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Threatened by many complex food security problems - agriculture, academic, and government professionals seek new one health research partnerships 受到许多复杂的粮食安全问题的威胁--农业、学术界和政府专业人员寻求新的健康研究伙伴关系
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-12 DOI: 10.1016/j.onehlt.2024.100890

With modern international trade and the rapid movement of people, animals, and food products, today's risks to food security are increasing worldwide. It is clear that human health, animal health, environmental health, and agriculture are inextricable linked. Food security problems in one sector often adversely impact multiple other sectors. Food security threats are often complex with many factors influencing the emergence of new threats. As multiple US governmental agencies share responsibilities for food security threat mitigation, we need to find new ways for the numerous food security scientific disciplines and agencies to forge new effective research collaborations in meeting these threats. This special issue of the journal One Health seeks to give examples of such research. It represents a collection of scientific reports from oral and poster presentations delivered at the April 21–23, 2024, “International Symposium on One Health Research: Improving Food Security and Resilience” in Galveston, Texas.

随着现代国际贸易的发展以及人员、动物和食品的快速流动,当今全球范围内的食品安全风险与日俱增。人类健康、动物健康、环境健康和农业显然密不可分。一个部门的粮食安全问题往往会对其他多个部门产生不利影响。粮食安全威胁往往是复杂的,影响新威胁出现的因素很多。由于美国多个政府机构共同承担着减轻食品安全威胁的责任,我们需要为众多食品安全科学学科和机构找到新的方法,建立新的有效研究合作关系,以应对这些威胁。本期《同一健康》(One Health)杂志特刊旨在提供此类研究的范例。本特刊汇集了在 2024 年 4 月 21-23 日举行的 "一体健康研究国际研讨会 "上发表的口头和海报科学报告:提高粮食安全和复原力 "国际研讨会上发表的口头报告和海报。
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引用次数: 0
The genomic diversity and antimicrobial resistance of Non-typhoidal Salmonella in humans and food animals in Northern India 印度北部人类和食用动物非伤寒沙门氏菌的基因组多样性和抗菌药耐药性
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-12 DOI: 10.1016/j.onehlt.2024.100892

Introduction

Non-typhoidal Salmonella (NTS) serovars are the leading global cause of gastroenteritis and have established reservoirs in food animals.

Gap statement

Due to a lack of surveillance, there is limited information on the distribution of NTS serovars in India.

Aim

Here, we investigated the epidemiology, sequence types, serovar distribution, phylogenetic relatedness, and antimicrobial resistance patterns of NTS in humans and animals across a large geographic area in Northern India.

Methodology

We collected stool samples from patients with diarrhea who presented to 14 laboratories in Chandigarh and from five states in India (Punjab, Haryana, Uttarakhand, Himachal Pradesh, and Rajasthan). We sequenced the genomes and analyzed 117 NTS organisms isolated from humans and animals. Minimum inhibitory concentrations (MICs) were estimated using a Vitek2 system.

Results

The prevalence of NTS in participants presenting to our study with diarrhea was 1.28 %, affecting all age groups. All NTS caused moderate to severe diarrhea. We found a high diversity of serovars with considerable serovar and sequence types (STs) overlap and phylogenetic closeness between isolates from human infections and food animals. We report serovars such as S. Agona, S. Bareilly, S. Kentucky, S. Saintpaul, and S. Virchow, causing human infections from north India for the first time. Among the different food-producing animals, pigs appeared to be a key source of human infections. Twenty-eight percent (28 %) of the NTS isolates were multi-drug resistant (MDR), and human isolates showed a higher proportion of resistance. A higher level of contamination of meat samples in our study (8.4 %) potentially suggests a close association of NTS serovars with the food chain and high transmission risk in north India.

Conclusions

This study provides information on AMR genes and plasmid replicons associated with different serovars and highlights the role of food animals in AMR dissemination in our region.

