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Lymphatic Filariasis in India: A Historical and Contemporary Overview. 淋巴丝虫病在印度:历史和当代的概述。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-12-24 DOI: 10.4103/jvbd.jvbd_117_25
Ranjit Kapuri, Manas Paramanik

Background objectives: Lymphatic filariasis (LF) is a prevalent and serious ailment impacting millions worldwide, including India. The disease has been recognized since the 6th century B.C. and well documented since the 18th century, and it is regarded as one of the most concerning vector-borne diseases. India accounts for nearly 40% of the worldwide burden of LF.

Methods: A comprehensive review was conducted using online and offline databases, focusing on studies related to different aspects of LF in India.

Results: Literature suggests that in India, about 98% of infections are produced by Wuchereria bancrofti , and in more than 99% of cases, Culex quinquefasciatus is the primary vector. Review reveals that the disease is gender- and age-specific; in most areas of India, rural and male populations are more affected than females, while middle- or working-age people are more affected. Filarial hydrocele is the leading cause of the higher prevalence in males (sometimes >10%), while adeno-lymphangitis, lymphodema, and elephantiasis are often more common in females. Acute and chronic filarial morbidities impose physical, social, marital, psychological, and economic consequences on the patients, their families, society, and the government. In India, it was estimated that about 2 million disability-adjusted life years (DALYs), US$811 million in annual wages, and up to 8% of the potential labour participation were lost due to LF.

Interpretation conclusion: Although the current situation has improved from the past, hundreds of Indian districts still require special attention from the mass drug administration program, along with sustainable vector management, morbidity management, public awareness, etc., as outlined in the Sustainable Development Goals.

背景目的:淋巴丝虫病(LF)是一种流行和严重的疾病,影响全世界数百万人,包括印度。这种疾病自公元前6世纪以来就得到了承认,自18世纪以来就有了充分的记录,它被认为是最令人担忧的媒介传播疾病之一。印度占全球结核病负担的近40%。方法:使用在线和离线数据库进行全面回顾,重点关注与印度LF不同方面相关的研究。结果:文献表明,在印度,约98%的感染是由班氏乌氏杆菌引起的,在99%以上的病例中,致倦库蚊是主要媒介。审查表明,该疾病具有性别和年龄特异性;在印度大多数地区,农村和男性人口比女性受影响更大,而中年或工作年龄人口受影响更大。丝状鞘膜积液是男性患病率较高的主要原因(有时高达10%),而腺淋巴管炎、淋巴水肿和象皮病通常在女性中更为常见。急性和慢性丝虫病会给患者、其家庭、社会和政府带来身体、社会、婚姻、心理和经济方面的后果。据估计,印度因残疾调整生命年(DALYs)损失约200万,年收入损失8.11亿美元,潜在劳动参与率损失高达8%。解读结论:尽管目前的情况比过去有所改善,但正如可持续发展目标所概述的那样,数百个印度地区仍然需要大规模药物管理项目的特别关注,以及可持续的病媒管理、发病率管理、公众意识等。
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引用次数: 0
Community knowledge, attitudes, and practices regarding mosquito-borne diseases in rural Uttar Pradesh, India. 印度北方邦农村关于蚊媒疾病的社区知识、态度和做法。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-12-24 DOI: 10.4103/jvbd.jvbd_244_25
Aayushi Goyal, Neeraj Pawar, Bhola Nath, Ayushi Singhal, Saumya Kumari, Sourabh Paul

Background objectives: Mosquito-borne diseases (MBDs) such as malaria, dengue, chikungunya, and filariasis pose a significant public health threat in India, especially in regions like Uttar Pradesh. Despite national programs, community participation and preventive practices remain inadequate. The study aimed to assess the knowledge, attitudes, and preventive practices (KAP) related to mosquito-borne diseases among the study population; examine the association between sociodemographic factors (education, age, occupation, housing type) and KAP levels; and evaluate the relationship between knowledge levels and observed or self-reported mosquito-preventive practices.

Methods: A community-based cross-sectional study was conducted among 300 adult participants, selected through two-stage random sampling from 300 households (one participant per household) across six villages in Raebareli district, Uttar Pradesh. Data were gathered using structured questionnaire and direct observations. Descriptive statistics, Chi-square tests, and logistic regression analyses were performed using Jamovi software.

Results: The study found high illiteracy (34%) and unskilled occupation rates (65%) among the study population. Poor knowledge, attitude, and practices were reported in 53.3%, 12%, and 41.7% of respondents, respectively. Significant associations were found between education, age, occupation, and housing type with KAP components (p < 0.05). Multivariate regression analysis revealed that education up to 10th or 12th grade significantly predicted better knowledge (AOR: 2.38, 2.48). Older age was linked to improved attitude and practices. Knowledge was significantly associated with observed waste disposal behavior (p < 0.001) but not with self-reported practices.

Interpretation conclusion: Higher education and older age were strong predictors of improved KAP. Targeted health education interventions and community-based vector control strategies are needed in rural Uttar Pradesh.

