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Rickettsial seropositivity in Lao PDR smallholder livestock farms: Implications for animal and human health 老挝人民民主共和国小农养殖场立克次体血清阳性:对动物和人类健康的影响
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-10 DOI: 10.1016/j.onehlt.2026.101327
Chantal Tawfik , James R. Young , Syseng Khounsy , Phouvong Phommachanh , Peter Christensen , Watthana Theppangna , Tom Hughes , Jantana Wongsantichon , Stuart D. Blacksell , Michael P. Ward
Rickettsioses are emerging zoonotic diseases in Southeast Asia caused by vector-borne, intracellular Rickettsia bacteria that threaten public health, animal welfare, and food security. Despite their importance to rural livelihoods, the epidemiology of rickettsial exposure in livestock remains poorly understood. This study used abattoir-based serology to evaluate livestock as sentinels of environmental exposure to Rickettsia in Lao PDR and to identify spatial hotspots and risk factors for seropositivity. Abattoir-based serological data were generated from cattle, pigs, and water buffalo samples collected in 18 provinces between January 2022 and April 2023. The immunofluorescence assay was used to detect antibodies against three rickettsial antigens: Scrub Typhus Group (Orientia tsutsugamushi), Typhus Group (R. typhi), and Spotted Fever Group (R. conorii, R. honei). Samples with IgG titres ≥1:100 were considered positive. Of 821 samples tested, 32 were seropositive: 25 cattle (9.9%), seven pigs (2.4%), and none of the buffalo. Breed and age were significant predictors, with non-native breeds and animals under one year old more likely to be positive (p < 0.05). Spatial-temporal analysis revealed one significant cluster in cattle (p = 0.0056) in southern Laos. These results represent the first nationwide serological assessment of Rickettsia exposure in Lao livestock.
立克次体病是东南亚新出现的人畜共患疾病,由媒介传播的细胞内立克次体细菌引起,威胁公共卫生、动物福利和粮食安全。尽管立克次体对农村生计很重要,但对牲畜接触立克次体的流行病学仍然知之甚少。本研究利用屠宰场血清学对老挝人民民主共和国家畜作为立克次体环境暴露的哨兵进行了评价,并确定了空间热点和血清阳性的危险因素。从2022年1月至2023年4月期间在18个省收集的牛、猪和水牛样本中生成了基于屠宰场的血清学数据。免疫荧光试验是用来检测三个立克次体抗体抗原:恙虫病组(Orientia恙虫),斑疹伤寒组(r .伤寒)和斑疹热组(r . conorii r . honei)。IgG滴度≥1:100为阳性。在检测的821个样本中,32个血清呈阳性:25头牛(9.9%),7头猪(2.4%),没有水牛。品种和年龄是显著的预测因子,非本地品种和1岁以下的动物更可能呈阳性(p < 0.05)。时空分析显示,老挝南部有一个显著的牛群(p = 0.0056)。这些结果是老挝牲畜立克次体暴露的首次全国性血清学评估。
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引用次数: 0
Integrated region-specific modeling of H5 avian influenza in Asia using ENSO-based forecasts 利用基于enso的预报对亚洲H5禽流感进行区域性综合建模
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-07 DOI: 10.1016/j.onehlt.2026.101322
Yinghui Su , Ruoxuan Wu , Pengfei Liu , Zhichao Li , Juan Pu , Lu Wang
Highly pathogenic avian influenza (HPAI), particularly of the H5 subtype, remains a persistent threat to poultry, wildlife, and public health across Asia. This study quantifies the influence of the El Niño–Southern Oscillation (ENSO), using the Multivariate ENSO Index (MEI) as the primary predictor, on the climate-driven dynamics of H5 HPAI through region- and host-stratified generalized additive models (GAMs). Seven region–host strata across Asia were modeled separately, revealing pronounced heterogeneity in event frequency. A clear negative correlation with MEI was identified in domestic poultry across East and South Asia, where higher MEI values, corresponding to El Niño conditions, were linked to reduced event frequencies. In contrast, wild bird populations in East and South Asia displayed irregular, multimodal response patterns to MEI, suggesting phase-specific sensitivities to climate variability. A recurrent