Human Metapneumovirus (HMPV)

Source: Live Mint
GS II: Issues relating to the development and management of Social Sector/Services relating to Health, Education, Human Resources


Overview

Human Metapneumovirus (HMPV)
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  1. News in Brief
  2. What is Human Metapneumovirus (HMPV)?
  3. Conclusion

Why in the News?

An outbreak of Human Metapneumovirus (HMPV) in China has raised alarm globally.

News in Brief

  • Several countries, including India, are monitoring the virus and its spread closely.
  • India has reported its first two cases of human metapneumovirus (HMPV) in Bengaluru, Karnataka.
  • Union Health Ministry said it is monitoring the situation through all available surveillance channels.
  • The Indian Council of Medical Research (IMCR) will continue to track trends in HMPV circulation throughout the year.
What is Human Metapneumovirus (HMPV)?

  • Human Metapneumovirus (HMPV) is a respiratory virus that was first identified in 2001.
  • It belongs to the Paramyxoviridae family and is closely related to the Respiratory Syncytial Virus (RSV).
  • HMPV causes respiratory infections in people of all age groups, but it is particularly severe in infants, older adults, and individuals with weakened immune systems.

Clinical Presentation

HMPV can cause a range of respiratory illnesses, from mild upper respiratory tract infections to severe lower respiratory infections such as bronchitis, bronchiolitis, and pneumonia. Common symptoms mirror those of other respiratory infections and include:

  • Runny Nose: Often the first sign of infection.
  • Sore Throat: Accompanied by hoarseness and discomfort.
  • Cough: Persistent and can vary in intensity.
  • Fever: Mild to moderate fever is common.
  • Wheezing: Especially in young children and the elderly.
  • Shortness of Breath: Indicative of more severe infection.
  • In severe cases, especially among high-risk groups, HMPV can lead to complications requiring hospitalization.

Transmission and Spread

  • HMPV spreads primarily through respiratory droplets when an infected person coughs or sneezes.
  • It can also be transmitted via direct contact with contaminated surfaces, followed by touching the face.
  • The virus is most active during late winter and early spring in temperate climates but can be present year-round in tropical regions.

Preventive Measures

Given the absence of a specific antiviral treatment or vaccine, prevention focuses on basic hygiene and public health measures:

  • Hand Hygiene: Frequent handwashing with soap and water.
  • Respiratory Etiquette: Covering the mouth and nose when coughing or sneezing.
  • Surface Disinfection: Regular cleaning of frequently touched surfaces.
  • Avoiding Close Contact: Particularly with individuals known to be infected.
  • Staying Home When Sick: To prevent the spread of infection.

Diagnosis and Treatment

Diagnosis of HMPV infection is confirmed through molecular techniques like Polymerase Chain Reaction (PCR) testing, which detects the viral RNA in respiratory specimens. As there is no specific antiviral treatment for HMPV, management is supportive. This includes:

  • Hydration: Ensuring adequate fluid intake.
  • Rest: Allowing the body to recover.
  • Symptomatic Relief: Using over-the-counter medications to alleviate symptoms.

In severe cases, particularly those involving respiratory distress, hospitalization may be necessary for advanced supportive care.

Conclusion

  • Human Metapneumovirus (HMPV) is a significant respiratory pathogen with a broad spectrum of clinical presentations.
  • While it shares many characteristics with other respiratory viruses, its potential for severe disease in high-risk groups makes it a critical area of study.
  • For UPSC aspirants, understanding HMPV is essential for a comprehensive grasp of public health and epidemiology.
  • By focusing on prevention, early diagnosis, and supportive care, we can effectively manage and mitigate the impact of this pervasive virus.

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