首页 > 最新文献

IJID One Health最新文献

英文 中文
Development of a lateral-flow assay for rapid detection of parasitic nematodes 开发用于快速检测寄生线虫的侧流检测法
Pub Date : 2024-09-10 DOI: 10.1016/j.ijidoh.2024.100040
Christopher Sander, Stephan Neumann

Objectives

Wild animals kept in enclosures are exposed to an increased risk of infection with Soil-transmitted Helminth (STH) due to high animal densities and the resulting heavy contamination of the enclosures. As regular fecal examinations are necessary to monitor and maintain health, a rapid test was developed to detect STH in wildlife.

Method

The rapid test consists of two polyclonal antibodies directed against the nematode SUMO-Protein (C- & N-term). For this study, 102 fecal samples from wild boar, fallow deer, red deer and dogs were examined. The fecal samples were defined by using the sedimentation technique and then used to evaluate the developed rapid test.

Results

The sensitivity of the rapid test was 95.38 % with a specificity of 81.08 % and a accuracy of 90.2 %.

Conclusions

At this time, there is no commercial rapid test for the detection of STH. This rapid test can enable fast disease monitoring to make a decision in the field to save animals health. In addition, this rapid tests for the detection of parasites in wildlife can be crucial in the context of One Health to prevent the spread of disease within a system through monitoring, to preserve biodiversity and to improve global health security.

目的由于动物密度高,圈舍污染严重,圈养的野生动物感染土壤传播蠕虫(STH)的风险增加。由于需要定期进行粪便检查以监测和保持健康,因此开发了一种快速检测方法来检测野生动物体内的 STH。本研究共检测了 102 份野猪、秋鹿、马鹿和狗的粪便样本。结果快速检测的灵敏度为 95.38%,特异度为 81.08%,准确度为 90.2%。这种快速检测方法可以快速监测疾病,以便在现场做出决定,挽救动物的健康。此外,这种用于检测野生动物体内寄生虫的快速检测方法在 "同一健康 "背景下也至关重要,可通过监测防止疾病在系统内传播,保护生物多样性,提高全球健康安全。
{"title":"Development of a lateral-flow assay for rapid detection of parasitic nematodes","authors":"Christopher Sander,&nbsp;Stephan Neumann","doi":"10.1016/j.ijidoh.2024.100040","DOIUrl":"10.1016/j.ijidoh.2024.100040","url":null,"abstract":"<div><h3>Objectives</h3><p>Wild animals kept in enclosures are exposed to an increased risk of infection with Soil-transmitted Helminth (STH) due to high animal densities and the resulting heavy contamination of the enclosures. As regular fecal examinations are necessary to monitor and maintain health, a rapid test was developed to detect STH in wildlife.</p></div><div><h3>Method</h3><p>The rapid test consists of two polyclonal antibodies directed against the nematode SUMO-Protein (C- &amp; N-term). For this study, 102 fecal samples from wild boar, fallow deer, red deer and dogs were examined. The fecal samples were defined by using the sedimentation technique and then used to evaluate the developed rapid test.</p></div><div><h3>Results</h3><p>The sensitivity of the rapid test was 95.38 % with a specificity of 81.08 % and a accuracy of 90.2 %.</p></div><div><h3>Conclusions</h3><p>At this time, there is no commercial rapid test for the detection of STH. This rapid test can enable fast disease monitoring to make a decision in the field to save animals health. In addition, this rapid tests for the detection of parasites in wildlife can be crucial in the context of One Health to prevent the spread of disease within a system through monitoring, to preserve biodiversity and to improve global health security.</p></div>","PeriodicalId":100655,"journal":{"name":"IJID One Health","volume":"5 ","pages":"Article 100040"},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949915124000246/pdfft?md5=94e48de3557b6b5be7bca4d21fd46c2d&pid=1-s2.0-S2949915124000246-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence of exposure to West Nile virus and Usutu virus in migratory birds in Sweden 瑞典候鸟接触西尼罗河病毒和乌苏图病毒的证据
Pub Date : 2024-09-06 DOI: 10.1016/j.ijidoh.2024.100039
Jenny Olofsson , Conny Tolf , Richard Lindqvist , Yong-Dae Gwon , Sebastian Blom , Mariëlle L. van Toor , Jonas Näslund , Anders Lindström , Tobias Lilja , Patrick Chiyo , Anna K. Överby , Jonas Waldenström , Olivia Wesula Lwande

Objectives

The recent detection and expansion of West Nile virus (WNV) and Usutu virus (USUV) in the Netherlands, Germany, and Austria point to the likelihood of the viruses spreading to Northern Europe. Migratory birds and ornithophilic mosquitoes may spread these viruses to new areas. We sampled birds during the spring and autumn bird migration of 2021 in Southern Sweden to investigate the risk of the introduction of mosquito-borne zoonotic avian viruses like WNV and USUV.

Methods

We collected blood samples from 1775 birds comprising 59 species and determined the seroprevalence of WNV using a competitive enzyme-linked immunosorbent assay (ELISA). WNV and USUV belong to the Japanese encephalitis serocomplex, and antibodies against both viruses are detected in the WNV ELISA. Focus-forming assays or fluorescence-based neutralization assays were performed to verify ELISA results and to differentiate between antibodies against WNV and USUV.

Results

We found nine (0.51%) samples to be WNV-antibody-positive. Cross-neutralization experiments with WNV and USUV confirmed that seven (0.41%) had WNV-neutralizing antibodies and two (0.11%) had USUV-neutralizing antibodies. Interestingly, the two samples had neutralizing antibodies of both viruses. All samples but one with anti-flavivirus antibodies came from long-distance migrants wintering in sub-Saharan Africa. Antibodies were detected in samples taken during spring and autumn and only in adult birds.

