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Exploring antimalarial activity of drugs using weighted atomic vectors and artificial intelligence. 基于加权原子向量和人工智能的药物抗疟活性研究。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.4103/jvbd.jvbd_131_24
Yoan Martínez López, Wilber Figueredo Rodríguez, Juan A Castillo-Garit, Stephen J Barigye, Oscar Martínez-Santiago, Noel Enrique Rodríguez Maya

Background objectives: Malaria is a global health issue, causing over two million deaths annually. The development of new and potent antimalarial drugs is essential to combat the disease. Machine learning has been increasingly applied to predict antimalarial activity of compounds, offering a promising approach for antimalarial pharmaceutical research. This study aims to predict the antimalarial activity of potential compounds using weighted atomic vectors and machine learning algorithms.

Methods: The research employs several machine learning algorithms, such as Decision Tree, Bagging Regressor, and Ada Boost. The study uses weighted atomic vectors to represent compounds and employs machine learning algorithms for prediction. The performance of the models is assessed using metrics like R2, MAE, and RMSLE, statistical validation using Friedman and Wilcoxon Tests.

Results: The results highlight the remarkable efficacy of Ada Boost in predicting antimalarial activity, consistently outperforming other algorithms across different datasets, achieving a maximum precision of 93%.

Interpretation conclusion: The combination of weighted atomic vectors and machine learning emerges as a promising approach for antimalarial pharmaceutical research, emphasizing the significance of artificial intelligence in this field.

背景目标:疟疾是一个全球性的健康问题,每年造成200多万人死亡。开发新的强效抗疟疾药物对防治疟疾至关重要。机器学习越来越多地应用于预测化合物的抗疟活性,为抗疟药物研究提供了一种有前途的方法。本研究旨在利用加权原子向量和机器学习算法预测潜在化合物的抗疟疾活性。方法:本研究采用了几种机器学习算法,如决策树、Bagging回归和Ada Boost。该研究使用加权原子向量来表示化合物,并使用机器学习算法进行预测。使用R2、MAE和RMSLE等指标评估模型的性能,使用Friedman和Wilcoxon检验进行统计验证。结果:结果突出了Ada Boost在预测抗疟疾活性方面的显着功效,在不同的数据集上始终优于其他算法,达到了93的最高精度。解读结论:加权原子向量与机器学习相结合成为抗疟药物研究的一种有前景的方法,强调了人工智能在该领域的重要意义。
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引用次数: 0
Expanding the frontiers of schistosomiasis treatment: The promise of nanoparticle-based therapies. 扩大血吸虫病治疗的前沿:基于纳米粒子的治疗的前景。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.4103/jvbd.jvbd_180_23
Gudibanda Nagaraja Bhuvana, Sai Mahima Umesh, Ramya Raghavan

Schistosomiasis is one of the most overlooked parasitic diseases worldwide. The new roadmap for neglected tropical diseases (2021-2030), adopted by the World Health Assembly, sets global goals for combating these diseases. eliminating schistosomiasis. Current treatment options for schistosomiasis, such as Praziquantel, are limited. Nanoparticle-based treatments and vaccines have shown promise in overcoming the limitations of Praziquantel therapy by offering targeted and sustained drug delivery. We advocate prioritizing and enhancing funding and collaboration for nanoparticle research targeting schistosomiasis. By investing in these innovative solutions in regions most impacted by schistosomiasis, we have the potential to alleviate the treatment burden and enhance patient adherence. This review paper explores anotechnological solutions, current trends, and long-term outcomes.

血吸虫病是世界上最容易被忽视的寄生虫病之一。世界卫生大会通过了新的被忽视热带病路线图(2021-2030年),确定了防治这些疾病的全球目标。消除血吸虫病。目前血吸虫病的治疗选择,如吡喹酮,是有限的。基于纳米颗粒的治疗和疫苗通过提供靶向和持续的药物递送,在克服吡喹酮治疗的局限性方面显示出了希望。我们主张优先考虑并加强针对血吸虫病的纳米粒子研究的资助和合作。通过在受血吸虫病影响最严重的地区投资于这些创新解决方案,我们有可能减轻治疗负担并提高患者的依从性。这篇综述文章探讨了纳米技术的解决方案,当前的趋势和长期的结果。
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引用次数: 0
Host preferences, bloodmeal sources, and gonotrophic cycles of Anopheles gambiae complex mosquitoes in rural South West Nigeria. 尼日利亚西南部农村甘比亚按蚊的宿主偏好、血源和淋养循环
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.4103/jvbd.jvbd_23_25
Florence Ajayi, Kolade Ibrahim, Victor Oguayo, Chiaka Anumudu, Aline Noutcha