非伤寒沙门氏菌(NTS)血清型是全球肠胃炎的主要病因,并已在食用动物中建立了贮藏库。
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引用次数: 0
Epidemiology and evolution of human-origin H10N5 influenza virus 人源 H10N5 流感病毒的流行病学和演变
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-12 DOI: 10.1016/j.onehlt.2024.100893

H10 subtype avian influenza viruses were endemic in wild and domestic avian species worldwide. Strikingly, it frequently crossed the species barrier to infect mammalian hosts. Human infection with H10N3 and H10N8 were reported previously. Recently, a 63-year-old woman from Anhui province of China who died from a mixed infection of H3N2 and H10N5 influenza viruses, which have drawn widespread public health attention. Here, we perform the evolutionary dynamics of H10N5 influenza viruses of bird- and human-origin worldwide, and found that wild bird-origin H10N5 influenza viruses from China did not cluster together with human-origin H10N5 influenza viruses, while grouped together with LPAIV gene pools circulating in wild birds that derived from other Eurasian countries. Human-derived H10N5 virus is a novel reassortant, which frequently reassorted with wild bird-derived influenza viruses, and in turn, spillover into humans. Collectively, our results suggested that H10 subtype influenza viruses continuously pose threat to public health.

H10 亚型禽流感病毒在全球野生和家养禽类中流行。令人震惊的是,它经常跨越物种屏障感染哺乳动物宿主。此前曾有人类感染 H10N3 和 H10N8 的报道。最近,一名来自中国安徽省的 63 岁妇女死于 H3N2 和 H10N5 流感病毒的混合感染,引起了广泛的公共卫生关注。在此,我们对全球鸟源和人源 H10N5 流感病毒的进化动态进行了研究,发现中国的野鸟源 H10N5 流感病毒并没有与人源 H10N5 流感病毒聚集在一起,而是与其他欧亚国家野鸟中流行的 LPAIV 基因库聚集在一起。人源 H10N5 病毒是一种新型重配病毒,经常与野禽源流感病毒重配,进而扩散到人体内。总之,我们的研究结果表明,H10 亚型流感病毒持续威胁着公众健康。
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引用次数: 0
Catastrophic floods and antimicrobial resistance: Interconnected threats with wide-ranging impacts 灾难性洪水和抗生素耐药性:相互关联、影响广泛的威胁
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-10 DOI: 10.1016/j.onehlt.2024.100891
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引用次数: 0
Application of compound poisson model to estimate underreported risk of non-communicable diseases in underdeveloped areas 应用复合泊松模型估算欠发达地区漏报的非传染性疾病风险
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-08 DOI: 10.1016/j.onehlt.2024.100889

Background

Hypertension and diabetes are major components of non-communicable diseases (NCDs), with a substantial number of patients residing in underdeveloped areas. Limited medical resources in these areas often results in underreporting of disease prevalence, masking the true extent of diseases. Taking the underdeveloped Liangshan Yi Autonomous Prefecture in China as an example, this study aimed to correct the underreported prevalence of hypertension and type 2 diabetes so as to provide inspiration for the allocation of medical resources in such areas.

Methods

Assuming the true number of patients in each area follows a Poisson distribution, we applied a Compound Poisson Model based on Clustering of Data Quality (CPM-CDQ) to estimate the potential true prevalence of hypertension and diabetes, as well as the registration rate of existing patients. Specifically, a hierarchical clustering approach was utilized to group the counties based on the data quality, and then the registration rate of the cluster with the best data quality was used as a priori information for the model. The model parameters were estimated by the maximum likelihood method. Sensitivity analyses were performed to test the robustness of the model.

Results

The estimated prevalence of hypertension in the entire Liangshan Prefecture from 2018 to 2020 ranged from 24.59 % to 25.28 %, and for diabetes, it ranged from 4.95 % to 8.42 %. The registration rates for hypertension and diabetes were 14.10 % to 24.59 % and 15.98 % to 29.12 %, respectively. Additionally, the accuracy of clustering the counties with the best data quality had a significant impact on the performance of the model.

Conclusion

Liangshan Prefecture is experiencing a significant high prevalence of hypertension and diabetes, accompanied by a concerningly low registration rate. The CPM-CDQ proved useful for assessing underreporting risks and facilitating targeted interventions for NCDs control and prevention, particularly in underdeveloped areas.