Conclusion

The findings show that migratory birds in Sweden have been exposed to WNV and USUV.
目的最近在荷兰、德国和奥地利发现并扩大了西尼罗河病毒(WNV)和乌苏图病毒(USUV),这表明这些病毒有可能传播到北欧。候鸟和嗜鸟蚊可能会将这些病毒传播到新的地区。我们对瑞典南部 2021 年春季和秋季鸟类迁徙期间的鸟类进行了采样,以调查 WNV 和 USUV 等由蚊子传播的人畜共患禽流感病毒的传入风险。方法我们采集了 1775 只鸟类(包括 59 个物种)的血液样本,并使用竞争性酶联免疫吸附试验(ELISA)测定了 WNV 的血清流行率。WNV和USUV属于日本脑炎血清复合体,在WNV酶联免疫吸附试验中可检测到这两种病毒的抗体。为了验证 ELISA 结果并区分 WNV 和 USUV 抗体,我们进行了聚焦形成试验或荧光中和试验。WNV和USUV的交叉中和实验证实,7份样本(0.41%)具有WNV中和抗体,2份样本(0.11%)具有USUV中和抗体。有趣的是,这两个样本同时具有两种病毒的中和抗体。除一个样本外,所有具有抗黄病毒抗体的样本都来自在撒哈拉以南非洲地区过冬的长途移民。研究结果表明,瑞典的候鸟已经暴露于 WNV 和 USUV 病毒。
{"title":"Evidence of exposure to West Nile virus and Usutu virus in migratory birds in Sweden","authors":"Jenny Olofsson ,&nbsp;Conny Tolf ,&nbsp;Richard Lindqvist ,&nbsp;Yong-Dae Gwon ,&nbsp;Sebastian Blom ,&nbsp;Mariëlle L. van Toor ,&nbsp;Jonas Näslund ,&nbsp;Anders Lindström ,&nbsp;Tobias Lilja ,&nbsp;Patrick Chiyo ,&nbsp;Anna K. Överby ,&nbsp;Jonas Waldenström ,&nbsp;Olivia Wesula Lwande","doi":"10.1016/j.ijidoh.2024.100039","DOIUrl":"10.1016/j.ijidoh.2024.100039","url":null,"abstract":"<div><h3>Objectives</h3><div>The recent detection and expansion of West Nile virus (WNV) and Usutu virus (USUV) in the Netherlands, Germany, and Austria point to the likelihood of the viruses spreading to Northern Europe. Migratory birds and ornithophilic mosquitoes may spread these viruses to new areas. We sampled birds during the spring and autumn bird migration of 2021 in Southern Sweden to investigate the risk of the introduction of mosquito-borne zoonotic avian viruses like WNV and USUV.</div></div><div><h3>Methods</h3><div>We collected blood samples from 1775 birds comprising 59 species and determined the seroprevalence of WNV using a competitive enzyme-linked immunosorbent assay (ELISA). WNV and USUV belong to the Japanese encephalitis serocomplex, and antibodies against both viruses are detected in the WNV ELISA. Focus-forming assays or fluorescence-based neutralization assays were performed to verify ELISA results and to differentiate between antibodies against WNV and USUV.</div></div><div><h3>Results</h3><div>We found nine (0.51%) samples to be WNV-antibody-positive. Cross-neutralization experiments with WNV and USUV confirmed that seven (0.41%) had WNV-neutralizing antibodies and two (0.11%) had USUV-neutralizing antibodies. Interestingly, the two samples had neutralizing antibodies of both viruses. All samples but one with anti-flavivirus antibodies came from long-distance migrants wintering in sub-Saharan Africa. Antibodies were detected in samples taken during spring and autumn and only in adult birds.</div></div><div><h3>Conclusion</h3><div>The findings show that migratory birds in Sweden have been exposed to WNV and USUV.</div></div>","PeriodicalId":100655,"journal":{"name":"IJID One Health","volume":"5 ","pages":"Article 100039"},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142323940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Japanese encephalitis in swine in San Jose, Tarlac, Philippines 菲律宾塔拉克省圣何塞的猪感染日本脑炎
Pub Date : 2024-09-02 DOI: 10.1016/j.ijidoh.2024.100038
Fedelino F. Malbas Jr. , Mariko Saito-Obata , Yusuke Sayama , Nelia P. Salazar , Wilfredo E. Aure , Hazel O. Galang , Cecille L. Zuasula , Hitoshi Oshitani

Objectives

A systematic review of multidisciplinary studies on Japanese encephalitis (JE) in the Philippines indicated that endemic foci may be found in all 17 administrative regions in the country.

Methods

To establish the etiology of the disease, virus detection and seroprevalence surveys in 198 pigs were conducted in 2010–2011 in four barangays (villages) in the Municipality of San Jose, Tarlac. Prior to the present study, JE virus genotype III (JEV GIII) was recovered from the mosquito, Culex tritaeniorhynchus, in the same municipality where backyard hog-raising and wet rice cultivation were common practices among households located within 1 km radius from the paddies.

Results

JEV GIII was detected from serum and nasal swabs from pigs, 3 to 5-month-old, from barangays Pao, Moriones, and Villa Aglipay. Immunoglobulin (Ig) M and IgG were measured by enzyme-linked immunosorbent assay in pigs < 4 to > 8 months old, with an overall total of 17.2 % and 62.1 %, respectively. The presence of these antibodies in all pigs during four observation periods indicated year-round transmission starting with the rainy season, which encompasses the months of July and September 2010. IgM represented new infections. IgG increased correspondingly with age with repeated infections in older pigs. IgG levels remained high in all barangays. The number of households with any one of the markers: IgM, IgG, reverse transcription-polymerase chain reaction averaged out at 82.5 %, reflecting as it were, vulnerability to JE in barangays where all 198 pigs were examined. This report contributes to knowledge on JE, whereby incidence in humans may be linked to its epizootic spillover from pigs.