背景目标:疟疾、登革热、基孔肯雅热和丝虫病等蚊媒疾病(MBDs)在印度,特别是在北方邦等地区构成了重大的公共卫生威胁。尽管有国家规划,社区参与和预防措施仍然不足。本研究旨在评估研究人群对蚊媒疾病的相关知识、态度和预防措施;研究社会人口因素(教育、年龄、职业、住房类型)与KAP水平之间的关系;并评估知识水平与观察到的或自我报告的蚊虫预防措施之间的关系。方法:通过两阶段随机抽样,从北方邦Raebareli地区6个村庄的300户家庭(每户一名参与者)中选出300名成人参与者,对社区进行了横断面研究。数据收集采用结构化问卷和直接观察。采用Jamovi软件进行描述性统计、卡方检验和逻辑回归分析。结果:研究发现,在研究人群中,文盲率(34%)和非技术职业率(65%)很高。53.3%、12%和41.7%的受访者表示知识、态度和行为不佳。教育程度、年龄、职业、住房类型与KAP成分有显著相关(p < 0.05)。多元回归分析显示,10年级和12年级的教育水平显著预测知识水平的提高(AOR: 2.38, 2.48)。年龄越大,态度和行为就越好。知识与观察到的废物处理行为显著相关(p < 0.001),但与自我报告的做法无关。解释结论:高学历和年龄是KAP改善的强预测因子。北方邦农村需要有针对性的卫生教育干预措施和基于社区的病媒控制战略。
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引用次数: 0
Co-occurrence of Pfhrp 2/3 gene deletions and mutations in the drug resistance genes ( Pfdhfr and Pfdhps ) in the north east regions of India: An observation. 印度东北地区Pfhrp 2/3基因缺失和耐药基因(Pfdhfr和Pfdhps)突变的共同发生:一项观察
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-12-24 DOI: 10.4103/jvbd.jvbd_205_25
Sarita Kumari, Supriya Sharma, Naseem Ahmed, Bina Srivastava, Anupkumar Anvikar

Background objectives: Diagnostically refractory mutations/deletions in P. falciparum pose significant obstacles to malaria diagnosis and treatment. This study aims to enhance the understanding and management of efforts towards sulfadoxine-pyrimethamine (SP) treatments in the north eastern regions of India.

Methods: A total of eighty-seven samples collected retrospectively from the years 2018-2019 in four north east states: Assam, Meghalaya, Mizoram, and Tripura were studied. The extracted genomic DNA was subjected to intactness analysis using the msp 1,2, and glurp genes, genotyping for diagnostic refractory gene deletions in ( Pfhrp 2/ Pfhrp 3) and drug resistance gene mutations ( Pfdhfr and Pfdhps ). Sequence analysis was performed to evaluate single, double, triple and quadruple mutations in the genes Pfdhfr and Pfdhps .

Results: Out of 87 samples, 50 (57%) samples were found with Pfhrp 2and/or Pfhrp 3 gene deletions (partial/complete). Out of these 50 samples, 47showed the Pfhrp 2 gene deletion, 29 showed Pfhrp 3 gene deletion and 26 samples showed deletions in both the genes. The presence of drug resistant with single, double, triple, quadruple mutations including mixed Pfdhfr and Pfdhps gene was seen in 75 (86%) samples. Out of 75 samples, 10 samples observed with sharing double (2) and triple (8) mutation in both Pfdhfr and Pfdhps genes. These samples were from Assam (one), Meghalaya (two), Mizoram (six) and Tripura (one). Interestingly four of these ten samples, one each from Assam, Meghalaya, Mizoram, and Tripura, had Pfhrp 2-exon2 gene deletions showing resistance to diagnosis.

Interpretation conclusion: These findings show evidence regarding the simultaneous presence of diagnostic refractory and drug resistant P. falciparum parasites in North-East India. Further assessments of the mutations and deletions in these genes will help in understanding the positive selection pressures on such mutated P. falciparum parasites.

