SECTION I - INFECTIOUS AGENT


NAME: Lymphocytic choriomeningitis virus

SYNONYM OR CROSS REFERENCE: LCM, LCMV, lymphocytic meningitis.

CHARACTERISTICS: Arenaviridae; ssRNA, enveloped, 50-150 nm diameter.

SECTION II - HEALTH HAZARD

PATHOGENICITY: Diversity of clinical manifestations - mild influenza-like illness or occasionally, meningeal or meningoencephalomyelitic symptoms; orchitis or parotitis; usually short duration; rarely fatal and recovery from severe disease without sequelae.

EPIDEMIOLOGY: Uncommon, occurring in sporadic cases; outbreaks have occurred from infected pet hamsters or laboratory animals.

HOST RANGE: Humans, guinea pigs, hamsters, mice, monkeys.


INFECTIOUS DOSE: Unknown

MODE OF TRANSMISSION: Infected mice excrete virus in saliva, urine and feces; man is infected through virus-contaminated excrete, food, or dust.

INCUBATION PERIOD: 8-13 days; 15-21 days (meningeal symptoms).

COMMUNICABILITY: No evidence of person to person spread.

SECTION III - DISSEMINATION

RESERVOIR: House mouse (Mus musculus) - virus is harbored throughout life of mouse and transmitted to offspring which become healthy carriers; natural infections also occur in non-human primates, swine, dogs, hamsters, guinea pigs.

ZOONOSIS: Yes

VECTORS: None

SECTION IV - VIABILITY

DRUG SUSCEPTIBILITY: N/A

SUSCEPTIBILITY TO DISINFECTANTS: Susceptible to 1% sodium hypochlorite (20% commercial bleach), 2% glutaraldehyde, 70% ethanol, formaldehyde.

PHYSICAL INACTIVATION: Sensitive to heat inactivation.


SURVIVAL OUTSIDE HOST: Virus survives out of host - mice droppings.

SECTION V - MEDICAL

SURVEILLANCE: Monitor for symptoms; confirmation by virus isolation, serology.


FIRST AID/TREATMENT: No specific treatment, supportive therapy.


IMMUNIZATION: None available.


PROPHYLAXIS: None available.

SECTION VI - LABORATORY HAZARDS

LABORATORY-ACQUIRED INFECTIONS: Well documented hazard (46 cases with 5 deaths), especially from infected laboratory rodents (hamsters and mice); cases also reported arising from contaminated cell lines.

SOURCES/SPECIMENS: Blood, CSF, urine, secretions of the nasopharynx, feces; infected tissues from animals or human sources.

PRIMARY HAZARDS: Parenteral inoculation, inhalation, contamination of mucous membranes or broken skin with infected animal tissues or fluids, and exposure to infectious aerosols.

SPECIAL HAZARDS: Contaminated tissue cultures represent a potential hazard.

SECTION VII - RECOMMENDED PRECAUTIONS

CONTAINMENT REQUIREMENTS: Biosafety level 2 practices, safety, equipment and facilities for lab-adapted LCM strains; biosafety level 3 practices, safety equipment, and facilities for activities involving the manipulation of the neurotropic strains of virus and animal studies.

PROTECTIVE CLOTHING: Laboratory coat; gloves and gown with tight wrists and tic in back should be worn while working with infectious materials.

OTHER PRECAUTIONS: Special precautions when working with infected hamsters may be indicated (HEPA filtered respirator).

SECTION VIII - HANDLING INFORMATION

SPILLS: Allow aerosols to settle; wearing protective clothing, gently cover spill with paper towel and apply 1% sodium hypochlorite (20% commercial bleach), starting at perimeter and working towards the center; allow sufficient contact time before clean up (30 min).

DISPOSAL: Decontaminate before disposal-, steam sterilization, chemical disinfection, incineration.

STORAGE: In sealed containers that are appropriately labeled.

Date prepared: October 11, 1997 Prepared by- Canadian Office of Biosafety Information edited by the Colorado State University Office of Biosafety; June 16, 1998.

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