Conclusions

The study has shown that four barangays, representing a rice-farming community, supported the enzootic cycle of JE in swine, with mosquitoes previously found to be infected with JEV GIII in San Jose. Thus, infected pigs, rainfall, and proximity of human habitation to breeding sites of vector mosquitoes constituted the risk factors for JE, as it were in other endemic countries in Asia. The finding of viral RNA in nasal swabs suggests the possibility of direct transmission among pigs via the oronasal route. From the standpoint of public health, JE immunization of children and periodic surveillance of swine are recommended.
为了确定该疾病的病因,2010-2011 年在塔拉克省圣何塞市的四个乡镇对 198 头猪进行了病毒检测和血清流行率调查。在本研究之前,在同一市镇的三带喙库蚊(Culex tritaeniorhynchus)中发现了 JEV 基因型 III(JEV GIII),该市距离水稻田 1 公里半径范围内的家庭普遍采用散养生猪和湿稻种植的方式。用酶联免疫吸附法测定了 4 至 8 月龄猪的免疫球蛋白 (Ig) M 和 IgG,总比例分别为 17.2 % 和 62.1 %。在四个观察期内,所有猪只都出现了这些抗体,这表明从 2010 年 7 月至 9 月的雨季开始,全年都在传播。IgM 代表新感染。IgG 随着年龄的增长而相应增加,在年龄较大的猪中重复感染。所有镇的 IgG 水平都很高。任何一种标记物的家庭数量:IgM、IgG、反转录聚合酶链反应的平均值为 82.5%,这反映了在所有 198 头猪都接受过检查的村落中容易感染 JE 的情况。研究表明,代表水稻种植社区的四个镇支持猪 JE 的流行周期,之前在圣何塞发现蚊子感染了 JEV GIII。因此,受感染的猪、降雨量和人类居住地与病媒蚊子繁殖地的距离构成了日本脑炎的风险因素,亚洲其他流行国家的情况也是如此。在鼻拭子中发现的病毒 RNA 表明,有可能通过口鼻途径在猪之间直接传播。从公共卫生的角度来看,建议对儿童进行脊髓灰质炎免疫接种,并定期对猪进行监测。
{"title":"Japanese encephalitis in swine in San Jose, Tarlac, Philippines","authors":"Fedelino F. Malbas Jr. ,&nbsp;Mariko Saito-Obata ,&nbsp;Yusuke Sayama ,&nbsp;Nelia P. Salazar ,&nbsp;Wilfredo E. Aure ,&nbsp;Hazel O. Galang ,&nbsp;Cecille L. Zuasula ,&nbsp;Hitoshi Oshitani","doi":"10.1016/j.ijidoh.2024.100038","DOIUrl":"10.1016/j.ijidoh.2024.100038","url":null,"abstract":"<div><h3>Objectives</h3><div>A systematic review of multidisciplinary studies on Japanese encephalitis (JE) in the Philippines indicated that endemic foci may be found in all 17 administrative regions in the country.</div></div><div><h3>Methods</h3><div>To establish the etiology of the disease, virus detection and seroprevalence surveys in 198 pigs were conducted in 2010–2011 in four barangays (villages) in the Municipality of San Jose, Tarlac. Prior to the present study, JE virus genotype III (JEV GIII) was recovered from the mosquito, <em>Culex tritaeniorhynchus,</em> in the same municipality where backyard hog-raising and wet rice cultivation were common practices among households located within 1 km radius from the paddies.</div></div><div><h3>Results</h3><div>JEV GIII was detected from serum and nasal swabs from pigs, 3 to 5-month-old, from barangays Pao, Moriones, and Villa Aglipay. Immunoglobulin (Ig) M and IgG were measured by enzyme-linked immunosorbent assay in pigs &lt; 4 to &gt; 8 months old, with an overall total of 17.2 % and 62.1 %, respectively. The presence of these antibodies in all pigs during four observation periods indicated year-round transmission starting with the rainy season, which encompasses the months of July and September 2010. IgM represented new infections. IgG increased correspondingly with age with repeated infections in older pigs. IgG levels remained high in all barangays. The number of households with any one of the markers: IgM, IgG, reverse transcription-polymerase chain reaction averaged out at 82.5 %, reflecting as it were, vulnerability to JE in barangays where all 198 pigs were examined. This report contributes to knowledge on JE, whereby incidence in humans may be linked to its epizootic spillover from pigs.</div></div><div><h3>Conclusions</h3><div>The study has shown that four barangays, representing a rice-farming community, supported the enzootic cycle of JE in swine, with mosquitoes previously found to be infected with JEV GIII in San Jose. Thus, infected pigs, rainfall, and proximity of human habitation to breeding sites of vector mosquitoes constituted the risk factors for JE, as it were in other endemic countries in Asia. The finding of viral RNA in nasal swabs suggests the possibility of direct transmission among pigs via the oronasal route. From the standpoint of public health, JE immunization of children and periodic surveillance of swine are recommended.</div></div>","PeriodicalId":100655,"journal":{"name":"IJID One Health","volume":"5 ","pages":"Article 100038"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949915124000222/pdfft?md5=ea8f4628dbe272d0f7ec3179e1879a69&pid=1-s2.0-S2949915124000222-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review of fungi isolated from formalin-preserved human and animal cadavers: A potential health concern to exposed students and technicians 对从福尔马林保存的人类和动物尸体中分离出的真菌进行系统回顾:暴露于福尔马林的学生和技术人员的潜在健康问题
Pub Date : 2024-09-01 DOI: 10.1016/j.ijidoh.2024.100037
Richard Kwizera , Joan Naluzze