背景目的:恶性疟原虫诊断难治性突变/缺失对疟疾诊断和治疗构成重大障碍。本研究旨在加强对印度东北部地区磺胺多辛-乙胺嘧啶(SP)治疗工作的理解和管理。方法:回顾性收集了2018-2019年东北部4个邦(阿萨姆邦、梅加拉亚邦、米佐拉姆邦和特里普拉邦)的87份样本。提取的基因组DNA使用msp1、2和glurp基因进行完整性分析,对诊断性难治性基因缺失(Pfhrp 2/ Pfhrp 3)和耐药基因突变(Pfdhfr和Pfdhps)进行基因分型。序列分析Pfdhfr和Pfdhps基因的单、双、三重和四重突变。结果:在87个样本中,有50个(57%)样本发现Pfhrp 2和/或Pfhrp 3基因缺失(部分/完全)。在这50份样本中,47份显示Pfhrp 2基因缺失,29份显示Pfhrp 3基因缺失,26份显示两个基因都缺失。75份(86%)样本存在单、双、三、四重耐药突变,包括Pfdhfr和Pfdhps基因混合突变。在75个样本中,有10个样本在Pfdhfr和Pfdhps基因中都存在双(2)和三(8)突变。这些样本来自阿萨姆邦(1个)、梅加拉亚邦(2个)、米佐拉姆邦(6个)和特里普拉邦(1个)。有趣的是,这10个样本中有4个,分别来自阿萨姆邦、梅加拉亚邦、米佐拉姆邦和特里普拉邦,有Pfhrp 2-外显子2基因缺失,显示对诊断有抗性。解释结论:这些发现显示了在印度东北部同时存在诊断性难治性和耐药恶性疟原虫的证据。进一步评估这些基因的突变和缺失将有助于理解这些突变的恶性疟原虫的正选择压力。
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引用次数: 0
Redefining dengue surveillance: Revolutionizing dengue control with efficient adult mosquito traps. 重新定义登革热监测:用有效的成蚊诱捕器革新登革热控制。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-12-24 DOI: 10.4103/jvbd.jvbd_241_25
Sivagnaname Narayanasamy, Iyyappan Velan, Vetrivel Baskar

Dengue continues to escalate as a major global health challenge, driven by rapid urbanization, ecological change, and the expanding distribution of Aedes aegypti . Conventional surveillance systems, dominated by larval indices, provide limited predictive value and fail to capture the real-time transmission risk posed by infective adult females the sole vectors of dengue virus. This review re-examines dengue surveillance by emphasizing the epidemiological and operational significance of adult mosquito monitoring. Existing traps such as BG-Sentinel, CDC light and gravid traps, and gravid Aedes -specific devices are critically evaluated for their sensitivity, adaptability, and diagnostic utility. Metrics like threshold vector density and minimum infection rate (MIR) are identified as reliable indicators of transmission potential. The paper advocates for the development and large-scale deployment of next-generation adult traps that combine dual-attractant systems, power-free operation, and compatibility with molecular and digital diagnostic tools. Such innovations can transform dengue surveillance from reactive control to predictive, evidence-based intervention, offering a pathway toward sustainable, anticipatory vector management.

在快速城市化、生态变化和埃及伊蚊分布扩大的推动下,登革热作为一项重大的全球卫生挑战继续升级。以幼虫指数为主的传统监测系统提供的预测价值有限,而且无法捕捉登革热病毒唯一媒介——感染性成年雌性构成的实时传播风险。本文通过强调成蚊监测的流行病学和操作意义,重新审视登革热监测。现有的诱捕器,如BG-Sentinel、CDC轻型诱捕器和妊娠诱捕器,以及妊娠伊蚊特异性装置,对其灵敏度、适应性和诊断效用进行了严格评估。阈值媒介密度和最低感染率等指标被确定为传播潜力的可靠指标。本文提倡开发和大规模部署下一代成虫诱捕器,该诱捕器结合了双引诱剂系统、无电操作以及与分子和数字诊断工具的兼容性。这些创新可以将登革热监测从被动控制转变为基于证据的预测性干预,为实现可持续的、预期的病媒管理提供了一条途径。
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引用次数: 0
Prevalence and associated factors of malaria among pregnant women in Maraki Health Center, North West, Gondar, Ethiopia. 埃塞俄比亚贡达尔西北部马拉基保健中心孕妇疟疾流行情况及相关因素
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-12-19 DOI: 10.4103/jvbd.jvbd_229_25
Mequanente Dagnaw, Meera Indracanti, Asif Jan, Jenber Ayalew

Background objectives: Malaria during pregnancy remains a significant public health concern, contributing to maternal and neonatal morbidity and mortality. This study aimed to assess the prevalence of malaria and its associated factors among pregnant women attending antenatal care (ANC) at Maraki Health Center, Northwest Ethiopia, 2025.

Methods: A facility-based cross-sectional study was conducted among 271 pregnant women using structured interviews and laboratory testing (RDT and microscopy) for malaria diagnosis. Socio-demographic, clinical, behavioral, and environmental data were collected. Binary and multiple logistic regression analyses were performed to identify factors associated with malaria infection.

Results: The prevalence of malaria among the participants was 13.4%. Factors independently associated with malaria infection included not using insecticide-treated nets(ITN), (AOR=3.2; 95% CI: 1.4-7.5), not receiving Intermittent Preventive Treatment in Pregnancy with Sulfadoxine-Pyrimethamine (IPTp-SP), (AOR = 2.8; 95% CI: 1.1-6.9), attending fewer than four ANC visits (AOR = 4.6; 95% CI: 1.9-11.2), living near stagnant water (AOR = 2.5; 95% CI: 1.1-5.8), and attending Antenatal care during the rainy season (AOR = 1.9; 95% CI: 1.0-3.7).

