
Removing rodents from a crawl space and sealing them out is only part of restoring a home. The animals leave behind droppings, urine, and nesting debris that carry bacteria and a stubborn odor, and that contamination does not clear on its own once they are gone. Sanitizing the space neutralizes what the rodents left behind, and for homes recovering from an infestation, crawl space sanitization in San Diego is the step that turns a merely cleaned-out space into a genuinely healthy one.
Attic Guard handles sanitization as part of its cleanup and exclusion work, not as extermination. The company is a cleanup and exclusion contractor, not an exterminator, and sanitization is about decontaminating the space thoroughly after the mess has been removed and the entry points have been sealed. For homeowners across San Diego County, Orange County, and southwest Riverside County, crawl space sanitization in San Diego addresses the health side of a rodent problem, the part that lingers in the air and on the surfaces long after the animals are gone.
Clearing the contaminated insulation and debris out of a crawl space is essential, but removal alone leaves bacteria and residue behind on the surfaces and in the air. Rodent droppings and urine soak into the soil and coat the wood framing, and simply hauling out the bulk material does not neutralize what has been left behind on everything the rodents touched. The space can look completely cleared and still harbor contamination that affects the health of the home above.
This is the gap sanitization fills. After the physical cleanup removes the material, sanitizing treats the surfaces to neutralize the bacteria and break down the odor that removal leaves in place. The two steps work together: cleanup takes out the mess, and sanitization decontaminates what remains. Crawl space sanitization in San Diego is what completes the job, turning a space that has merely been cleared into one that has actually been decontaminated and made safe.
As rodent droppings and urine dry, they can break into fine particles that become airborne, which is why disturbing contaminated material without proper handling and HEPA extraction is risky.
Removing contaminated material clears the bulk of the mess, but sanitizing is a separate step that neutralizes the bacteria and odor left on surfaces, so a genuinely decontaminated space needs both.
Because much of the air in a home's living space passes through the crawl space first, decontaminating the crawl space after rodents directly affects the quality of the air upstairs
The reason sanitization matters comes down to health. Rodent droppings and urine can carry bacteria and viruses, and as the waste dries, it breaks into fine particles that become airborne. Because crawl space air rises into the living space, those particles can reach the rooms above, carrying the contamination into the home. This is why disturbing rodent waste without proper handling is risky, and why professional decontamination matters.
Sanitizing addresses this problem directly by neutralizing the bacteria and removing the residue that would otherwise keep contaminating the air in the space. For households with children, older residents, or anyone with respiratory sensitivity, that decontamination is especially valuable. Crawl space sanitization in San Diego reduces the health risk a past infestation leaves behind, treating the crawl space so that the air rising into the home is clean rather than carrying the residue of the rodents that were there.

Sanitization follows the physical cleanup in a clear sequence. First the contaminated insulation, droppings, and nesting debris are carefully removed and bagged for disposal, with HEPA extraction capturing the fine particles that removal inevitably stirs up. Only then does the sanitizing begin, treating the framing, surfaces, and soil with antimicrobial products designed to neutralize bacteria and eliminate odor. The order matters, since sanitizing over uncleared debris would be far less effective.
The products and methods are carefully chosen for the crawl space environment and the specific type of contamination present. Professional-grade antimicrobial treatment reaches the surfaces that household cleaning never would, and the HEPA extraction ensures the fine particles are captured rather than redistributed. Crawl space sanitization in San Diego done professionally combines thorough removal, HEPA filtration, and antimicrobial treatment into a process that genuinely decontaminates the space rather than just wiping it down.
Sanitizing has the most lasting value when it is paired with sealing the space against the rodents' return. Decontaminating a crawl space that remains open to rodents means the contamination will simply return with the next infestation. Sanitization and rodent proofing belong together: the sanitizing neutralizes the existing contamination, and the sealing keeps new rodents from re-establishing and fouling the space again.
The payoff reaches the air throughout the home. Because so much crawl space air rises into the living space, a decontaminated, sealed crawl space means cleaner air upstairs, free of the residue and odor a past infestation leaves behind. Crawl space sanitization in San Diego, combined with cleanup and sealing, is a direct contributor to healthier indoor air, addressing a source of contamination that filters and air fresheners in the living space can only partly manage.