Fungal contamination of formalin-fixed cadavers raises potential health concerns. We aimed to systematically search published literature to explore the fungi that commonly contaminate formalin-fixed cadavers to estimate the size of the problem and all dynamics involved. Our search retrieved 20,273 citations and we retained eight descriptive cross-sectional studies that met our selection criteria, published between 2002 and 2022. The results indicate that, worldwide, there is a significant problem of fungal contamination in formalin-preserved cadavers. The majority of contaminated cadavers were human cadavers and only one citation studied animal cadavers. The formalin concentrations used in the tanks were 5–14 %. Studies mostly used swabs to collect samples and tested them using fungal culture. The fungi isolated included Aspergillus spp, Penicillium spp, Trichophyton spp, Epidermophyton spp, Cryptococcus spp, Candida spp, Fusarium spp., Purpureocellium spp, Chrysonilia spp, Trichoderma spp, Microsporum spp, and Cladosporium spp. The most suspected sources of contamination were air, water, and the bodies. Aspergillus, Trichophyton, and Penicillium species were the most common fungal contaminants isolated. Fungal contamination of cadavers can lead to financial loss and dangerous health outcomes for exposed individuals. The effective concentration of formalin remains unknown. Students/technicians should use personal protective equipment, such as face masks and gloves, while handling cadavers.

福尔马林固定尸体的真菌污染引发了潜在的健康问题。我们的目的是系统地检索已发表的文献,探讨福尔马林固定尸体常见的真菌污染,以估计问题的规模和所有相关动态。我们的搜索共检索到 20273 条引文,并保留了 8 项符合我们选择标准的描述性横断面研究,这些研究发表于 2002 年至 2022 年之间。结果表明,在全球范围内,福尔马林保存的尸体存在严重的真菌污染问题。大多数受污染的尸体都是人类尸体,只有一篇引文对动物尸体进行了研究。保存箱中使用的福尔马林浓度为 5-14%。研究大多使用拭子收集样本,并使用真菌培养法进行检测。分离出的真菌包括曲霉菌属、青霉菌属、毛霉菌属、表皮真菌属、隐球菌属、念珠菌属、镰刀菌属、紫孢子菌属、毛霉菌属、小孢子菌属和克拉多孢子菌属。曲霉、毛霉菌和青霉菌是最常见的真菌污染物。尸体真菌污染可导致经济损失,并对接触者的健康造成危害。福尔马林的有效浓度仍然未知。学生/技术人员在处理尸体时应使用个人防护设备,如口罩和手套。
{"title":"A systematic review of fungi isolated from formalin-preserved human and animal cadavers: A potential health concern to exposed students and technicians","authors":"Richard Kwizera ,&nbsp;Joan Naluzze","doi":"10.1016/j.ijidoh.2024.100037","DOIUrl":"10.1016/j.ijidoh.2024.100037","url":null,"abstract":"<div><p>Fungal contamination of formalin-fixed cadavers raises potential health concerns. We aimed to systematically search published literature to explore the fungi that commonly contaminate formalin-fixed cadavers to estimate the size of the problem and all dynamics involved. Our search retrieved 20,273 citations and we retained eight descriptive cross-sectional studies that met our selection criteria, published between 2002 and 2022. The results indicate that, worldwide, there is a significant problem of fungal contamination in formalin-preserved cadavers. The majority of contaminated cadavers were human cadavers and only one citation studied animal cadavers. The formalin concentrations used in the tanks were 5–14 %. Studies mostly used swabs to collect samples and tested them using fungal culture. The fungi isolated included <em>Aspergillus spp, Penicillium spp, Trichophyton spp, Epidermophyton spp, Cryptococcus spp, Candida spp, Fusarium spp., Purpureocellium spp, Chrysonilia spp, Trichoderma spp, Microsporum spp,</em> and <em>Cladosporium spp</em>. The most suspected sources of contamination were air, water, and the bodies. <em>Aspergillus, Trichophyton</em>, and <em>Penicillium</em> species were the most common fungal contaminants isolated. Fungal contamination of cadavers can lead to financial loss and dangerous health outcomes for exposed individuals. The effective concentration of formalin remains unknown. Students/technicians should use personal protective equipment, such as face masks and gloves, while handling cadavers.</p></div>","PeriodicalId":100655,"journal":{"name":"IJID One Health","volume":"4 ","pages":"Article 100037"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949915124000210/pdfft?md5=0d28035fbd4af5f6f55941741fa70c9a&pid=1-s2.0-S2949915124000210-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142148793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visual dysfunction and sudden onset symptoms leading to early detection of tick-borne infections: A case report 视觉功能障碍和突发症状有助于早期发现蜱媒感染:病例报告
Pub Date : 2024-09-01 DOI: 10.1016/j.ijidoh.2024.100036
Ayra I. Sayyed , William V. Padula

Objectives

Tick-borne infections frequently impact the visual system; however, their symptoms are commonly misinterpreted as issues related to functional vision disorders, balance, movement, and cognition. Visual symptoms may include blurred vision, double vision, photosensitivity, perception of distorted space, visual strain, headaches during near vision activities, difficulties with balance, dizziness, reduced ability to bring the eyes together (convergence), inability to maintain focus, and inability to tolerate movement in peripheral vision.

Case report

This case report highlights a patient who presented with learning difficulties and behavioral issues. After a comprehensive neuro-optometric evaluation, specific ocular findings were observed, prompting suspicion of tick-borne disease. Subsequent comprehensive blood work for Lyme and associated diseases confirmed a diagnosis of tick-borne infection.

Conclusion

Early detection and diagnosis of tick-borne infections pose significant challenges. Often referred to as “the great mimicker,” these infections frequently result in misdiagnosis or redirection during the medical pursuit of a definitive diagnosis. Failure to diagnose and treat promptly during the acute phase may lead to chronic neurologic progression of the undiagnosed disease.