Interpretation conclusion: The prevalence of malaria among pregnant women in the study area was considerable. Behavioral and environmental factors significantly contributed to malaria risk. Strengthening Insecticide-Treated Net (ITN) distribution, ensuring Intermittent Preventive Treatment in Pregnancy with Sulfadoxine-Pyrimethamine (IPTp-SP uptake), promoting regular ANC attendance, improving environmental sanitation, and increasing malaria prevention education, particularly during the rainy season, are recommended to reduce the burden of malaria in pregnancy.

背景目标:孕期疟疾仍然是一个重大的公共卫生问题,是造成孕产妇和新生儿发病率和死亡率的原因之一。本研究旨在评估2025年在埃塞俄比亚西北部马拉基卫生中心接受产前护理(ANC)的孕妇中疟疾的流行情况及其相关因素。方法:采用结构化访谈和实验室检测(RDT和显微镜)对271名孕妇进行疟疾诊断的横断面研究。收集了社会人口学、临床、行为和环境数据。进行二元和多元logistic回归分析以确定与疟疾感染相关的因素。结果:调查对象疟疾患病率为13.4%。与疟疾感染独立相关的因素包括未使用驱虫蚊帐(ITN) (AOR=3.2; 95% CI: 1.4-7.5),未接受妊娠期磺胺多辛-乙胺嘧啶(IPTp-SP)的间歇性预防治疗(AOR= 2.8; 95% CI: 1.1-6.9),参加少于4次ANC就诊(AOR= 4.6; 95% CI: 1.9-11.2),居住在死水附近(AOR= 2.5; 95% CI: 1.1-5.8),以及在雨季参加产前护理(AOR= 1.9; 95% CI: 1.0-3.7)。结论:研究区孕妇疟疾患病率较高。行为和环境因素对疟疾风险有显著影响。建议加强经杀虫剂处理的蚊帐(ITN)分发,确保妊娠期磺胺多辛-乙胺嘧啶间歇预防治疗(IPTp-SP摄取),促进定期参加ANC,改善环境卫生,并加强疟疾预防教育,特别是在雨季,以减轻妊娠期疟疾负担。
{"title":"Prevalence and associated factors of malaria among pregnant women in Maraki Health Center, North West, Gondar, Ethiopia.","authors":"Mequanente Dagnaw, Meera Indracanti, Asif Jan, Jenber Ayalew","doi":"10.4103/jvbd.jvbd_229_25","DOIUrl":"10.4103/jvbd.jvbd_229_25","url":null,"abstract":"<p><strong>Background objectives: </strong>Malaria during pregnancy remains a significant public health concern, contributing to maternal and neonatal morbidity and mortality. This study aimed to assess the prevalence of malaria and its associated factors among pregnant women attending antenatal care (ANC) at Maraki Health Center, Northwest Ethiopia, 2025.</p><p><strong>Methods: </strong>A facility-based cross-sectional study was conducted among 271 pregnant women using structured interviews and laboratory testing (RDT and microscopy) for malaria diagnosis. Socio-demographic, clinical, behavioral, and environmental data were collected. Binary and multiple logistic regression analyses were performed to identify factors associated with malaria infection.</p><p><strong>Results: </strong>The prevalence of malaria among the participants was 13.4%. Factors independently associated with malaria infection included not using insecticide-treated nets(ITN), (AOR=3.2; 95% CI: 1.4-7.5), not receiving Intermittent Preventive Treatment in Pregnancy with Sulfadoxine-Pyrimethamine (IPTp-SP), (AOR = 2.8; 95% CI: 1.1-6.9), attending fewer than four ANC visits (AOR = 4.6; 95% CI: 1.9-11.2), living near stagnant water (AOR = 2.5; 95% CI: 1.1-5.8), and attending Antenatal care during the rainy season (AOR = 1.9; 95% CI: 1.0-3.7).</p><p><strong>Interpretation conclusion: </strong>The prevalence of malaria among pregnant women in the study area was considerable. Behavioral and environmental factors significantly contributed to malaria risk. Strengthening Insecticide-Treated Net (ITN) distribution, ensuring Intermittent Preventive Treatment in Pregnancy with Sulfadoxine-Pyrimethamine (IPTp-SP uptake), promoting regular ANC attendance, improving environmental sanitation, and increasing malaria prevention education, particularly during the rainy season, are recommended to reduce the burden of malaria in pregnancy.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145781271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantitative analysis of chikungunya virus with special emphasis on biosensors: A review. 基孔肯雅病毒的定量分析与生物传感器研究进展。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-12-19 DOI: 10.4103/jvbd.jvbd_165_25
Parveen Kumar, Jagriti Narang, C S Pundir