背景高血压和糖尿病是非传染性疾病(NCD)的主要组成部分,其中相当多的患者居住在欠发达地区。这些地区有限的医疗资源往往导致疾病患病率的低报,从而掩盖了疾病的真实情况。本研究以中国欠发达的凉山彝族自治州为例,旨在纠正高血压和2型糖尿病的漏报患病率,从而为此类地区的医疗资源分配提供启示。方法假设每个地区的真实患者人数呈泊松分布,我们采用基于数据质量聚类的复合泊松模型(CPM-CDQ)来估计高血压和糖尿病的潜在真实患病率以及现有患者的登记率。具体来说,我们采用了分层聚类方法,根据数据质量对各县进行分组,然后将数据质量最好的聚类的登记率作为模型的先验信息。模型参数采用最大似然法估算。结果估计2018年至2020年凉山州全州高血压患病率为24.59%至25.28%,糖尿病患病率为4.95%至8.42%。高血压和糖尿病的登记率分别为 14.10 % 至 24.59 % 和 15.98 % 至 29.12 %。此外,对数据质量最好的县进行聚类的准确性对模型的性能也有显著影响。事实证明,CPM-CDQ 有助于评估漏报风险,促进非传染性疾病防控的针对性干预,尤其是在欠发达地区。
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引用次数: 0
Unveiling spatial patterns of West Nile virus emergence in northern Greece, 2010–2023 揭示 2010-2023 年希腊北部西尼罗河病毒出现的空间模式
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-05 DOI: 10.1016/j.onehlt.2024.100888

The Region of Central Macedonia (RCM) in Northern Greece recorded the highest number of human West Nile virus (WNV) infections in Greece, despite considerable local mosquito control actions. We examined spatial patterns and associations of mosquito levels, infected mosquito levels, and WNV human cases (WNVhc) across the municipalities of this region over the period 2010–2023 and linked it with climatic characteristics. We combined novel entomological and available epidemiological and climate data for the RCM, aggregated at the municipality level and used Local and Global Moran's I index to assess spatial associations of mosquito levels, infected mosquito levels, and WNVhc. We identified areas with strong interdependencies between adjacent municipalities in the Western part of the region. Furthermore, we employed a Generalized Linear Mixed Model to first, identify the factors driving the observed levels of mosquitoes, infected mosquitoes and WNVhc and second, estimate the influence of climatic features on the observed levels. This modeling approach indicates a strong dependence of the mosquito levels on the temperatures in winter and spring and the total precipitation in early spring, while virus circulation relies on the temperatures of late spring and summer. Our findings highlight the significant influence of climatic factors on mosquito populations (∼60 % explained variance) and the incidence of WNV human cases (∼40 % explained variance), while the unexplained ∼40 % of the variance suggests that targeted interventions and enhanced surveillance in identified hot-spots can enhance public health response.

希腊北部的中马其顿地区(RCM)是希腊人感染西尼罗河病毒(WNV)人数最多的地区,尽管当地采取了大量灭蚊行动。我们研究了 2010-2023 年期间该地区各市蚊子数量、受感染蚊子数量和人类西尼罗河病毒感染病例(WNVhc)的空间模式和关联,并将其与气候特征联系起来。我们将区域协调机制的新昆虫学数据与现有流行病学和气候数据相结合,在市镇一级进行汇总,并使用本地和全球莫兰 I 指数来评估蚊子数量、受感染蚊子数量和 WNVhc 的空间关联。我们确定了该地区西部相邻市镇之间相互依赖性较强的区域。此外,我们采用了广义线性混合模型,首先确定了蚊子、受感染蚊子和 WNVhc 水平的驱动因素,其次估计了气候特征对观察到的水平的影响。这种建模方法表明,蚊子数量与冬春的气温和早春的总降水量有很大关系,而病毒循环则依赖于春末和夏季的气温。我们的研究结果突显了气候因素对蚊子数量(60%的解释方差)和人类 WNV 病例发生率(40%的解释方差)的重要影响,而 40%的未解释方差表明,在已确定的热点地区采取有针对性的干预措施和加强监测可以提高公共卫生应对能力。
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引用次数: 0
Emergence of multidrug-resistant Providencia rettgeri clone in food-producing animals: A public health threat 产粮动物中出现耐多药的普罗维登菌(Providencia rettgeri)克隆:公共卫生威胁
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-03 DOI: 10.1016/j.onehlt.2024.100887

