Evidence map›Paper›PMID 41398472›Full record

ArticleCommunications medicine2025

Reemergence of yellow fever virus in forest and periurban settings in Brazil.

Valnete das Graças Dantas Andrade, Talita Émile Ribeiro Adelino, Vagner Fonseca, Keldenn Melo Farias Moreno, Luiz Marcelo Ribeiro Tomé, Luiz Augusto Pereira, Debora Glenda Lima de La-Roque, Ana Maria Bispo de Filippis, Daniel Garkauskas Ramos, Dario Brock Ramalho and 24 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Vector competence acrossJournal of virology · 2026
    Review
  3. Review
  4. Article
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

34 authors.

Valnete das Graças Dantas Andrade *Laboratório Central do Estado, Secretaria de Saúde Pública, Belém, PA, Brazil.
Talita Émile Ribeiro Adelino *Fundação Ezequiel Dias, Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0002-1471-0084
Vagner Fonseca *Departamento de Ciências Exatas e da Terra, Universidade do Estado da Bahia, Salvador, BA, Brazil.ORCID http://orcid.org/0000-0001-5521-6448
Keldenn Melo Farias MorenoInstituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, MG, Brazil.
Luiz Marcelo Ribeiro ToméFundação Ezequiel Dias, Belo Horizonte, MG, Brazil.
Luiz Augusto PereiraLaboratório Central de Saúde Pública Dr Giovanni Cysneiros, Goiânia, GO, Brazil.ORCID http://orcid.org/0000-0002-2670-8512
Debora Glenda Lima de La-RoqueHemocentro de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Ana Maria Bispo de FilippisLaboratório de Arbovírus e Vírus Hemorrágicos, Instituto Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-9815-9022
Daniel Garkauskas RamosCoordenacao-Geral de Vigilância de Arboviroses, Brazilian Ministry of Health, Federal Deistrict, Brasilia, Brazil.ORCID http://orcid.org/0000-0002-7404-2209
Dario Brock RamalhoForça Nacional do SUS, Ministerio da Saude, Brasilia, Federal District, Brazil.
Kátia Cristina de Lima FurtadoSeção de Biologia Molecular I, Laboratório Central do Estado, Secretaria de Saúde Pública, Ministério da Saúde, Belém, PA, Brazil.
Gleissy Adriane Lima BorgesSeção de Biologia Molecular I, Laboratório Central do Estado, Secretaria de Saúde Pública, Ministério da Saúde, Belém, PA, Brazil.
Livia Caricio MartinsEvandro Chagas Institute, Para, Brazil.
Livia C V FrutuosoCoordenacao-Geral de Vigilância de Arboviroses, Brazilian Ministry of Health, Federal Deistrict, Brasilia, Brazil.ORCID http://orcid.org/0000-0001-7926-1075
Ludmila Oliveira LamounierFundação Ezequiel Dias, Belo Horizonte, MG, Brazil.
Natália Rocha GuimarãesFundação Ezequiel Dias, Belo Horizonte, MG, Brazil.
Patrícia Miriam Sayuri Sato BarrosDivisão de Biologia Médica, Laboratório Central do Estado, Secretaria de Saúde Pública, Belém, PA, Brazil.
Priscila Souza de AlmeidaFundação Ezequiel Dias, Belo Horizonte, MG, Brazil.
Paulo Eduardo de Souza da SilvaInstituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, MG, Brazil.
Rodrigo Giesbrecht PinheiroCoordenacao-Geral de Vigilância de Arboviroses, Brazilian Ministry of Health, Federal Deistrict, Brasilia, Brazil.
Rodrigo Guerino StabeliForça Nacional do SUS, Ministerio da Saude, Brasilia, Federal District, Brazil.
Shirley Moreira da Silva ChagasSeção de Biologia Molecular I, Laboratório Central do Estado, Secretaria de Saúde Pública, Ministério da Saúde, Belém, PA, Brazil.
Sílvia Helena Sousa Pietra PedrosoFundação Ezequiel Dias, Belo Horizonte, MG, Brazil.
Simone KashimaHemocentro de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Solange Gonçalves PenanteSeção de Biologia Molecular I, Laboratório Central do Estado, Secretaria de Saúde Pública, Ministério da Saúde, Belém, PA, Brazil.
Marília Santini de OliveiraCoordenacao-Geral de Laboratórios de Saúde Pública, Brazilian Ministry of Health, Federal Deistrict, Brasilia, Brazil.
Vinicius Lemes da SilvaLaboratório Central de Saúde Pública Dr Giovanni Cysneiros, Goiânia, GO, Brazil.
Wesley C Van VoorhisCenter for Emerging and Re-emerging Infectious Diseases (CERID), Department of Medicine, Division of Allergy & Infectious Diseases, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-6141-2015
Edward C HolmesSchool of Medical Sciences, University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-9596-3552
José LourençoBioISI (Biosystems and Integrative Sciences Institute), University of Lisbon, Lisbon, Portugal.
Felipe Campos de Melo IaniFundação Ezequiel Dias, Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0002-3629-8529
Alberto Simões Jorge JúniorLaboratório Central do Estado, Secretaria de Saúde Pública, Belém, PA, Brazil.
Marta GiovanettiSciences and Technologies for Sustainable Development and One Health, Università Campus Bio-Medico di Roma, Rome, Italy. giovanetti.marta@gmail.com.ORCID http://orcid.org/0000-0002-5849-7326
Luiz Carlos Junior AlcantaraInstituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, MG, Brazil.

Funding

University of Washington Arboviral Research Network (UWARN)U01AI151698 · NIAID · UNIVERSITY OF WASHINGTON · PI Michael Gale, PETER MACGARR RABINOWITZ · 2020 to 2026
$13.3M
NIAID NIH HHS U01 AI151698Novo Nordisk NNF24OC0094346
6 · The paper itself

Abstract

backgroundYellow fever virus remains a major public health threat in Brazil, where recent resurgence risks affecting both forest and periurban populations. Understanding viral movement across ecological settings is critical to support early detection and prevent outbreaks.

methodsWe performed genomic surveillance in two Brazilian states, a northern Amazon region and a southeastern region, between 2023 and 2025. Human and non-human primate samples were collected across forest, rural, and urban environments. Viral genomes were generated and analyzed using phylogenetic, phylogeographic, and temporal approaches to reconstruct viral transmission patterns.

resultsHere, we show evidence of continued yellow fever virus circulation and diversification in distinct ecological settings. We generate 25 genomes from humans and non-human primates, including the first human-derived genomes from the Amazon region. All genomes fall within the South American lineage. We identify one cluster in the Amazon region consistent with undetected viral persistence and reemergence, and a second cluster in the southeast associated with reintroduction followed by sustained local transmission.

conclusionsThese findings demonstrate ongoing yellow fever virus activity in Brazil, with forest regions serving as reservoirs for reemergence and periurban areas supporting continued spread. Strengthened genomic and epizootic surveillance is required to detect viral expansion early and inform targeted prevention strategies across Brazil and the Americas.

Identifiers

PMID41398472
PMCPMC12820255

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.