Chikungunya is a viral fever caused by a single stranded RNA virus of the genus alpha virus of the family Togaviridae and transmitted to human by the bite of Aedes Aegypti mosquito. The incubation time frame of this virus is short, enduring about 2- 4 days. Chikungunya virus disease is typically self-constrained, non-lethal, with fever settling inside a couple of days. A number of conventional methods such as ELISA, RT-PCR and PCR are available for determination of chikungunya virus. Besides the advantages of being highly sensitive and selective, these methods have some drawbacks like time-consuming, requirement of sample pre-treatment, high cost instrumental set-up and skilled persons to operate. The sensors/biosensors overcome these drawbacks, as these are fast, easy, cost effective and highly sensitive. During the past five decades, biosensors have consolidated their impact in several fields, including clinical diagnosis, due to advantages such as high selectivity and sensitivity, potential for miniaturization, portability, low cost and rapid response. The chikungunya sensors/biosensors reported so far, have worked ideally within 10s, at a working potential -0.6-10.4 V, at the optimum pH, 7.0 and optimum temperature 35°C and linear range, 0.1-100μM, with the detection limits between 0.1 to 3.4nM. These biosensors measure chikungunya virus 2 in DNA of serum and had maximum storage stability of 540 days. The future perspective for further improvement and commercialization of chikungunya biosensors are discussed.

基孔肯雅热是一种由托加病毒科α病毒属单链RNA病毒引起的病毒性发热,并通过埃及伊蚊叮咬传播给人类。这种病毒的潜伏期很短,持续约2- 4天。基孔肯雅病毒病通常是自限性的,非致命性的,发烧会在几天内消退。基孔肯雅病毒的常规检测方法有ELISA、RT-PCR和PCR等。这些方法除了具有高灵敏度和选择性的优点外,还存在时间长、样品预处理要求高、仪器设置成本高、操作人员熟练等缺点。传感器/生物传感器克服了这些缺点,因为它们快速,简单,成本效益高,灵敏度高。在过去的五十年中,生物传感器凭借其高选择性和灵敏度、小型化潜力、便携性、低成本和快速反应等优势,在包括临床诊断在内的多个领域巩固了其影响力。目前所报道的基孔肯雅传感器/生物传感器在工作电位-0.6 ~ 10.4 V、最适pH 7.0、最适温度35℃、线性范围0.1 ~ 100μ m、检出限0.1 ~ 3.4nM的条件下,工作时间为10s。这些生物传感器测量血清DNA中的基孔肯雅病毒2型,最大储存稳定性为540天。讨论了基孔肯雅热生物传感器进一步改进和商业化的前景。
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引用次数: 0
Unraveling Stress Levels in Post-Dengue Adults in a low-middle-income country. 揭示中低收入国家登革热后成人的压力水平。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-11-29 DOI: 10.4103/jvbd.jvbd_176_24
Nadeeka Perera, Shamini Prathapan, Dulshika Waas, Ananda Wijewickrama

Background and objectives: Psychological well-being among dengue patients has often been rather unnoticed, despite evidence showing a notable proportion experience psychological distress during illness and the post-infectious period. This study aimed to assess the prevalence and associated factors of stress one month after hospital discharge among adults with dengue fever in the Colombo District, Sri Lanka.

Methods: A longitudinal study was conducted in 2019 among 480 patients discharged after Dengue treatment. Participants were selected using systematic sampling and followed up one month after fever onset. Prevalence of stress was assessed using the validated Depression, Anxiety and Stress - 21. Selected correlates were assessed using a pre-tested interviewer-administered questionnaire. Binomial multiple logistic regression was used for analysis.

Results: Of the 480 participants, 406 responded (response rate: 84.58). The majority were males (n = 244, 60.15%) and aged 18-35 years (n = 281, 69.2%). The prevalence of stress at one month post-infection was 7.9% (95% CI = 5.5 - 10.9). Significant correlates of stress included female gender (AOR = 3.24; 95% CI: 1.45-7.26), presence of headache (AOR = 3.26; 95% CI: 1.39-7.61), and myalgia (AOR = 4.16; 95% CI: 1.74-9.92) during the post-infection period.

Interpretation conclusion: Approximately one in twelve adults experienced stress one month after Dengue infection. Post-infection symptoms such as headache and myalgia were significant predictors of stress. These findings highlight the need for routine psychological screening and targeted interventions during follow-up care for Dengue patients.

背景和目的:登革热患者的心理健康状况往往不被注意,尽管有证据表明,有相当比例的患者在患病期间和感染后经历心理困扰。本研究旨在评估斯里兰卡科伦坡地区成人登革热患者出院一个月后的患病率及相关压力因素。方法:2019年对480例登革热治疗出院患者进行纵向研究。研究对象采用系统抽样法,在发热后1个月进行随访。使用有效的抑郁,焦虑和压力- 21评估压力的流行程度。选定的相关因素使用预先测试的访谈者管理的问卷进行评估。采用二项多元逻辑回归进行分析。结果:在480名参与者中,有406人回应,回应率为84.58。以男性244例(60.15%)和18 ~ 35岁281例(69.2%)居多。感染后1个月的应激患病率为7.9% (95% CI = 5.5 - 10.9)。与压力相关的显著因素包括女性(AOR = 3.24; 95% CI: 1.45-7.26)、感染后出现头痛(AOR = 3.26; 95% CI: 1.39-7.61)和肌痛(AOR = 4.16; 95% CI: 1.74-9.92)。解释结论:大约十二分之一的成年人在登革热感染一个月后经历了压力。感染后症状如头痛和肌痛是压力的重要预测因子。这些发现强调了在登革热患者随访护理期间进行常规心理筛查和有针对性干预的必要性。
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引用次数: 0
Critical knowledge gap in aedes peak biting activity among rural communities: Implications for dengue vector control in Rajasthan. 农村社区伊蚊叮咬高峰活动的关键知识差距:对拉贾斯坦邦登革热病媒控制的影响。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-11-29 DOI: 10.4103/jvbd.jvbd_191_25
Sakshi Chaturvedi, Chakrapani Chaturvedi, Shreenidhi Joshi