目标蜱媒感染经常会对视觉系统产生影响;然而,其症状通常被误解为与功能性视力障碍、平衡、运动和认知有关的问题。视觉症状可能包括视力模糊、复视、光敏感性、空间扭曲感、视觉疲劳、近视活动时头痛、平衡困难、头晕、双眼聚合能力下降(辐辏)、无法保持焦点、无法忍受周边视线的移动。在进行了全面的神经视力评估后,观察到了特殊的眼部发现,这引起了对蜱媒疾病的怀疑。结论蜱虫感染的早期检测和诊断是一项重大挑战。这些感染常被称为 "伟大的模仿者",在医学界寻求明确诊断的过程中经常会导致误诊或重新诊断。在急性期未能及时诊断和治疗可能会导致未确诊疾病的慢性神经系统恶化。
{"title":"Visual dysfunction and sudden onset symptoms leading to early detection of tick-borne infections: A case report","authors":"Ayra I. Sayyed ,&nbsp;William V. Padula","doi":"10.1016/j.ijidoh.2024.100036","DOIUrl":"10.1016/j.ijidoh.2024.100036","url":null,"abstract":"<div><h3>Objectives</h3><p>Tick-borne infections frequently impact the visual system; however, their symptoms are commonly misinterpreted as issues related to functional vision disorders, balance, movement, and cognition. Visual symptoms may include blurred vision, double vision, photosensitivity, perception of distorted space, visual strain, headaches during near vision activities, difficulties with balance, dizziness, reduced ability to bring the eyes together (convergence), inability to maintain focus, and inability to tolerate movement in peripheral vision.</p></div><div><h3>Case report</h3><p>This case report highlights a patient who presented with learning difficulties and behavioral issues. After a comprehensive neuro-optometric evaluation, specific ocular findings were observed, prompting suspicion of tick-borne disease. Subsequent comprehensive blood work for Lyme and associated diseases confirmed a diagnosis of tick-borne infection.</p></div><div><h3>Conclusion</h3><p>Early detection and diagnosis of tick-borne infections pose significant challenges. Often referred to as “the great mimicker,” these infections frequently result in misdiagnosis or redirection during the medical pursuit of a definitive diagnosis. Failure to diagnose and treat promptly during the acute phase may lead to chronic neurologic progression of the undiagnosed disease.</p></div>","PeriodicalId":100655,"journal":{"name":"IJID One Health","volume":"4 ","pages":"Article 100036"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949915124000209/pdfft?md5=4530fa641263d2a9816103eb38d4d7e8&pid=1-s2.0-S2949915124000209-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergence of the first molecularly confirmed outbreak of Rift Valley fever among humans in Rwanda, calls for institutionalizing the One Health strategy 卢旺达首次爆发经分子证实的裂谷热疫情,呼吁将 "一个健康战略 "制度化
Pub Date : 2024-07-17 DOI: 10.1016/j.ijidoh.2024.100035
Eric Remera , Edson Rwagasore , Claude M. Muvunyi , Ayman Ahmed

Here, we report the investigation, molecular confirmation, and response to the first outbreak of Rift Valley fever (RVF) among humans throughout the country in Rwanda in 2022. RVF is a mosquito-borne zoonotic arbovirus that is mainly prevalent in Africa. However, severely limited information is available about the disease among humans in the country. We confirmed 173 human cases of RVF, including 22 deaths, using molecular tools (polymerase chain reaction). Male patients were three times more frequently infected than females and most of the case were reported from the eastern borders of the country. The high case fatality rate (13 %) suggests delay in the detection and the provision of supportive case management; it could also be attributed to the possibility that the local population is naïve to the virus. This urges the implementation of a transdisciplinary One Health strategy for the preparedness, prevention, surveillance, and control of arboviruses and their vectors to protect humans and animals in the country. To successfully do this, additional evidence is needed to inform policy, national strategy, and guide the implementation of effective intervention. Therefore, we recommend further entomologic studies and genomics analysis to identify the competent vectors and characterize the virus and its dynamics in the region.

在此,我们报告了对 2022 年卢旺达全国首次爆发的裂谷热(RVF)疫情的调查、分子确认和应对措施。裂谷热是一种由蚊子传播的人畜共患虫媒病毒,主要流行于非洲。然而,有关该疾病在卢旺达人类中传播的信息非常有限。我们利用分子工具(聚合酶链反应)确诊了 173 例人类 RVF 病例,其中 22 人死亡。男性患者的感染率是女性的三倍,大多数病例都来自该国东部边境。高病死率(13%)表明,在发现病例和提供支持性病例管理方面存在延误;这也可能是由于当地居民对病毒不敏感。这就需要实施一项跨学科的 "一体健康 "战略,以防备、预防、监测和控制虫媒病毒及其载体,从而保护该国的人类和动物。要成功做到这一点,需要更多的证据来为政策、国家战略提供信息,并指导有效干预措施的实施。因此,我们建议进一步开展昆虫学研究和基因组学分析,以确定合格的病媒,并描述病毒及其在该地区的动态。
{"title":"Emergence of the first molecularly confirmed outbreak of Rift Valley fever among humans in Rwanda, calls for institutionalizing the One Health strategy","authors":"Eric Remera ,&nbsp;Edson Rwagasore ,&nbsp;Claude M. Muvunyi ,&nbsp;Ayman Ahmed","doi":"10.1016/j.ijidoh.2024.100035","DOIUrl":"10.1016/j.ijidoh.2024.100035","url":null,"abstract":"<div><p>Here, we report the investigation, molecular confirmation, and response to the first outbreak of Rift Valley fever (RVF) among humans throughout the country in Rwanda in 2022. RVF is a mosquito-borne zoonotic arbovirus that is mainly prevalent in Africa. However, severely limited information is available about the disease among humans in the country. We confirmed 173 human cases of RVF, including 22 deaths, using molecular tools (polymerase chain reaction). Male patients were three times more frequently infected than females and most of the case were reported from the eastern borders of the country. The high case fatality rate (13 %) suggests delay in the detection and the provision of supportive case management; it could also be attributed to the possibility that the local population is naïve to the virus. This urges the implementation of a transdisciplinary One Health strategy for the preparedness, prevention, surveillance, and control of arboviruses and their vectors to protect humans and animals in the country. To successfully do this, additional evidence is needed to inform policy, national strategy, and guide the implementation of effective intervention. Therefore, we recommend further entomologic studies and genomics analysis to identify the competent vectors and characterize the virus and its dynamics in the region.</p></div>","PeriodicalId":100655,"journal":{"name":"IJID One Health","volume":"4 ","pages":"Article 100035"},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949915124000192/pdfft?md5=a9b1a758e9d8f03d8ea8959290195393&pid=1-s2.0-S2949915124000192-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The importance of a One Health approach in preventing human Rift Valley fever infections in Uganda 在乌干达采取 "一体保健 "方法预防人类裂谷热感染的重要性
Pub Date : 2024-07-15 DOI: 10.1016/j.ijidoh.2024.100034
Hildah Tendo Nansikombi , Jane Frances Zalwango , Alex Ndyabakira , Benon Kwesiga , Lilian Bulage , Alex Riolexus Ario , Julie R. Harris , Irene Byakatonda Kyamwine , Dan Tumusiime , Fred Monje

