Spillover infection, also known as pathogen spillover and spillover event, occurs when a
reservoir
A reservoir (; ) is an enlarged lake behind a dam, usually built to water storage, store fresh water, often doubling for hydroelectric power generation.
Reservoirs are created by controlling a watercourse that drains an existing body of wa ...
population with a high
pathogen
In biology, a pathogen (, "suffering", "passion" and , "producer of"), in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a Germ theory of d ...
prevalence comes into contact with a novel host population. The pathogen is transmitted from the reservoir population and may or may not be transmitted within the host population.
Due to
climate change
Present-day climate change includes both global warming—the ongoing increase in Global surface temperature, global average temperature—and its wider effects on Earth's climate system. Climate variability and change, Climate change in ...
and land use expansion, the risk of viral spillover is predicted to significantly increase.
Spillover zoonoses
Spillover is a common event; in fact, more than two-thirds of human viruses are
zoonotic
A zoonosis (; plural zoonoses) or zoonotic disease is an infectious disease of humans caused by a pathogen (an infectious agent, such as a virus, bacterium, parasite, fungi, or prion) that can jump from a non-human vertebrate to a human. When h ...
.
Most spillover events result in self-limited cases with no further human-to-human transmission, as occurs, for example, with
rabies
Rabies is a viral disease that causes encephalitis in humans and other mammals. It was historically referred to as hydrophobia ("fear of water") because its victims panic when offered liquids to drink. Early symptoms can include fever and abn ...
,
anthrax
Anthrax is an infection caused by the bacterium '' Bacillus anthracis'' or ''Bacillus cereus'' biovar ''anthracis''. Infection typically occurs by contact with the skin, inhalation, or intestinal absorption. Symptom onset occurs between one ...
,
histoplasmosis or hydatidosis. Other zoonotic pathogens are able to be transmitted by humans to produce secondary cases and even to establish limited chains of transmission. Some examples are the
Ebola
Ebola, also known as Ebola virus disease (EVD) and Ebola hemorrhagic fever (EHF), is a viral hemorrhagic fever in humans and other primates, caused by ebolaviruses. Symptoms typically start anywhere between two days and three weeks after in ...
and Marburg filoviruses, the
MERS and
SARS coronaviruses and some avian flu viruses. Finally, some spillover events can result in the final adaptation of the microbe to humans, who can become a new stable reservoir, as occurred with the
HIV virus resulting in the
AIDS epidemic and with
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19, the respiratory illness responsible for the COVID-19 pandemic. The virus previously had the Novel coronavirus, provisional nam ...
resulting in the
COVID-19 pandemic
The COVID-19 pandemic (also known as the coronavirus pandemic and COVID pandemic), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an disease outbreak, outbreak of COVID-19 in Wuhan, China, in December ...
.
If the history of mutual adaptation is long enough, permanent host-microbe associations can be established resulting in co-evolution, and even permanent integration of the microbe genome with the human genome, as is the case of endogenous viruses. The closer the two target host species are in phylogenetic terms, the easier it is for microbes to overcome the biological barrier to produce successful spillovers.
For this reason, other
mammals
A mammal () is a vertebrate animal of the class Mammalia (). Mammals are characterised by the presence of milk-producing mammary glands for feeding their young, a broad neocortex region of the brain, fur or hair, and three middle e ...
are the main source of zoonotic agents for humans. For example, in the case of the
Ebola
Ebola, also known as Ebola virus disease (EVD) and Ebola hemorrhagic fever (EHF), is a viral hemorrhagic fever in humans and other primates, caused by ebolaviruses. Symptoms typically start anywhere between two days and three weeks after in ...
virus, fruit bats are the hypothesized zoonotic agent.
During the late 20th century, zoonotic spillover increased as the
environmental impact of agriculture promoted increased land use and
deforestation
Deforestation or forest clearance is the removal and destruction of a forest or stand of trees from land that is then converted to non-forest use. Deforestation can involve conversion of forest land to farms, ranches, or urban use. Ab ...