Background objectives: With 13,924 dengue cases reported in Rajasthan (2023), understanding community knowledge gaps is crucial for vector control. This study assessed dengue awareness among rural patients through structured interviews to identify intervention priorities.

Methods: Fifty outpatient department patients (aged ≥21 years) from a rural Community Health Centre were interviewed using mixed-method approach. Structured questionnaires assessed 15 knowledge domains, supplemented by qualitative exploration of beliefs and practices.

Results: Overall knowledge score was 61.8% (9.28±2.07/15). Critical gaps included disease identification (18% correct), symptom awareness (42%), and vector behavior understanding (18%). However, 90% identified mosquitoes as vectors and 82% recognized disease severity. Qualitative analysis revealed person-to-person transmission misconceptions (42%) and strong traditional remedy reliance (70%).

Interpretation conclusion: Rural communities demonstrate significant dengue knowledge deficits, particularly regarding vector biting behavior and disease recognition. Interview methodology revealed cultural beliefs that quantitative surveys miss. Targeted health education focusing on Aedes mosquito behavior and culturally appropriate messaging is urgently needed.

背景目标:拉贾斯坦邦(2023年)报告了13924例登革热病例,了解社区知识差距对病媒控制至关重要。本研究通过结构化访谈评估农村患者对登革热的认识,以确定干预重点。方法:采用混合方法对50例农村社区卫生中心门诊患者(年龄≥21岁)进行访谈。结构化的问卷评估了15个知识领域,辅以对信念和实践的定性探索。结果:知识总分为61.8%(9.28±2.07/15)。关键差距包括疾病识别(18%正确)、症状意识(42%)和媒介行为理解(18%)。然而,90%的人认为蚊子是媒介,82%的人认为疾病严重。定性分析显示人与人之间的传播误解(42%)和强烈的传统补救依赖(70%)。解释结论:农村社区表现出明显的登革热知识缺陷,特别是在媒介叮咬行为和疾病识别方面。访谈方法揭示了定量调查遗漏的文化信念,迫切需要有针对性的健康教育,重点关注伊蚊的行为和文化上适当的信息传递。
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引用次数: 0
Species delineation of Aedes (Neomelaniconian) lineatopennis (Diptera: Culicidae) using integrative morphological and molecular approaches, along with acoustic characterization, suggesting exclusion of Aedes mcintoshi from the mosquito fauna of India. 利用综合形态学和分子方法以及声学特征对印度伊蚊(新黑蚊科)lineatopennis(双翅目:库蚊科)进行了种划分,提示印度蚊子区系中不包括mcintoshi伊蚊。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-11-26 DOI: 10.4103/jvbd.jvbd_192_25
Sushmita Swain, Santhosh Goud, Rakesh Kumar Samantaray, Rashesh Das, Himmat Singh Pawar, Devi Shankar Suman

Background objectives: Aedes (Neomelaniconion) contains two important arbovirus vectors, Ae. lineatopennis and Ae. mcintoshi for transmission of Flaviviridae, Togaviridae, and Bunyaviridae families. Aedes lineatopennis invaded the Oriental and Australasian regions and closely resembles Ae. mcintoshi in morphology is causing confusion and misidentification among researchers. The present study delineates Ae. lineatopennis from Ae. mcintoshi using integrated taxonomic approaches.

Methods: Morphological features and mitochondrial cytochrome c oxidase subunit I (COI) gene analyses were used to establish species delineation in Ae. lineatopennis. Sound attributes for adult males and females were also generated.

Results: Aedes lineatopennis was confirmed with the morphological features, i.e., thoracic broad lateral longitudinal yellow scale stripes, tergite basal pale bands, subcostal white scales, dark and white scales on various veins, and longer vein R2 (1.5X) than vein R2+3. Genetically, this population was closer to the Chinese, Japanese, Korean, and Thai in comparison to African populations. Sound fundamental frequency was 598.54 ± 3.1 Hz for males and 429.9 ± 2.8 Hz for females, with four harmonic bands and harmonic convergence at M2 + F3 and M3 + F4 between males and females.

Interpretation conclusion: The combined morphological, molecular, and acoustic evidence confirms that the specimens previously identified as Ae. mcintoshi in India is in fact Ae. lineatopennis. Therefore, the study recommends the retraction of Ae. mcintoshi from Indian mosquito records6. This study emphasises the need for accurate species identification using integrated approaches to assess proper biodiversity and other studies.

