Evidence map›Paper›PMID 34515290›Full record

SynthesisThe Journal of infectious diseases2022

Evidence for Human-to-Human Transmission of Hantavirus: A Systematic Review.

Joao Toledo, Michelle M Haby, Ludovic Reveiz, Leopoldo Sosa Leon, Rodrigo Angerami, Sylvain Aldighieri

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in The Journal of infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
1.5field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Review
  6. Review
  7. Article
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  14. Human Orthohantavirus Infections: A Narrative Review.Pathogens (Basel, Switzerland) · 2026
    Review
  15. Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Joao ToledoDepartment of Health Emergencies, Pan American Health Organization, Washington, District of Columbia, USA.
Michelle M HabyDepartamento de Ciencias Químico Biológicas, Universidad de Sonora, Hermosillo, Sonora, Mexico.ORCID 0000-0001-6203-9195
Ludovic ReveizDepartment of Evidence and Intelligence for Action in Health, Pan American Health Organization, Washington, District of Columbia, USA.
Leopoldo Sosa LeonIndependent consultant, Hermosillo, Sonora, Mexico.
Rodrigo AngeramiHospital Epidemiology Section, Hospital of Clinics, State University of Campinas, Campinas, São Paulo, Brazil.
Sylvain AldighieriHospital Epidemiology Section, Hospital of Clinics, State University of Campinas, Campinas, São Paulo, Brazil.
Universidade Estadual de Campinas (UNICAMP) · BRWorld Health Organization Regional Office for the Americas · USUniversidad de Sonora · MX

Funding

NCEZID CDC HHS R43 CK000494PAHO NU50CK000494
6 · The paper itself

Abstract

backgroundHantavirus is known to be transmitted from rodents to humans. However, some reports from Argentina and Chile have claimed that the hantavirus strain Andes virus (ANDV) can cause human-to-human transmission of the disease. The aim of this systematic review was to assess the evidence for human-to-human transmission of hantavirus.

methodsWe searched PubMed (inception to 28 February 2021), Cochrane Central, Embase, LILACS and SciELO (inception to 3 July 2020), and other sources. We included studies that assessed whether interpersonal contact with a person with laboratory-confirmed hantavirus infection led to human-to-human transmission. Two reviewers conducted screening, selection, data extraction, and risk of bias assessment.

resultsTwenty-two studies met the inclusion criteria. Meta-analysis was not possible due to heterogeneity. With the exception of 1 prospective cohort study of ANDV in Chile with serious risk of bias, evidence from comparative studies (strongest level of evidence available) does not support human-to-human transmission of hantavirus infection. Noncomparative studies with a critical risk of bias suggest that human-to-human transmission of ANDV may be possible.

conclusionsThe balance of the evidence does not support the claim of human-to-human transmission of ANDV. Well-designed cohort and case-control studies that control for co-exposure to rodents are needed to inform public health recommendations.

Indexed as

Communicable DiseasesHantavirus InfectionsOrthohantavirusAnimalsHumansProspective StudiesRodentiahantavirushantavirus pulmonary syndromehealthcare-associated infectionshemorrhagic fever with renal syndromeinfectious disease transmissionoutbreaksystematic review

Identifiers

PMID34515290
PMCPMC9574657
OpenAlexW3201068058

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.