Why the study?
Enterovirus 71 causes large outbreaks of hand, foot, and mouth disease and severe neurological diseases, but its global spatiotemporal spread had not been identified.
Observational (n=635)
The study maps the global spatiotemporal transmission of EV71 over 60 years, demonstrating a shift in predominant genotypes from B to C and a geographic shift in major outbreaks from Europe and the Americas to the Asia-Pacific region.
Global EV71 spread patterns mapped; hypothesis-generating for surveillance and leaves open intervention effects.
Enterovirus 71 (EV71) can cause large outbreaks of hand, foot, and mouth disease (HFMD) and severe neurological diseases, which is regarded as a major threat to public health, especially in Asia-Pacific regions. However, the global spatiotemporal spread of this virus has not been identified. In this study, we used large sequence datasets and a Bayesian phylogenetic approach to compare the molecular epidemiology and geographical spread patterns of different EV71 subgroups globally. The study found that subgroups of HFMD presented global spatiotemporal variation, subgroups B0, B1, and B2 have caused early infections in Europe and America, and then subgroups C1, C2, C3, and C4 replaced B0-B2 as the predominant genotypes, especially in Asia-Pacific countries. The dispersal patterns of genotype B and subgroup C4 showed the complicated routes in Asia and the source might in some Asian countries, while subgroups C1 and C2 displayed more strongly supported pathways globally, especially in Europe. This study found the predominant subgroup of EV71 and its global spatiotemporal transmission patterns, which may be beneficial to reveal the long-term global spatiotemporal transmission patterns of human EV71 and carry out the HFMD vaccine development.
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Xu et al. (2021) conducted an observational in Enterovirus 71 (EV71) infection (n=635). EV71 subgroups was evaluated on Global spatiotemporal transmission patterns and evolutionary dynamics of EV71 subgroups.
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