neural network (RNN) was further employed to forecast MEI trends, which were then incorporated into the GAMs to predict event dynamics. The forecasts highlighted continued epidemic pressure in East Asia's wild birds, in contrast to stable or declining trends elsewhere. Given the zoonotic potential of H5 viruses, these climate-informed risk forecasts could help inform timely interventions to prevent animal-to-human transmission and support integrated One Health preparedness frameworks. This integrative statistical–deep learning framework offers valuable support for short-term early warning and regionally targeted prevention strategies for H5 HPAI preparedness across Asia.
高致病性禽流感(HPAI),特别是H5亚型,仍然对亚洲各地的家禽、野生动物和公共卫生构成持续威胁。本研究利用多元ENSO指数(MEI)作为主要预测因子,通过区域和宿主分层广义加性模型(GAMs)量化El Niño-Southern涛动(ENSO)对H5高致病性禽流感气候驱动动力学的影响。亚洲的七个区域宿主地层分别建模,揭示了事件频率的明显异质性。在东亚和南亚的家禽中发现了与MEI的明显负相关,其中较高的MEI值(对应于El Niño条件)与事件频率降低有关。相比之下,东亚和南亚的野生鸟类种群对MEI指数表现出不规则的多模态响应模式,表明它们对气候变率具有阶段性敏感性。采用递归神经网络(RNN)预测MEI趋势,然后将其纳入GAMs来预测事件动态。这些预测强调了东亚野生鸟类的持续流行病压力,与其他地区的稳定或下降趋势形成鲜明对比。鉴于H5病毒具有人畜共患的可能性,这些基于气候信息的风险预测有助于为及时采取干预措施提供信息,以防止动物向人类传播,并支持“同一个健康”综合防范框架。这一综合统计深度学习框架为亚洲各地H5高致病性禽流感的短期预警和有针对性的区域预防战略提供了宝贵支持。
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引用次数: 0
Prevalence and distribution of Echinococcus species in domestic dogs and wild canids in Pennsylvania: KeyScreen® GI Parasite PCR testing of fecal samples 宾夕法尼亚州家养狗和野生犬棘球蚴的流行和分布:粪便样本的KeyScreen®GI寄生虫PCR检测
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-06 DOI: 10.1016/j.onehlt.2026.101323
Kayla B. Garrett , Justin Brown , Pablo D. Jimenez Castro , Michelle Evason , Maria Jarque , Emily Jenkins , Noelle Kuhn , Christian Leutenegger , Cecilia Lozoya , Samantha Loo , Lauren Maxwell , Kevin D. Niedringhaus , Andrew S. Peregrine , Christian Savard , Jeffrey Tereski , Taylor Volappi , Kyle Van Why , Michael J. Yabsley , Christopher A. Cleveland
Echinococcus species are zoonotic cestodes found worldwide, posing a risk to humans and animals. Echinococcus multilocularis and E. granulosus sensu lato (s.l.) are both a concern in North America. Wild and domestic canids are definitive hosts, while rodents and ruminants are intermediate hosts for E. multilocularis and E. granulosus s.l., respectively. Humans can be alternative intermediate hosts for both Echinococcus species, and domestic dogs can serve as intermediate hosts for E. multilocularis. Recent Echinococcus detections in the eastern United States and Canada indicate a need for surveillance for these parasites. In total, we tested 27,293 fecal samples: pet dogs (n = 26,979), hunting dogs (n = 52), and wild canids (n = 262, including coyotes (Canis latrans), red fox (Vulpes vulpes), and gray fox (Urocyon cinereoargenteus)) from Pennsylvania, USA using the KeyScreen™ GI Parasite PCR. This PCR can detect and differentiate E. multilocularis, E. granulosus s.l., and Taenia spp. Infection with Echinococcus multilocularis was detected in four individuals: two gray foxes from Erie and Clearfield counties and two coyotes from Lackawanna and Susquehanna counties. Additionally, one coyote was positive from Wyoming county for E. canadensis (G8), an E. granulosus s.l. species. No pet dogs or hunting dogs were positive for either Echinococcus species. Wild canids from multiple counties were positive for Taenia species, but no domestic pet dogs or hunting dogs were positive. These findings expand the known range of Echinococcus species in Pennsylvania wild canids and demonstrate that KeyScreen™ is a valuable and rapid tool for detecting Echinococcus spp. in canid fecal samples.