Homeowners sometimes see crawl space sanitization described with the shorthand DSV, which points to the layered nature of the work. The idea is to disinfect the surfaces, sanitize the space to reduce contamination to safe levels, and deodorize to eliminate the lingering smell rodents leave behind. Together these describe a process that goes beyond simply clearing debris to genuinely treating the environment the rodents contaminated.
What matters to a homeowner is the outcome rather than the label: a crawl space that has been decontaminated and deodorized, not just emptied. The bacteria are neutralized, the surfaces are treated, and the odor is broken down rather than masked. Crawl space sanitization in San Diego, whatever shorthand is used to describe it, is about restoring the space to a clean, safe, odor-free condition after rodents have fouled it, which is the real goal behind the terminology.

One of the most persistent reminders of a past rodent problem is the smell. Rodent urine and droppings produce a distinctive odor that soaks into the soil, the framing, and any porous material in the crawl space, and it does not fade quickly on its own. Because crawl space air rises into the home, that smell often reaches the living space, showing up as a musty or unpleasant odor that no amount of cleaning upstairs seems to fix.
Sanitization tackles this at the source. Removing the contaminated material takes out the bulk of the smell, and the deodorizing treatment breaks down the residue that remains, rather than covering it with fragrance. The difference is lasting: masked odors return, but neutralized ones do not. Crawl space sanitization in San Diego addresses the odor where it originates, under the floor, so the home stops carrying the scent of a rodent problem that has otherwise already been dealt with.
There is a serious health reason to leave rodent contamination to professionals rather than tackling it directly. Rodent droppings and urine can carry pathogens, and disturbing dried waste can release particles into the air where they may be inhaled. Public health guidance consistently warns against sweeping or vacuuming rodent droppings precisely because doing so makes the particles airborne. This is not a risk worth taking with household equipment and no protection.
Professional sanitization is built around safe handling. The crew uses proper protective equipment, HEPA extraction to capture airborne particles, and methods designed to avoid stirring the contamination into the air. This protects both the workers and the household. Crawl space sanitization in San Diego handled by a professional contractor means the hazardous work of decontaminating rodent waste is done safely, with the right equipment and precautions, rather than by a homeowner unaware of the risk.
Sanitization is called for whenever rodents have been active in a crawl space, even after the animals themselves are gone. A recent infestation, evidence of droppings and nesting, a lingering musty or ammonia-like smell, or a rodent problem that has just been sealed out all point toward the need to decontaminate the space. Removing the animals and sealing the entry points addresses the future, but the contamination they left behind still needs treatment.
It also fits naturally into a broader crawl space restoration. When old insulation is being removed, or a space is being cleaned and prepared for new insulation and a vapor barrier, sanitizing any rodent contamination is a logical part of the work. Crawl space sanitization in San Diego is the decontamination layer within that larger restoration, ensuring the space is not just rebuilt but genuinely clean and safe before new material goes in.
Sanitization rarely stands alone; it is one layer in restoring a crawl space that rodents have damaged. A full restoration typically removes the contaminated insulation, cleans and sanitizes the space, seals the entry points against future rodents, and then rebuilds with new insulation and moisture control. Sanitizing sits between the cleanup and the rebuild, decontaminating the space so the new work goes into a clean, safe environment rather than a contaminated one.
Handling these steps together, with one contractor treating the crawl space as a system, produces a result that lasts. The contamination is neutralized, the rodents are sealed out, and the space is rebuilt to resist the conditions that let the problem develop. Crawl space sanitization in San Diego, as part of that coordinated restoration, ensures the health side of the rodent problem is fully addressed rather than left as an afterthought once the visible mess is gone.
The core value of sanitization is protecting the people who live in the home. A rodent-contaminated crawl space is a health liability, quietly sending bacteria and residue into the air the family breathes through the floors above. Decontaminating the space removes that liability, so the air rising into the home is clean rather than carrying the residue of the infestation. For homes with children, older adults, or anyone with respiratory sensitivity, that protection is significant.
This is why sanitization is worth doing thoroughly rather than skipping once the animals are gone. The rodents are the obvious problem, but the contamination they leave is the lingering one, and it is the part that keeps affecting health after the animals are sealed out. Sanitization closes that gap, finishing the job so a past rodent problem does not keep affecting the household through the air long after the animals themselves have been dealt with.
Sanitization is the crawl space step homeowners most often overlook, usually because the space looks fine once the visible mess is gone. After the contaminated insulation is hauled out and the debris cleared, an emptied crawl space seems clean enough, and the decontamination can feel like an optional extra. That appearance is misleading, since the bacteria and residue that pose the real health risk are not something the eye can see.
