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Exploring AMR and virulence in Klebsiella pneumoniae isolated from humans and pet animals: A complement of phenotype by WGS-derived profiles in a One Health study in Egypt 探索分离自人类和宠物的肺炎克雷伯氏菌的 AMR 和毒力:埃及 "一个健康 "研究中的 WGS 衍生特征对表型的补充
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-27 DOI: 10.1016/j.onehlt.2024.100904
Enas A. Soliman , Alaa Saad , Ashraf A. Abd El Tawab , Fatma I. Elhofy , Amira M. Rizk , Manar Elkhayat , Tamara Kozytska , Majdil Ilyas , Marwa Bassiouny , Hanka Brangsch , Mathias W. Pletz , Heinrich Neubauer , Lisa D. Sprague , Gamal Wareth
Klebsiella pneumoniae is a ubiquitous nosocomial pathogen associated with various types of infections in hospitalized patients and different animal species. In the current study, 49 Klebsiella strains isolated from humans, dogs, and cats were investigated using NGS technology. MALDI-TOF failed to identify newly discovered K. variicola and K. quasipneumoniae isolates correctly. MLST analysis revealed different sequence types among K. pneumoniae isolates, and the most frequent STs were ST29, ST219, and ST37. Three ST23 that are generally known as hypervirulent type were identified but they lacked major discriminatory determinants for hypervirulent K. pneumoniae (hvKp). K. pneumoniae isolates showed high diversity, and several isolates from humans and animals were assigned to the same ST and were almost identical. Isolates from humans exhibited more pronounced resistance patterns compared to the animal isolates. High levels of resistance were observed for piperacillin, trimethoprim/sulfamethoxazole, and cephalosporins, and resistance to carbapenem compounds was only found in isolates of human origin. Three strains of human origin were extensively drug-resistant (XDR). A diverse range of resistance genes primarily confer resistance to beta-lactams., phenicol/quinolone, aminoglycoside, macrolide, sulfonamides, and fosfomycin were identified in silico. However, there were inconsistencies between the phenotypic characterization of isolates and the set of resistance genes detected in silico in this set of Klebsiella isolates. Further research using a larger number of isolates from various sources is necessary to fully comprehend the relationship between the presence of antimicrobial resistance determinants and phenotypic data. It is also necessary to monitor the spread of K. pneumoniae from a One Health perspective in Egypt.
肺炎克雷伯菌是一种无处不在的鼻腔病原体,与住院病人和不同动物物种的各种感染有关。本研究利用 NGS 技术对从人类、狗和猫身上分离出的 49 株克雷伯氏菌进行了研究。MALDI-TOF 未能正确识别新发现的变异克雷伯菌和类肺炎克雷伯菌分离株。MLST 分析显示,肺炎克氏菌分离株中存在不同的序列类型,最常见的 ST 为 ST29、ST219 和 ST37。发现了三种通常被称为高病毒型的 ST23,但它们缺乏对高病毒型肺炎克氏菌(hvKp)的主要鉴别决定因素。肺炎克氏菌分离物显示出高度的多样性,一些来自人类和动物的分离物被归入同一 ST,且几乎完全相同。与动物分离物相比,人类分离物表现出更明显的耐药性模式。哌拉西林、三甲双氨/磺胺甲噁唑和头孢菌素的耐药性水平较高,而对碳青霉烯类化合物的耐药性仅出现在人源分离物中。三株人源菌株具有广泛耐药性(XDR)。硅学研究发现了多种耐药基因,主要包括对β-内酰胺类、苯酚/喹诺酮类、氨基糖苷类、大环内酯类、磺胺类和磷霉素的耐药基因。然而,在这组克雷伯氏菌分离物中,分离物的表型特征与在硅学中检测到的耐药基因集之间存在不一致。有必要使用更多不同来源的分离物开展进一步研究,以全面了解抗菌药耐药性决定因素的存在与表型数据之间的关系。此外,还有必要从 "一体健康 "的角度监测肺炎克雷伯菌在埃及的传播情况。
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引用次数: 0
Tick-borne viruses: Epidemiology, pathogenesis, and animal models 蜱传病毒:流行病学、发病机制和动物模型
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-25 DOI: 10.1016/j.onehlt.2024.100903
Kwang-Min Yu , Su-Jin Park
Tick-borne viruses, capable of infecting animals and humans, are expanding geographically and increasing in prevalence, posing significant global public health threats. This review explores the current epidemiology of human pathogenic tick-borne viruses, emphasizing their diversity and the spectrum of symptomatic manifestations in humans, which range from mild to severe. We highlight how the infrequent and unpredictable nature of viral outbreaks complicates the precise identification and understanding of these viruses in human infections. Furthermore, we describe the utility of animal models that accurately mimic human clinical symptoms, facilitating the development of effective control strategies. Our comprehensive analysis provides crucial insights into disease progression and emphasizes the urgent need for continued research. This work aims to provide insight into knowledge gaps to mitigate the health burden of tick-borne infections and open an avenue for further study to enhance our understanding of these emerging infectious diseases.
蜱传病毒可感染动物和人类,其地理分布不断扩大,发病率不断上升,对全球公共卫生构成了重大威胁。本综述探讨了当前人类致病性蜱媒病毒的流行病学,强调了它们的多样性和人类症状表现的范围,从轻微到严重不等。我们强调了病毒爆发的不经常性和不可预测性是如何使精确识别和了解这些病毒在人类感染中的作用变得复杂的。此外,我们还介绍了能准确模拟人类临床症状的动物模型的实用性,这有助于制定有效的控制策略。我们的综合分析提供了对疾病进展的重要见解,并强调了继续研究的迫切需要。这项工作旨在深入了解知识缺口,以减轻蜱媒感染对健康造成的负担,并为进一步研究开辟一条途径,以增进我们对这些新兴传染病的了解。