棘球绦虫是一种人畜共患的寄生虫,在世界各地都有发现,对人类和动物构成威胁。多房棘球绦虫和细粒棘球绦虫在北美都是令人担忧的问题。野生和家养犬科动物是最终宿主,啮齿类和反刍动物分别是多房棘球绦虫和细粒棘球绦虫的中间宿主。人类可以作为这两种棘球绦虫的替代中间宿主,而家养狗可以作为多房棘球绦虫的中间宿主。最近在美国东部和加拿大检测到棘球蚴表明需要对这些寄生虫进行监测。我们使用keyyscreen™GI寄生虫PCR检测了27293份粪便样本:来自美国宾夕法尼亚州的宠物狗(n = 26979)、猎犬(n = 52)和野生犬科动物(n = 262,包括土狼(Canis latrans)、红狐(Vulpes Vulpes)和灰狐(Urocyon cinereogenteus)。该方法可检测和区分多房棘球绦虫、细粒棘球绦虫和带绦虫。在4只个体中检测到多房棘球绦虫感染,分别是来自伊利县和克利尔菲尔德县的2只灰狐和来自拉克万纳县和萨斯奎哈纳县的2只土狼。此外,怀俄明县1只土狼检测出加拿大棘球绦虫(G8),这是一种棘球绦虫。宠物犬和猎犬均无棘球蚴阳性。多个县的野生犬科动物均检测到带绦虫,但家养宠物犬和猎犬均未检测到带绦虫。这些发现扩大了宾夕法尼亚州野生犬科动物棘球蚴的已知种类范围,并证明KeyScreen™是一种有价值的快速检测犬科动物粪便样本中棘球蚴的工具。
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引用次数: 0
The Botucatu Document: One health antifungal resistance policies — A call for action 博图卡图文件:一项卫生抗真菌耐药性政策——行动呼吁
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-06 DOI: 10.1016/j.onehlt.2026.101319
Paulo Cezar Ceresini , Waldir Cintra de Jesus Junior , Ana Carolina Firmino , Bárbara Pereira Christofaro Silva , Danilo Tancler Stipp , Edson Luiz Furtado , Fábio Luiz Checchio Mingotte , Karine Assis Costa , Paulo Renato Matos Lopes , Rita Luiza Peruquetti
Antifungal resistance in Aspergillus fumigatus and other environmental fungi represents a growing global threat to human health, driven in part by agricultural fungicide use. The scale of the threat is masked by inadequate multisector surveillance. In December 2025, the Brazilian Network Meeting on Aspergillus fumigatus Antimicrobial Resistance convened clinical, agricultural, environmental, and public-health experts to address these challenges using a One Health framework. Through a structured plenary deliberation, participants approved “The Botucatu Document: One Health Antifungal Resistance Policies — A Call for Action,” a unified Public Statement of Concern outlining governance principles and coordinated national actions for Brazil. The Statement reflects consensus across four Working Groups on clinical surveillance, environmental monitoring, fungicide regulation, and public health communication. Together, these directives call for independent AMR data collection, FAIR transparency, cross-sector governance, strengthened laboratory capacity, environmental aerobiome surveillance, new fungicide risk-assessment criteria, and comprehensive One Health communication strategies. This manuscript presents the full Public Statement as approved verbatim, situates it within global AMR policy frameworks, and highlights implications for Brazil's forthcoming National AMR Action Plan (2026–2031). The Botucatu Document represents a milestone in aligning agricultural and clinical sectors around a shared One Health AMR agenda.
烟曲霉和其他环境真菌的抗真菌耐药性是对人类健康日益严重的全球性威胁,部分原因是农业杀菌剂的使用。多部门监测不足掩盖了威胁的规模。2025年12月,巴西烟曲霉抗微生物药物耐药性网络会议召集了临床、农业、环境和公共卫生专家,利用“同一个健康”框架应对这些挑战。通过有组织的全体审议,与会者批准了“博图卡图文件:一项卫生抗真菌药物耐药性政策——行动呼吁”,这是一份统一的公开关注声明,概述了巴西的治理原则和协调的国家行动。该声明反映了四个工作组在临床监测、环境监测、杀菌剂管理和公共卫生传播方面的共识。这些指令共同要求进行独立的抗菌素耐药性数据收集、公平的透明度、跨部门治理、加强实验室能力、环境好氧菌群监测、新的杀菌剂风险评估标准以及全面的“同一个健康”传播战略。这份手稿一字不改地呈现了经批准的公开声明全文,将其置于全球抗微生物药物耐药性政策框架中,并强调了对巴西即将出台的《国家抗微生物药物耐药性行动计划(2026-2031)》的影响。《博图卡图文件》是使农业和临床部门围绕共同的“一种健康”抗菌药耐药性议程保持一致的一个里程碑。
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引用次数: 0
Spatial prediction of the probability of liver fluke infection using a geographic weighted regression (GWR) model in waterways connecting the Mekong River, Sakon Nakhon of Thailand 基于地理加权回归(GWR)模型的泰国湄公河流域肝吸虫感染概率空间预测
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-05 DOI: 10.1016/j.onehlt.2026.101320
Benjamabhorn Pumhirunroj , Patiwat Littidej , Thidarut Boonmars , Atchara Artchayasawat , Nutchanat Buasri , Donald Slack

