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. 2019 Jan 29;34(4):303–314. doi: 10.1016/j.tree.2018.12.009

Table 1.

Examples of EC

Type Host species Disease name and causative agenta Parasite type Primary route of transmission Documented mechanisms Relevant host traitsb Strength of evidencec Refs
Superspreader Human Severe acute respiratory syndrome (SARS)/SARS-Coronavirus (F: Coronaviridae, G: Betacoronavirus) Virus Direct contact (bodily fluids); indirect contact (aerosol, close-range) High network centrality; comorbidity; high pathogen shedding St, T D [6]
Superspreader Human Ebola virus disease/Ebola virus (F: Filoviridae, G: Ebolavirus) Virus Direct contact (blood, bodily fluids) High network centrality (including postmortem); long infectious period St, T D [10]
Superspreader Human Lassa hemorrhagic fever/Lassa virus (F: Arenaviridae, G: Arenavirus) Virus Direct contact (blood, bodily fluids) High pathogen shedding St, T D [6]
Superspreader Human Measles/rubeola virus (F: Paramyxoviridae, G: Morbillivirus) Virus Direct contact (respiratory fluids); indirect contact (aerosol, close-range) High network centrality; high pathogen shedding; high exposure (travel) E, St, T D [6]
Superspreader Human Rubella (German measles)/rubella virus (F: Togaviridae, G: Rubivirus) Virus Indirect contact (aerosol, close-range) High network centrality (crowding event); high pathogen shedding E, St, T D [6]
Superspreader Human Smallpox/variola virus (F: Poxviridae, G: Orthopoxvirus) Virus Direct contact (respiratory fluids); indirect contact (aerosol, close-range) High exposure (travel); high network centrality (including postmortem); high pathogen shedding E, St, T D [6]
Superspreader Jackals (Canis mesomelas and Canis adustus) and Racoons (Procyon lotor) Rabies/rabies virus (F: Rhabdoviridae, G: Lyssavirus) Virus Direct contact (saliva) High connectivity between distant parts of contact network (nomads or dispersers) T H [59]
Superspreader Human Typhoid fever/Salmonella enterica typhi Bacterium Fecal–oral contamination; direct contact High pathogen shedding; high network centrality (food services); increased tolerance (subclinical carrier) E, St, T D [60]
Superspreader Human Tuberculosis/Mycobacterium spp. Bacterium Indirect contact (aerosol, close-range) High network centrality (crowding event); long infectious period T D [61]
Superspreader Human Mycoplasmosis/Mycoplasma pneumonia Bacterium Direct contact (bodily fluids); indirect contact (aerosol, close-range) High network centrality (crowding event); high pathogen shedding St, T D [6]
Superspreader Great Reed Warblers (Acrocephalus arundinaceus); house sparrows (Passer domesticus) Avian malaria/Plasmodium spp. and Leucocytozoon spp. Protozoan Vector (Culex and Aedes mosquitoes) Genetic markers associated with presence/absence of infection S, St H [29]
Superspreader Domestic dogs (Canis lupus familiaris) Chagas disease/Trypanosoma cruzi Protozoan Vector (Triatominae bugs) Coinfection with worms (reduced immune response) St I [62]
Superspreader Human sickle-cell gene carrier (humans); Experimental mice strains (Mus musculus) Rodent malaria/Plasmodium berghei Protozoan Vector (Anopheles mosquitoes) Increased tolerance (subclinical carrier); long infectious period S, St H [63]
Supershedder Zebra finches (Taeniopygia guttata) West Nile Virus/West Nile virus (F: Flaviviridae, G: Flavivirus) Virus Vector (mosquitoes) High pathogen shedding (attractiveness to vectors) E, St D [18]
Supershedder Human Skin infections (boils, impetigo, toxic shock syndrome, etc.)/Staphylococcus aureus Bacterium Indirect contact (aerosol, close-range); direct contact High pathogen shedding (increased air dispersal caused by rhinovirus coinfection) St, T I [64]
Supershedder Domestic cattle (Bos taurus) Gut infections (colonic escherichiosis, etc.)/Escherichia coli O157 Bacterium Indirect contact (food consumption, fomites); direct contact High pathogen shedding; genetic variation in host tissue and pathogen strain causes reduced immunity St, T D [65]
Supershedder Mice (Mus musculus) Salmonellosis/Salmonella enterica Bacterium Fecal–oral contamination, indirect contact (food consumption) Physiological (changes in intestinal microbiota) St D [66]
Supershedder Water buffalo (Bubalus bubalis) Brucellosis/Brucella abortus Bacterium Direct contact; Indirect contact (food consumption, fomites) High pathogen shedding St, T D [67]
Supertransmitter Human HIV/AIDS/Human immunodeficiency virus (F: Retroviridae, G: Lentivirus) Virus Direct contact (sexual contact, bodily fluids) High connectivity (increased no. of sexual interactions) E, T D [68]
Superblocker Crimson rosellas (Platycercus elegans) Psittacine beak and feather disease/beak and feather disease virus (F: Circoviridae, G: Circovirus) Virus Direct contact; indirect contact (fomites); vertical transmission Host genetic variation; genotype rarity predicts lower viral load S, St H [69]
Superreceiver Meerkats (Suricata suricatta) Bovine tuberculosis/Mycobacterium bovis Bacterium Direct contact; indirect contact (aerosol) High exposure (lower ranking individuals; grooming and aggression) E, S I [70]
Superattractor; Superreceiver Domestic dogs (Canis lupus familiaris) Canine leishmaniasis/Leishmania chagasi Protozoan Vector (Lutzomyia longipalpis and flies) High exposure (attractiveness to vectors) E D [5]
Superspreader; Supershedder Bank voles (Myodes glareolus) Piroplasmosis (Babesiosis)/Babesia microti Protozoan Vector (Ixodes scapularis ticks) Long infectious period; high pathogen shedding St D [71]
Superattractor; Superreceiver Human Human malaria/Plasmodium spp. Protozoan Vector (Anopheles mosquitoes) High exposure (attractiveness to vectors) E D [72]
Superreceiver; superspreader House finches (Haemorhous mexicanus) Mycoplasmosis/Mycoplasma gallisepticum Bacterium Direct contact; Indirect contact (aerosols, close-range and fomites) High network centrality (frequent common feeder use) T H [73]

Table entries were selected to demonstrate the diversity of forms of extreme competence across host–parasite systems and mechanisms and represent the strongest available examples of each host–parasite pair.

aF, Family; G, genus.

bE, exposure; S, susceptibility; St, suitability; T, transmissibility.

cD, direct evidence; H, hypothetical, EC inferred by authors of present paper; I, inferred, EC inferred by authors of original paper.