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      Epidemiological investigation of norovirus infections in Punjab, Pakistan, through the One Health approach

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          Abstract

          Introduction

          Norovirus, mainly associated with acute gastroenteritis, is very contagious and can affect a vast range of species ranging from cattle, pigs, dogs, mice, cats, sheep, and lions to humans. It is a foodborne pathogen that mainly transmits through the fecal–oral route.

          Methods

          This is the first-ever study conducted in Lahore and Sheikhupura districts of Punjab, Pakistan, to investigate noroviruses through the One Health approach. From January 2020 to September 2021, 200 fecal samples were collected from clinical cases of hospitalized patients and 200 fecal samples from sick animals at veterinary hospitals and local farms. In addition, 500 food and beverage samples were collected from street vendors and retail stores. A predesigned questionnaire was used to assess the risk factors and clinical characteristics of sick people and animals.

          Results and discussion

          Overall, 14% of the human clinical samples were positive by RT-PCR for genogroup GII. All bovine samples were negative. Food and beverage samples were tested in pools, resulting in sugarcane juice samples positive for genogroup GII. Previous contact with acute gastroenteritis patients, sex, and presence of vomiting were found to be significant risk factors ( p ≤ 0.05). The substantial number of diarrhea cases associated with noroviruses calls for additional studies to investigate the epidemiology and transmission and to improve surveillance.

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          Most cited references58

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          MEGA7: Molecular Evolutionary Genetics Analysis Version 7.0 for Bigger Datasets.

          We present the latest version of the Molecular Evolutionary Genetics Analysis (Mega) software, which contains many sophisticated methods and tools for phylogenomics and phylomedicine. In this major upgrade, Mega has been optimized for use on 64-bit computing systems for analyzing larger datasets. Researchers can now explore and analyze tens of thousands of sequences in Mega The new version also provides an advanced wizard for building timetrees and includes a new functionality to automatically predict gene duplication events in gene family trees. The 64-bit Mega is made available in two interfaces: graphical and command line. The graphical user interface (GUI) is a native Microsoft Windows application that can also be used on Mac OS X. The command line Mega is available as native applications for Windows, Linux, and Mac OS X. They are intended for use in high-throughput and scripted analysis. Both versions are available from www.megasoftware.net free of charge.
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            Estimation of the number of nucleotide substitutions in the control region of mitochondrial DNA in humans and chimpanzees.

            K Tamura, M Nei (1993)
            Examining the pattern of nucleotide substitution for the control region of mitochondrial DNA (mtDNA) in humans and chimpanzees, we developed a new mathematical method for estimating the number of transitional and transversional substitutions per site, as well as the total number of nucleotide substitutions. In this method, excess transitions, unequal nucleotide frequencies, and variation of substitution rate among different sites are all taken into account. Application of this method to human and chimpanzee data suggested that the transition/transversion ratio for the entire control region was approximately 15 and nearly the same for the two species. The 95% confidence interval of the age of the common ancestral mtDNA was estimated to be 80,000-480,000 years in humans and 0.57-2.72 Myr in common chimpanzees.
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              Updated classification of norovirus genogroups and genotypes

              Noroviruses are genetically diverse RNA viruses associated with acute gastroenteritis in mammalian hosts. Phylogenetically, they can be segregated into different genogroups as well as P (polymerase)-groups and further into genotypes and P-types based on amino acid diversity of the complete VP1 gene and nucleotide diversity of the RNA-dependent RNA polymerase (RdRp) region of ORF1, respectively. In recent years, several new noroviruses have been reported that warrant an update of the existing classification scheme. Using previously described 2× standard deviation (sd) criteria to group sequences into separate clusters, we expanded the number of genogroups to 10 (GI-GX) and the number of genotypes to 49 (9 GI, 27 GII, 3 GIII, 2 GIV, 2 GV, 2 GVI and 1 genotype each for GVII, GVIII, GIX [formerly GII.15] and GX). Viruses for which currently only one sequence is available in public databases were classified into tentative new genogroups (GNA1 and GNA2) and genotypes (GII.NA1, GII.NA2 and GIV.NA1) with their definitive assignment awaiting additional related sequences. Based on nucleotide diversity in the RdRp region, noroviruses can be divided into 60 P-types (14 GI, 37 GII, 2 GIII, 1 GIV, 2 GV, 2 GVI, 1 GVII and 1 GX), 2 tentative P-groups and 14 tentative P-types. Future classification and nomenclature updates will be based on complete genome sequences and will be coordinated and disseminated by the international norovirus classification-working group.
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                Author and article information

                Contributors
                Journal
                Front Public Health
                Front Public Health
                Front. Public Health
                Frontiers in Public Health
                Frontiers Media S.A.
                2296-2565
                14 March 2023
                2023
                : 11
                : 1065105
                Affiliations
                [1] 1Department of Epidemiology and Public Health, University of Veterinary and Animal Sciences , Lahore, Pakistan
                [2] 2Division of Environmental Health Sciences, School of Public Health, University of Minnesota , Minneapolis, MN, United States
                [3] 3Department of Virology, National Institute of Health , Islamabad, Pakistan
                [4] 4Department of Marketing, Rennes School of Business , Rennes, France
                Author notes

                Edited by: Mohiuddin Md. Taimur Khan, Washington State University Tri-Cities, United States

                Reviewed by: Muhammad Asad Ali, University of Veterinary and Animal Sciences, Pakistan; Lijuan Lu, Children's Hospital of Fudan University, China; Pathum Weerawarna, Indiana University Bloomington, United States

                *Correspondence: Muhammad Hassan Mushtaq hassan.mushtaq@ 123456uvas.edu.pk

                This article was submitted to Planetary Health, a section of the journal Frontiers in Public Health

                Article
                10.3389/fpubh.2023.1065105
                10052407
                da567dc8-63e8-4030-9e16-aa4c4124f376
                Copyright © 2023 Yasir, Mahmood, Yaqoob, Zia, Munoz-Zanzi, Alam, Warraich and Hassan Mushtaq.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 09 October 2022
                : 14 February 2023
                Page count
                Figures: 1, Tables: 1, Equations: 0, References: 58, Pages: 11, Words: 7570
                Funding
                Funded by: Higher Education Commision, Pakistan, doi 10.13039/501100010221;
                The study was conducted under the research funding provided by the Higher Education Commission (HEC) of Pakistan under the HEC-NRPU program (Grant No. 7032/Punjab/NRPU/R&D/HEC/2017).
                Categories
                Public Health
                Original Research

                diarrhea,acute gastroenteritis,one health,noroviruses,genogroup ii and iii,pakistan

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