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Rotaviruses: From Pathogenesis to Disease Control-A Critical Review
Since their first recognition in human cases about four decades ago, rotaviruses have remained the leading cause of acute severe dehydrating diarrhea among infants and young children worldwide. The WHO prequalification of oral rotavirus vaccines (ORV) a decade ago and its introduction in many countr...
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Published in: | Viruses 2022-04, Vol.14 (5), p.875 |
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description | Since their first recognition in human cases about four decades ago, rotaviruses have remained the leading cause of acute severe dehydrating diarrhea among infants and young children worldwide. The WHO prequalification of oral rotavirus vaccines (ORV) a decade ago and its introduction in many countries have yielded a significant decline in the global burden of the disease, although not without challenges to achieving global effectiveness. Poised by the unending malady of rotavirus diarrhea and the attributable death cases in developing countries, we provide detailed insights into rotavirus biology, exposure pathways, cellular receptors and pathogenesis, host immune response, epidemiology, and vaccination. Additionally, recent developments on the various host, viral and environmental associated factors impacting ORV performance in low-and middle-income countries (LMIC) are reviewed and their significance assessed. In addition, we review the advances in nonvaccine strategies (probiotics, candidate anti-rotaviral drugs, breastfeeding) to disease prevention and management. |
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subjects | Asymptomatic Breast feeding Child Child, Preschool Developing countries Diarrhea Disease control Drug development Epidemics Epidemiology Feces Food contamination & poisoning Gastroenteritis Genetic diversity Genomes Humans Immune response Immunosuppressive agents Infant Infections LDCs Microscopy Pathogenesis Probiotics Proteins Review Rotavirus Rotavirus - genetics Rotavirus Infections - epidemiology Rotavirus Infections - prevention & control Rotavirus Vaccines - therapeutic use Toys Vaccination Vaccines Viruses |
title | Rotaviruses: From Pathogenesis to Disease Control-A Critical Review |
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