Introduction

Liver flukes (Opisthorchis viverrine, OV) infections in water sources continue to persist in Sakon Nakhon Province, which is linked to the Mekong River. The agency's traditional infection data comprises the locations of infected water sources. However, this data is insufficient for developing a predictive model for infections within the sub-basin. When analyzed alongside independent variables, represented as identical points, it lacks the necessary information to generate a trend line that produces a reliable coefficient. This study implemented a spatial model that integrates a geographic-weighted regression (GWR) framework with appropriate weighting as a prototype. This approach improves the selection of independent variables by shifting from a point-based methodology to a weighted hexagonal grid.

Method

A set of eight independent variables land use, soil drainage, road network, water sources, streamlines, surface temperature, NDMI (Normalized Difference Moisture Index), and NDVI (Normalized Difference Vegetation Index) was initially weighted. This study developed three linear models based on the Geographically Weighted Regression (GWR) model. It demonstrates the advantages of utilizing a hexagonal grid instead of a point grid. The three alternative models were tested with various independent variables and employed a factor-by-factor averaging approach, which necessitates the hexagonal grid size as a counterweight to ensure fairness across the entire grid, rather than relying solely on point data. A mathematical model was developed to calculate the average of each factor in order to achieve equality across a hexagonal grid area. Subsequently, the correlation was tested, and the alternative models were grouped. The resulting dendrogram includes three models.

Results and discussion

The results of the GWR comparison test were derived from both infected and hexagonal water source data. Models constructed from hexagonal grids consistently outperformed all alternative models, with R2 values improving to 58.7 %, 41.1 %, and 53.2 % for Model-1, Model-2, and Model-3, respectively. The RMSE also showed significant improvement, decreasing to 77.1 %, 60.2 %, and 67.2 %. Additionally, the model's accuracy was evaluated using AUC values of 0.725, 0.652, and 0.707, indicating that the developed model can effectively predict water source infections. Model-1 emerged as the most representative across all tests, incorporating soil drainage factors and road proximity as key influences on water source infection. Finally, the results are presented as infection prediction maps for each grid, highlighting areas of both overestimation and underestimation. The most accurate prediction model identified that over 95 % of grids had a high degree of accuracy. This study is anticipated to be applicable to infections caused by other water-mediated parasites.
在与湄公河相连的萨贡那空省,水源中的肝吸虫感染继续存在。该机构的传统感染数据包括受感染水源的位置。然而,这些数据不足以建立亚盆地内感染的预测模型。当与自变量一起分析时,用相同的点表示,它缺乏必要的信息来产生产生可靠系数的趋势线。本研究将地理加权回归(GWR)框架与适当的加权作为原型,实现了一个空间模型。该方法通过将基于点的方法转换为加权六边形网格,改进了自变量的选择。方法对土地利用、土壤排水、道路网络、水源、流线、地表温度、归一化差水分指数(NDMI)和归一化差植被指数(NDVI) 8个自变量进行初始加权。本文在地理加权回归(GWR)模型的基础上建立了三个线性模型。它演示了使用六边形网格而不是点网格的优点。这三种可选模型使用各种独立变量进行测试,并采用逐因素平均方法,该方法需要六边形网格大小作为平衡权,以确保整个网格的公平性,而不是仅仅依赖于点数据。开发了一个数学模型来计算每个因素的平均值,以便在六边形网格区域内实现相等。随后,对相关性进行检验,并对备选模型进行分组。得到的树状图包括三个模型。结果与讨论GWR对比试验的结果分别来自于感染水源和六角形水源数据。由六边形网格构建的模型始终优于所有替代模型,模型1、模型2和模型3的R2值分别提高到58.7%、41.1%和53.2%。RMSE也有显著改善,分别降至77.1%、60.2%和67.2%。AUC值分别为0.725、0.652和0.707,表明该模型能够有效预测水源感染。模型1是所有测试中最具代表性的,其中土壤排水因素和道路邻近程度是影响水源感染的关键因素。最后,结果以每个网格的感染预测图的形式呈现,突出了高估和低估的区域。最准确的预测模型表明,超过95%的网格具有高度的准确性。该研究有望应用于其他水媒寄生虫引起的感染。
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引用次数: 0
Integrated meta-analysis and sentinel surveillance: Global prevalence and risk factors for Mycoplasma bovis in cattle (2007–2023) 综合荟萃分析和哨点监测:全球牛支原体流行率和危险因素(2007-2023)
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-03 DOI: 10.1016/j.onehlt.2026.101318
Sen Zhang , Guoxing Liu , Fansong Yu , Jiyu Zhang , Xuzheng Zhou , Aizhen Guo , Yingyu Chen

Background

Mycoplasma bovis (M. bovis) is a major pathogen of cattle and contributes to substantial economic losses worldwide. A comprehensive understanding of its global prevalence is lacking, hindering the development of effective control strategies.

Objectives

This study aimed to determine the global pooled prevalence of M. bovis, identify key factors influencing its epidemiology, and validate the findings with recent regional surveillance data.