Skipping the sanitizing leaves that invisible contamination in place, still capable of affecting the air in the home. It is the difference between a space that looks clean and one that is actually decontaminated. A contractor who treats sanitization as part of the standard restoration, rather than an upsell, is doing right by the homeowner's health. Sanitizing is not the glamorous part of the job, but it is the part that determines whether the space is truly safe once the work is done.
After a rodent problem, sanitization is the step that finishes the restoration and protects the health of the home. The process starts with a free inspection that assesses the contamination, the condition of the space, and what cleanup, sanitizing, and sealing are needed, all documented with photos and laid out in a written quote with no hidden fees. Financing is available for larger projects, and current specials, worth confirming, can help.
Attic Guard serves San Diego and the surrounding counties from its Escondido shop, licensed through the California State License Board (CSLB #1138505) and family owned rather than a national chain. Any homeowner recovering from a rodent problem or worried about crawl space contamination can request a free estimate by calling (858) 330-6197 to assess the space and plan the decontamination.
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| Orthohantavirus | |
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| Transmission electron micrograph of Sin Nombre virus | |
| Virus classification |
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| (unranked): | Virus |
| Realm: | Riboviria |
| Kingdom: | Orthornavirae |
| Phylum: | Negarnaviricota |
| Class: | Bunyaviricetes |
| Order: | Elliovirales |
| Family: | Hantaviridae |
| Subfamily: | Mammantavirinae |
| Genus: | Orthohantavirus |
| Species | |
| Synonyms[1] | |
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Orthohantavirus is a genus of viruses which includes all hantaviruses that cause disease in humans. Hantaviruses are naturally found primarily in rodents. In general, each hantavirus is carried by one rodent species and each rodent that carries a hantavirus carries one hantavirus species. Hantaviruses in their natural reservoirs usually cause an asymptomatic, persistent infection. In humans, however, hantaviruses cause two diseases: hemorrhagic fever with renal syndrome (HFRS) and hantavirus pulmonary syndrome (HPS). HFRS is mainly caused by hantaviruses in Africa, Asia, and Europe, called Old World hantaviruses, and HPS is usually caused by hantaviruses in the Americas, called New World hantaviruses.
Hantaviruses are transmitted mainly through aerosols and droplets that contain rodent excretions, as well as through contaminated food, bites, and scratches. Environmental factors such as rainfall, temperature, and humidity influence transmission. HFRS is marked by kidney disease with kidney swelling, excess protein in urine, and blood in urine. The case fatality rate of HFRS varies from less than 1% to 15% depending on the virus. A mild form of HFRS called nephropathia epidemica is often caused by Puumala virus and Dobrava-Belgrade virus. For HPS, initial symptoms are flu-like, with fever, headache, and muscle pain, followed by sudden respiratory failure. HPS has a higher case fatality rate than HFRS, at 30–60%. For both HFRS and HPS, illness is the result of increased vascular permeability, decreased platelet count, and overreaction of the immune system.
The hantavirus genome consists of three single-stranded negative-sense RNA segments that encode one protein each: an RNA-dependent RNA polymerase (RdRp), a spike glycoprotein precursor, and the N protein. Segments are encased in N proteins to form ribonucleoprotein (RNP) complexes that each have a copy of RdRp attached. RNP complexes are surrounded by a lipid envelope that has spike proteins emanating from its surface. Replication begins when spikes attach to the surface of cells. After entering the cell, the envelope fuses with endosomes and lysosomes, which empties RNPs into the cytoplasm. RdRp then transcribes the genome to produce messenger RNA (mRNA) for translation by host ribosomes to produce viral proteins and replicates the genome for progeny viruses. Old World hantaviruses assemble in the Golgi apparatus and obtain their envelope from it, before being transported to the cell membrane to leave the cell via exocytosis. New World hantaviruses assemble near the cell membrane and obtain their envelope from it as they leave the cell by budding from its surface.
