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VIII.76 - Lassa Fever

from Part VIII - Major Human Diseases Past and Present

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Recognition of Africa’s major endemic diseases of human beings was apparently well advanced by 1900. Malaria, trypanosomiasis, yellow fever, schistosomiasis, typhoid fever, brucellosis, and a long list of other afflictions had been characterized. But then, in 1969, a new member of the coterie of major endemic diseases of Africa entered the scene: Lassa fever.

The events leading to the discovery were dramatic. A nurse, Laura Wine, in a mission hospital in Lassa, Nigeria, became ill, progressed unfavorably, and died, despite the marshaling of antimalarials, antibiotics, antimicrobial agents, and supportive therapy. This death, as a statistic, would probably have been labeled “malaria” and thus been registered as such in national and World Health Organization disease records. But another nurse, Charlotte Shaw, who attended the first, also became ill. She was taken by small plane from Lassa to the Evangel Hospital in Jos, Nigeria, operated by the Sudan Interior Mission, where she died while being attended by physicians Harold White and Janet Troup, and nurse Lily Pinneo. Again, there was no firm diagnosis. Pinneo then got sick. Doctors at the hospital were thoroughly alarmed. She was evacuated, via Jos and Lagos, to America by plane, and was admitted to the College of Physicians and Surgeons at Columbia University, where she was attended by John Frame, E. Leifer, and D. J. Gocke.

The Yale Arbovirus Research Unit in New Haven, Connecticut, was alerted by Frame, who helped to get specimens for the unit. By a combination of serendipity and skill, an agent was isolated - a virus, unknown hitherto to humans. It was called “Lassa virus” (Buckley, Casals, and Downs 1970).

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Publisher: Cambridge University Press
Print publication year: 1993

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References

Auperin, David D., and McCormick, Joseph B.. 1989. Nucleotide sequence of the Lassa virus (Josiah strain) S genome RNA and amino acid sequence of the N and GPC proteins to other arenaviruses. Virology 168.CrossRefGoogle Scholar
Buckley, Sonya M., Casals, Jordi, and Downs, Wilbur G.. 1970. Isolation and antigenic characterization: Lassa virus. Nature 227.CrossRefGoogle ScholarPubMed
Downs, Wilbur G. 1975. Malaria: The great umbrella. Bulletin of the New York Academy of Medicine 51.Google ScholarPubMed
Fenner, Frank. 1976. Classification and nomenclature of viruses. Second Report of the International Committee on Taxonomy of Viruses: Intervirology 7.Google ScholarPubMed
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Johnson, Karl M., et al. 1987. Clinical virology of Lassa fever in hospitalized patients. Journal of Infectious Diseases 155.CrossRefGoogle ScholarPubMed
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McCormick, Joseph B., 1987b. A prospective study of the epidemiology and ecology of Lassa fever. Journal of Infectious Diseases 155.CrossRefGoogle Scholar
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Murphy, Fred A., and Whitfield, S. G.. 1975. Morphology and morphogenesis of arenaviruses. Bulletin of the World Health Organization 52.Google ScholarPubMed
Saltzmann, Samuel. 1978. La Fièvre de Lassa. Editions des Groupes Missionnaires. Annemasse, France.Google Scholar
Vella, Ethelwald L. 1985. Exotic new disease: A review of the emergent viral hemorrhagic fevers. United Kingdom Ministry of Defence. Section One: Lassa fever –the multimammate rat disease.Google Scholar

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  • Lassa Fever
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.138
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  • Lassa Fever
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.138
Available formats
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Save book to Google Drive

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  • Lassa Fever
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.138
Available formats
×