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The potential impact of climate change on medication access and quality deserves far more attention 气候变化对药物获取和质量的潜在影响值得更多关注。
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-18 DOI: 10.1016/j.onehlt.2024.100957
Warren A. Kaplan , Davidson H. Hamer , Kayoko Shioda
Notwithstanding the obvious interconnection between humans and the world that they share with non-human inhabitants, the impact of our changing climate on certain aspects of the public health ecosystem has been under-investigated. We briefly describe some of the possible climate-induced changes in the procurement, distribution, access and use of medications, including those for animals generally and livestock specifically. A fuller understanding of the effect of climate change on medicine supply, access, use and quality, including how these affect antimicrobial resistance, would contribute to the further development of the “One Health” and “One Health Systems” concepts. We suggest that this understanding is not yet available, even though the changing incidence of infectious diseases due to changing climate has been studied. There is a need for improved understanding of the impact of extremes of humidity and heat on medication quality and research into heat-stable medicines as well as strategies for the improving resilience of the pharmaceutical supply and distribution system in complex public health emergencies caused by aberrant weather patterns.
尽管人类与非人类居民之间有着明显的相互联系,但气候变化对公共卫生生态系统某些方面的影响尚未得到充分调查。我们简要描述了一些可能由气候引起的药物采购、分配、获取和使用方面的变化,包括一般动物和牲畜的药物。更全面地了解气候变化对药品供应、获取、使用和质量的影响,包括这些影响如何影响抗菌素耐药性,将有助于进一步发展“一个健康”和“一个卫生系统”概念。我们认为,尽管已经研究了气候变化引起的传染病发病率的变化,但目前还没有这种认识。有必要进一步了解极端湿度和高温对药物质量的影响,研究热稳定性药物,以及提高药物供应和分配系统在异常天气模式造成的复杂公共卫生紧急情况下的应变能力的战略。
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引用次数: 0
The contribution of community transmission to the burden of hospital-associated pathogens: A systematic scoping review of epidemiological models 社区传播对医院相关病原体负担的贡献:流行病学模型的系统范围审查。
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-16 DOI: 10.1016/j.onehlt.2024.100951
Gary Lin , Suprena Poleon , Alisa Hamilton , Nalini Salvekar , Manuel Jara , Fardad Haghpanah , Cristina Lanzas , Ashley Hazel , Seth Blumberg , Suzanne Lenhart , Alun L. Lloyd , Anil Vullikanti , Eili Klein , For the CDC MInD Healthcare Network
Healthcare-associated infections (HAI), particularly those involving multi-drug resistant organisms (MDRO), pose a significant public health threat. Understanding the transmission of these pathogens in short-term acute care hospitals (STACH) is crucial for effective control. Mathematical and computational models play a key role in studying transmission but often overlook the influence of long-term care facilities (LTCFs) and the broader community on transmission. In a systematic scoping review of 4,733 unique studies from 2016 to 2022, we explored the modeling landscape of the hospital-community interface in HAI-causing pathogen transmission. Among the 29 eligible studies, 28 % (n = 8) exclusively modeled LTCFs, 45 % (n = 13) focused on non-healthcare-related community settings, and 31 % (n = 9) considered both settings. Studies emphasizing screening and contact precautions were more likely to include LTCFs but tended to neglect the wider community. This review emphasizes the crucial need for comprehensive modeling that incorporates the community's impact on both clinical and public health outcomes.