Background objectives: Malaria remains a major public health challenge in sub-Saharan Africa, with Anopheles gambiae complex, comprising An. gambiae s.s., An. coluzzii , and An. arabiensis , as the principal vectors. These sibling species exhibit diverse ecological and behavioural traits that significantly influence malaria transmission dynamics. Understanding their host preferences, blood-meal sources, and gonotrophic cycles is vital for designing effective vector control strategies. This study investigated the feeding behaviour, blood meal sources, and exophilic tendencies of An. gambiae complex mosquitoes in Igbo-Ora and Idere communities, southwestern Nigeria.

Methods: Indoor-resting mosquitoes were collected using pyrethroid spray collections (PSC) during the rainy season of 2022 over three months. Specimens were identified morphologically and confirmed molecularly. Data on abdominal conditions, feeding behaviour, gonotrophic cycles, and blood-meal sources were analysed. Human blood index (HBI) and exophily degree (DE) were calculated using standard protocols.

Results: A total of 298 An. gambiae complex mosquitoes were examined. Fully-fed mosquitoes accounted for 77.2%, while 12.4% were gravid, and 5.4% were half-gravid. An. coluzzii in Idere exhibited the highest feeding rate (84.6%), followed by An. arabiensis in Igbo-Ora (77.8%). The gonotrophic cycle was longer in Idere (5-6 days) compared to Igbo-Ora (3-4 days). Blood-meal analysis of 421 specimens identified humans as the predominant host (45.8%), with mixed blood meals indicating opportunistic feeding. The highest HBI was recorded in An. gambiae (0.69) in Idere and An. arabiensis (0.96) in Igbo-Ora.

Interpretation conclusion: The findings reveal significant ecological and behavioural variability within the An. gambiae complex, including their strong anthropophilic tendencies and opportunistic feeding behaviour. These characteristics underscore the species' pivotal role in malaria transmission and highlight the need for localized, species-specific vector control interventions targeting feeding and reproductive behaviours.

背景目标:疟疾仍然是撒哈拉以南非洲的一个主要公共卫生挑战,冈比亚按蚊复合体包括一种疟蚊。冈比亚s.s.,安。coluzzi和An。Arabiensis,作为主要载体。这些兄弟物种表现出不同的生态和行为特征,显著影响疟疾传播动态。了解它们的宿主偏好、血食来源和淋养循环对于设计有效的病媒控制策略至关重要。本研究调查了安家蚕的摄食行为、血粉来源和嗜外食倾向。尼日利亚西南部Igbo-Ora和Idere社区的冈比亚复合体蚊子。方法:采用拟除虫菊酯喷雾采集法(PSC)采集2022年雨季3个月的室内静息蚊虫。对标本进行了形态鉴定和分子鉴定。分析了腹部状况、摄食行为、淋养循环和血餐来源的数据。采用标准方案计算人血指数(HBI)和异常度(DE)。结果:共298例。对冈比亚复合蚊进行了检测。全饲占77.2%,妊娠占12.4%,半妊娠占5.4%。一个。采食率最高的是伊德尔的大鼠(84.6%);伊博-奥拉族arabiensis (77.8%);Idere的淋养循环(5-6天)比Igbo-Ora的淋养循环(3-4天)长。对421个标本的血食分析确定人类为主要宿主(45.8%),混合血食表明机会性摄食。HBI最高的是安省。冈比亚(0.69);伊博-奥拉地区arabiensis(0.96)。解释结论:研究结果揭示了安内显著的生态和行为变异。冈比亚复合体,包括它们强烈的亲人类倾向和机会主义进食行为。这些特征强调了该物种在疟疾传播中的关键作用,并强调需要针对取食和繁殖行为采取针对特定物种的地方性病媒控制干预措施。
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引用次数: 0
Forecasting dengue incidence in Dakshina Kannada, Karnataka, India using time series analysis. 利用时间序列分析预测2024-2026年卡纳塔克邦Dakshina Kannada地区登革热发病率。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.4103/jvbd.jvbd_29_25
Navya Mohana, Mackwin Kenwood Dmello, Suresha Kharvi, Neevan Dsouza