Rift valley fever (RVF) is an endemic viral zoonosis in Uganda that causes sporadic outbreaks. In May 2021, a 19-year-old woman from Kasaana Village, Kiruhura District, Western Uganda was diagnosed with RVF. In addition, five case patients identified from the same village were immunoglobulin (Ig) M–seropositive for RVF virus (RVFV), all with a history of contact with livestock. We interviewed farmers in Kasaana Village to find out whether their livestock had recently experienced any sign of RVF (livestock abortions and neonatal mortality). We conducted a veterinary records review at the regional animal diagnostic laboratory and a case search for livestock that had a recent history of abortion or neonatal mortality. Among 162 livestock (94 cattle and 68 goats) from four farms reporting one or more abortions during March-June 2021, 57 (33 cattle and 24 goats) were randomly selected for testing for RVFV using enzyme linked immunosorbent assay. Verbal reports from farmers and veterinary records review revealed increases in livestock abortions and neonatal mortality during March-May 2021, before the human cases occurred. Serological testing indicated that eight (14%) livestock, including three (9%) cattle and five (21%) goats, were IgM-seropositive for RVFV. The presence of anti-RVFV IgM antibodies in sera suggested current infection in livestock, corroborating livestock abortions within the same period. Hence, human RVFV infections likely resulted from contact with infected animal products. The recurring pattern of livestock abortions observed before human RVFV infections in Uganda indicates a gap in the zoonotic disease surveillance system, through which reports on such events should trigger rapid response to detect disease, control spread among animals, and prevent spillover to humans. An expanded One Health approach on collaboration and information sharing on such events could facilitate RVF risk reduction in humans in Uganda.

裂谷热(RVF)是乌干达的一种地方性病毒性人畜共患病,会引起零星爆发。2021 年 5 月,乌干达西部基鲁胡拉区卡萨纳村一名 19 岁的妇女被诊断出患有裂谷热。此外,同村的五名病例患者的 RVF 病毒 (RVFV) 免疫球蛋白 (Ig) M 血清阳性,他们都有与牲畜接触的历史。我们采访了卡萨纳村的农户,以了解他们的牲畜最近是否出现过任何RVF迹象(牲畜流产和新生儿死亡)。我们在地区动物诊断实验室查阅了兽医记录,并对近期有流产或新生儿死亡史的牲畜进行了病例搜索。在四个农场的 162 头牲畜(94 头牛和 68 只山羊)中,我们随机抽取了 57 头牲畜(33 头牛和 24 只山羊),使用酶联免疫吸附测定法进行 RVFV 检测。养殖户的口头报告和兽医记录审查显示,在人类病例发生之前的 2021 年 3 月至 5 月期间,牲畜流产和新生儿死亡率上升。血清学检测显示,8 头牲畜(14%),包括 3 头牛(9%)和 5 只山羊(21%),对 RVFV 呈 IgM 血清学阳性。血清中出现抗 RVFV IgM 抗体表明牲畜目前受到感染,这与同期牲畜流产的情况相吻合。因此,人类感染 RVFV 很可能是由于接触了受感染的动物产品。乌干达在人类感染 RVFV 之前反复出现牲畜流产的情况表明,人畜共患病监测系统存在漏洞,通过该系统报告的此类事件应触发快速反应,以检测疾病、控制动物间传播并防止疫情蔓延至人类。扩大 "一体健康 "方法,就此类事件开展合作和信息共享,可促进降低乌干达人类感染 RVFV 的风险。
{"title":"The importance of a One Health approach in preventing human Rift Valley fever infections in Uganda","authors":"Hildah Tendo Nansikombi ,&nbsp;Jane Frances Zalwango ,&nbsp;Alex Ndyabakira ,&nbsp;Benon Kwesiga ,&nbsp;Lilian Bulage ,&nbsp;Alex Riolexus Ario ,&nbsp;Julie R. Harris ,&nbsp;Irene Byakatonda Kyamwine ,&nbsp;Dan Tumusiime ,&nbsp;Fred Monje","doi":"10.1016/j.ijidoh.2024.100034","DOIUrl":"10.1016/j.ijidoh.2024.100034","url":null,"abstract":"<div><p>Rift valley fever (RVF) is an endemic viral zoonosis in Uganda that causes sporadic outbreaks. In May 2021, a 19-year-old woman from Kasaana Village, Kiruhura District, Western Uganda was diagnosed with RVF. In addition, five case patients identified from the same village were immunoglobulin (Ig) M–seropositive for RVF virus (RVFV), all with a history of contact with livestock. We interviewed farmers in Kasaana Village to find out whether their livestock had recently experienced any sign of RVF (livestock abortions and neonatal mortality). We conducted a veterinary records review at the regional animal diagnostic laboratory and a case search for livestock that had a recent history of abortion or neonatal mortality. Among 162 livestock (94 cattle and 68 goats) from four farms reporting one or more abortions during March-June 2021, 57 (33 cattle and 24 goats) were randomly selected for testing for RVFV using enzyme linked immunosorbent assay. Verbal reports from farmers and veterinary records review revealed increases in livestock abortions and neonatal mortality during March-May 2021, before the human cases occurred. Serological testing indicated that eight (14%) livestock, including three (9%) cattle and five (21%) goats, were IgM-seropositive for RVFV. The presence of anti-RVFV IgM antibodies in sera suggested current infection in livestock, corroborating livestock abortions within the same period. Hence, human RVFV infections likely resulted from contact with infected animal products. The recurring pattern of livestock abortions observed before human RVFV infections in Uganda indicates a gap in the zoonotic disease surveillance system, through which reports on such events should trigger rapid response to detect disease, control spread among animals, and prevent spillover to humans. An expanded One Health approach on collaboration and information sharing on such events could facilitate RVF risk reduction in humans in Uganda.</p></div>","PeriodicalId":100655,"journal":{"name":"IJID One Health","volume":"4 ","pages":"Article 100034"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949915124000180/pdfft?md5=2dd7aeaca8a7754f5cb2325878cb7497&pid=1-s2.0-S2949915124000180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The 2023–2024 multi-source mpox outbreaks of Clade I MPXV in sub-Saharan Africa: Alarm bell for Africa and the World 2023-2024 年在撒哈拉以南非洲爆发的 I 支系 MPXV 多源 mpox 疫情:为非洲和世界敲响警钟
Pub Date : 2024-07-01 DOI: 10.1016/j.ijidoh.2024.100033
Muge Cevik, Oyewale Tomori, Placide Mbala, Alessandra Scagliarini, Eskild Petersen, Nicola Low, David Heymann, Shui Shan Lee, Lucille Blumberg
{"title":"The 2023–2024 multi-source mpox outbreaks of Clade I MPXV in sub-Saharan Africa: Alarm bell for Africa and the World","authors":"Muge Cevik,&nbsp;Oyewale Tomori,&nbsp;Placide Mbala,&nbsp;Alessandra Scagliarini,&nbsp;Eskild Petersen,&nbsp;Nicola Low,&nbsp;David Heymann,&nbsp;Shui Shan Lee,&nbsp;Lucille Blumberg","doi":"10.1016/j.ijidoh.2024.100033","DOIUrl":"10.1016/j.ijidoh.2024.100033","url":null,"abstract":"","PeriodicalId":100655,"journal":{"name":"IJID One Health","volume":"4 ","pages":"Article 100033"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949915124000179/pdfft?md5=1318b85b2025819fe931881701d29652&pid=1-s2.0-S2949915124000179-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141959785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathogen genomics and One Health: A scoping review of current practices in zoonotic disease research 病原体基因组学与 "同一健康":人畜共患病研究现行做法的范围审查
Pub Date : 2024-06-21 DOI: 10.1016/j.ijidoh.2024.100031
Stefano Catalano , Francesca Battelli , Zoumana I. Traore , Jayna Raghwani , Christina L. Faust , Claire J. Standley