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引用次数: 0
A 15-day pilot biodiversity intervention with horses in a farm system leads to gut microbiome rewilding in 10 urban Italian children 在农场系统中用马匹进行为期 15 天的生物多样性干预试点,使 10 名意大利城市儿童的肠道微生物组实现野化
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-24 DOI: 10.1016/j.onehlt.2024.100902
Daniel Scicchitano , Lucia Foresto , Cédric C. Laczny , Nicoló Cinti , Rosalba Vitagliano , Rashi Halder , Gaja Morri , Silvia Turroni , Federica D'Amico , Giorgia Palladino , Jessica Fiori , Paul Wilmes , Simone Rampelli , Marco Candela
To provide some glimpses on the possibility of shaping the human gut microbiome (GM) through probiotic exchange with natural ecosystems, here we explored the impact of 15 days of daily interaction with horses on the GM of 10 urban-living Italian children. Specifically, the children were in close contact with the horses in an “educational farm”, where they spent almost 10 h/day interacting with the animals. The children's GM was assessed before and after the horse interaction using metabarcoding sequencing and shotgun metagenomics, along with the horses' skin, oral and fecal microbiomes. Targeted metabolomic analysis for GM-produced beneficial metabolites (i.e., short-chain fatty acids) in the children's feces was also performed. Interaction with horses facilitated the acquisition of health-related traits in the children's GM, such as increased diversity, enhanced butyrate production and an increase in several health-promoting species considered to be next-generation probiotics. Among these, the butyrate producers Facecalibacterium prausnitzii and F. duncaniae and a species belonging to the order Christensenellales. Interaction with horses was also associated with increased proportions of Eggerthella lenta, Gordonibacter pamelae and G. urolithinfaciens, GM components known to play a role in the bioconversion of dietary plant polyphenols into beneficial metabolites. Notably, no increase in potentially harmful traits, including toxin genes, was observed. Overall, our pilot study provides some insights on the existence of possible health-promoting exchanges between children and horses microbiomes. It lays the groundwork for an implemented and more systematic enrollment effort to explore the full complexity of human GM rewilding through exchange with natural ecosystems, aligning with the One Health approach.
为了让人们了解通过与自然生态系统交换益生菌来塑造人类肠道微生物组(GM)的可能性,我们在此探讨了与马匹进行 15 天的日常互动对 10 名生活在城市的意大利儿童的肠道微生物组的影响。具体来说,孩子们在一个 "教育农场 "里与马密切接触,每天花近 10 个小时与动物互动。在与马互动之前和之后,使用代谢编码序列和散弹枪元基因组学方法,对儿童的基因组以及马的皮肤、口腔和粪便微生物组进行了评估。此外,还对儿童粪便中转基因产生的有益代谢物(即短链脂肪酸)进行了靶向代谢组学分析。与马的相互作用促进了儿童转基因微生物获得与健康相关的特征,如增加多样性、提高丁酸盐产量以及增加几种被认为是下一代益生菌的促进健康的物种。其中包括丁酸盐生产者Facecalibacterium prausnitzii和F. duncaniae,以及一种属于Christensenellales目的物种。与马的相互作用还与 Eggerthella lenta、Gordonibacter pamelae 和 G. urolithinfaciens 的比例增加有关,已知这些转基因成分在将食物中的植物多酚生物转化为有益代谢物的过程中发挥作用。值得注意的是,没有观察到潜在有害性状(包括毒素基因)的增加。总之,我们的试点研究为儿童和马匹微生物组之间可能存在的促进健康的交流提供了一些见解。它为实施更系统的研究工作奠定了基础,以便通过与自然生态系统的交流探索人类转基因野化的全部复杂性,从而与 "一体健康 "方法保持一致。
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引用次数: 0
Antibiotic-resistant Escherichia coli from treated municipal wastewaters and Black-headed Gull nestlings on the recipient river 经处理的城市污水中的抗生素耐药大肠埃希氏菌和受水河道中的黑头鸥雏鸟
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-22 DOI: 10.1016/j.onehlt.2024.100901
Martina Masarikova , Iva Sukkar , Ivana Jamborova , Matej Medvecky , Ivo Papousek , Ivan Literak , Alois Cizek , Monika Dolejska
Wastewaters belong among the most important sources of environmental pollution, including antibiotic-resistant bacteria. The aim of the study was to evaluate treated wastewaters as a possible transmission pathway for bacterial colonisation of gulls occupying the receiving river. A collection of antibiotic-resistant Escherichia coli originating both from treated municipal wastewaters discharged to the river Svratka (Czech Republic) and nestlings of Black-headed Gull (Chroicocephalus ridibundus) living 35 km downstream of the outlet was obtained using selective cultivation. Isolates were further characterised by various phenotyping and genotyping methods.
From a total of 670 E. coli isolates (450 from effluents, 220 from gulls), 86 isolates (41 from effluents, 45 from gulls) showed identical antibiotic resistance phenotype and genotype and were further analysed for clonal relatedness using pulsed-field gel electrophoresis (PFGE). Despite the overall high diversity of the isolates, 21 isolates from both sources showed similar PFGE profiles. Isolates belonging to epidemiologically important sequence types (ST131, 15 isolates; ST23, three isolates) were subjected to whole-genome sequencing. Subsequent phylogenetic analysis did not reveal any close clonal relationship between the isolates from the effluents and gulls' nestlings with the closest strains showing 90 SNPs difference.
