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Yellow fever

life science Maturity 11-13 Next article →

Yellow fever is a viral disease caused by the yellow fever virus (YFV). This virus belongs to the genus Orthoflavivirus and the family Flaviviridae. It is an enveloped RNA virus that is roughly 40 to 50 nanometers in width. The virus is highly significant because it is the namesake for its entire family. Yellow fever is categorized as a hemorrhagic fever, which means it can cause bleeding within the body. It primarily affects humans and other primates.

Aedes aegypti E-A-Goeldi 1905
Aedes aegypti E-A-Goeldi 1905

The infection process begins when an infected female mosquito bites a host. The virus enters the body and replicates in the lymph nodes. From there, the virus travels to the liver to infect hepatocytes, which are liver cells. During this process, the virus attaches to cell surfaces using specific receptors. The protein E helps the virus fuse with the host cell membrane. Once inside, the viral genome is released into the cytosol. The virus then replicates its RNA within the rough endoplasmic reticulum.

Aedes aegypti bloodfeeding CDC Gathany
Aedes aegypti bloodfeeding CDC Gathany

There are three distinct infectious cycles for yellow fever transmission. The urban cycle involves the Aedes aegypti mosquito, which is well-adapted to city life. This mosquito can also spread diseases like Zika and dengue. The sylvatic cycle occurs in jungles or forests. In this cycle, mosquitoes like those in the Haemagogus genus infect nonhuman primates. Finally, the savannah cycle acts as an intermediate cycle between the jungle and urban areas. This third cycle is currently the most common form of transmission in Africa.

Yellow fever Africa 2009
Yellow fever Africa 2009

History shows how the disease has moved across the globe. Yellow fever originated in Africa and reached the Americas during the 17th century. This spread occurred during the European trafficking of enslaved Africans from sub-Saharan Africa. In the 18th and 19th centuries, the disease was considered extremely dangerous. Many major epidemics swept through cities in the United States and elsewhere. Around 1900, Dr. Walter Reed proved the virus was transmitted by mosquitoes. Later, in 1927, the yellow fever virus became the first human virus to be isolated.

Yellow Fever Deaths Lafayette Cemetery 1 New Orleans
Yellow Fever Deaths Lafayette Cemetery 1 New Orleans

The impact of the disease is reflected in significant global statistics. Nearly one billion people live in regions where yellow fever is common. Approximately 90 percent of the estimated 200,000 annual cases occur in Africa. In 2013 alone, Africa saw an estimated 130,000 severe infections and 78,000 deaths. While the overall fatality rate is about 3 to 7.5 percent, the risk is higher for severe cases. For those who develop severe disease, the mortality rate can reach 20 to 50 percent.

Yellow fever South America 2009
Yellow fever South America 2009

Symptoms of the disease can vary greatly between individuals. Most people experience a mild infection lasting three to six days. Common symptoms include fever, headache, chills, back pain, and nausea. However, about 15 percent of people enter a second, toxic phase. This phase is characterized by jaundice, which is yellowing of the skin due to liver damage. Patients may also experience abdominal pain and bleeding. This bleeding can occur in the mouth, nose, eyes, or gastrointestinal tract.

Yellow fever certificate
Yellow fever certificate

Modern medicine provides several ways to manage and prevent the disease. A safe and effective vaccine is available to protect the population. Because of this, some countries require vaccination for travelers.

Yellow fever vaccination travel requirements map
Yellow fever vaccination travel requirements map

Doctors use a blood test called a polymerase chain reaction (PCR) to confirm a case. This test works by amplifying the viral genome. Since there is no specific treatment to kill the virus, medical care focuses on managing symptoms. Reducing mosquito populations is another essential method for preventing large outbreaks.

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🖼️ Images & Media (10)
File:Aedes aegypti bloodfeeding CDC Gathany.jpg
Aedes aegypti bloodfeeding CDC Gathany.jpg
File:Aedes aegypti E-A-Goeldi 1905.jpg
Aedes aegypti E-A-Goeldi 1905.jpg
File:Yellow fever certificate.JPG
Yellow fever certificate.JPG
File:Yellow fever vaccination travel requirements map.svg
Yellow fever vaccination travel...
File:Luchemos todos contra el dengue.jpg
Luchemos todos contra el dengue.jpg
File:Yellow fever Africa 2009.jpeg
Yellow fever Africa 2009.jpeg
File:Yellow fever South America 2009.jpeg
Yellow fever South America 2009.jpeg
File:Affinerie des sucres (1).JPG
Affinerie des sucres (1).JPG
File:Yellow Fever Deaths Lafayette Cemetery 1 New Orleans.jpg
Yellow Fever Deaths Lafayette Cemetery 1...
File:James Biddle to Sec Nav Thompson re deaths aboard USS Macedonian 3 August 1822 p 1.jpg
James Biddle to Sec Nav Thompson re...
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