Hantaviruses were first discovered following the Korean War. During the war, HFRS was a common ailment in soldiers stationed near the Hantan River. The first hantavirus was isolated in 1978 in South Korea and was named Hantaan virus. It was shown to be responsible for the outbreak during the war. Within a few years, other hantaviruses that cause HFRS were discovered throughout Eurasia. In 1982, the World Health Organization gave HFRS its name, and in 1987, hantaviruses were classified as a genus for the first time. In 1993, an outbreak of HPS occurred in the Four Corners region in the United States, which led to the discovery of pathogenic New World hantaviruses and the second disease caused by hantaviruses. Since then, hantaviruses have been found not just in rodents but also in moles, shrews, and bats.
Hantaviruses are sorted into Old World hantaviruses (OWHVs), which typically cause hemorrhagic fever with renal syndrome (HFRS) in Africa, Asia, and Europe, and New World hantaviruses (NWHVs) which are associated with hantavirus pulmonary syndrome (HPS) in the Americas. The case fatality rate of HFRS ranges from less than 1% to 15%, while for HPS it is 30–60%.[2][3][4][5] The severity of symptoms of HFRS varies depending on the virus: Hantaan virus causes severe HFRS, Seoul virus moderate HFRS, Puumala virus mild HFRS,[6] and Dobrava-Belgrade virus infection varies from mild to severe depending on genotype.[7] The mild form of HFRS caused by Puumala virus and Dobrava-Belgrade virus is often called nephropathia epidemica (NE).[8][9] Repeated infections of hantaviruses have not been observed, so recovering from infection likely grants life-long immunity.[10][11]
HFRS is characterized by five phases: febrile, hypotensive, low urine production (oliguria), high urine production (polyuria), and recovery. Symptoms usually occur 12–16 days after exposure to the virus.[12] Acute kidney disease occurs with kidney swelling, excess protein in urine (proteinuria), and blood in urine (hematuria). Other symptoms include headache, lower back pain, nausea, vomiting, diarrhea, bloody stool, the appearance of spots on the skin (petechiae), and hemorrhaging in the respiratory tract.[2][13] Renal failure leads to oliguria, and restoration of kidney health comes with polyuria.[2][6] Recovery typically takes a few months.[14] In more mild cases, the different phases of HFRS may be hard to distinguish,[15] or some phases may be absent, while in more severe cases, the phases may overlap.[6]
HPS is mainly caused by two viruses: Andes virus and Sin Nombre virus. The disease has three phases: prodromal (early), cardiopulmonary, and recovery. Symptoms occur about 1–8 weeks after exposure to the virus. Early symptoms include fever, headache, muscle pain, shortness of breath (dyspnea), and low platelet count (thrombocytopenia). During the cardiopulmonary phase, there is elevated heart rate (tachycardia), irregular heartbeats (arrhythmias), and cardiogenic shock. Pulmonary capillary leakage can lead to acute respiratory distress syndrome, buildup of fluids in the lungs (pulmonary edema), hypotension, and buildup of fluid in the chest cavity (pleural effusion). These symptoms can cause sudden death.[2][5][16] After the cardiopulmonary phase is resolved, recovery typically takes 3 to 6 months,[16] with polyuria. While HFRS is associated with renal disease and HPS with cardiopulmonary disease, HFRS may sometimes include cardiopulmonary symptoms associated with HPS and HPS may sometimes include renal symptoms associated with HFRS.[16][17]
Hantaviruses that cause illness in humans are mainly transmitted by rodents. In rodents, hantaviruses usually cause an asymptomatic, persistent infection. Infected animals can spread the virus to uninfected animals through aerosols or droplets from their feces, urine, saliva,[6] and blood,[18] through consumption of contaminated food, from virus particles shed from skin or fur,[19] via grooming,[5] or through biting and scratching. Hantaviruses can also spread through the fecal-oral route and across the placenta during pregnancy from mother to child. They can survive for 10 days at room temperature,[2] 15 days in a temperate environment,[8] and more than 18 days at 4 °C (39 °F), which aids in the transmission of the virus.[2] Environmental conditions favorable to the reproduction and spread of rodents are known to increase disease transmission.[3] Living in a rural environment, in unhygienic settings, and interacting with environments shared with hosts are the biggest risk factors for infection, especially among people who are hikers,[6] farmers, and forestry workers,[8] as well as those in mining, the military,[19][20] and zoology.[16]
Human-to-human transmission of Andes virus is sometimes reported. Although a systematic review of research did not find sufficient evidence of such transmission,[3] many experts consider it to be possible between close contacts while noting that ANDV is not highly transmissible.[21][22] It can reportedly spread through human saliva, airborne droplets from coughing and sneezing, and possibly to newborns through breast milk or the placenta.[2] There is also suspicion that Puumala virus can spread from person to person through blood and platelet transfusions.[23]
