Portal:Viruses

Meningitis is an acute inflammation of the meninges, protective membranes covering the brain and spinal cord. Symptoms in adults include headache, fever and neck stiffness, as well as sometimes confusion or altered consciousness, vomiting, and an inability to tolerate light or loud noises. Children often show only nonspecific symptoms, such as irritability or drowsiness.

The most common cause is infection with viruses including enteroviruses, herpes simplex virus (mainly HSV-2), varicella zoster virus, mumps virus, HIV and lymphocytic choriomeningitis. In Western countries, viral meningitis occurs in around 11 people per 100,000 each year. Infection with bacteria, fungi, protozoa and parasites can also cause meningitis, and there are several non-infectious causes. Although some forms of meningitis can be life-threatening, viral meningitis is generally more benign than that caused by bacterial infection. It usually resolves spontaneously and is rarely fatal. HSV-2 can cause a chronic, recurrent form called Mollaret's meningitis.

Polymerase chain reaction of cerebrospinal fluid and identification of antibodies can be used to differentiate between viral causes. Viral meningitis typically only requires supportive therapy; meningitis caused by HSV or varicella zoster virus sometimes responds to treatment with antiviral drugs such as aciclovir. Mumps-associated meningitis can be prevented by vaccination.

The striping caused by tulip breaking virus, first described in 1576 by Carolus Clusius, was the second plant virus disease to be documented. The effects were much prized by 17th-century tulip growers.

Credit: Unknown (before 1640)

Map showing the prevalence of SARS-CoV-2 cases; black: highest prevalence; dark red to pink: decreasing prevalence; grey: no recorded cases or no data

26 February: In the ongoing pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), more than 110 million confirmed cases, including 2.5 million deaths, have been documented globally since the outbreak began in December 2019. WHO

18 February: Seven asymptomatic cases of avian influenza A subtype H5N8, the first documented H5N8 cases in humans, are reported in Astrakhan Oblast, Russia, after more than 100,0000 hens died on a poultry farm in December. WHO

14 February: Seven cases of Ebola virus disease are reported in Gouécké, south-east Guinea. WHO

7 February: A case of Ebola virus disease is detected in North Kivu Province of the Democratic Republic of the Congo. WHO

4 February: An outbreak of Rift Valley fever is ongoing in Kenya, with 32 human cases, including 11 deaths, since the outbreak started in November. WHO

21 November: The US Food and Drug Administration (FDA) gives emergency-use authorisation to casirivimab/imdevimab, a combination monoclonal antibody (mAb) therapy for non-hospitalised people twelve years and over with mild-to-moderate COVID-19, after granting emergency-use authorisation to the single mAb bamlanivimab earlier in the month. FDA 1, 2

18 November: The outbreak of Ebola virus disease in Équateur Province, Democratic Republic of the Congo, which started in June, has been declared over; a total of 130 cases were recorded, with 55 deaths. UN

Viruses and viral infections have affected human history. Epidemics caused by viruses began when human behaviour changed during the Neolithic period, around 12,000 years ago. Previously hunter-gatherers, humans developed more densely populated agricultural communities, which allowed viruses to spread rapidly and subsequently to become endemic. Viruses of plants and livestock also increased, and as humans became dependent on agriculture and farming, diseases such as potyviruses of potatoes and rinderpest of cattle had devastating consequences. Smallpox and measles viruses are among the oldest that infect humans. They first appeared in humans in Europe and North Africa thousands of years ago, having evolved from viruses that infected other animals. Influenza pandemics have been recorded since 1580.

There are an estimated 10³¹ viruses on Earth. Although scientific interest in them arose because of the diseases they cause, most viruses are beneficial. They drive evolution by transferring genes across species, play important roles in ecosystems, and are essential to life.

The West African Ebola epidemic was the most widespread outbreak of the disease to date. Beginning in Meliandou in southern Guinea in December 2013, it spread to adjacent Liberia and Sierra Leone, affecting the cities of Conakry and Monrovia, with minor outbreaks in Mali and Nigeria. Cases reached a peak in October 2014 and the epidemic was under control by late 2015, although occasional cases continued to occur into April 2016. Ring vaccination with the then-experimental vaccine rVSV-ZEBOV was trialled in Guinea.

More than 28,000 suspected cases were reported with more than 11,000 deaths; the case fatality rate was around 40% overall and around 58% in hospitalised patients. Early in the epidemic nearly 10% of the dead were healthcare workers. The outbreak left about 17,000 survivors, many of whom reported long-lasting post-recovery symptoms. Extreme poverty, dysfunctional healthcare systems, distrust of government after years of armed conflict, local burial customs of washing the body, the unprecedented spread of Ebola to densely populated cities, and the delay in response of several months all contributed to the failure to control the epidemic.

Viruses & Subviral agents: bat virome • elephant endotheliotropic herpesvirus • HIV • introduction to viruses • Playa de Oro virus • poliovirus • prion • rotavirus • virus

Diseases: colony collapse disorder • common cold • croup • dengue fever • gastroenteritis • Guillain–Barré syndrome • hepatitis B • hepatitis C • hepatitis E • herpes simplex • HIV/AIDS • influenza • meningitis • myxomatosis • polio • pneumonia • shingles • smallpox

Epidemiology & Interventions: 2007 Bernard Matthews H5N1 outbreak • Coalition for Epidemic Preparedness Innovations • Disease X • 2009 flu pandemic • HIV/AIDS in Malawi • polio vaccine • Spanish flu • West African Ebola virus epidemic

Virus–Host interactions: antibody • host • immune system • parasitism • RNA interference

Methodology: metagenomics

Social & Media: And the Band Played On • Contagion • "Flu Season" • Frank's Cock • Race Against Time: Searching for Hope in AIDS-Ravaged Africa • social history of viruses • "Steve Burdick" • "The Time Is Now" • "What Lies Below"

People: Brownie Mary • Macfarlane Burnet • Bobbi Campbell • Aniru Conteh • people with hepatitis C • HIV-positive people • Bette Korber • Henrietta Lacks • Linda Laubenstein • Barbara McClintock • poliomyelitis survivors • Joseph Sonnabend • Eli Todd • Ryan White