Background objectives: Dengue fever is a significant public health challenge in India. The threat has been amplified by rapid urbanization. This study analyzes the spatiotemporal patterns of dengue transmission, the influence of climate on dengue transmission, and predict future trends of dengue incidence in Dakshina Kannada district of Karnataka, India from 2024 to 2026.

Methods: The study used retrospective data from January 1 2019 to April 30 2024, and covered 288 locations in the Dakshina Kannada. Data was collected in Microsoft Excel and analyzed using Jamovi 2.3.28 for descriptive statistics. Time series analysis was performed in R version 4.4.0, while spatiotemporal clusters were identified using SaTScan V10.1.2 and visualized in QGIS version 3.30.0. Multivariable linear regression was conducted to identify climate factors affecting dengue cases. ARIMA models were employed for predictive forecasting of future dengue cases.

Results: A total of 1836 recorded dengue cases was retrieved from the Health Management Information System (HMIS) at the district level. The study identified significant spatiotemporal clusters of dengue cases, with the primary cluster occurring from May 1 2022 to April 30 2024. Climatic factors, particularly rainfall and temperature, showed significant correlations with dengue incidence. The ARIMA (3,1,1) (1,0,0) model demonstrated robust forecasting capability for dengue cases, indicating a continuing upward trend, which appears to be influenced by seasonal patterns.

Interpretation conclusion: Dengue transmission in Dakshina Kannada is significantly influenced by climatic factors such as temperature, rainfall, and humidity. The ARIMA-based predictive modeling forecasted increased dengue cases in the coming years. These findings show the need for targeted public health interventions in identified hotspot areas, along with continuous climate-based surveillance to support timely and effective dengue control measures.

背景目标:登革热是印度一项重大的公共卫生挑战。快速城市化加剧了这一威胁。本研究分析了登革热传播的时空格局、气候对登革热传播的影响,并预测了2024 - 2026年达克什那邦登革热发病率的未来趋势。方法:该研究使用了2019年1月1日至2024年4月30日的回顾性数据,覆盖了卡纳塔克邦Dakshina Kannada区的288个地点。数据在Excel中收集,使用Jamovi 2.3.28进行描述性统计。时间序列分析采用R版本4.4.0,时空聚类识别采用SaTScan V10.1.2,并在QGIS版本3.30.0中进行可视化。采用多变量线性回归方法确定影响登革热病例的气候因素。采用ARIMA模型对未来登革热病例进行预测预测。结果:从区级卫生管理信息系统(HMIS)共检索到登革热病例1836例。该研究确定了登革热病例的显著时空聚集性,主要聚集性发生在2022年5月1日至2024年4月30日。气候因素,特别是降雨和温度,显示出与登革热发病率的显著相关性。ARIMA(3,1,1)(1,0,0)[12]模型显示出对登革热病例的强大预测能力,表明登革热病例呈持续上升趋势,这似乎受到季节模式的影响。结论:达克什那邦登革热传播受气温、降雨、湿度等气候因素影响显著。基于arima的预测模型预测了未来几年登革热病例的增加。这些发现表明,需要在已确定的热点地区采取有针对性的公共卫生干预措施,同时进行持续的气候监测,以支持及时和有效的登革热控制措施。
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引用次数: 0
Treatment and management of Crimean-Congo hemorrhagic fever. 克里米亚-刚果出血热的治疗和管理。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.4103/jvbd.jvbd_18_25
Rukiyye Bulut, Bahar Kandemir, İbrahim Erayman, Pınar Belviranlı Keskin, Esma Kepenek Kurt

Background objectives: Crimean-Congo hemorrhagic fever (CCHF) is a tick-bome viral infection with a wide geographic distribution globally. The clinical severity of CCHF varies, with reported mortality rates reaching up to 60%. Despite its spread to new geographic areas and its potential to cause severe and fatal disease, no approved vaccine or antiviral treatment is currently available. Studies on the use of ribavirin for CCHF have yielded conflicting results. Consequently, many physicians manage CCHF patients with supportive care. In this study, we share the positive outcomes observed in CCHF patients who were managed exclusively with supportive treatment without the use of ribavirin.