Methods

A systematic review and meta-analysis were conducted following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. A literature search was performed across four databases in June 2025, encompassing studies published between 2007 and 2023. Additionally, 979 nasal swab samples from Chinese herds from 2021 to 2024 were analyzed using conventional PCR.

Results

Twenty-three studies from 13 countries were included. The global pooled prevalence was 24.5 % (95 % CI: 12.7 %–38.7 %), with extremely high heterogeneity (I2 = 99.9 %). Our independent laboratory data also revealed a nearly identical positivity level of 21.9 % in Chinese herds from 2021 to 2024. Subgroup analyses identified age as the most significant risk factor, with a dramatically greater prevalence in young stock (< 12 months) (56.2 %) than in adults (6.7 %) (p = 0.01). A relatively high prevalence was also associated with beef production systems, male cattle, serum samples, and culture method. Sensitivity analysis and publication bias assessment confirmed the robustness of the findings.

Conclusion

This study provides the first robust estimate of the global prevalence of M. bovis, validated by contemporary surveillance data. These findings underscore the severe burden of infection in young stock and provide crucial evidence to inform targeted surveillance and control programs in the global cattle industry.
牛支原体(M. bovis)是牛的一种主要病原体,在世界范围内造成了巨大的经济损失。缺乏对其全球流行情况的全面了解,阻碍了制定有效控制战略。目的本研究旨在确定牛支原体的全球总流行率,确定影响其流行病学的关键因素,并用最近的区域监测数据验证研究结果。方法按照系统评价和荟萃分析(PRISMA)指南的首选报告项目进行系统评价和荟萃分析。2025年6月,在四个数据库中进行了文献检索,包括2007年至2023年发表的研究。此外,使用常规PCR分析了2021 - 2024年中国畜群的979份鼻拭子样本。结果共纳入13个国家的23项研究。全球总患病率为24.5% (95% CI: 12.7% - 38.7%),异质性极高(I2 = 99.9%)。我们的独立实验室数据也显示,从2021年到2024年,中国牛群的阳性水平几乎相同,为21.9%。亚组分析发现,年龄是最重要的危险因素,幼畜(12个月)的患病率(56.2%)显著高于成人(6.7%)(p = 0.01)。相对较高的患病率还与牛肉生产系统、雄性牛、血清样本和培养方法有关。敏感性分析和发表偏倚评估证实了研究结果的稳健性。本研究首次提供了牛分枝杆菌全球流行率的可靠估计,并得到了当代监测数据的验证。这些发现强调了幼畜感染的严重负担,并为全球养牛业有针对性的监测和控制计划提供了重要证据。
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引用次数: 0
In vitro efficacy of antibiotics and bacteriophages against Pseudomonas aeruginosa isolates from clinically affected captive falcons in Dubai, United Arab Emirates 抗生素和噬菌体对阿拉伯联合酋长国迪拜临床感染的圈养猎鹰铜绿假单胞菌的体外疗效
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-03 DOI: 10.1016/j.onehlt.2025.101316
C. Hebel , T. Bailey , E.M. Kalbhenn , G.K. Paterson , U. Wernery
Antimicrobial resistance (AMR) poses a significant global threat to human and animal health. This requires extensive research in order to understand the implications on health, pathogenicity and diseases in various species.
Falcons play a crucial role in the United Arab Emirates (UAE) as part of the Arab cultural heritage. In falcons, AMR research is essential for the benefit of veterinary medicine, public health and the environment. The primary objective of this study was to assess the in vitro efficacy of antibiotics against Pseudomonas aeruginosa isolates from clinically affected captive falcons in Dubai, UAE and investigate the possibility of using bacteriophages as an alternative treatment option. To achieve this, P. aeruginosa isolates were tested by antibiogram and phagogram. The results provide valuable information on effectiveness and possible treatment options. Furthermore, demonstrating a high resistance of P. aeruginosa in falcons in veterinary-only drugs including enrofloxacin and marbofloxacin, while antibiotics are listed on the WHO AWaRe (access, watch, reserve) monitoring list such as ceftazidime, ciprofloxacin and piperacillin/tazobactam show good sensitivity.
Bacteriophages, as natural viruses that lyse bacteria, have gained attention as an alternative therapeutic tool to combat bacterial infections, particularly those caused by antibiotic resistant strains. The in vitro efficacy shows that commercially available bacteriophage preparations for therapeutic use might provide an alternative to antibiotics in falcons. Nevertheless, the in vivo efficacy might differ from the in vitro results, and regulatory difficulties currently restrict therapeutic use.