Although our study did not provide direct evidence of transmission of antibiotic-resistant E. coli to wild gulls via treated wastewaters, we observed gull chicks as carriers of diverse multi-resistant E. coli, including high-risk clones, posing risk of further bacterial contamination of the surrounding environment.
废水是最重要的环境污染源之一,其中包括抗生素耐药细菌。这项研究的目的是评估经过处理的废水是否可能成为受纳河流中海鸥细菌定植的传播途径。研究人员采用选择性培养法收集了一批抗生素耐药大肠杆菌,它们分别来自排放到斯弗拉特卡河(捷克共和国)的经过处理的城市废水和生活在出口下游 35 公里处的黑头鸥(Chroicocephalus ridibundus)雏鸟。从总共 670 个大肠杆菌分离物(450 个来自污水,220 个来自海鸥)中,有 86 个分离物(41 个来自污水,45 个来自海鸥)显示出相同的抗生素耐药性表型和基因型,并使用脉冲场凝胶电泳(PFGE)进一步分析其克隆相关性。尽管分离物的总体多样性很高,但来自两个来源的 21 个分离物显示出相似的 PFGE 图谱。对属于流行病学重要序列类型(ST131,15 个分离株;ST23,3 个分离株)的分离株进行了全基因组测序。虽然我们的研究没有提供抗生素耐药大肠杆菌通过经处理的废水传播给野生海鸥的直接证据,但我们观察到雏鸥是多种多重耐药大肠杆菌(包括高风险克隆)的携带者,这可能会对周围环境造成进一步的细菌污染。
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引用次数: 0
How policy advocacy promotes regulated antibiotic use: Evidence from meat duck farmers of China 政策宣传如何促进规范使用抗生素:来自中国肉鸭养殖户的证据
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-20 DOI: 10.1016/j.onehlt.2024.100900
Jinpeng Dong , Lina Wang , Lingzhi Liu , Yuanyuan Zhang , Qiang Wu , Jiajia Zhao
Antibiotic residues resulting from the misuse of veterinary antibiotics pose a serious threat to global food safety and the ecological environment. Regulating the use of antibiotics is currently a major concern; however, existing literature on this issue remains insufficient. Therefore, to advance research in this area, this study utilizes data from 988 questionnaires collected across 9 provinces in China and employs the 3SLS systematic estimation method. It constructs an analytical framework to explore the mechanisms through which policy advocacy (PA) influences regulating antibiotics use (RAU) among meat duck farmers. Specifically, the study examines two pathways: “ PA - public opinion pressure perception (POPP) - RAU” and “ PA - moral responsibility (MR) - RAU.” Additionally, it explores the potential mechanisms through which PA impacts RAU among farmers. The results show that PA (Coef = 0.070, SE = 0.014) can promote RAU by increasing the level of POPP (Coef = 0.173, SE = 0.091). PA (Coef = 0.351, SE = 0.028) can also promote RAU by enhancing MR (Coef = 0.239, SE = 0.035). Meanwhile, this study introduces Internet use (IU) and reputational incentives (RI) as moderating variables to analyze their role in moderating the impact of PA on RAU. It was demonstrated that IU (Coef = 0.088, SE = 0.016) significantly enhances farmers' awareness of the value of RAU and amplifies the impact of PA on MR. However, IU (Coef = −0.017, SE = 0.008) was found to inhibit the effect of PA on POPP. RI fully satisfies farmers' need for “ honor “ and enhances the effectiveness of PA in promoting both POPP (Coef = 0.009, SE = 0.002) and MR (Coef = 0.058, SE = 0.004). Finally, the study proposes that the government expand PA channels, innovate methods, and combine online outreach with demonstrations to improve farmers' awareness of antibiotic use and address their reputational needs.
滥用兽用抗生素造成的抗生素残留对全球食品安全和生态环境构成严重威胁。目前,规范抗生素的使用是人们关注的主要问题;然而,有关这一问题的现有文献仍然不足。因此,为了推进该领域的研究,本研究利用在中国 9 个省收集的 988 份问卷数据,并采用 3SLS 系统估计方法。研究构建了一个分析框架,以探讨政策倡导(PA)对肉鸭养殖户规范抗生素使用(RAU)的影响机制。具体而言,研究考察了两条路径:"PA - 公众舆论压力感知 (POPP) - RAU "和 "PA - 道德责任 (MR) - RAU"。此外,研究还探讨了 PA 影响农民 RAU 的潜在机制。结果表明,PA(Coef = 0.070,SE = 0.014)可通过提高 POPP 水平(Coef = 0.173,SE = 0.091)促进 RAU。PA(Coef = 0.351,SE = 0.028)也可以通过提高 MR(Coef = 0.239,SE = 0.035)来促进 RAU。同时,本研究引入互联网使用(IU)和声誉激励(RI)作为调节变量,分析它们在调节 PA 对 RAU 的影响中的作用。结果表明,IU(Coef = 0.088,SE = 0.016)能显著提高农民对 RAU 价值的认识,放大 PA 对 MR 的影响。然而,IU(Coef = -0.017,SE = 0.008)抑制了 PA 对 POPP 的影响。RI 充分满足了农民对 "荣誉 "的需求,增强了 PA 对 POPP(Coef = 0.009,SE = 0.002)和 MR(Coef = 0.058,SE = 0.004)的促进作用。最后,研究建议政府拓展宣传渠道,创新宣传方法,将在线宣传与示范相结合,提高农民的抗生素使用意识,满足他们的声誉需求。
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引用次数: 0
The antimicrobial resistance landscape of slaughterhouses in western Kenya: A microbiological case study 肯尼亚西部屠宰场的抗菌药耐药性状况:微生物案例研究
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-19 DOI: 10.1016/j.onehlt.2024.100899
Katie A. Hamilton , Sam M. Njoroge , Kelvin Momanyi , Maurice K. Murungi , Christian O. Odinga , Nicholas Bor , Allan Ogendo , Josiah Odaba , Joseph G. Ogola , Eric M. Fèvre , Laura C. Falzon

