Convergent trends and spatiotemporal patterns of Aedes-borne arboviruses in Mexico and Central America.

IF 3.8 2区 医学 Q1 Medicine PLoS Neglected Tropical Diseases Pub Date : 2023-09-06 eCollection Date: 2023-09-01 DOI:10.1371/journal.pntd.0011169
Bernardo Gutierrez, Darlan da Silva Candido, Sumali Bajaj, Abril Paulina Rodriguez Maldonado, Fabiola Garces Ayala, María de la Luz Torre Rodriguez, Adnan Araiza Rodriguez, Claudia Wong Arámbula, Ernesto Ramírez González, Irma López Martínez, José Alberto Díaz-Quiñónez, Mauricio Vázquez Pichardo, Sarah C Hill, Julien Thézé, Nuno R Faria, Oliver G Pybus, Lorena Preciado-Llanes, Arturo Reyes-Sandoval, Moritz U G Kraemer, Marina Escalera-Zamudio
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Abstract

Background: Aedes-borne arboviruses cause both seasonal epidemics and emerging outbreaks with a significant impact on global health. These viruses share mosquito vector species, often infecting the same host population within overlapping geographic regions. Thus, comparative analyses of the virus evolutionary and epidemiological dynamics across spatial and temporal scales could reveal convergent trends.

Methodology/principal findings: Focusing on Mexico as a case study, we generated novel chikungunya and dengue (CHIKV, DENV-1 and DENV-2) virus genomes from an epidemiological surveillance-derived historical sample collection, and analysed them together with longitudinally-collected genome and epidemiological data from the Americas. Aedes-borne arboviruses endemically circulating within the country were found to be introduced multiple times from lineages predominantly sampled from the Caribbean and Central America. For CHIKV, at least thirteen introductions were inferred over a year, with six of these leading to persistent transmission chains. For both DENV-1 and DENV-2, at least seven introductions were inferred over a decade.

Conclusions/significance: Our results suggest that CHIKV, DENV-1 and DENV-2 in Mexico share evolutionary and epidemiological trajectories. The southwest region of the country was determined to be the most likely location for viral introductions from abroad, with a subsequent spread into the Pacific coast towards the north of Mexico. Virus diffusion patterns observed across the country are likely driven by multiple factors, including mobility linked to human migration from Central towards North America. Considering Mexico's geographic positioning displaying a high human mobility across borders, our results prompt the need to better understand the role of anthropogenic factors in the transmission dynamics of Aedes-borne arboviruses, particularly linked to land-based human migration.

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墨西哥和中美洲伊蚊传播虫媒病毒的聚集趋势和时空模式。
背景:伊蚊传播的虫媒病毒引起季节性流行病和新发疫情,对全球健康产生重大影响。这些病毒共享蚊子媒介物种,通常在重叠的地理区域内感染同一宿主种群。因此,对病毒进化和流行病学动态在空间和时间尺度上的比较分析可以揭示趋同趋势。方法/主要发现:以墨西哥为例,我们从流行病学监测衍生的历史样本收集中生成了新的基孔肯雅病毒和登革热(CHIKV、DENV-1和DENV-2)病毒基因组,并将其与美洲纵向收集的基因组和流行病学数据一起进行了分析。在该国流行的伊蚊传播的虫媒病毒被发现是从主要来自加勒比海和中美洲的谱系中多次引入的。对于CHIKV,一年内至少推断出13种引入,其中6种导致了持久的传输链。对于DENV-1和DENV-2,在十年内至少推断出七种引入。结论/意义:我们的研究结果表明,墨西哥的CHIKV、DENV-1和DENV-2具有共同的进化和流行病学轨迹。该国西南部地区被确定为最有可能从国外引入病毒的地区,随后传播到墨西哥北部的太平洋海岸。在全国各地观察到的病毒传播模式可能是由多种因素驱动的,包括与人类从中美洲向北美迁移有关的流动性。考虑到墨西哥的地理位置显示出高度的人类跨境流动性,我们的研究结果促使我们需要更好地了解人为因素在伊蚊传播的虫媒病毒传播动态中的作用,特别是与陆地人类迁徙有关的因素。
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来源期刊
PLoS Neglected Tropical Diseases
PLoS Neglected Tropical Diseases Medicine-Infectious Diseases
CiteScore
7.40
自引率
10.50%
发文量
723
审稿时长
2-3 weeks
期刊介绍: PLOS Neglected Tropical Diseases publishes research devoted to the pathology, epidemiology, prevention, treatment and control of the neglected tropical diseases (NTDs), as well as relevant public policy. The NTDs are defined as a group of poverty-promoting chronic infectious diseases, which primarily occur in rural areas and poor urban areas of low-income and middle-income countries. Their impact on child health and development, pregnancy, and worker productivity, as well as their stigmatizing features limit economic stability. All aspects of these diseases are considered, including: Pathogenesis Clinical features Pharmacology and treatment Diagnosis Epidemiology Vector biology Vaccinology and prevention Demographic, ecological and social determinants Public health and policy aspects (including cost-effectiveness analyses).
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