背景目的:伊蚊(Neomelaniconion)含有两种重要的虫媒病毒载体:伊蚊和伊蚊。lineatopennis和Ae。黄病毒科、托加病毒科和布尼亚病毒科的传播。lineatopennis伊蚊入侵东方和澳大利亚地区,与伊蚊非常相似。形态学上的麦金托什引起了研究人员的混淆和误认。本研究描述了Ae。来自伊蚊的lineatopennis。McIntoshi使用综合分类学方法。方法:利用形态学特征和线粒体细胞色素c氧化酶亚基I (COI)基因分析建立伊蚊的种类划分。lineatopennis。还生成了成年男性和女性的声音属性。结果:证实线东伊蚊的形态特征为胸廓宽横向纵向黄色鳞片条纹,基部灰白色条纹,肋下白色鳞片,各静脉上有暗白色鳞片,R2静脉比R2+3静脉长1.5倍。遗传上,与非洲人相比,这个人群更接近中国人、日本人、韩国人和泰国人。男声基频为598.54±3.1 Hz,女声基频为429.9±2.8 Hz,男女间存在4个谐波带,且在M2 + F3和M3 + F4处谐波收敛。解释结论:结合形态学、分子和声学证据,证实了先前鉴定为伊蚊的标本。印度的麦金托什实际上是Ae。lineatopennis。因此,本研究建议撤下Ae。来自印度蚊子记录的麦金托什。这项研究强调了使用综合方法来评估适当的生物多样性和其他研究的准确物种鉴定的必要性。
{"title":"Species delineation of Aedes (Neomelaniconian) lineatopennis (Diptera: Culicidae) using integrative morphological and molecular approaches, along with acoustic characterization, suggesting exclusion of Aedes mcintoshi from the mosquito fauna of India.","authors":"Sushmita Swain, Santhosh Goud, Rakesh Kumar Samantaray, Rashesh Das, Himmat Singh Pawar, Devi Shankar Suman","doi":"10.4103/jvbd.jvbd_192_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_192_25","url":null,"abstract":"<p><strong>Background objectives: </strong>Aedes (Neomelaniconion) contains two important arbovirus vectors, Ae. lineatopennis and Ae. mcintoshi for transmission of Flaviviridae, Togaviridae, and Bunyaviridae families. Aedes lineatopennis invaded the Oriental and Australasian regions and closely resembles Ae. mcintoshi in morphology is causing confusion and misidentification among researchers. The present study delineates Ae. lineatopennis from Ae. mcintoshi using integrated taxonomic approaches.</p><p><strong>Methods: </strong>Morphological features and mitochondrial cytochrome c oxidase subunit I (COI) gene analyses were used to establish species delineation in Ae. lineatopennis. Sound attributes for adult males and females were also generated.</p><p><strong>Results: </strong>Aedes lineatopennis was confirmed with the morphological features, i.e., thoracic broad lateral longitudinal yellow scale stripes, tergite basal pale bands, subcostal white scales, dark and white scales on various veins, and longer vein R2 (1.5X) than vein R2+3. Genetically, this population was closer to the Chinese, Japanese, Korean, and Thai in comparison to African populations. Sound fundamental frequency was 598.54 ± 3.1 Hz for males and 429.9 ± 2.8 Hz for females, with four harmonic bands and harmonic convergence at M2 + F3 and M3 + F4 between males and females.</p><p><strong>Interpretation conclusion: </strong>The combined morphological, molecular, and acoustic evidence confirms that the specimens previously identified as Ae. mcintoshi in India is in fact Ae. lineatopennis. Therefore, the study recommends the retraction of Ae. mcintoshi from Indian mosquito records6. This study emphasises the need for accurate species identification using integrated approaches to assess proper biodiversity and other studies.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145635119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of diagnostic doses and susceptibility status against pyrethroids in Aedes aegypti from Jaipur, Rajasthan: a growing threat to dengue vector control. 拉贾斯坦邦斋浦尔的埃及伊蚊对拟除虫菊酯的诊断剂量和易感状况评估:对登革热病媒控制的日益严重的威胁
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-11-26 DOI: 10.4103/jvbd.jvbd_145_25
Neha Kumawat, Pooja Meena, Shashi Meena

Background objectives: The Rajasthan state is one of the arid and semi-arid regions of India, characterized by extreme climatic conditions. In recent years, rising temperatures and altered rainfall patterns have created favourable conditions for the proliferation of mosquito vectors and contribute to the upsurge and sustained transmission of mosquito-borne diseases. The vector control largely depends on chemical insecticides, but their prolonged use can hinder effectiveness due to the emergence of resistance. Therefore, the present study aimed to assess the efficacy of pyrethroids and resistance status in Aedes aegypti populations of Jaipur, Rajasthan.

Methods: Adults and larvae of Ae. aegypti were collected from nine localities across Jaipur. Diagnostic doses and adult susceptibility for field-collected (F0) and laboratory-reared (F5) strains of Ae. aegypti were evaluated according to WHO and CDC protocols.