From a One Health perspective, this study explores AMR in falcons asf potential sentinel for AMR due to their close contact with humans, frequent antimicrobial exposure, and shared environment. It also shows possibilities to approach AMR by innovative strategies such as bacteriophage therapy. It also shows the need for effective surveillance, responsible antimicrobial use via antibiotic stewardship and control not only in human, but also in veterinary medicine. Emphasising the connectivity between human, animal and environment health is of importance under the One Health approach and is essential to combat AMR.
抗微生物药物耐药性(AMR)对人类和动物健康构成重大全球威胁。这需要进行广泛的研究,以了解对不同物种的健康、致病性和疾病的影响。猎鹰作为阿拉伯文化遗产的一部分,在阿拉伯联合酋长国扮演着至关重要的角色。在猎鹰方面,抗菌素耐药性研究对于兽医、公共卫生和环境的利益至关重要。本研究的主要目的是评估抗生素对阿联酋迪拜临床感染的圈养猎鹰铜绿假单胞菌分离株的体外疗效,并探讨使用噬菌体作为替代治疗方案的可能性。为此,对铜绿假单胞菌分离株进行了抗生素谱和吞噬谱检测。结果为有效性和可能的治疗方案提供了有价值的信息。此外,鹰隼中铜绿假单胞菌对恩诺沙星和马布沙星等兽药具有高度耐药性,而头孢他啶、环丙沙星和哌拉西林/他唑巴坦等列入世卫组织AWaRe(获取、观察、储备)监测清单的抗生素具有良好的敏感性。噬菌体作为一种能够溶解细菌的天然病毒,作为对抗细菌感染的替代治疗工具而受到关注,特别是那些由抗生素耐药菌株引起的细菌感染。体外疗效表明,市售的用于治疗用途的噬菌体制剂可能为猎鹰提供抗生素的替代品。然而,体内疗效可能与体外结果不同,目前监管困难限制了治疗使用。从One Health的角度来看,本研究探讨了猎鹰作为AMR的潜在哨兵,因为它们与人类密切接触,频繁接触抗微生物药物,以及共享环境。它还显示了通过噬菌体治疗等创新策略来解决抗菌素耐药性的可能性。它还表明,不仅在人类医学中,而且在兽医学中,需要通过抗生素管理和控制进行有效监测,负责任地使用抗微生物药物。在“同一个健康”方针下,强调人类、动物和环境卫生之间的联系非常重要,对抗击抗生素耐药性至关重要。
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引用次数: 0
A data-driven approach for mitigation of fecal pathogen infections from unsafe WASH practices 减少不安全讲卫生做法造成的粪便病原体感染的数据驱动方法
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-03 DOI: 10.1016/j.onehlt.2026.101317
Achara Taweesan , Thammarat Koottatep , Thongchai Kanabkaew , Rathanit Sukthanapirat , Chongrak Polprasert
Fecal pathogen infections remain a major public health challenge in low- and middle-income countries, where unsafe water, inadequate sanitation, and poor hygiene persist. Northeastern Thailand continues to experience a high burden of helminth infections linked to deficient water, sanitation, and hygiene (WASH) conditions. Evidence-based identification of combined WASH thresholds is needed to support effective interventions and progress toward Sustainable Development Goal 6.
A cross-sectional study was conducted among 520 households across 18 communities in Tongkhop city, Sakon Nakhon Province, Thailand. Primary data from household surveys, key-informant interviews, and field observations were integrated with disease-surveillance records. A multilevel generalized linear model was applied to assess associations between WASH indicators and infection prevalence. Model-predicted outcomes were further analyzed using response surface methodology to quantify nonlinear interactions and identify optimal WASH thresholds.
Infection prevalence exceeded 40 cases per 1000 population in communities relying on untreated water, infrequent fecal-sludge emptying, and low hygiene compliance. Substantial risk reductions were observed when household water treatment exceeded 40 %, fecal-sludge emptying frequency reached 35–40 %, and handwashing compliance before meals surpassed 80 %, while raw-fish consumption remained below 50 %. The response-surface analysis revealed clear nonlinear synergies among WASH components, indicating that coordinated improvements were more effective than isolated interventions.
This study demonstrates that integrating multilevel modeling with response surface analysis enables quantitative identification of critical WASH thresholds for reducing fecal-pathogen infections. The findings highlight the importance of coordinated improvements in water safety, sanitation management, and hygiene behaviors to mitigate environmental transmission pathways. These results provide actionable, data-driven guidance for public health planning and support the environmental dimension of the One Health framework in advancing SDG 6.