Hantaviruses that cause HFRS can be transmitted through the bites of mites and ticks.[24] Research has also shown that pigs can be infected with Hantaan virus without severe symptoms, and sows can transmit the virus to offspring through the placenta. Pig-to-human transmission may also be possible; one swine breeder was infected with hantavirus with no contact with rodents or mites. Hantaan virus and Puumala virus have been detected in cattle, deer, and rabbits, and antibodies to Seoul virus have been detected in cats and dogs, but the role of these hosts for hantaviruses is unknown.[2] Hantaviruses can also spread among rats kept as pets. For example, in an outbreak in North America in 2017, Seoul virus infected 31 people through contact with pet rats.[2] In addition to rodents, some hantaviruses are found in small insectivorous mammals, such as moles,[2][25] shrews, and bats.[9][16] Hantavirus antigen, indicative of infection, has also been detected in a variety of bird species.[24] Infection in other animals can potentially facilitate the evolution of hantaviruses by gene reassortment.[16]
Human built environments are important in hantavirus transmission. Deforestation and excess agriculture may destroy rodents' natural habitat.[16] The expansion of agricultural land is associated with a decline in predator populations, which enables hantavirus host species to use farm monocultures as nesting and foraging sites. Agricultural sites built in close proximity to rodents' natural habitats can facilitate the proliferation of rodents as they may be attracted to animal feed.[18][26] Sewers and stormwater drainage systems may be inhabited by rodents, especially in areas with poor solid waste management. Maritime trade and travel have also been implicated in the spread of hantaviruses.[18] Research results are inconsistent on whether urban living increases or decreases hantavirus incidence.[26] Seroprevalence, which shows past infection to hantavirus, is consistently higher in occupations and areas that have greater exposure to rodents.[22] Poor living conditions on battlefields, in military camps, and in refugee camps expose soldiers and refugees to infection.[20]
Rodent species that carry hantaviruses inhabit a diverse range of habitats, including desert-like biomes, equatorial and tropical forests, swamps, savannas, fields, and salt marshes.[18] The seroprevalence of hantaviruses in their host species has been observed to range from 5.9% to 38% in the Americas, and 3% to about 19% worldwide, depending on testing method and location.[19][27] In some places, such as South Korea, routine trapping of wild rodents is performed to surveil hantavirus circulation.[4] High humidity can benefit rodent populations in warm climates, where it may positively impact plant growth and thus food availability.[18] Increased forest coverage is associated with increased hantavirus incidence, particularly in Europe.[26]
Climate change and environmental degradation increase contact areas between rodent hosts and humans, which increases potential exposure to hantaviruses. An example of this was the 1993 Four Corners outbreak in the United States, which was immediately preceded by elevated rainfall from the 1992–1993 El Niño warming period. This caused a substantial growth in the food supply for rodents, which led to rapid growth in their population and facilitated greater spread of the hantavirus that caused that outbreak.[18][19][28]
Rainfall is consistently associated with hantavirus incidence in various patterns. Heavy rainfall is a risk factor for outbreaks in the following months,[10] but may negatively affect incidence by flooding rodent burrows and nests.[28] In places that have wet and dry seasons, infections are more common in the wet season than in the dry season.[18] Low rainfall and drought are associated with decreased incidence since such conditions result in a smaller rodent population,[28] but displacement of rodent populations via drought or flood can lead to an increase in rodent-human interactions and infections.[18] In Europe, however, no association between rainfall and disease incidence has been found.[28]
Temperature has varying effects on hantavirus transmission. Higher temperatures create unfavorable environments for virus survival and decreases activity levels of Neotropic rodents, but it can cause rodents to seek shelter from heat in human settings and is beneficial for aerosol production.[16][18] Lower temperature can prolong virus survival outside a host.[18] Higher average winter temperature is associated with reduced survival of bank voles, the natural reservoir of Puumala virus, but increased survival of striped field mice in China, the natural reservoirs of Hantaan virus.[28] Extreme temperatures, whether hot or cold, are associated with lower disease incidence.[10]