The occurrence of carbapenemases encoding genes in Providencia rettgeri is a critical public health concern since this species has intrinsic resistance to several antimicrobials, including polymyxins. The identification of this multidrug-resistant (MDR) pathogen outside the hospital setting has become increasingly frequent, and raises an alert for the global health agencies, as they indicate a possible spread of such pathogens. Herein, we described three MDR P. rettgeri isolates carrying a diversity of antimicrobial resistance genes (ARGs) isolated from stool samples of swine and bovine in Brazil. Molecular analysis revealed that all isolates belonged to the same clone. The whole genome sequencing (WGS) of a representative isolate (PVR-188) was performed by MiSeq Illumina® platform, while the assembling and annotation was achieved using SPAdes and Prooka, respectively. The WGS analyses indicated the presence of ARGs that confer resistance to β-lactams (blaNDM-1, blaCTX-M-2), quinolones (qnrD1), aminoglycosides (aadA2, aadA1, aph(3′)-Via), phenicol (catB2), sulfonamides (sul1, sul2), and trimethoprim (dfrA12, dfrA1). The presence of three plasmid replicons (Col3M, IncQ1, and IncT) was detected, but no phage sequences were found. The phylogenetic analyses confirmed the genomic relationship of the PVR-188 with P. rettgeri isolates recovered from animals and humans in the USA and Malaysia. In conclusion, we report the occurrence of MDR P. rettgeri clone colonizing the gut microbiota of food-producing animals in Brazil, revealing the spread of this pathogen beyond hospital boundaries.

由于普罗维登菌(Providencia rettgeri)对包括多粘菌素在内的多种抗菌素具有内在耐药性,因此在普罗维登菌(Providencia rettgeri)中出现碳青霉烯酶编码基因是一个重要的公共卫生问题。在医院外发现这种耐多药(MDR)病原体的情况越来越频繁,引起了全球卫生机构的警觉,因为这表明这类病原体可能会扩散。在本文中,我们描述了从巴西猪和牛粪便样本中分离出的三种携带多种抗菌药耐药基因(ARGs)的 MDR P. rettgeri 分离物。分子分析表明,所有分离物都属于同一个克隆。一个代表性分离物(PVR-188)的全基因组测序(WGS)由 MiSeq Illumina® 平台完成,而组装和注释则分别由 SPAdes 和 Prooka 完成。WGS 分析表明,分离物中存在 ARGs,可产生对 β-内酰胺类(blaNDM-1、blaCTX-M-2)、喹诺酮类(qnrD1)、氨基糖苷类(aadA2、aadA1、aph(3′)-Via)、苯酚类(catB2)、磺胺类(sul1、sul2)和三甲氧苄啶(dfrA12、dfrA1)的耐药性。检测到了三个质粒复制子(Col3M、IncQ1 和 IncT),但没有发现噬菌体序列。系统进化分析证实了 PVR-188 与从美国和马来西亚的动物和人类中分离出的 P. rettgeri 的基因组关系。总之,我们报告了 MDR P. rettgeri 克隆在巴西食用动物肠道微生物群中的定植情况,揭示了这种病原体在医院边界以外的传播。
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引用次数: 0
Multi-drug resistant (MDR) and extended-spectrum β-lactamase (ESBL) producing Escherichia coli isolated from slaughtered pigs and slaughterhouse workers in Yaoundé, Cameroon 从喀麦隆雅温得屠宰猪和屠宰场工人中分离出的耐多药(MDR)和产广谱β-内酰胺酶(ESBL)大肠埃希菌
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-30 DOI: 10.1016/j.onehlt.2024.100885

Antimicrobial resistance (AMR) in the food chain remains a global public health concern for both humans and animals. This study aimed to determine the prevalence, resistance profiles, and clonal relatedness of multidrug-resistant (MDR) and extended-spectrum β-lactamases- producing Escherichia coli (ESBL-Ec) isolated from slaughtered pigs and slaughterhouse workers in Yaoundé, Cameroon.

A cross-sectional study was conducted over four months, from February to May 2023 in two selected pig's slaughterhouse markets in Yaoundé. Rectal swabs were collected from 375 pigs at four time points and pooled per three according to gender, origin, and abattoirs leading to 125 pooled samples. Seven faecal samples from 60 contacted exposed workers were collected. Samples were cultured on CHROMagar™ ESBL medium, dark pink to reddish colonies were considered E. coli. Resistance genes including blaCTX-M, blaSHV and blaTEM were detected using the polymerase chain reaction (PCR) while ERIC-PCR was used to assess the genetic relatedness between isolates.

