2019
DOI: 10.1093/cid/ciz865
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High Risk of Influenza Virus Infection Among Swine Workers: Examining a Dynamic Cohort in China

Abstract: Background.China is thought to be a hotspot for zoonotic influenza virus emergence, yet there have been few prospective studies examining the occupational risks of such infections.Methods. We present the first 2 years of data collected from a 5-year, prospective, cohort study of swine-exposed and -unexposed participants at 6 swine farms in China. We conducted serological and virological surveillance to examine evidence for swine influenza A virus infection in humans.Results. Of the 658 participants (521 swine-… Show more

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Cited by 22 publications
(17 citation statements)
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“…Animal workers often have elevated antibodies against multiple strains of influenza A virus. Even so, sometimes the magnitude of the viral exposure (viral load) overwhelms the animal workers’ immune systems, and we see animal workers infected despite having preexisting antibodies against enzootic animal viruses [ 46 ].…”
Section: Evolutionary Perspectives On Efficient Human-to-human Transmissionmentioning
confidence: 99%
“…Animal workers often have elevated antibodies against multiple strains of influenza A virus. Even so, sometimes the magnitude of the viral exposure (viral load) overwhelms the animal workers’ immune systems, and we see animal workers infected despite having preexisting antibodies against enzootic animal viruses [ 46 ].…”
Section: Evolutionary Perspectives On Efficient Human-to-human Transmissionmentioning
confidence: 99%
“…CAFOs are some of the most conducive places on earth for the transfer of influenzas and other viruses between animals and humans, a threat to both people and pigs (Borkenhagen 2019; Wallace 2016). As genetic diversity has narrowed to the point that most of China's pigs belong to the three DLY breeds or their hybrids, their ability to fend off disease has been drastically compromised.…”
Section: Industrial Pigs In Modern Chinamentioning
confidence: 99%
“…Since the beginning of the 20th century, zoonotic spillover events have given rise to the generation of multiple, well-documented pandemic IAVs [3][4][5]. Intensification of animal husbandry, increasing encroachment into wildlife habitats for agricultural use, and increased connectivity of livestock populations through (transboundary) trade, created favorable conditions that are associated with the establishment of new IAV lineages in these reservoirs but also created new interfaces for human infections [6][7][8][9][10][11]. Some examples include the 2009 pandemic swine influenza virus [12] and an increasing number of reported zoonotic spillover infections with avian IAVs (AIVs) from poultry [13,14].…”
Section: Introductionmentioning
confidence: 99%