Methods: The epidemiological characteristics, laboratory results and treatment outcomes of patients with CCHF diagnosis followed up in our clinic between April 1 2020, and September 31 2023 were evaluated retrospectively.

Results: The study included 20 patients (5 females and 15 male) with confirmed CCHF. Based on the Severity Scoring Index (SSI) scores, 7 patients with SSI 0-2 were classified as mild cases, 12 patients with SSI 3-9 as moderate cases, and 1 patient with SSI 10-13 as a severe case. No patients received ribavirin as part of their treatment. All patients were managed with supportive care, and no mortality was observed.

Interpretation conclusion: Supportive care remains the standard treatment for CCHF management. The effectiveness of ribavirin in CCHF remains unclear.

背景目的:克里米亚-刚果出血热(CCHF)是一种蜱传病毒感染,在全球具有广泛的地理分布。CCHF的临床严重程度各不相同,据报道死亡率高达60%。尽管它传播到新的地理区域,并有可能导致严重和致命的疾病,但目前还没有获得批准的疫苗或抗病毒治疗。关于利巴韦林治疗慢性心力衰竭的研究产生了相互矛盾的结果。因此,许多医生对CCHF患者进行支持性治疗。在这项研究中,我们分享了在CCHF患者中观察到的积极结果,这些患者只接受支持治疗而不使用利巴韦林。方法:回顾性分析我院2020年4月1日至2023年9月31日随访的CCHF确诊患者的流行病学特征、实验室检查结果及治疗结果。结果:本研究纳入确诊CCHF患者20例(女5例,男15例)。根据严重程度评分指数(SSI)评分,7例SSI 0-2分为轻度,12例SSI 3-9分为中度,1例SSI 10-13分为重度。没有患者接受利巴韦林作为治疗的一部分。所有患者均接受支持性治疗,未观察到死亡。解释和结论:支持治疗仍然是CCHF治疗的标准治疗方法。利巴韦林治疗慢性心力衰竭的有效性尚不清楚。
{"title":"Treatment and management of Crimean-Congo hemorrhagic fever.","authors":"Rukiyye Bulut, Bahar Kandemir, İbrahim Erayman, Pınar Belviranlı Keskin, Esma Kepenek Kurt","doi":"10.4103/jvbd.jvbd_18_25","DOIUrl":"10.4103/jvbd.jvbd_18_25","url":null,"abstract":"<p><strong>Background objectives: </strong>Crimean-Congo hemorrhagic fever (CCHF) is a tick-bome viral infection with a wide geographic distribution globally. The clinical severity of CCHF varies, with reported mortality rates reaching up to 60%. Despite its spread to new geographic areas and its potential to cause severe and fatal disease, no approved vaccine or antiviral treatment is currently available. Studies on the use of ribavirin for CCHF have yielded conflicting results. Consequently, many physicians manage CCHF patients with supportive care. In this study, we share the positive outcomes observed in CCHF patients who were managed exclusively with supportive treatment without the use of ribavirin.</p><p><strong>Methods: </strong>The epidemiological characteristics, laboratory results and treatment outcomes of patients with CCHF diagnosis followed up in our clinic between April 1 2020, and September 31 2023 were evaluated retrospectively.</p><p><strong>Results: </strong>The study included 20 patients (5 females and 15 male) with confirmed CCHF. Based on the Severity Scoring Index (SSI) scores, 7 patients with SSI 0-2 were classified as mild cases, 12 patients with SSI 3-9 as moderate cases, and 1 patient with SSI 10-13 as a severe case. No patients received ribavirin as part of their treatment. All patients were managed with supportive care, and no mortality was observed.</p><p><strong>Interpretation conclusion: </strong>Supportive care remains the standard treatment for CCHF management. The effectiveness of ribavirin in CCHF remains unclear.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":"67-73"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248548","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
A case report of concomitant infections of cutaneous, mucocutaneous and visceral leishmaniasis. 皮肤、粘膜和内脏利什曼病合并感染1例报告。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.4103/jvbd.jvbd_11_25
Prativa Priyadarshani Sethi, Riti Bhatia, Prasan Kumar Panda, Amit Tyagi, Namrata Sarkar, Ashok Singh, Sarthak Gaur
{"title":"A case report of concomitant infections of cutaneous, mucocutaneous and visceral leishmaniasis.","authors":"Prativa Priyadarshani Sethi, Riti Bhatia, Prasan Kumar Panda, Amit Tyagi, Namrata Sarkar, Ashok Singh, Sarthak Gaur","doi":"10.4103/jvbd.jvbd_11_25","DOIUrl":"10.4103/jvbd.jvbd_11_25","url":null,"abstract":"","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":"138-142"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248529","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
Larvicidal activity, biochemical impact and chemical composition of Juniperus phoenicea essential oil on the vector of avian malaria Culiseta longiareolata. 刺柏精油对禽疟媒介长羽库蚊的杀幼虫活性、生化影响及化学成分研究
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.4103/jvbd.jvbd_35_25
Ikram Aouaichia, Hayette Bouabida, Linda Cheriak, Djemaa Dris