Slaughterhouses may be hotspots for the transmission of antimicrobial resistant (AMR) pathogens. To obtain information on the AMR landscape in Kenyan slaughterhouses, we collected swabs of the environment, animal carcasses, and workers. Bacterial isolates were identified in 101/193 (52.3 %) samples, and most showed resistance to streptomycin (68.7 %), ampicillin (48.7 %), and tetracycline (42.5 %). Multi drug resistance was exhibited by 35/80 isolates (43.8 %; 95 % CI: 33.2–54.9 %), while Extended Spectrum Beta Lactamase was expressed in 5/80 isolates (6.3 %; 95 % CI: 2.6–14.3 %). These findings illustrate the presence of resistant bacteria throughout the slaughterhouse environment, posing a risk to workers and meat consumers and highlighting the need for an integrated surveillance system along the food chain.

屠宰场可能是耐抗菌素(AMR)病原体传播的热点地区。为了了解肯尼亚屠宰场的 AMR 状况,我们收集了环境、动物尸体和工人的拭子。在 101/193 份(52.3%)样本中发现了细菌分离物,其中大部分对链霉素(68.7%)、氨苄西林(48.7%)和四环素(42.5%)具有耐药性。35/80 个分离株(43.8%;95% CI:33.2-54.9%)表现出多重耐药性,5/80 个分离株(6.3%;95% CI:2.6-14.3%)表现出广谱β-内酰胺酶。这些研究结果表明,在整个屠宰场环境中都存在耐药细菌,这对工人和肉类消费者构成了风险,并强调了在食物链中建立综合监控系统的必要性。
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引用次数: 0
A systematic survey of environmental DNA in Palau's lakes and waterfalls reveals an increase in Leptospira levels after flooding 对帕劳湖泊和瀑布中环境 DNA 的系统调查显示,洪水过后钩端螺旋体的数量有所增加
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-18 DOI: 10.1016/j.onehlt.2024.100898
Yukuto Sato , Kaori Tsurui-Sato , Yoichiro Uchima , Cheryl-Ann Udui , Osiro Lorin , Kashgar Rengulbai , Claudia Toma , Ryo Suzuki