Objectives

Whole-genome sequencing has revolutionized the field of infectious disease surveillance, enabling near real-time detection of pathogens and tracking how infections may spread. Our study aimed to characterize genomic applications to cross-domain zoonotic pathogen transmission at the human-animal and/or human-environment interfaces.

Methods

We performed a scoping review of studies that have applied genomic epidemiology to zoonotic disease transmission across One Health domains (human, animal, and environment). We identified 114 records published between 2005 and 2022 which reported multi-domain genomic data of zoonotic pathogens integrated into phylogenetic models.

Results

Most studies investigated bacterial pathogens, highlighting key knowledge gaps for other zoonotic agents, particularly arboviruses. Sampling and sequencing efforts varied greatly across domains: the median number and range of pathogen genomes analyzed were highest for humans (23; 1–29,586) and lowest for the environment domain (13; 1–956). Genomics was used to track zoonotic disease outbreaks and cross-domain transmission, to improve pathogen surveillance, and to disentangle evolutionary dynamics driving lineage diversification and virulence.

Conclusions

Our study highlights current practices and knowledge gaps to guide future study designs and genomic applications to multi-domain and cross-species transmission of zoonoses, with the potential to identify key infection sources and inform interventions for local and global health security.

目的全基因组测序彻底改变了传染病监测领域,使病原体的近实时检测和感染传播的追踪成为可能。我们的研究旨在描述基因组应用于人-动物和/或人-环境界面的跨领域人畜共患病病原体传播的特点。方法我们对将基因组流行病学应用于 "一个健康 "领域(人类、动物和环境)的人畜共患病传播的研究进行了范围界定。我们确定了 2005 年至 2022 年间发表的 114 条记录,这些记录报告了整合到系统发生学模型中的人畜共患病原体的多域基因组数据。结果大多数研究调查了细菌病原体,突出了其他人畜共患病原体,尤其是虫媒病毒的关键知识空白。不同领域的取样和测序工作差别很大:分析的病原体基因组数量和范围的中位数以人类最高(23;1-29,586),环境领域最低(13;1-956)。基因组学被用来追踪人畜共患病的爆发和跨领域传播,改善病原体监测,并揭示驱动品系多样化和毒力的进化动态。结论我们的研究强调了当前的实践和知识差距,以指导未来的研究设计和基因组学在人畜共患病的多领域和跨物种传播中的应用,从而有可能确定关键的感染源,并为地方和全球健康安全干预措施提供信息。
{"title":"Pathogen genomics and One Health: A scoping review of current practices in zoonotic disease research","authors":"Stefano Catalano ,&nbsp;Francesca Battelli ,&nbsp;Zoumana I. Traore ,&nbsp;Jayna Raghwani ,&nbsp;Christina L. Faust ,&nbsp;Claire J. Standley","doi":"10.1016/j.ijidoh.2024.100031","DOIUrl":"https://doi.org/10.1016/j.ijidoh.2024.100031","url":null,"abstract":"<div><h3>Objectives</h3><p>Whole-genome sequencing has revolutionized the field of infectious disease surveillance, enabling near real-time detection of pathogens and tracking how infections may spread. Our study aimed to characterize genomic applications to cross-domain zoonotic pathogen transmission at the human-animal and/or human-environment interfaces.</p></div><div><h3>Methods</h3><p>We performed a scoping review of studies that have applied genomic epidemiology to zoonotic disease transmission across One Health domains (human, animal, and environment). We identified 114 records published between 2005 and 2022 which reported multi-domain genomic data of zoonotic pathogens integrated into phylogenetic models.</p></div><div><h3>Results</h3><p>Most studies investigated bacterial pathogens, highlighting key knowledge gaps for other zoonotic agents, particularly arboviruses. Sampling and sequencing efforts varied greatly across domains: the median number and range of pathogen genomes analyzed were highest for humans (23; 1–29,586) and lowest for the environment domain (13; 1–956). Genomics was used to track zoonotic disease outbreaks and cross-domain transmission, to improve pathogen surveillance, and to disentangle evolutionary dynamics driving lineage diversification and virulence.</p></div><div><h3>Conclusions</h3><p>Our study highlights current practices and knowledge gaps to guide future study designs and genomic applications to multi-domain and cross-species transmission of zoonoses, with the potential to identify key infection sources and inform interventions for local and global health security.</p></div>","PeriodicalId":100655,"journal":{"name":"IJID One Health","volume":"4 ","pages":"Article 100031"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949915124000155/pdfft?md5=0def9be97e4e98b20ab1aa9f23b792fd&pid=1-s2.0-S2949915124000155-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unprecedented rabies outbreak in Nepal’s Far Western Region: A call for urgent action 尼泊尔远西地区爆发前所未有的狂犬病疫情:呼吁采取紧急行动