医疗保健相关感染(HAI),特别是涉及耐多药生物(MDRO)的感染,构成了重大的公共卫生威胁。了解这些病原体在短期急症医院(STACH)的传播对有效控制至关重要。数学和计算模型在研究传播方面发挥着关键作用,但往往忽视了长期护理设施和更广泛的社区对传播的影响。在对2016年至2022年4733项独特研究的系统范围综述中,我们探索了医院-社区界面在hai引起的病原体传播中的建模景观。在29项符合条件的研究中,28% (n = 8)完全模拟了ltcf, 45% (n = 13)专注于与医疗保健无关的社区环境,31% (n = 9)考虑了两种环境。强调筛查和接触预防的研究更有可能包括ltcf,但往往忽视了更广泛的社区。这篇综述强调了建立综合模型的关键必要性,该模型将社区对临床和公共卫生结果的影响结合起来。
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引用次数: 0
Effects of community action on animal vaccination uptake, antimicrobial usage, and farmers’ wellbeing in Ghana: study protocol for a cluster-randomized controlled trial 加纳社区行动对动物疫苗接种、抗菌药物使用和农民福祉的影响:一项集群随机对照试验的研究方案
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-15 DOI: 10.1016/j.onehlt.2024.100952
Francis Sena Nuvey , Günther Fink , Jan Hattendorf , Daniel T. Haydon , Gilbert Fokou , Kennedy Kwasi Addo , Jakob Zinsstag , Clemence Esse-Dibby , Bassirou Bonfoh
Infectious animal diseases represent a major constraint to livestock productivity, food security and wellbeing in many developing countries. To mitigate these impacts, farmers frequently use antimicrobials without professional advice, potentially yielding drug residues in livestock products and the food chain, as well as resistant antimicrobial genes. Recent studies identified Contagious Bovine Pleuropneumonia (CBPP) and Peste des Petits Ruminants (PPR) as the diseases most negatively affecting ruminant livestock productivity and farmers’ wellbeing in Ghana. Despite the approval and availability of effective CBPP and PPR vaccines in Ghana, acceptability, affordability, accessibility, and availability of vaccination limit their uptake, with only 15% of farmers regularly vaccinating their herds. During formative qualitative research to identify barriers and potential intervention options, farmers suggested that establishing localized farmer intervention platforms could improve vaccine access. The main idea is the platforms enabling information exchange on livestock vaccines, enhancing service scheduling, and sharing vaccination costs among farmers living in the same locality. We now wish to test formally this hypothesis.
Through a cluster-randomized controlled trial, we aim to determine the effect of localized farmer platforms on animal vaccination uptake (primary outcome), antimicrobials use in livestock production, disease-induced mortality in livestock, and livestock farmers’ wellbeing (secondary outcomes). The intervention will be randomized at the community level. The study will involve 460 farming households across 46 rural communities (study clusters). Clusters will be randomized with equal probability to treatment and control (23 communities each). Approximately 10 households per community will be sampled for data collection at baseline, and at 6 and 12 months post-intervention, following prevailing vaccination schedules. We will conduct an intention-to-treat analysis using the available case population. The findings will inform strategies to tackle the impact of infectious livestock diseases on food security, public health and farmers’ wellbeing.
Trial registry: https://pactr.samrc.ac.za/; ID No.: PACTR202405854213937.
在许多发展中国家,传染性动物疾病是牲畜生产力、粮食安全和福祉的主要制约因素。为了减轻这些影响,农民经常在没有专业建议的情况下使用抗菌素,这可能会在畜产品和食物链中产生药物残留,并产生耐药的抗菌素基因。最近的研究发现,传染性牛胸膜肺炎(CBPP)和小反刍兽疫(PPR)是对加纳反刍牲畜生产力和农民福祉影响最大的疾病。尽管加纳批准并提供了有效的CBPP和PPR疫苗,但疫苗的可接受性、可负担性、可及性和可获得性限制了它们的使用,只有15%的农民定期为其牛群接种疫苗。在确定障碍和潜在干预方案的形成性定性研究中,农民建议建立本地化的农民干预平台可以改善疫苗获取。其主要思想是建立平台,使牲畜疫苗信息交流,加强服务安排,并在同一地区的农民之间分担疫苗接种费用。现在我们希望正式检验这个假设。通过一项集群随机对照试验,我们旨在确定本地化农民平台对动物疫苗接种(主要结局)、畜牧生产中抗菌剂的使用、牲畜疾病导致的死亡率和畜牧农民福祉(次要结局)的影响。干预措施将在社区一级随机进行。该研究将涉及46个农村社区(研究集群)的460个农户。各组将以相同的概率随机分配到治疗组和对照组(各23个社区)。在基线时,以及在干预后6个月和12个月,按照现行的疫苗接种时间表,将对每个社区大约10个家庭进行抽样,以收集数据。我们将利用现有病例群进行意向治疗分析。这些发现将为应对传染性牲畜疾病对粮食安全、公共卫生和农民福祉的影响的战略提供信息。试验注册:https://pactr.samrc.ac.za/;ID。: PACTR202405854213937。
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引用次数: 0
Treatment of cattle with ivermectin and its effect on dung degradation and larval abundance in a tropical savanna setting 伊维菌素处理牛及其对热带稀树草原粪便降解和幼虫丰度的影响。