Objective

Leptospirosis is an important bacterial zoonosis which is widespread in tropical and subtropical islands and influences human and animal health which has secondary economic effects. Although leptospirosis is endemic in Palau, an Oceanian Pacific Island country, few systematic surveys of potential risk factors for Leptospira infection, such as weather and host animals, have been conducted in the natural environment. We used environmental DNA metabarcoding to assess the distribution, species diversity, and abundance of pathogenic Leptospira in this endemic region to investigate the potential environmental risks.

Methods

Forty-two paired water samples, representing fine and rainy weather conditions, were collected from four representative waterfalls and lakes on Babeldaob Island, the largest island in Palau. High-throughput sequencing analysis was conducted for polymerase chain reaction products of leptospiral 16S rRNA and vertebrate animal mitochondrial 12S rRNA genes.

Results

We revealed greater Leptospira diversity and abundance in samples collected after continuous rain, particularly in the presence of flooding, compared with samples collected under typhoon, monsoon, or fine weather conditions. From same samples, six mammalian species including cats (Felis catus), mice (Mus musculus), Yap flying fox (Pteropus yapensis), rats (Rattus spp.), and pigs (Sus scrofa) were repeatedly detected. These may be candidates of host animals of Leptospira in Palau; however, their detection was not clearly correlated with that of Leptospira.

Conclusion

We repeatedly detected several species of pathogenic Leptospira from water samples of a wide region of Babeldaob Island. We confirmed that Leptospira contamination in freshwater environments increased under rainy conditions, particularly in the presence of flooding. This information could be used to improve public health control measures in this region.
目的 钩端螺旋体病是一种重要的细菌性人畜共患病,广泛存在于热带和亚热带岛屿,影响人类和动物的健康,并产生次生经济效应。虽然钩端螺旋体病在大洋洲的太平洋岛国帕劳是地方病,但很少在自然环境中对钩端螺旋体感染的潜在风险因素(如天气和宿主动物)进行系统调查。我们利用环境 DNA 代谢编码来评估该地方病流行地区致病性钩端螺旋体的分布、物种多样性和丰度,以调查潜在的环境风险。方法我们从帕劳最大岛屿巴别尔多布岛(Babeldaob Island)上四个具有代表性的瀑布和湖泊中收集了 42 份配对水样,分别代表晴朗和多雨的天气条件。结果我们发现,与台风、季风或晴朗天气条件下采集的样本相比,连续降雨(尤其是洪水)后采集的样本中钩端螺旋体的多样性和丰度更高。在相同的样本中,反复检测到六种哺乳动物,包括猫(Felis catus)、小鼠(Mus musculus)、雅浦飞狐(Pteropus yapensis)、大鼠(Rattus spp.)和猪(Sus scrofa)。这些动物可能是钩端螺旋体在帕劳的候选宿主动物;但是,它们的检测结果与钩端螺旋体的检测结果没有明显的相关性。我们证实,淡水环境中的钩端螺旋体污染在多雨条件下有所增加,尤其是在洪水泛滥的情况下。这一信息可用于改善该地区的公共卫生控制措施。
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引用次数: 0
Leishmaniasis in Greece: Prospects of transitioning to a One Health surveillance system 希腊的利什曼病:向统一健康监测系统过渡的前景
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-17 DOI: 10.1016/j.onehlt.2024.100896
Emmanouil Alexandros Fotakis , Dimitris Papamichail , Sofia Boutsini , Eleni Patsoula , Takis Panagiotopoulos