Background objectives: The application of essential oils (EOs) as environmentally friendly tools for vector control has become a major focus in biopesticide research. This study aimed to characterize the chemical composition of the EO derived from Juniperus phoenicea L. harvested in the El Ma Labiodh region (Tebessa, Algeria) and to evaluate its larvicidal potential against the fourth larval instar of Culiseta longiareolata (Diptera: Culicidae).

Methods: The EO was extracted from dried leaves by hydrodistillation and characterized using gas chromatography-mass spectrometry (GC-MS). Its larvicidal activity was evaluated following WHO standard protocol. Additionally, the effects of two lethal concentrations (LC 25 and LC 50 ) were assessed on detoxification enzymes activities, glutathione S-transferase (GST) and catalase (CAT), as well as on major biochemical components (proteins, lipids, and carbohydrates) in larval tissues across different exposure periods.

Results: Hydrodistillation yielded 0.56±0.03% EO, with GC-MS analysis identifying 51 compounds. Pinene (34.64%), Carene (15.26%), Limonene (13.82%), and Myrcene (3.85%) were the predominant constituents. The EO exhibited significant larvicidal activity, with mortality rates ranging from 5 to 100%, and LC 25 and LC 50 values of 38.14 ppm and 57.31 ppm, respectively. Toxicity was associated with the up regulation of detoxification mechanisms, evidenced by elevated GST and CAT activities, alongside notable alterations in the larvae's biochemical profiles.

Interpretation conclusion: These findings underscore the potential of J. phoenicea EO as a natural larvicide against Cs. longiareolata , supporting its use as a sustainable tool for integrated mosquito control strategies.

背景目的:应用精油作为环境友好型媒介控制工具已成为生物农药研究的主要焦点。本研究旨在对采自阿尔及利亚El Ma Labiodh地区的刺柏(Juniperus phoenicea L.)精油的化学成分进行鉴定,并评价其对长纹库蚊(Culiseta longiareolata,双翅目:库蚊科)4龄幼虫的杀虫活性。方法:采用水蒸气蒸馏法提取干叶提取物,采用气相色谱-质谱联用技术对其进行表征。根据世界卫生组织(WHO)标准方案对其杀幼虫活性进行了评价。此外,还评估了两种致死浓度(LC25和LC50)对不同暴露时期幼虫组织解毒酶活性、谷胱甘肽s -转移酶(GST)和过氧化氢酶(CAT)以及主要生化成分(蛋白质、脂质和碳水化合物)的影响。结果:加氢精馏收率为0.56±0.03%,GC-MS分析鉴定出51个化合物。主要成分为蒎烯(34.64%)、蒈烯(15.26%)、柠檬烯(13.82%)和月桂烯(3.85%)。EO具有显著的杀虫活性,死亡率为5% ~ 100%,LC25和LC50值分别为38.14 ppm和57.31 ppm。毒性与解毒机制的上调有关,GST和CAT活性升高证明了这一点,同时幼虫的生化特征也发生了显著变化。结论:本研究结果强调了凤头蠓作为一种天然杀幼虫剂的潜力,支持其作为一种可持续的蚊虫综合控制策略的工具。
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引用次数: 0
Anthropogenic influence, microbes and zoonotic diseases: Ecological imbalance, diverse impact and the One Health approach. 人为影响、微生物和人畜共患疾病:生态失衡、多种影响和同一个健康方法。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.4103/jvbd.jvbd_13_25
Mohammad Fahad Ullah