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-12 DOI: 10.1016/j.onehlt.2024.100950
Miriam Ruhinda , Kang Xia , Cassidy Rist , Gerald Shija , Issa N. Lyimo , Felician Meza , Carlyle Brewster , Carlos Chaccour , N. Regina Rabinovich , Roger Schürch
When ingested as part of a blood meal, the antiparasitic drug ivermectin kills mosquitoes, making it a candidate for mass drug administration (MDA) in humans and livestock to reduce malaria transmission. When administered to livestock, most ivermectin is excreted unmetabolized in the dung within 5 days post administration. Presence of ivermectin, has been shown to adversely affect dung colonizers and dung degradation in temperate settings; however, those findings may not apply to, tropical environment, where ivermectin MDA against malaria would occur. Here we report results of a randomized field experiment conducted with dung from ivermectin-treated and control cattle to determine the effect of ivermectin on dung degradation in tropical Tanzania. For intact pats, we measured termite colonization, larval numbers and pat wet and dry weights. Pat organic matter was interpolated from a subsample of the pat (10 g wet weight). Additionally, we counted larvae growing in the treated and untreated pats in a semi-field setting. We found that termites colonized ivermectin pats more readily than controls. Despite this, wet weight decreased significantly slower in the ivermectin-treated pats in the first two weeks. As water was lost, sub-sample dry weight increased, and organic matter decreased similarly over time for the treatment and control. Interpolated for whole pats, total organic matter was higher, and larval counts were lower in the ivermectin-treated pats after the first month. Our results demonstrate an effect of ivermectin and its metabolites on dung degradation and fauna in a tropical savanna setting. Because slow dung degradation and low insect abundance negatively impact pastureland, these non-target, environmental effects must be further investigated within the context of real-world implementation of ivermectin MDA in cattle and weighed against the potential benefits for malaria control.
当抗寄生虫药物伊维菌素作为血餐的一部分被摄入时,它可以杀死蚊子,使其成为人类和牲畜大规模给药(MDA)的候选药物,以减少疟疾传播。对牲畜施用伊维菌素时,大多数伊维菌素在施用后5天内不经代谢随粪便排出。伊维菌素的存在已被证明对温带环境下的粪便殖民者和粪便降解产生不利影响;然而,这些发现可能不适用于热带环境,在那里伊维菌素丙二醛可以对抗疟疾。在这里,我们报告了对伊维菌素处理和对照牛的粪便进行的随机现场试验的结果,以确定伊维菌素对坦桑尼亚热带地区粪便降解的影响。对于完整的部分,我们测量了白蚁的定植,幼虫数量和拍的干湿重量。从零件的子样品(湿重10克)中插入了零件的有机物。此外,我们还统计了在半田环境中处理过和未处理过的部分中幼虫的生长情况。我们发现白蚁比对照组更容易在伊维菌素部位定居。尽管如此,在前两周,伊维菌素处理的部分湿重下降明显较慢。随着时间的推移,随着水的流失,子样品的干重增加,有机物含量也相应减少。对整个部分进行插值,在第一个月后,伊维菌素处理的部分总有机质较高,幼虫计数较低。我们的结果证明了伊维菌素及其代谢物对热带稀树草原环境中粪便降解和动物群的影响。由于粪便降解缓慢和昆虫丰度低对牧场产生负面影响,必须在实际实施伊维菌素丙二醛对牛的背景下进一步调查这些非目标的环境影响,并与疟疾控制的潜在效益进行权衡。
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引用次数: 0
Situational analysis of human and agricultural health practice: One Health and antibiotic use in an indigenous village in rural Punjab, India 人类和农业卫生实践的情景分析:印度旁遮普农村一个土著村庄的一种健康和抗生素使用情况。
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-09 DOI: 10.1016/j.onehlt.2024.100946
Jarnail Singh Thakur , Anjali Rana , Rajbir Kaur , Ronika Paika , Srikanth Konreddy , Mary Wiktorowicz
Antimicrobial resistance (AMR) represents one of the biggest threats to health globally. The rise of AMR has been largely attributed to the misuse and abuse of antimicrobials in veterinary, human, and agricultural medicine. This study aimed to assess human, livestock, and agricultural health profiles, and practices of One Health and antibiotic use through a situational analysis of an Indigenous village Gurah, in a rural area of Mohali district in Punjab state using a demographic and facility survey. A survey questionnaire was used to collect information on the village's socio-demographic, human, livestock, and agricultural profiles. The study included 77 households from the village Gurah, with the majority i.e., 71.4 % engaged in agricultural activity and 68.8 % with livestock. Survey results showed that self-reported adherence to any medicine prescribed by doctors was high (92.3 %) and self-medication