Leishmaniasis is a high burden neglected disease in the Mediterranean ecoregion, lacking surveillance attention. We aimed to provide an overview of the state of leishmaniasis surveillance in Greece, investigating the prospect of transitioning to a One Health surveillance system.

We conducted a narrative review describing human and animal leishmaniasis data from Greece, including entomological findings. Through a separate review process, we describe the current leishmaniasis surveillance system pertaining to humans, animals, vectors and the environment. Additionally, we distributed likert-scale questionnaires to key informants, capturing expert-view on the necessity, existing levels and barriers of OH leishmaniasis surveillance in Greece. We identified key system strengths, weaknesses, opportunities and threats respective to a OH transition through SWOT analysis.

Greece is endemic for zoonotic visceral leishmaniasis (VL) and canine leishmaniasis (CanL), displaying an increasing VL trend in recent years and high national Leishmania seroprevalence rates in dogs (range: 13.8–23.4 %). Mandatory leishmaniasis notification in humans and animals, human case-based investigations, and active case finding activities in stray dogs, comprise valuable system components of high OH operational relevance. Conversely, the existing CanL surveillance governance and the lack of systematic entomological surveillance constitute important drawbacks. Moreover, the current context of public health and animal health financial constraints in Greece may impede a strategic OH transition in leishmaniasis surveillance. On the contrary, Greece's OH experience in West Nile Virus surveillance in conjunction with leishmaniasis-expert consensus on the necessity of OH surveillance and key barriers to its realization, compose important transition opportunities.

Despite shortfalls in human, animal and vector surveillance, existing system characteristics, structures and practices comprise a promising basis for developing OH cross-sectoral leishmaniasis surveillance activities in Greece.

利什曼病是地中海生态区被忽视的一种高负担疾病,缺乏监测关注。我们对希腊的人类和动物利什曼病数据进行了叙述性回顾,包括昆虫学研究结果。通过单独的回顾过程,我们描述了目前与人类、动物、病媒和环境有关的利什曼病监测系统。此外,我们还向主要信息提供者发放了调查问卷,以了解专家对希腊卫生部利什曼病监测的必要性、现有水平和障碍的看法。希腊是人畜共患内脏利什曼病(VL)和犬利什曼病(CanL)的流行国,近年来VL呈上升趋势,全国犬只利什曼病血清阳性率较高(范围:13.8-23.4%)。人类和动物的利什曼病强制通报、以人类病例为基础的调查以及在流浪狗中积极开展的病例发现活动,构成了与卫生部业务高度相关的宝贵系统组成部分。相反,现有的加拿大利什曼病监测管理和缺乏系统的昆虫监测则是重要的缺陷。此外,希腊目前的公共卫生和动物卫生财政拮据,可能会阻碍利什曼病监测的卫生系统战略转型。相反,希腊在西尼罗河病毒监测方面的 OH 经验以及利什曼病专家对 OH 监测必要性的共识和实现 OH 监测的主要障碍,构成了重要的转型机遇。尽管在人类、动物和病媒监测方面存在不足,但现有的系统特征、结构和实践为希腊开展 OH 跨部门利什曼病监测活动奠定了良好基础。
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引用次数: 0
Distribution and diversity of ticks determined by environmental factors in Ningxia, China 中国宁夏由环境因素决定的蜱虫分布和多样性
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-17 DOI: 10.1016/j.onehlt.2024.100897
Di Tian , Xiao-Ming Cui , Run-Ze Ye , Yu-Yu Li , Ning Wang , Wan-Ying Gao , Bai-Hui Wang , Zhe-Tao Lin , Wen-Jie Zhu , Qiu-Shi Wang , Ya-Ting Liu , Hua Wei , Yi-Fei Wang , Yi Sun , Xiao-Yu Shi , Na Jia , Jia-Fu Jiang , Wu-Chun Cao , Zhi-Hong Liu

