Chandipura virus (CHPV) is a member of the Rhabdoviridae family that is associated with an encephalitic illness, Chandipura encephalitis or Chandipura viral encephalitis, in humans. It was first identified in 1965 after isolation from the blood of two patients from Chandipura village in Maharashtra state, India and has been associated with a number of outbreaks of encephalitic illness in central India.
In India and West Africa Chandipura virus was isolated from sandflies which spread the virus.
Etymology
Chandipura virus was named after the village it was first identified in,Chandipura village in Maharashtra state, India during an outbreak of encephalitis in 1965.
Virology
Chandipura virus is an enveloped (-)ssRNA virus with an approximate genome length of ~11 kb. Viral genome codes for five polypeptides, namely, nucleocapsid protein N, phosphoprotein P, matrix protein M, glycoprotein G and large protein L in five monocistronic mRNAs. N protein encapsidates genome RNA into a nuclease-resistant form to protect in from cellular RNAse function. L and P protein together form viral RNA dependent RNA polymerase; where catalytic functions for RNA polymerization, capping and poly-A polymerase reside within the L protein and P acts as a transcriptional activator. Matrix protein glues the encapsidated genome RNA, also known as nucleocapsid, with the outer membrane envelope. G protein spikes out of the membrane and acts as a major antigenic determinant.
The viral life cycle is cytosolic. During transcription, viral polymerase synthesizes five discrete mRNAs and obeys to stop signals present at the gene boundaries. Accumulation of adequate amounts of viral proteins within infected cells through viral transcription and subsequent translation potentiate the onset of viral replicative cycle. In this phase, some L protein acts as a replicase and ignore the gene junctions to generate a polycistronic anti-genomic analogue that acts as a template for further rounds of replication to generate many more copies of the genome RNA. This progeny genome RNA upon packaging by viral proteins bud out as mature virus particles. As of 2007, the precise mechanism underlying the switch in polymerase function during viral replication remained unknown.
Human-to-human transmission is not known to occur.
Geographically, Chandipura virus human infections so far have been described only in central India; however WHO suspects it could be found in other Asian or African countries,
The case-fatality rate of untreated encephalitis syndrome is 56–75%,
Prevention and treatment
No specific treatment or vaccine is available for Chandipura virus infection, so management focuses on supportive care and prevention measures such as mosquito control. Further sporadic cases and deaths in children were observed in Gujarat state in 2004. In 2009, there were 52 positive cases, and 15 fatalities I n Maharashtra. In 2010, there were 50 positive cases and 16 fatalities in an outbreak in Gujarat in Kheda District, Vadodara District, and Panchmahal District. Between 2009 and 2011, there were 110 positive cases, and 3 fatalities. Sandfly bites were blamed for the outbreak, as they inhabit cracks in walls or parts of homes made of sand or mud. Sporadic cases appeared in Gujarat in 2014 and 2016. In 2016, a girl from Ahmedabad succumbed to the virus. In 2019, another girl from Bhayli, Vadodara succumbed to the virus.
In July 2024, the so far largest outbreak occurred, particularly affecting children in Sabarkantha district of Gujarat. The outbreak raised public health concerns due to the rapid spread and the severity of symptoms observed. At the end of July, 38 deaths caused by the virus were confirmed, and there remains a speculative death toll of 48.