The genome of hantaviruses is segmented into three parts: the large (L), medium (M), and small (S) segments. Each part is a single-stranded negative-sense RNA strand and consists of 10,000–15,000 nucleotides in total.[5] The segments form into circles via non-covalent bonding of the ends of the genome.[29] The L segment is about 6.6 kilobases (kb) in length[19] and encodes a viral RNA-dependent RNA polymerase (RdRp), which mediates transcription and replication of viral RNA. The M segment, about 3.7 kb in length,[19] encodes a glycoprotein precursor that is co-translated and cleaved into Gn and Gc. Gn and Gc bind to cell receptors, regulate immune responses, and induce protective antibodies. The S segment is around 2.1 kb in length[19] and encodes the nucleocapsid protein N, which binds to and protects viral RNA. An open reading frame in the N gene on the S segment[30] of some orthohantaviruses also encodes the non-structural protein NS that inhibits interferon production in host cells. The untranslated regions at the ends of the genome are highly conserved and participate in the replication and transcription of the genome.[2][5][6]
Individual hantavirus particles (virions) are usually spherical, but may be oval, pleomorphic,[31] or tubular.[5] The diameter of the virion is 70–350 nanometers (nm).[19] The outer part of the virion is a lipid envelope that is about 5 nm thick. Embedded in the envelope are the surface spike glycoproteins Gn and Gc,[2] which are arranged in a lattice pattern.[19] Each surface spike is composed of a tetramer of Gn and Gc (four units each) that has four-fold rotational symmetry, and extends about 10 nm out from the envelope.[19] Gn forms the stalk of the spike and Gc the head.[5] Inside the envelope are helical nucleocapsids made of many copies of the nucleocapsid protein N, which are attached to the virus's genome to form ribonucleoprotein (RNP) complexes. Each RNP complex has a copy of RdRp attached to it.[2] Hantaviruses do not encode matrix proteins to assist with structuring the virion, so how surface proteins organize into a sphere with a symmetrical lattice is not yet known.[32]
Vascular endothelial cells and macrophages are the primary cells infected by hantaviruses.[9] Podocytes, tubular cells, dendritic cells, and lymphocytes can also be infected.[2][16] Attachment and entry into the host cell is mediated by the binding of the viral glycoprotein spikes to host cell receptors, particularly β3 integrins. Decay acceleration factors, complement receptors, and, for New World hantaviruses, protocadherin-1 have also been proposed to be involved in attachment.[16][32] After attachment, hantaviruses rely on several ways to enter a cell, including micropinocytosis, clathrin-independent receptor-mediated endocytosis and cholesterol- or caveolae-dependent endocytosis.[2][5][16] Old World hantaviruses use clathrin-dependent endocytosis while New World hantaviruses use clathrin-independent endocytosis.[16][23][33]
After entering a cell, virions form vesicles that are transported to early endosomes, then late endosomes and lysosomal compartments. A decrease in pH then causes the viral envelope to fuse with the endosome or lysosome.[19][23][33] This fusion releases viral ribonucleoprotein complexes into the cell cytoplasm, which initiates transcription and replication by RdRp.[2][16][19] RdRp transcribes viral –ssRNA into complementary positive-sense strands, then snatches 5′ ("five prime") ends of host messenger RNA (mRNA) to prepare mRNA for translation by host ribosomes to produce viral proteins.[5][19] Complementary RNA strands are also used to produce copies of the genome, which are encapsulated by N proteins to form RNPs.[2][16][19]
During virion assembly, the glycoprotein precursor is cleaved in the endoplasmic reticulum into the Gn and Gc glycoproteins by host cell signal peptidases.[2][5] Gn and Gc are modified by N-glycan chains, which stabilize the spike structure and assist in assembly in the Golgi apparatus for Old World hantaviruses[2] or at the cell membrane for New World hantaviruses.[16] Old World hantaviruses obtain their viral envelope from the Golgi apparatus and are then transported to the cell membrane in vesicles to leave the cell via exocytosis. On the other hand, New World hantavirus RNPs are transported to the cell membrane, where they bud from the surface of the cell to obtain their envelope and leave the cell.[16][19][23]
| Orthohantavirus phylogeny |
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The most common form of evolution for hantaviruses is mutations through single nucleotide substitutions, insertions, and deletions.[2] Hantaviruses are usually restricted to individual natural reservoir species and evolve alongside their hosts,[2] but this one-species-one-hantavirus relationship is not true for all hantaviruses. The exact evolutionary history of hantaviruses is likely obscured by many instances of genome reassortment, host spillover, and host-switching.[35] Within species, geography has affected the evolution of hantaviruses. For example, Hantaan virus and Seoul virus have both formed multiple lineages corresponding to their geographic distribution.[2]