reported by the respondents was 11 %. Forty-two percent of antibiotic consumption was verified from prescription. The major crops grown in the village were exposed to pesticides, and most dairy and non-dairy products were sold in markets, with consumers unaware of any pesticide or antibiotic exposure. Additionally, villagers were unaware of disease diagnosis and the medicines their livestock consumed. Findings from veterinarians revealed that around 50 % of the livestock was given antibiotics for treatment for mastitis. In our study, 67.9 % of the green fodder for animals was homegrown and pesticide use was reported. The study reported that 81.1 % of the animal feed additives were purchased from the market and farmers might be unaware whether commercially-purchased feed contains antibiotics. The results provide a picture of the current situation and guide further research for the containment of AMR under the One Health approach. Inadequate multi-sectoral and cross-disciplinary efforts to combating AMR in current practice call for prompt coordinated action integral to a “One Health approach.”
抗菌素耐药性(AMR)是全球健康面临的最大威胁之一。抗菌素耐药性的上升在很大程度上归因于兽医、人类和农业医学中抗菌素的误用和滥用。本研究旨在通过对旁遮普邦莫哈里地区农村地区的一个土著村庄 Gurah 进行情况分析,评估人类、牲畜和农业的健康状况,以及 "同一健康 "和抗生素使用的做法,并为此开展人口和设施调查。调查问卷用于收集该村的社会人口、人口、牲畜和农业概况。研究对象包括古拉村的 77 户家庭,其中大多数(71.4%)从事农业活动,68.8%饲养牲畜。调查结果显示,受访者自称遵医嘱用药的比例很高(92.3%),自称用药的比例为 11%。42%的抗生素消费是根据处方核实的。村里种植的主要农作物都接触过杀虫剂,大多数奶制品和非奶制品都在市场上出售,消费者并不知道是否接触过杀虫剂或抗生素。此外,村民对疾病诊断和牲畜用药也一无所知。兽医的调查结果显示,约 50% 的牲畜因乳腺炎而服用抗生素。在我们的研究中,67.9% 的牲畜青饲料是自产的,并报告了杀虫剂的使用情况。研究报告显示,81.1% 的动物饲料添加剂是从市场上购买的,而农民可能并不清楚从市场上购买的饲料是否含有抗生素。研究结果反映了当前的情况,并为在 "一个健康 "方法下进一步研究如何控制 AMR 提供了指导。在当前的实践中,多部门和跨学科打击 AMR 的努力并不充分,因此需要迅速采取协调行动,这也是 "一体健康方法 "的组成部分。
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引用次数: 0
Ticks (Acari: Ixodidae) and tick-borne diseases in Cameroon: Current understanding and future directions for more comprehensive surveillance 喀麦隆的蜱(蜱螨:伊蚊科)和蜱媒疾病:目前的认识和未来更全面监测的方向。
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-09 DOI: 10.1016/j.onehlt.2024.100949
Yannick Ngnindji-Youdje , Michel Lontsi-Demano , Adama Zan Diarra , Juluis Foyet , Timolèon Tchuinkam , Philippe Parola
Despite the high burden of human and animal infectious diseases in Cameroon, implementing integrative approaches to managing and controlling arthropods and their pathogens remains challenging. Surveillance should be designed to detect diseases and provide relevant field-based data for developing and implementing effective control measures to prevent outbreaks before significant public and animal health consequences can occur. Nowadays, ticks are considered the primary vectors of animal diseases in the world, and the second vector of human diseases after mosquitoes. Knowledge of their biodiversity and distribution in any given area is a crucial step towards a better implementation of control strategies. The infections transmitted by ticks remain poorly known or underestimated in Cameroon. Despite the existence of several studies on ticks and associated pathogens, no single review to date summarises all the data available in this field in Cameroon. Following a comprehensive literature search, an inventory of the diversity and distribution of ticks, as well as the different tick-borne diseases (viral, bacteria and protozoa) found in Cameroon was prepared. To date, about 71 species, comprising ten Amblyomma species., eight Hyalomma spp., 26 Rhipicephalus spp., 11 Haemaphysalis spp., seven Ixodes spp., five Aponomma spp. (currently the Bothriocroton species), one Dermacentor, and four soft tick species of minimal or unknown medical and veterinary importance, namely Argas persicus, A. arboreus, Carios vespertilionis, and Ogadenus brumpti have been collected in Cameroon. Many zoonotic tick-borne diseases, such as babesiosis, theileriosis, anaplasmosis, ehrlichiosis, rickettsioses, and Q fever have been reported in the country. Knowledge about tick species and their distribution will aid in designing integrated vector management programs to monitor tick-borne diseases in Cameroon.
