Distribution of vectors and arboviruses, and healthcare workers' knowledge of vector-borne diseases in Armenia.

IF 1.4 4区 医学 Q4 INFECTIOUS DISEASES Journal of Infection in Developing Countries Pub Date : 2024-09-30 DOI:10.3855/jidc.18058
Lilit Babayan, Arsen Manucharyan, Lusine Paronyan, Haykuhi Vardanyan, Ruben Danielyan, Gayane Melik-Andreasyan, Jenna E Achenbach
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Abstract

Introduction: Armenia's favorable geographical and climatic conditions support mosquitoes, sandflies, and ticks that can transmit various diseases. This study aimed to determine the prevalence of these vectors and circulating arboviruses in Armenia and assess healthcare workers` knowledge of arboviral diseases.

Methodology: In 2021, we conducted fieldwork, combining morphological identification of vectors with polymerase chain reaction (PCR) analysis of pathogens to map the distribution of potential arbovirus vectors across Armenia.

Results: Our entomological surveys identified four mosquito genera-Anopheles, Aedes, Culex, and Culiseta-comprising 20 species; and 11 species of Ixodidae ticks. Culex pipiens was found in all 11 regions, while Culiseta spp. was absent in Ararat Province. PCR testing of mosquito and tick samples revealed Crimean-Congo hemorrhagic fever virus (CCHFV) in 13 tick samples, but West Nile virus (WNV) was not detected in mosquitoes. Specifically, 13 out of 525 Ixodes tick pools tested positive for CCHFV; the positive samples originated from Hyalomma marginatum ticks in Syunik's Sisian region. None of the 11 pools that contained 473 Cx. pipiens mosquitoes tested positive for WNV. Analysis of questionnaires from 499 healthcare workers showed that epidemiologists, infectious disease specialists, and family doctors had greater awareness of arboviral diseases than other specialists. However, there was a low rate of sample submission for laboratory diagnosis and confirmation.

Conclusions: The extensive presence of vectors combined with limited knowledge of arboviral diseases complicates disease understanding in Armenia. Strengthening the surveillance system through training and improved sample collection is essential for disease monitoring and public health interventions.

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亚美尼亚病媒和虫媒病毒的分布以及医护人员对病媒传播疾病的了解。
导言:亚美尼亚有利的地理和气候条件有利于蚊子、沙蝇和蜱虫传播各种疾病。本研究旨在确定亚美尼亚这些病媒和流行性虫媒病毒的流行情况,并评估医护人员对虫媒病毒疾病的了解程度:2021 年,我们进行了实地考察,结合病媒的形态鉴定和病原体的聚合酶链反应 (PCR) 分析,绘制了亚美尼亚全国潜在虫媒病毒病媒的分布图:我们的昆虫学调查确定了 4 个蚊属--按蚊、伊蚊、库蚊和库利斯蚊,共 20 个物种;以及 11 个 Ixodidae 蜱物种。所有 11 个地区都发现了库蚊,而阿拉拉特省则没有发现库蚊。对蚊子和蜱虫样本进行的 PCR 检测发现,13 个蜱虫样本中含有克里米亚-刚果出血热病毒 (CCHFV),但蚊子中未检测到西尼罗河病毒 (WNV)。具体来说,在 525 个 Ixodes 蜱虫样本中,有 13 个样本的克里米亚-刚果出血热病毒检测呈阳性;阳性样本来自叙尼克锡西安地区的 Hyalomma marginatum 蜱虫。在含有 473 只蜱蚊的 11 个池子中,没有一个对 WNV 检测呈阳性。对 499 名医护人员的问卷调查分析表明,流行病学家、传染病专家和家庭医生比其他专家更了解虫媒病毒疾病。然而,提交样本供实验室诊断和确认的比例却很低:病媒的广泛存在加上对虫媒病毒疾病的了解有限,使亚美尼亚对疾病的了解变得更加复杂。通过培训和改进样本采集来加强监测系统对疾病监测和公共卫生干预至关重要。
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来源期刊
CiteScore
3.70
自引率
5.30%
发文量
239
审稿时长
4-8 weeks
期刊介绍: The Journal of Infection in Developing Countries (JIDC) is an international journal, intended for the publication of scientific articles from Developing Countries by scientists from Developing Countries. JIDC is an independent, on-line publication with an international editorial board. JIDC is open access with no cost to view or download articles and reasonable cost for publication of research artcles, making JIDC easily availiable to scientists from resource restricted regions.
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