Humans, animals, and ecosystems coexist in a delicate web of interdependent means of existence. Each of these play pivotal roles in shaping the sustainability of life on earth and global health outcomes. Human actions have profoundly transformed ecosystems on a global scale, threatening biodiversity and destabilizing ecological processes. The intricate relationship between humans and animals also extends to the realm of disease transmission such as zoonotic diseases. The term 'spillover' commonly refers to an infection originating from animals that spreads to humans, potentially leading to an outbreak that escalates into an epidemic or pandemic through human-to-human transmission. These incidents posed the risk of evolving into pandemics with high mortality rates, which became a reality in recent in times during the COVID-19 pandemic. The emergence and spread of zoonotic diseases are influenced by a multifaceted interaction of factors including biological, ecological, environmental, socioeconomic, and human-induced influences such as deforestation, agriculture practices, livestock production, climate change and globalization. These modify the dynamics of disease transmission between animals and humans. Effectively averting and controlling zoonotic diseases embracing a One Health strategy, fostering collaboration among sectors accountable for human health, animal health, and environmental safeguards. One Health approach challenges the anthropogenic dominance of earth and aims for optimal health and sustainability for humans, animals, and the environment simultaneously.

人类、动物和生态系统共存于一个相互依赖的生存方式的微妙网络中。这些都在塑造地球生命的可持续性和全球健康成果方面发挥着关键作用。人类活动深刻地改变了全球范围内的生态系统,威胁着生物多样性,破坏了生态过程的稳定。人与动物之间错综复杂的关系也延伸到疾病传播领域,如人畜共患疾病。“溢出”一词通常是指源自动物的感染传播给人类,可能导致通过人与人之间的传播而升级为流行病或大流行的疫情。这些事件构成了演变成高死亡率大流行的风险,这在最近的Covid-19大流行中成为现实。人畜共患疾病的出现和传播受到多方面因素的相互作用的影响,包括生物、生态、环境、社会经济和人为影响,如森林砍伐、农业做法、畜牧业生产、气候变化和全球化。这些改变了动物和人类之间疾病传播的动态。有效避免和控制人畜共患疾病需要采用“同一个健康”战略,促进负责人类健康、动物健康和环境保障的部门之间的合作。“一体健康”挑战人类对地球的支配地位,旨在同时为人类、动物和环境提供最佳的健康和可持续性。
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引用次数: 0
Clinical profile and predictors of severity in infantile scrub typhus: A prospective observational study from a tertiary care teaching hospital in Southern India. 婴儿恙虫病的临床特征和严重程度的预测因素——一项来自印度南部三级护理教学医院的前瞻性观察研究。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.4103/jvbd.jvbd_8_25
Dinesh Kumar Narayanasamy, Thirunavukkarasu Arun Babu, Prakash Mathiyalagen

Background objectives: Scrub typhus (ST), a tropical infection caused by Orientia tsutsugamushi , has re-emerged as a global concern in the Asia-Pacific region. Limited data on ST in infants reveals unique presentations, complications, and severity predictors. This study was conducted to evaluate the occurrence of ST in infants, comparing clinical, laboratory and outcomes with ST in older children.

Methods: This is a prospective cohort study conducted in the Pediatrics Department of a teaching hospital in South India. Children <12 years of age presenting with fever for >5 days with serology confirmed ST using IgM ELISA for ST were included after excluding other common tropical infections.