尽管喀麦隆的人类和动物传染病负担沉重,但实施管理和控制节肢动物及其病原体的综合方法仍然具有挑战性。监测的目的应该是发现疾病并提供相关的实地数据,以便制定和执行有效的控制措施,在可能产生重大公共和动物健康后果之前预防疾病的爆发。目前,蜱被认为是世界上动物疾病的主要传播媒介,也是仅次于蚊子的第二大人类疾病传播媒介。了解它们的生物多样性和在任何特定地区的分布是朝着更好地执行控制战略迈出的关键一步。在喀麦隆,蜱虫传播的感染仍然鲜为人知或被低估。尽管存在几项关于蜱虫和相关病原体的研究,但迄今为止没有一项综述总结了喀麦隆这一领域的所有可用数据。在进行了全面的文献检索之后,编制了一份关于蜱的多样性和分布以及在喀麦隆发现的不同蜱传疾病(病毒、细菌和原生动物)的清单。迄今为止,约有71种,其中包括10种弱视。在喀麦隆已收集到8种透明蜱、26种鼻头蜱、11种血蜱、7种硬蜱、5种单脚蜱(目前为Bothriocroton种)、1种革蜱和4种具有微小或未知医学和兽医重要性的软蜱,即灰蜱、树蜱、Carios vespertilionis和Ogadenus brumpti。该国已报告了许多人畜共患蜱传疾病,如巴贝斯虫病、血吸虫病、无形体病、埃立克体病、立克次体病和Q热。了解蜱虫种类及其分布将有助于设计综合病媒管理方案,以监测喀麦隆的蜱传疾病。
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引用次数: 0
The impact of epidemic experiences on biosecurity behavior of pig farmers: an analysis based on protection motivation theory 疫情经历对养猪户生物安全行为的影响:基于保护动机理论的分析
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-01 DOI: 10.1016/j.onehlt.2024.100936
Wenying Zhang, Qian Lu
Farm biosecurity is considered an important component of “One Health”. Biosecurity measures are crucial for preventing and controlling outbreaks and spread of diseases on farms. Protection motivation theory (PMT) links perception of risk and coping ability with taking preventive actions. Based on field survey data of pig farmers, this study utilizes OLS and mediating effect model to explore the impact and mechanism of epidemic experiences on farmers' implementation of biosecurity measures. The research findings are as follows: first, epidemic experiences significantly promote farmers' implementation of biosecurity measures. The conclusion remains robust after addressing potential endogeneity issues. Second, epidemic experiences, through accumulated experience, further encourage farmers to implement biosecurity measures. Third, the impact of epidemic experiences on farmers' biosecurity behavior shows heterogeneity in farm size. Compared to small-scale farmers, epidemic experiences have a greater promoting effect on biosecurity behavior of professional farmers. Therefore, emphasizing farmers' epidemic experiences, enhancing biosecurity training, and increasing farmers' awareness are of significant importance in promoting farmers' implementation of biosecurity measures.