Results: Diagnostic doses for deltamethrin, permethrin, and lambda-cyhalothrin were determined 0.005 μg/ml, 0.01 μg/ml, and 0.05 μg/ml, respectively. Aedes mosquitoes showed 100% mortality against all determined diagnostic doses. Lethal concentrations (μg/ml) values indicated a clear susceptibility hierarchy, with deltamethrin showed the highest effectiveness (0.000152-0.000169), followed by lambda-cyhalothrin (0.00066-0.00070) and permethrin (0.00133-0.00155). However, Sanganer (3.66-4.32), Shastri Nagar (3.67-4.52) and Shyam Nagar (3.8-4.52) exhibited the higher levels of resistance ratios against tested pyrethroids.

Interpretation conclusion: Pyrethroids are still effective in vector management, although some locations were observed emerging resistance. It highlights the necessity of continuous monitoring of insecticide resistance patterns in Aedes populations to ensure the long-term success of vector control programs.

背景目标:拉贾斯坦邦是印度干旱和半干旱地区之一,其特点是极端的气候条件。近年来,气温上升和降雨模式改变为蚊子媒介的扩散创造了有利条件,并导致蚊子传播疾病的激增和持续传播。病媒控制在很大程度上依赖化学杀虫剂,但由于抗药性的出现,它们的长期使用可能会影响效果。因此,本研究旨在评估拟除虫菊酯类杀虫剂在拉贾斯坦邦斋浦尔埃及伊蚊种群中的药效及抗药性状况。方法:选取白纹伊蚊成虫和幼虫。在斋浦尔的9个地点采集到埃及伊蚊。野外采集(F0)和实验室饲养(F5)伊蚊的诊断剂量和成人易感性。根据世卫组织和疾病预防控制中心的方案对埃及伊蚊进行了评估。结果:测定溴氰菊酯、氯菊酯和高效氯氟氰菊酯的诊断剂量分别为0.005 μg/ml、0.01 μg/ml和0.05 μg/ml。伊蚊对所有确定的诊断剂量均显示100%的死亡率。致死浓度(μg/ml)值显示出明显的敏感性等级,其中溴氰菊酯效价最高(0.000152 ~ 0.000169),其次为高效氯氰菊酯(0.00066 ~ 0.00070)和氯菊酯(0.00133 ~ 0.00155)。但桑甘纳(3.66 ~ 4.32)、沙斯特里(3.67 ~ 4.52)和希亚姆(3.8 ~ 4.52)对拟除虫菊酯类杀虫剂的抗性比较高。结论:拟除虫菊酯类杀虫剂在病媒管理中仍然有效,尽管在一些地点观察到出现抗药性。报告强调必须持续监测伊蚊种群的杀虫剂抗性模式,以确保病媒控制规划的长期成功。
{"title":"Evaluation of diagnostic doses and susceptibility status against pyrethroids in Aedes aegypti from Jaipur, Rajasthan: a growing threat to dengue vector control.","authors":"Neha Kumawat, Pooja Meena, Shashi Meena","doi":"10.4103/jvbd.jvbd_145_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_145_25","url":null,"abstract":"<p><strong>Background objectives: </strong>The Rajasthan state is one of the arid and semi-arid regions of India, characterized by extreme climatic conditions. In recent years, rising temperatures and altered rainfall patterns have created favourable conditions for the proliferation of mosquito vectors and contribute to the upsurge and sustained transmission of mosquito-borne diseases. The vector control largely depends on chemical insecticides, but their prolonged use can hinder effectiveness due to the emergence of resistance. Therefore, the present study aimed to assess the efficacy of pyrethroids and resistance status in Aedes aegypti populations of Jaipur, Rajasthan.</p><p><strong>Methods: </strong>Adults and larvae of Ae. aegypti were collected from nine localities across Jaipur. Diagnostic doses and adult susceptibility for field-collected (F0) and laboratory-reared (F5) strains of Ae. aegypti were evaluated according to WHO and CDC protocols.</p><p><strong>Results: </strong>Diagnostic doses for deltamethrin, permethrin, and lambda-cyhalothrin were determined 0.005 μg/ml, 0.01 μg/ml, and 0.05 μg/ml, respectively. Aedes mosquitoes showed 100% mortality against all determined diagnostic doses. Lethal concentrations (μg/ml) values indicated a clear susceptibility hierarchy, with deltamethrin showed the highest effectiveness (0.000152-0.000169), followed by lambda-cyhalothrin (0.00066-0.00070) and permethrin (0.00133-0.00155). However, Sanganer (3.66-4.32), Shastri Nagar (3.67-4.52) and Shyam Nagar (3.8-4.52) exhibited the higher levels of resistance ratios against tested pyrethroids.</p><p><strong>Interpretation conclusion: </strong>Pyrethroids are still effective in vector management, although some locations were observed emerging resistance. It highlights the necessity of continuous monitoring of insecticide resistance patterns in Aedes populations to ensure the long-term success of vector control programs.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145635156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Vector Borne Diseases
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