The prevalence of ESBL-Ec was elevated among exposed workers (71.4 %; n = 5/7) and pigs (70.4 %; n = 88/125). Overall, ESBL-Ec exhibited high resistance to cefuroxime (100 %, n = 105/105), cefotaxime (100 %, n = 105/105), amoxicillin-clavulanic acid (98.1 %, n = 103/105), cefixime (92.4 %, n = 97/105), tetracycline (86.7 %, n = 91/105) and sulfamethoxazole-trimethoprim (81.9 %, n = 86/105). However, these isolates showed good susceptibility to gentamicin (3.8 %, n = 4/105), chloramphenicol (8.6 %, n = 9/105), and fosfomycin (14.3 %, n = 15/105). All human isolates and 75.8 % (n = 75/99) of pig isolates were multi-drug resistant. The blaCTX-M was the most prevalent resistance gene among exposed workers (100 %, n = 6/6) and pigs (80.8 %, n = 80/99) followed by blaTEM (33.3 % each). High clonal relatedness of ESBL-Ec strains was observed among pig and human isolates across slaughterhouses.

This study showed that the gastrointestinal tract of pigs might be an important reservoir of MDR and ESBL-Ec in Yaoundé, Cameroon and these resistant bacteria might be circulating between sources, especially humans. Heightening awareness on appropriate antibiotic use in humans and animals as well as implementing stringent biosecurity and food safety measures are imperative to prevent the emergence and spread of AMR in the country.

食物链中的抗菌药耐药性(AMR)仍然是人类和动物面临的一个全球性公共卫生问题。本研究旨在确定喀麦隆雅温得屠宰猪和屠宰场工人中分离出的耐多药(MDR)和产广谱β-内酰胺酶大肠埃希菌(ESBL-Ec)的流行率、耐药性概况和克隆相关性。研究人员在四个时间点采集了 375 头猪的直肠拭子,并按照性别、产地和屠宰场将每三头猪的拭子集中起来,最终得到 125 份集中样本。从 60 名接触过该病毒的工人身上采集了 7 份粪便样本。样本在 CHROMagar™ ESBL 培养基上培养,深粉红色至淡红色菌落被认为是大肠杆菌。使用聚合酶链式反应(PCR)检测耐药基因,包括 blaCTX-M、blaSHV 和 blaTEM,同时使用 ERIC-PCR 评估分离物之间的遗传相关性。总体而言,ESBL-Ec 对头孢呋辛(100%,n = 105/105)、头孢他啶(100%,n = 105/105)、阿莫西林-克拉维酸(98.1%,n = 103/105)、头孢克肟(92.4%,n = 97/105)、四环素(86.7%,n = 91/105)和磺胺甲恶唑-三甲氧苄啶(81.9%,n = 86/105)表现出较高的耐药性。不过,这些分离物对庆大霉素(3.8%,n = 4/105)、氯霉素(8.6%,n = 9/105)和磷霉素(14.3%,n = 15/105)表现出良好的敏感性。所有人类分离物和 75.8 %(n = 75/99)的猪分离物都具有多重耐药性。blaCTX-M 是暴露工人(100%,n = 6/6)和猪(80.8%,n = 80/99)中最普遍的耐药基因,其次是 blaTEM(各占 33.3%)。这项研究表明,在喀麦隆雅温得,猪的胃肠道可能是 MDR 和 ESBL-Ec 的重要贮藏库,这些耐药细菌可能在不同来源(尤其是人类)之间循环。提高对人类和动物合理使用抗生素的认识,以及实施严格的生物安全和食品安全措施,是防止喀麦隆出现和传播 AMR 的当务之急。
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引用次数: 0
Broad range molecular detection methods identify only Borrelia spp. in erythema migrans biopsies and blood of tick-bitten patients 广泛的分子检测方法仅能在被蜱虫叮咬的迁徙性红斑活检组织和患者血液中鉴定出波氏杆菌属
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-30 DOI: 10.1016/j.onehlt.2024.100886

In this multicenter study conducted in France, we challenged the hypothesis of the transmission of pathogens other than Borrelia spp. in 22 patients developing erythema migrans following a tick bite. Using a combination of high-throughput microfluidic PCRs and agnostic metagenomics on skin biopsies and blood samples, no microorganisms other than Borrelia spp. was found.