农场生物安全被认为是“同一个健康”的重要组成部分。生物安全措施对于预防和控制疾病在农场的爆发和传播至关重要。保护动机理论(PMT)将风险感知和应对能力与采取预防措施联系起来。本研究基于养猪户实地调查数据,运用OLS和中介效应模型,探讨疫情经历对养猪户实施生物安全措施的影响及机制。研究发现:第一,疫情经历显著促进农民实施生物安全措施。在解决潜在的内生性问题后,结论仍然是强有力的。二是疫情经验,通过积累经验,进一步鼓励农民实施生物安全措施。第三,疫情经历对农户生物安全行为的影响在养殖场规模上呈现异质性。与小农相比,疫情经历对专业农户生物安全行为的促进作用更大。因此,强调农民的疫情经验,加强生物安全培训,提高农民的生物安全意识,对促进农民实施生物安全措施具有重要意义。
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引用次数: 0
Leptospirosis outbreak in Ecuador in 2023: A pilot study for surveillance from a One Health perspective 2023年厄瓜多尔钩端螺旋体病暴发:从同一个健康角度监测的试点研究
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-01 DOI: 10.1016/j.onehlt.2024.100948
Solón Alberto Orlando , Naomi Mora-Jaramillo , Darwin Paredes-Núñez , Angel Sebastian Rodriguez-Pazmiño , Elsy Carvajal , Ariana León Sosa , Ariana Rivera , Jocelyn Calderon , David Guizado Herrera , Fabrizio Arcos , Leila Estefanía Vera Loor , Emma Viviana Pérez Oyarvide , Dennis Ignacio Quimí López , Betti Guailla Ríos , Bertha Benavides Yánez , Pablo Torres-Lasso , Patricia Zambrano Gavilanes , Mirna C. Oviedo , Manuel González , Fabiola Jiménez-Valenzuela , Miguel Angel Garcia-Bereguiain
Leptospirosis is a neglected zoonotic disease that is endemic in tropical regions, including Ecuador. It is caused by spirochetes of the genus Leptospira, which can infect humans through animal reservoirs such as rats and dogs, or through contact with contaminated water or soil. In March 2023, public health authorities declared a concerning outbreak of leptospirosis in Durán Cantón, located in the Coastal region of Ecuador. For the first time in the country, a multidisciplinary approach involving physicians and veterinarians was implemented for the surveillance and management of this leptospirosis outbreak. A total of 335 samples were collected, including suspected human cases, household contacts, household dogs, synanthropic rats, and water samples within the area of human cases. Samples were processed by qPCR targeting lipL32, secY, and rrs fragment genes and characterized further for Sanger sequencing. Overall, 26.2 % of human samples, 43.8 % of dog samples, 38.5 % of rat samples, and 39.4 % of water samples tested positive for Leptospira. Further, phylogenetic analysis shows that human, dog, and rat sequences are clustered within the pathogenic subclade P1, within the branch of L. kirschneri and L. interrogans. This study is the first of its kind in Ecuador, where an ongoing outbreak of leptospirosis was managed in real-time by using molecular diagnosis and not serological tools, and where the epidemiological surveillance was done following a One Health approach. This experience should inspire public and animal health authorities in Ecuador to promote a national One Health surveillance and control program for zoonotic diseases.