Pub Date : 2024-06-05 DOI: 10.1016/j.ijidoh.2024.100027
Sameer Thakur , Naresh Prasad Joshi , Bishal Chand , Lokendra Neupane

Rabies, a zoonotic disease caused by lyssaviruses, poses a severe and escalating threat in the Far Western Region of Nepal. The recent outbreak of rabies in the Kailali and Kanchanpur districts of Sudurpaschim province has reached unprecedented levels, with a 92.30 % positivity rate in suspected samples. Within a year, there have been 84 confirmed outbreaks, with 32 in Kailali and 50 in Kanchanpur, highlighting the seriousness of the situation in these districts. This outbreak has also affected various animal species, including pigs, marking the first case in Nepal, and also caused the death of a young boy due to rabies. Given the historically low number of rabies cases in the province, the current situation is highly alarming and necessitates immediate government intervention. The challenges faced include the absence of a comprehensive national rabies control policy, limited resources, and inadequate awareness in rural areas. To effectively address this crisis, urgent action is required, which entails a multidisciplinary approach, collaboration between government and non-governmental organizations, prioritization of rural areas, improvement of health infrastructure, and strengthened surveillance.

狂犬病是一种由舔病毒引起的人畜共患疾病,对尼泊尔远西地区的威胁日益严重。最近,狂犬病在苏都帕斯金省的凯拉利和坎昌普尔县爆发,达到了前所未有的程度,疑似样本的阳性率高达 92.30%。一年之内,已确诊的疫情有 84 起,其中 32 起发生在凯拉利,50 起发生在坎昌布尔,凸显了这两个地区疫情的严重性。这次疫情还影响到包括猪在内的各种动物物种,这在尼泊尔尚属首例,还造成一名小男孩死于狂犬病。鉴于该省的狂犬病病例数量历来较少,目前的情况非常令人担忧,政府有必要立即采取干预措施。面临的挑战包括缺乏全面的国家狂犬病控制政策、资源有限以及农村地区对狂犬病的认识不足。为有效应对这一危机,必须采取紧急行动,这就需要采取多学科方法、政府与非政府组织之间开展合作、优先考虑农村地区、改善卫生基础设施并加强监测。
{"title":"Unprecedented rabies outbreak in Nepal’s Far Western Region: A call for urgent action","authors":"Sameer Thakur ,&nbsp;Naresh Prasad Joshi ,&nbsp;Bishal Chand ,&nbsp;Lokendra Neupane","doi":"10.1016/j.ijidoh.2024.100027","DOIUrl":"10.1016/j.ijidoh.2024.100027","url":null,"abstract":"<div><p>Rabies, a zoonotic disease caused by lyssaviruses, poses a severe and escalating threat in the Far Western Region of Nepal. The recent outbreak of rabies in the Kailali and Kanchanpur districts of Sudurpaschim province has reached unprecedented levels, with a 92.30 % positivity rate in suspected samples. Within a year, there have been 84 confirmed outbreaks, with 32 in Kailali and 50 in Kanchanpur, highlighting the seriousness of the situation in these districts. This outbreak has also affected various animal species, including pigs, marking the first case in Nepal, and also caused the death of a young boy due to rabies. Given the historically low number of rabies cases in the province, the current situation is highly alarming and necessitates immediate government intervention. The challenges faced include the absence of a comprehensive national rabies control policy, limited resources, and inadequate awareness in rural areas. To effectively address this crisis, urgent action is required, which entails a multidisciplinary approach, collaboration between government and non-governmental organizations, prioritization of rural areas, improvement of health infrastructure, and strengthened surveillance.</p></div>","PeriodicalId":100655,"journal":{"name":"IJID One Health","volume":"4 ","pages":"Article 100027"},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949915124000118/pdfft?md5=97f06ace302fefa0fb15a1856da256f9&pid=1-s2.0-S2949915124000118-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
IJID One Health
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1