OBJECTIVETo investigate the situation of Xinjiang hemorrhagic fever (XHF) in patients who have been diagnosed as XHF by clinical methods and to predict the condition in people who were liable to infection and in the host-animals.

METHODSSera collected from XHF patients and some peasants under the risk of contracting the disease, followed by checking the specific antibody against XHF with IgG-ELISA and IgM capture ELISA, and XHF viral antigen with antigen capture ELISA. In addition, 80 sheep/goats serums were collected from two places where there were more XHF cases and specific IgG antibody against XHF checked by ELISA method.

RESULTSPositive rate of IgG and IgM antibodies were 39.62% (21/53) and 20.75% (11/53) respectively in the serums of patients; one patient's serum showed XHFV antigen positive by antigen capture ELISA. IgG antibody positive rate for peasants' sera was 21.05% (4/19), but IgM antibody detection showed negative for all sera. In sera from 80 sheep and goats, 70% (56/80) showed IgG positive.

CONCLUSIONResults showed that XHF broke out in Bachu county from April to June 2001 while recessive infection of the disease remained serious.

Animals ; Antibodies, Viral ; blood ; Antigens, Viral ; blood ; China ; epidemiology ; Goats ; Hemorrhagic Fever Virus, Crimean-Congo ; immunology ; Hemorrhagic Fever, Crimean ; blood ; epidemiology ; virology ; Humans ; Immunoglobulin G ; blood ; Immunoglobulin M ; blood ; Mice ; Mice, Inbred BALB C ; Sheep

BACKGROUNDTo study the molecular biology of Xinjiang hemorrhagic fever (XHF) viruses, to explore its relationship with other Crimean-Congo hemorrhagic fever viruses, analyzing the epidemic origin and the tendency of geographic distribution of XHF.

METHODSThe S partial segment from the patient and tick samples collected in 2001 and 2002 was tested by RT-PCR, the positive samples were sequenced directly. The nucleotide homology of S partial segment as well as the whole segments were analyzed and the phylogenetic tree of S and M gene segments was drawn by computer.

RESULTSAll compared sequences of S partial segments from the patient and tick samples showed a high homology of nucleotide sequences. Phylogenetic tree divided all the analyzed viruses into three groups; Europe, African and Asian group. The Asian group can be divided further into another two branches: the middle Asian branch and the Chinese branch. All the Chinese isolates were clustered into one single group and was easy to be discriminated from the other isolates. The dividing of M segments seemed not completely related to the geographic origin of the viruses.

CONCLUSIONM segment classification was not consistent to the geographic distribution of the viruses. S segments analysis showed the close relationship of genetic background between the patient isolates and the tick isolates. Besides, all the Chinese isolates have the common evolution route and the gene structure characteristics displayed the regional distribution pattern.

Animals ; China ; epidemiology ; Genetic Variation ; Hemorrhagic Fever Virus, Crimean-Congo ; classification ; genetics ; isolation & purification ; Hemorrhagic Fever, Crimean ; epidemiology ; virology ; Humans ; Molecular Epidemiology ; Phylogeny ; RNA, Viral ; genetics ; Reverse Transcriptase Polymerase Chain Reaction ; Sequence Analysis, DNA ; Ticks ; virology ; Viral Proteins ; genetics