钩端螺旋体病是一种被忽视的人畜共患疾病,在包括厄瓜多尔在内的热带地区流行。它是由钩端螺旋体属的螺旋体引起的,它可以通过动物宿主(如老鼠和狗)或通过接触受污染的水或土壤感染人类。2023年3月,公共卫生当局宣布在厄瓜多尔沿海地区Durán Cantón发生了令人担忧的钩端螺旋体病暴发。该国首次采用了涉及医生和兽医的多学科方法来监测和管理这一钩端螺旋体病暴发。共收集了335份样本,包括疑似人间病例、家庭接触者、家庭犬、合群大鼠和人间病例区域内的水样。对样品进行针对lipL32、secY和rrs片段基因的qPCR处理,并进一步进行Sanger测序。总体而言,26.2%的人类样本、43.8%的狗样本、38.5%的大鼠样本和39.4%的水样检测出钩端螺旋体阳性。此外,系统发育分析表明,人类、狗和大鼠的序列都聚集在致病亚枝P1中,在L. kirschneri和L. interroans的分支中。这项研究是厄瓜多尔首次开展此类研究,厄瓜多尔通过使用分子诊断而非血清学工具对正在发生的钩端螺旋体病疫情进行实时管理,并按照“同一个健康”方法进行流行病学监测。这一经验应激励厄瓜多尔公共和动物卫生当局促进全国“同一个健康”人畜共患疾病监测和控制规划。
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引用次数: 0
Editorial special edition: Addressing antimicrobial resistance in Southeast Asia 编辑特刊:应对东南亚的抗菌药耐药性问题
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-01 DOI: 10.1016/j.onehlt.2024.100866
Harish Kumar Tiwari , Justin Beardsley , Ruth Zadoks , Daniel KY Tan , Sothavireak Bory , Phuc Pham Duc , Thi Thu Hoai Nguyen , Watthana Theppangna
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引用次数: 0
Geographical factors and air raid alarms influence leptospirosis epidemiology in Ukraine (2018–2023) 地理因素和空袭警报对乌克兰钩端螺旋体病流行病学的影响(2018-2023年)
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-01 DOI: 10.1016/j.onehlt.2024.100944
Pavlo Petakh , Wolfgang Huber , Oleksandr Kamyshnyi
Leptospirosis, a widespread zoonotic disease caused by Leptospira spp., affects approximately 1 million people annually and causes about 58,000 deaths worldwide. This study examines the epidemiology of leptospirosis in Ukraine from 2018 to 2023, focusing on the impact of weather and geographical factors on disease transmission. Data from the Ukrainian Centre for Disease Prevention and Control, the Ukrainian Hydrometeorological Center, and the State Agency of Water Resources of Ukraine were analyzed. The country was divided into five regions: North, East, Center, South, and West. For the visualization, but not the quantitative analyses, the notification rate (NR) of leptospirosis was classified into three categories: low, moderate, and high.
The highest NR were in Zakarpattia, Ivano-Frankivsk, Khmelnytskyi, Mykolaiv, and Kherson regions, with Zakarpattia having the highest rate. We analyzed whether various weather parameters—such as average annual temperature, precipitation, days with precipitation ≥1 mm, and relative humidity—were associated with the notification rate (NR) of leptospirosis, but no significant correlations were detected.
However, a significant positive correlation was observed between higher density of the river network and NR (Kendall's rank correlation, r = 0.65, p = 0.0005), indicating that geographical factors may play an important role in Leptospira transmission. Additionally, we found a significant correlation between monthly air raid alarm frequency and the NR of leptospirosis cases in 2023. Case reports of individuals contracting leptospirosis in bomb shelters further support the hypothesis that air raid evacuations impact leptospirosis epidemiology. Further investigation is needed to fully understand this relationship and its implications.
钩端螺旋体病是由钩端螺旋体引起的一种广泛存在的人畜共患疾病,在全世界每年影响约100万人,造成约58 000人死亡。本研究考察了2018 - 2023年乌克兰钩端螺旋体病的流行病学,重点研究了天气和地理因素对疾病传播的影响。分析了来自乌克兰疾病预防和控制中心、乌克兰水文气象中心和乌克兰国家水资源局的数据。这个国家被分为五个地区:北部、东部、中部、南部和西部。将钩端螺旋体病通报率(NR)分为低、中、高3个等级进行可视化分析,而非定量分析。Zakarpattia、Ivano-Frankivsk、Khmelnytskyi、Mykolaiv和Kherson地区的NR最高,其中Zakarpattia地区的NR最高。我们分析了各种天气参数(如年平均气温、降水量、降水量≥1mm的天数和相对湿度)是否与钩端螺旋体病的通报率(NR)相关,但未发现显著相关性。但河网密度与NR呈显著正相关(Kendall’s rank correlation, r = 0.65, p = 0.0005),表明地理因素可能在钩端螺旋体传播中起重要作用。此外,我们发现每月空袭警报频率与2023年钩端螺旋体病病例NR显著相关。在防空洞中感染钩端螺旋体病的病例报告进一步支持了空袭疏散影响钩端螺旋体病流行病学的假设。需要进一步的调查来充分了解这种关系及其影响。
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