Emerging Infectious Diseases (Jun 2023)

Probable Transmission of SARS-CoV-2 from African Lion to Zoo Employees, Indiana, USA, 2021

  • Audrey A. Siegrist,
  • Kira L. Richardson,
  • Ria R. Ghai,
  • Brian Pope,
  • Jamie Yeadon,
  • Betsy Culp,
  • Casey Barton Behravesh,
  • Lixia Liu,
  • Jennifer A. Brown,
  • Leslie V. Boyer

DOI
https://doi.org/10.3201/eid2906.230150
Journal volume & issue
Vol. 29, no. 6
pp. 1102 – 1108

Abstract

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We describe animal-to-human transmission of SARS-CoV-2 in a zoo setting in Indiana, USA. A vaccinated African lion with physical limitations requiring hand feeding tested positive for SARS-CoV-2 after onset of respiratory signs. Zoo employees were screened, monitored prospectively for onset of symptoms, then rescreened as indicated; results were confirmed by using reverse transcription PCR and whole-genome virus sequencing when possible. Traceback investigation narrowed the source of infection to 1 of 6 persons. Three exposed employees subsequently had onset of symptoms, 2 with viral genomes identical to the lion’s. Forward contact tracing investigation confirmed probable lion-to-human transmission. Close contact with large cats is a risk factor for bidirectional zoonotic SARS-CoV-2 transmission that should be considered when occupational health and biosecurity practices at zoos are designed and implemented. SARS-CoV-2 rapid testing and detection methods for big cats and other susceptible animals should be developed and validated to enable timely implementation of One Health investigations.

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