
  • It has a genome with three gene overlaps (VP35/VP40, GP/VP30, VP24/L).
  • It has a genomic sequence different from Ebola virus by ≥30%, but different from that of Bundibugyo virus by <30%.

References

  1. 1.0 1.1 1.2 1.3 1.4 Kuhn, Jens H.; Becker, Stephan; Ebihara, Hideki; Geisbert, Thomas W.; Johnson, Karl M.; Kawaoka, Yoshihiro; Lipkin, W. Ian; Negredo, Ana I.; Netesov, Sergey V.; Nichol, Stuart T.; Palacios, Gustavo; Peters, Clarence J.; Tenorio, Antonio; Volchkov, Viktor E.; Jahrling, Peter B. (2010). "Proposal for a revised taxonomy of the family Filoviridae: classification, names of taxa and viruses, and virus abbreviations". Archives of Virology. 155 (12): 2083–2103. doi:10.1007/s00705-010-0814-x. ISSN 0304-8608.


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