, changing wildlife
habitat
In ecology, habitat refers to the array of resources, biotic factors that are present in an area, such as to support the survival and reproduction of a particular species. A species' habitat can be seen as the physical manifestation of its ...
. As species shift their geographic range in response to
climate change
Present-day climate change includes both global warming—the ongoing increase in Global surface temperature, global average temperature—and its wider effects on Earth's climate system. Climate variability and change, Climate change in ...
, the risk of zoonotic spillover is predicted to substantially increase, particularly in tropical regions that are experiencing rapid warming. As forested areas of land are cleared for human use, there is increased proximity and interaction between wild animals and humans thereby increasing the potential for exposure.
Intraspecies spillover

Commercially bred
bumblebees used to pollinate greenhouses can be reservoirs for several pollinator parasites including the protozoans
''Crithidia bombi'', and ''
Apicystis bombi'',
the microsporidians ''
Nosema bombi'' and ''
Nosema ceranae'',
plus viruses such as
Deformed wing virus and the tracheal mites ''
Locustacarus buchneri''.
Commercial bees that escape the greenhouse environment may then infect wild bee populations. Infection may be via direct interactions between managed and wild bees or via shared flower use and contamination.
One study found that half of all wild bees found near greenhouses were infected with ''C. bombi''. Rates and incidence of infection decline dramatically the further away from the greenhouses where the wild bees are located. Instances of spillover between bumblebees are well documented across the world, particularly in Japan, North America, and the United Kingdom.
Causes of spillover
Zoonotic spillover is a relatively uncommon but incredibly dangerous natural phenomenon—as is evidenced by the Ebola epidemic and Coronavirus pandemic. For zoonotic spillover to occur, several important factors have to occur in tandem.
Such factors include altered ecological niches, epidemiological susceptibility, and the natural behavior of pathogens and novel host or spillover host species. By suggesting that the natural behavior of pathogens and host species impacts zoonotic spillover, simple Darwinian theories are being referenced. As with all species, a pathogen's main goal is to survive. When a stressor puts pressure on the survival of the pathogenic species, it will have to adapt to said stressor in order to survive.
For example, the ecological niche of the novel host may be subject to a lack of food which leads to a decrease in the novel host population. In order for a virus to replicate, it must invade a eukaryotic organism.
When the novel eukaryotic organism is not available for the virus to infect, it must jump to another host.
In order for the virus to make the jump to the spillover host, the spillover host must be epidemiologically susceptible to this virus. Although it is not well understood what makes one spillover host "better" than another host, it is known that the susceptibility has to do with the shedding rate of the virus, how well the virus survives and moves while not within a host, the genotypic similarities between the novel and spillover hosts, and the behavior of the spillover host that leads to contact with a high dose of the virus.
See also
*
Epidemic
An epidemic (from Greek ἐπί ''epi'' "upon or above" and δῆμος ''demos'' "people") is the rapid spread of disease to a large number of hosts in a given population within a short period of time. For example, in meningococcal infection ...
*
Infection
An infection is the invasion of tissue (biology), tissues by pathogens, their multiplication, and the reaction of host (biology), host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmis ...
*
Outbreak
In epidemiology, an outbreak is a sudden increase in occurrences of a disease when cases are in excess of normal expectancy for the location or season. It may affect a small and localized group or impact upon thousands of people across an entire ...
*
Zoonosis
A zoonosis (; plural zoonoses) or zoonotic disease is an infectious disease of humans caused by a pathogen (an infectious agent, such as a virus, bacterium, parasite, fungi, or prion) that can jump from a non-human vertebrate to a human. When ...
*
Reverse zoonosis
*
Cross-species transmission
*
List of zoonotic diseases
*
List of Legionellosis outbreaks
*
1993 Four Corners hantavirus outbreak
*
Severe acute respiratory syndrome coronavirus 2
Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19, the respiratory illness responsible for the COVID-19 pandemic. The virus previously had the Novel coronavirus, provisional nam ...
References
External links
European Center for Disease Prevention and ControlU.S. Centers for Disease Control and Prevention
Infectious Disease Society of America(IDSA)
{{Authority control
Epidemiology
Viruses
Zoonoses