Because hantaviruses have segmented genomes, they are capable of genetic recombination and reassortment in which segments from different viruses can combine to form new viruses. This occurs often in nature and facilitates the adaptation of hantaviruses to multiple hosts and ecosystems. Recombination in OWHVs of the S and M segments is usually observed amongst viruses within species, but can occur between species. Reassortment in NWHVs of the S and M segments has been observed in rodents. Among Puumala viruses isolated from rodents in 2005–2009, 19.1% of them were identified as reassortments.[2][36] Diploid progeny are also possible, in which virions may possess two of the same segment from two parent viruses.[25]
Orthohantaviruses belong to the family Hantaviridae, which contains all hantaviruses. The genus has 37 species, listed hereafter with the exemplar virus of the species. In general, species bear the name of the exemplar virus with the suffix -ense.[29][37]
Many other hantaviruses are unclassified, though some may be isolates of other viruses:[29][38]
Hantavirus hemorrhagic disease was likely first described in the Huangdi Neijing, an ancient Chinese medical text, in Imperial China during the Warring States Period of 475–221 BCE.[35] Hantaviruses have been suggested as a cause of "trench nephritis" in soldiers during the US Civil War and in British soldiers in Flanders, Belgium[35] during the First World War. The disease was also mentioned in East Asia, where it was probably endemic, and was first described scientifically in Vladivostok in 1913–1914. During the Second World War in 1942, an outbreak of disease with symptoms characteristic of hantavirus infection occurred in Salla, Eastern Lapland, Finland among German and Finnish soldiers. This outbreak was later reported in 1980 to be caused by a virus transmitted by bank voles and was named Puumala virus.[20] Also during the war, around 10,000 Japanese soldiers stationed in Manchuria developed HFRS.[6]
Around 3,200[20] cases of HFRS occurred among United Nations soldiers stationed near the Hantan River[32] during the Korean War, where it was first identified in 1951[2] and named "Korean hemorrhagic fever" and "epidemic hemorrhagic fever".[35] After the war, in 1976 in South Korea, Ho Wang Lee[14] tested striped field mice and showed that antigens from their lungs were reactive to antibodies in sera from war survivors.[35] In 1978, the virus was isolated for the first time, and in 1980, it was named Hantaan virus after the river.[13] Retrospective analysis showed that Hantaan virus was responsible for the viral outbreak during the war.[20] Other hantaviruses that caused HFRS were then discovered throughout Eurasia. The disease had a variety of names, so in 1982, the World Health Organization officially named it hemorrhagic fever with renal syndrome.[6][35] In 1985, this group of viruses were named "hantaviruses" after Hantaan virus,[31] and in 1987, the genus Hantavirus was established to accommodate them in the then-family Bunyaviridae.[1] During the 1980s, Lee and his team developed the first hantavirus vaccine, Hantavax, to prevent HFRS. The first paper on the vaccine was published in 1988, and it was licensed by the Korean government in 1990.[40]
In 1993, an outbreak of highly lethal acute respiratory distress syndrome occurred in the Four Corners region of the United States. This outbreak was determined to be caused by a hantavirus, now named Sin Nombre virus, and represented the first confirmed instance of pathogenic hantaviruses in the Americas as well as the discovery of a new type of disease caused by hantaviruses. The new disease was named hantavirus pulmonary syndrome. In subsequent years, numerous other hantaviruses were discovered in the Americas.[5][35] HFRS, however, remains much more common than HPS—more than 100,000 cases of HFRS occur each year,[26] compared to only a few hundred cases of HPS annually.[41]
Over time, hundreds of bunyaviruses were discovered but could not be accommodated within the genera of the Bunyaviridae family. To address this, in 2017 bunyaviruses were elevated to the rank of order, Bunyavirales, and hantaviruses, along with the other bunyavirus genera, were elevated to the rank of family. Hantaviruses, also called hantavirids, now also refer to members of the family Hantaviridae. The prior genus of Hantavirus was renamed Orthohantavirus to distinguish them from members of the family, and the genus's members are often called orthohantaviruses. In 2019, additional genera and subfamilies were created to classify non-rodent hantaviruses,[35] and in 2023, binomial nomenclature was adopted for hantaviruses.[2]