Table 1.

Epidemiology of viral hemorrhagic fevers (VHFs).

Family
Genus
Virus
Human Disease
Transmission Routes
Reservoir
Incubation Period
Endemic Areas
Arenaviridae   Arenavirus   Guanarito   Venezuelan HF   Rodent to human, via direct contact and by aerosolization of body fluids.   Wild rodent   7-16 days   Venezuela  
   Junin   Argentine HF   Same as above   Wild rodent   7-16 days   Argentina  
   Machupo   Bolivian HF   Same as above   Wild rodent Calomys callosus  7-16 days   Northern Bolivia  
   Sabiá   Brazilian HF   Same as above, laboratory acquired.   ?Rodent   7-16 days   Brazil  
   Lassa   Lassa fever   Same as above  Mastomys natalensis rodent   5-21 days   West Africa  
Bunyaviridae   Phlebovirus   Rift Valley Fever   Rift Valley fever   Mosquito-borne, contact with livestock, nosocomial spread   Wild and domestic mammals   2-5 days   Sub-Saharan Africa  
  Nairovirus   Crimean Congo HF   Crimean Congo HF  Hyalomma tick borne, contact with infected animals, nosocomial spread.   Hares, domestic animals, birds, ticks   3-12 days   East Europe, Africa, Middle East, China  
  Hantavirus   Hantaan   Hemorrhagic fever with renal syndrome (HFRS)   Rodent to human. Direct contact vs. aerosolization of rodent body fluids   Wild rodents   9-35 days   Worldwide, expecially in Asia (endemic China), Europe  
  Hantavirus   Puumala   HFRS   See above   See above   9-35 days   Europe  
  Hantavirus   Seoul   HFRS   See above.   See above   9-35 days   ?Worldwide  
  Hantavirus   Sin Nombre, New York-1, Bayou, Rio Mamore, Laguna Negra and others   Hantavirus pulmonary syndrome   See above   See above   7-28 days   Americas  
Filoviridae   Filovirus   Ebola   Ebola HF   Unknown   Person to person Monkey to human, Nosocomial   3-16 days   Western Sub-Saharan Africa, Philippines  
   Marburg   Marburg HF   Unknown   See above   3-16 days   Western Sub-Saharan Africa  
Flaviviridae    Dengue (types 1-4)   Dengue HF  Aedes aegypti and Ae. albopictus mosquito-borne   Monkeys, Humans   3-15 days   Worldwide. Hemorrhagic syndromes occur in Southeast Asia and Caribbean.  
   Kyasanur Forest Disease   Kyasanur Forest Disease   Ixodid tick-borne   Monkeys, rodents, shrews   3-8 days   Kamataka State, India, Pakistan  
   Omsk   Omsk Hemorrhagic Fever   Ixodid tick-borne, muskrats   Muskrat to human   3-8 days   Siberia  
   Yellow Fever   Yellow Fever   Mosquito-borne (Aedes aegypti). Amblyomma ticks (rare)   Monkeys, Humans   3-6 days   South American West and East Africa  
Family
Genus
Virus
Human Disease
Transmission Routes
Reservoir
Incubation Period
Endemic Areas
Arenaviridae   Arenavirus   Guanarito   Venezuelan HF   Rodent to human, via direct contact and by aerosolization of body fluids.   Wild rodent   7-16 days   Venezuela  
   Junin   Argentine HF   Same as above   Wild rodent   7-16 days   Argentina  
   Machupo   Bolivian HF   Same as above   Wild rodent Calomys callosus  7-16 days   Northern Bolivia  
   Sabiá   Brazilian HF   Same as above, laboratory acquired.   ?Rodent   7-16 days   Brazil  
   Lassa   Lassa fever   Same as above  Mastomys natalensis rodent   5-21 days   West Africa  
Bunyaviridae   Phlebovirus   Rift Valley Fever   Rift Valley fever   Mosquito-borne, contact with livestock, nosocomial spread   Wild and domestic mammals   2-5 days   Sub-Saharan Africa  
  Nairovirus   Crimean Congo HF   Crimean Congo HF  Hyalomma tick borne, contact with infected animals, nosocomial spread.   Hares, domestic animals, birds, ticks   3-12 days   East Europe, Africa, Middle East, China  
  Hantavirus   Hantaan   Hemorrhagic fever with renal syndrome (HFRS)   Rodent to human. Direct contact vs. aerosolization of rodent body fluids   Wild rodents   9-35 days   Worldwide, expecially in Asia (endemic China), Europe  
  Hantavirus   Puumala   HFRS   See above   See above   9-35 days   Europe  
  Hantavirus   Seoul   HFRS   See above.   See above   9-35 days   ?Worldwide  
  Hantavirus   Sin Nombre, New York-1, Bayou, Rio Mamore, Laguna Negra and others   Hantavirus pulmonary syndrome   See above   See above   7-28 days   Americas  
Filoviridae   Filovirus   Ebola   Ebola HF   Unknown   Person to person Monkey to human, Nosocomial   3-16 days   Western Sub-Saharan Africa, Philippines  
   Marburg   Marburg HF   Unknown   See above   3-16 days   Western Sub-Saharan Africa  
Flaviviridae    Dengue (types 1-4)   Dengue HF  Aedes aegypti and Ae. albopictus mosquito-borne   Monkeys, Humans   3-15 days   Worldwide. Hemorrhagic syndromes occur in Southeast Asia and Caribbean.  
   Kyasanur Forest Disease   Kyasanur Forest Disease   Ixodid tick-borne   Monkeys, rodents, shrews   3-8 days   Kamataka State, India, Pakistan  
   Omsk   Omsk Hemorrhagic Fever   Ixodid tick-borne, muskrats   Muskrat to human   3-8 days   Siberia  
   Yellow Fever   Yellow Fever   Mosquito-borne (Aedes aegypti). Amblyomma ticks (rare)   Monkeys, Humans   3-6 days   South American West and East Africa  
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