Virulence evolution

Abstract Virulence (i.e. reduction of host fitness) results from the parasite–host interaction. It can be an unselected side effect or the result of short-sighted evolution. The evolutionary theory of virulence predicts virulence by the fitness advantages for the parasite. Thereby, trade-offs among virulence level and host recovery or transmission rates are critical. This process can lead to lower, higher, or intermediate virulence, depending on conditions. Vertical transmission generally selects for lower virulence, whereas co-infection tends to increase virulence levels, also depending on genetic relatedness among the parasites. The sensitivity framework more generally addresses virulence levels in different systems; in this context, manipulation by parasites can result in significant virulence effects, especially when avoiding clearance and when effects are delayed. Different vaccination mechanisms can modify the evolution of virulence. Besides, virulence can evolve within hosts; for example, adaptation to a particular host type with serial passage attenuates virulence on other hosts.