Browsing by Author "Gray, Gregory C."

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    Emerging tick-borne infections in mainland China: an increasing public health threat
    (Elsevier, 2015-12) Fang, Li-Qun; Liu, Kun; Li, Xin-Lou; Liang, Song; Yang, Yang; Yao, Hong-Wu; Sun, Ruo-Xi; Sun, Ye; Chen, Wan-Jun; Zuo, Shu-Qing; Ma, Mai-Juan; Li, Hao; Jiang, Jia-Fu; Liu, Wei; Yang, X. Frank; Gray, Gregory C.; Krause, Peter J.; Cao, Wu-Chun; Department of Microbiology & Immunology, IU School of Medicine
    Since the beginning of the 1980s, 33 emerging tick-borne agents have been identified in mainland China, including eight species of spotted fever group rickettsiae, seven species in the family Anaplasmataceae, six genospecies in the complex Borrelia burgdorferi sensu lato, 11 species of Babesia, and the virus causing severe fever with thrombocytopenia syndrome. In this Review we have mapped the geographical distributions of human cases of infection. 15 of the 33 emerging tick-borne agents have been reported to cause human disease, and their clinical characteristics have been described. The non-specific clinical manifestations caused by tick-borne pathogens present a major diagnostic challenge and most physicians are unfamiliar with the many tick-borne diseases that present with non-specific symptoms in the early stages of the illness. Advances in and application of modern molecular techniques should help with identification of emerging tick-borne pathogens and improve laboratory diagnosis of human infections. We expect that more novel tick-borne infections in ticks and animals will be identified and additional emerging tick-borne diseases in human beings will be discovered.
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    Emerging viral respiratory tract infections—environmental risk factors and transmission
    (Elsevier, 2014-11) Gautret, Philippe; Gray, Gregory C.; Charrel, Remi N.; Odezulu, Nnanyelugo G.; Al-Tawfiq, Jaffar A.; Zumla, Alimuddin; Memish, Ziad A.; Medicine, School of Medicine
    The past decade has seen the emergence of several novel viruses that cause respiratory tract infections in human beings, including Middle East respiratory syndrome coronavirus (MERS-CoV) in Saudi Arabia, an H7N9 influenza A virus in eastern China, a swine-like influenza H3N2 variant virus in the USA, and a human adenovirus 14p1 also in the USA. MERS-CoV and H7N9 viruses are still a major worldwide public health concern. The pathogenesis and mode of transmission of MERS-CoV and H7N9 influenza A virus are poorly understood, making it more difficult to implement intervention and preventive measures. A united and coordinated global response is needed to tackle emerging viruses that can cause fatal respiratory tract infections and to fill major gaps in the understanding of the epidemiology and transmission dynamics of these viruses.