在低收入和中等收入国家,粪便病原体感染仍然是一个重大的公共卫生挑战,在这些国家,不安全的水、不充分的卫生设施和不良的个人卫生状况持续存在。与缺乏水、环境卫生和个人卫生(WASH)条件有关,泰国东北部地区的寄生虫感染负担仍然很高。需要以证据为基础确定讲卫生运动的综合阈值,以支持有效的干预措施和实现可持续发展目标6的进展。一项横断面研究在泰国萨贡那空省通合市18个社区的520户家庭中进行。来自家庭调查、关键信息提供者访谈和实地观察的原始数据与疾病监测记录相结合。应用多层次广义线性模型来评估WASH指标与感染流行率之间的关系。使用响应面方法进一步分析模型预测结果,以量化非线性相互作用并确定最佳WASH阈值。在依赖未经处理的水、不经常排空粪便污泥和卫生依从性低的社区,感染率超过每1000人40例。当家庭用水处理超过40%,粪便污泥排空频率达到35 - 40%,饭前洗手率超过80%,而生鱼片消费量保持在50%以下时,观察到风险大幅降低。响应面分析揭示了WASH各组成部分之间明显的非线性协同作用,表明协调改进比单独干预更有效。该研究表明,将多层模型与响应面分析相结合,可以定量识别减少粪便病原体感染的关键WASH阈值。研究结果强调了协调改善水安全、环境卫生管理和个人卫生行为以减少环境传播途径的重要性。这些结果为公共卫生规划提供了可操作的、数据驱动的指导,并支持“同一个健康”框架的环境层面推进可持续发展目标6。
{"title":"A data-driven approach for mitigation of fecal pathogen infections from unsafe WASH practices","authors":"Achara Taweesan ,&nbsp;Thammarat Koottatep ,&nbsp;Thongchai Kanabkaew ,&nbsp;Rathanit Sukthanapirat ,&nbsp;Chongrak Polprasert","doi":"10.1016/j.onehlt.2026.101317","DOIUrl":"10.1016/j.onehlt.2026.101317","url":null,"abstract":"<div><div>Fecal pathogen infections remain a major public health challenge in low- and middle-income countries, where unsafe water, inadequate sanitation, and poor hygiene persist. Northeastern Thailand continues to experience a high burden of helminth infections linked to deficient water, sanitation, and hygiene (WASH) conditions. Evidence-based identification of combined WASH thresholds is needed to support effective interventions and progress toward Sustainable Development Goal 6.</div><div>A cross-sectional study was conducted among 520 households across 18 communities in Tongkhop city, Sakon Nakhon Province, Thailand. Primary data from household surveys, key-informant interviews, and field observations were integrated with disease-surveillance records. A multilevel generalized linear model was applied to assess associations between WASH indicators and infection prevalence. Model-predicted outcomes were further analyzed using response surface methodology to quantify nonlinear interactions and identify optimal WASH thresholds.</div><div>Infection prevalence exceeded 40 cases per 1000 population in communities relying on untreated water, infrequent fecal-sludge emptying, and low hygiene compliance. Substantial risk reductions were observed when household water treatment exceeded 40 %, fecal-sludge emptying frequency reached 35–40 %, and handwashing compliance before meals surpassed 80 %, while raw-fish consumption remained below 50 %. The response-surface analysis revealed clear nonlinear synergies among WASH components, indicating that coordinated improvements were more effective than isolated interventions.</div><div>This study demonstrates that integrating multilevel modeling with response surface analysis enables quantitative identification of critical WASH thresholds for reducing fecal-pathogen infections. The findings highlight the importance of coordinated improvements in water safety, sanitation management, and hygiene behaviors to mitigate environmental transmission pathways. These results provide actionable, data-driven guidance for public health planning and support the environmental dimension of the One Health framework in advancing SDG 6.</div></div>","PeriodicalId":19577,"journal":{"name":"One Health","volume":"22 ","pages":"Article 101317"},"PeriodicalIF":4.5,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Climate-driven invasion of Pomacea canaliculata and Angiostrongylus cantonensis transmission risk: Ecological niche modeling forecasts and public-health governance recommendations 气候驱动的管圆线虫入侵和广州管圆线虫传播风险:生态位建模预测和公共卫生治理建议
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-31 DOI: 10.1016/j.onehlt.2025.101315
Hongyu Li , Yuqing Wang , Yihan Chen , Chaojun Shan , Jiyuan Wang , Ruke Wang , Yuqing Shao , Jialu Xu , Xiaodong Yao , Keda Chen