Results: Out of 650 children, 60 (10%) were infants. Fever (100%) was the most common presentation with mean duration of 9 days followed by cough and fast breathing. Eschar (33, 55%) was commonly seen in the face (14, 23.3%) and were atypical (10, 16.6%) in appearance. Findings such as pallor, oedema, hepatosplenomegaly, lung crackles and hematological abnormalities like anemia, leukocytosis, elevated transaminases were more prevalent in infants compared to older children. Severe ST was observed in 34 (56.7%) infants, commonly presenting with pneumonia and shock. Doxycycline showed quicker defervesence with no adverse events in infants. Logistic regression identified hypoalbuminemia as a significant predictor of severe ST in infants.

Interpretation conclusion: ST in infants is common and poses a diagnostic challenge due to overlapping features with other tropical infections. Timely therapy and risk stratification can improve outcomes in resource limited settings.

背景目的:恙虫病东方体引起的热带感染恙虫病(ST)在亚太地区重新成为全球关注的问题。婴儿ST的有限数据揭示了独特的表现、并发症和严重程度预测因素。本研究旨在评估婴儿ST的发生率,比较年龄较大儿童ST的临床、实验室和预后。方法:这是在印度南部一所教学医院的儿科进行的前瞻性队列研究。在排除其他常见的热带感染后,纳入了年龄小于12岁、发热5天以上并使用IgM ELISA检测ST的血清学确诊ST的儿童。结果:650例患儿中,婴儿60例(10%)。发烧(100%)是最常见的表现,平均持续时间为9天,其次是咳嗽和呼吸急促。面部瘢痕结(33.55%)多见(14.23.3%),外观不典型(10.16.6%)。脸色苍白、水肿、肝脾肿大、肺破裂和血液学异常(如贫血、白细胞增多、转氨酶升高)在婴儿中比在大一点的儿童中更普遍。34例(56.7%)婴儿出现严重ST,通常表现为肺炎和休克。多西环素在婴儿中表现出更快的延缓作用,无不良事件。Logistic回归发现低白蛋白血症是婴儿严重ST的重要预测因子。结论:ST在婴儿中很常见,并且由于其他热带感染的重叠特征而构成诊断挑战。在资源有限的情况下,及时治疗和风险分层可以改善预后。
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引用次数: 0
Can India-Africa synergies accelerate malaria elimination? A perspective on South-South Collaboration. 印非协同能加速消除疟疾吗?南南合作展望。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.4103/jvbd.jvbd_176_25
Aditi Gupta, Himanshu Gupta

Malaria remains a critical public health challenge, disproportionately affecting sub-Saharan Africa. Although subSaharan Africa shoulders the greatest burden of malaria, research led by African institutions continues to receive only a small fraction of global research and development funding. This article reflects on the growing importance of South-South collaboration as a catalyst for advancing malaria research and control efforts. By drawing from initiatives like ANDI, the Elimination 8 (E8) group, and the India-Africa Health Sciences Platform, we illustrate how partnerships among low- and middle-income countries can foster innovation, strengthen local research capacity, improve diagnostic tools, enhance regional surveillance systems and address shared challenges. We also discuss barriers such as limited funding and fragmented systems, and outline strategies, like regional investment and regulatory harmonization, that could help unlock the full potential of these South-South collaborations.

疟疾仍然是一项重大的公共卫生挑战,对撒哈拉以南非洲的影响尤为严重。尽管撒哈拉以南非洲承担着最沉重的疟疾负担,但非洲机构领导的研究仍然只获得全球研发资金的一小部分。这篇文章反映了南南合作作为促进疟疾研究和控制努力的催化剂日益增长的重要性。通过借鉴ANDI、消除八国集团(E8)和印度-非洲卫生科学平台等举措,我们说明了低收入和中等收入国家之间的伙伴关系如何能够促进创新、加强当地研究能力、改进诊断工具、加强区域监测系统和应对共同挑战。我们还讨论了资金有限和系统分散等障碍,并概述了有助于释放这些南南合作全部潜力的战略,如区域投资和监管协调。
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Journal of Vector Borne Diseases
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