在法国进行的这项多中心研究中,我们对 22 名被蜱虫叮咬后出现迁徙性红斑的患者中存在鲍氏包虫病以外的病原体传播这一假设提出了质疑。我们在皮肤活检和血液样本中结合使用了高通量微流控 PCR 和不可知元基因组学方法,结果没有发现除鲍瑞氏菌以外的其他微生物。
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引用次数: 0
Oral rabies vaccination of foxes in Türkiye, 2019–2022 2019-2022 年土耳其狐狸口服狂犬病疫苗接种情况
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-28 DOI: 10.1016/j.onehlt.2024.100877

Background

Rabies in Turkey is maintained by dogs, but following a sustained spill-over, red fox mediated rabies had spread from the Aegean region to the central part of Türkiye. During the past four years from 2019 to 2023 large scale efforts used oral rabies vaccination (ORV) to control rabies in red foxes. Here, we present the results of the largest ORV campaign on the Asian continent.

Methods

ORV campaigns were carried out twice a year in spring and autumn with a targeted bait density of 20–23 baits/km2. Monitoring of ORV campaigns included the GIS-based analyses of bait distribution, the assessment of bait uptake through biomarker detection and the determination of seroconversion (sero-positivity in ELISA) in the target species collected within the vaccination area. For determination of fox rabies incidence in vaccination areas as the main indicator of the performance of the ORV campaigns, epidemiological data was obtained from the national passive surveillance program.

Results

Aerial bait distribution was highly accurate, with >99 % of baits being recorded from targeted zones, thus meeting the desired bait densities. Although the overall bait uptake (28.1 %; 95 %CI: 23.2–32.8) and seroprevalance (36.3 %; 95 %CI: 30.0–43.2) were low, rabies incidence drastically decreased in ORV areas and rabies was eliminated from western and central parts of Turkey, with no reported cases in foxes from ORV areas in 2022 and 2023.

Conclusions

A large-scale ORV campaign against fox rabies using high quality vaccine baits and the GIS-aided and monitored bait distribution was able to control fox mediated rabies in the western and central parts of Türkiye. Rabies control both in dogs and foxes should be expanded to cover also the eastern parts of Türkiye, to become eventually rabies free.

背景土耳其的狂犬病由狗来维持,但在持续蔓延之后,由红狐介导的狂犬病已从爱琴海地区扩散到土耳其中部地区。在 2019 年至 2023 年的过去四年中,大规模使用口服狂犬病疫苗(ORV)来控制红狐的狂犬病。方法口服狂犬病疫苗接种活动每年在春季和秋季进行两次,目标诱饵密度为 20-23 个诱饵/平方公里。对狂犬病疫苗接种活动的监测包括基于地理信息系统(GIS)的毒饵分布分析、通过生物标记物检测评估毒饵吸收情况,以及对疫苗接种区内采集的目标物种进行血清转换(ELISA检测血清阳性)测定。为了确定疫苗接种区的狐狸狂犬病发病率,作为衡量 ORV 活动效果的主要指标,我们从国家被动监测计划中获得了流行病学数据。结果空中诱饵分发非常准确,99% 的诱饵来自目标区域,因此达到了预期的诱饵密度。虽然总体诱饵吸收率(28.1%;95 %CI:23.2-32.8)和血清阳性反应率(36.3%;95 %CI:30.0-43.2)较低,但 ORV 地区的狂犬病发病率急剧下降,土耳其西部和中部地区消除了狂犬病,2022 年和 2023 年 ORV 地区没有狐狸病例报告。结论使用高质量的疫苗毒饵以及地理信息系统辅助和监测的毒饵分配,开展大规模的 ORV 活动来防治狐狸狂犬病,能够控制土耳其西部和中部地区由狐狸引起的狂犬病。对狗和狐狸的狂犬病控制应扩大到土耳其东部地区,以最终实现无狂犬病。
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引用次数: 0
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