Global climate change is rapidly reshaping species distribution patterns worldwide. Pomacea canaliculata (golden apple snail), an important invasive species in many countries, has experienced accelerated range expansion driven by climate change and anthropogenic activities. Owing to its high phenotypic plasticity, broad environmental tolerance, and high fecundity, this species causes severe agricultural damage and biodiversity loss. Importantly, P. canaliculata is a highly competent intermediate host of the rat lungworm Angiostrongylus cantonensis, the causative agent of human eosinophilic meningitis, posing a growing public health threat. This article synthesizes the biological traits, invasion mechanisms, and ecological impacts of P. canaliculata, together with the transmission cycle and epidemiology of A. cantonensis. Using the Maximum Entropy (MaxEnt) model under two future climate scenarios (SSP2–4.5 and SSP5–8.5), we projected the spatiotemporal dynamics of suitable habitat for P. canaliculata. Current distributions are primarily driven by hydrothermal factors, with annual precipitation (BIO12) and maximum temperature of the warmest month (BIO5) exerting dominant influences, resulting in high suitability across tropical and subtropical regions. Under future warming, habitat suitability is projected to decline in low-latitude regions while expanding poleward, with increased fragmentation under SSP5–8.5. High-stability resilience hotspots, including the lower Yangtze River Basin and the Mississippi River Basin, are identified as priority areas for management. Based on these projections, we propose a precision governance framework integrating niche-based risk stratification, low-toxicity biocontrol, habitat management, cross-border surveillance, and public education to support climate-adaptive prevention of invasive species and parasite transmission.
全球气候变化正在迅速重塑全球物种分布格局。金苹果螺(Pomacea canaliculata)是许多国家的重要入侵物种,在气候变化和人类活动的驱动下,其活动范围正在加速扩张。由于其高表型可塑性、广泛的环境耐受性和高繁殖力,造成了严重的农业危害和生物多样性丧失。重要的是,小管线虫是大鼠肺线虫广州管圆线虫的高效中间宿主,而广州管圆线虫是人类嗜酸性脑膜炎的病原体,对公共卫生构成日益严重的威胁。本文综述了广东棘球绦虫的生物学特性、入侵机制、生态影响、传播周期和流行病学。利用最大熵(MaxEnt)模型,对未来两种气候情景(SSP2-4.5和SSP5-8.5)下小叶茅适宜生境的时空动态进行了预测。洋流分布主要受热液因子驱动,年降水量(BIO12)和最暖月最高温度(BIO5)起主导作用,因此在热带和亚热带地区具有较高的适宜性。在未来变暖的背景下,预计低纬度地区的生境适宜性将下降,同时向极地扩展,SSP5-8.5下的破碎化将增加。高稳定韧性热点地区,包括长江下游流域和密西西比河流域,被确定为优先管理区域。基于这些预测,我们提出了一个精确的治理框架,将基于生态位的风险分层、低毒性生物防治、栖息地管理、跨境监测和公众教育相结合,以支持入侵物种和寄生虫传播的气候适应性预防。
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引用次数: 0
When Few Mosquitoes Are Enough: Dengue outbreaks in non-endemic areas 当蚊子很少时:登革热在非流行地区爆发
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-27 DOI: 10.1016/j.onehlt.2025.101308
Giulio Pisaneschi , Piero Manfredi , Alberto Landi , Nico Stollenwerk , Maíra Aguiar
Dengue is no longer limited to tropical regions, as recent outbreaks in Southern Europe show. In 2024, nearly 150 local cases were reported in Fano, Italy, raising concerns that dengue could become established in temperate areas. In this work, we question the common belief that large outbreaks require high numbers of mosquitoes and a high basic reproduction number (R0). We show that significant outbreaks can happen even when R0 is below one, triggered by the random introduction of infected travelers. Using a mathematical model that includes imported cases and mosquito populations, we explain how rare but possible transmission events can cause substantial local spread, even under conditions usually thought too weak for sustained outbreaks. Our findings point out an important gap in current risk assessments, which often rely only on fixed invasion thresholds and basic reproduction numbers. By considering the complex interactions between human travel, mosquito ecology, and the environment, our work supports the One Health approach to understanding disease emergence. We recommend combining stochastic modeling, data on human movement, and mosquito surveillance in early warning systems to better predict outbreaks’ risk and improve preparedness in regions not traditionally affected by dengue.
最近在南欧爆发的疫情表明,登革热不再局限于热带地区。2024年,意大利法诺报告了近150例当地病例,引起了人们对登革热可能在温带地区扎根的担忧。在这项工作中,我们质疑普遍认为大规模暴发需要大量蚊子和高基本繁殖数(R0)。我们表明,即使R0低于1,随机引入受感染的旅行者也会引发重大疫情。利用一个包括输入病例和蚊子种群的数学模型,我们解释了罕见但可能的传播事件如何导致大量的本地传播,即使在通常被认为太弱而无法持续暴发的条件下也是如此。我们的发现指出了当前风险评估的一个重要缺陷,即通常只依赖于固定的入侵阈值和基本的繁殖数量。通过考虑人类旅行、蚊子生态和环境之间复杂的相互作用,我们的工作支持“同一个健康”方法来理解疾病的出现。我们建议在早期预警系统中结合随机建模、人类活动数据和蚊子监测,以更好地预测疫情风险,并改善传统上不受登革热影响的地区的防范工作。
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引用次数: 0
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