Ticks are important vectors of zoonotic pathogens, and represent an increasing threat for human and animal health. Considering the complex natural environments of Ningxia Hui Autonomous Region, China, we expect the diverse tick species in this region. Here, we conduct a field survey on parasitic and host-seeking ticks. A total of 10,419 ticks were collected, which belonged to nine species of four genera. There were significant differences in terms of vegetation index, altitude, and seven climatic factors among the four tick genera —Hyalomma, Dermacentor, Haemaphysalis, and Ixodes, except between Haemaphysalis and Ixodes, where no significant differences were observed in these factors. The ecological niche modelling revealed that the suitable habitats for Hyalomma asiaticum was in the northwest Ningxia, with annual ground surface temperature as the most important factor. The suitable area for Dermacentor nuttalli was in the southwest and eastern regions of Ningxia with elevation as the highest contribution. D. silvarum was best suited to the southern Ningxia also with elevation as the most important factor. The four tick species including Haemaphysalis longicornis, Hae. qinghaiensis, Hae. japonica, and Ixodes persulcatus were best suited to the southernmost Ningxia with annual precipitation as the main factors for Hae. longicornis and elevation for the other three ticks. The results of predicted potential distribution of different tick species provide a scientific basis for the prevention and control of ticks and tick-borne diseases in the region. Furthermore, the subsequent impacts of the Greening Program to regain forests and grasslands from former agricultural lands in Ningxia on tick population dynamics deserve further investigation.

蜱虫是人畜共患病原体的重要传播媒介,对人类和动物健康的威胁与日俱增。考虑到中国宁夏回族自治区复杂的自然环境,我们预计该地区的蜱虫种类将多种多样。在此,我们对寄生蜱和寻找宿主的蜱进行了实地调查。共采集到蜱虫 10419 头,隶属于 4 属 9 种。在植被指数、海拔高度和七个气候因子方面,四种蜱属(Hyalomma、Dermacentor、Haemaphysalis 和 Ixodes)之间存在明显差异,只有 Haemaphysalis 和 Ixodes 之间在这些因素方面没有观察到明显差异。生态位建模显示,Hyalomma asiaticum 的适宜栖息地在宁夏西北部,年地表温度是最重要的因子。Dermacentor nuttalli 的适宜区在宁夏西南部和东部地区,海拔对其影响最大。蜱(D. silvarum)最适于宁夏南部地区,海拔也是最重要的因素。四种蜱(包括长角蜱、青海蜱、日本蜱和长角蜱)最适合在宁夏最南部分布,其中长角蜱的主要因素是年降水量,其他三种蜱的主要因素是海拔。不同蜱类的潜在分布预测结果为该地区蜱类和蜱传疾病的防控提供了科学依据。此外,宁夏实施的 "退耕还林还草绿化工程 "对蜱种群动态的后续影响也值得进一步研究。
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引用次数: 0
Asymmetric association between meteorological factors and human infections with hemorrhagic fever with renal syndrome: A 16-year ecological trend study in Shaanxi, China 气象因素与人类感染出血热并发肾综合征之间的非对称关系:中国陕西 16 年生态趋势研究
IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-13 DOI: 10.1016/j.onehlt.2024.100895
Chenlu Xue , Bingjie Zhang , Yanyan Li , Xinxiao Li , Chunjie Xu , Yongbin Wang

Objective

Hemorrhagic fever with renal syndrome (HFRS) continues to pose a significant threat to global health. This study aimed to investigate both the long- and short-term asymmetric impacts of variations in meteorological variables on HFRS.

Methods

The reported monthly HFRS incidence data from Shaanxi between 2004 and 2019, along with corresponding meteorological data, were collected to conduct an ecological trend analysis. Subsequently, the autoregressive distributed lag (ARDL) and nonlinear ARDL (NARDL) models were used to examine the long- and short-term asymmetric effects of climate variables on HFRS incidence.

Results

Overall, a reduction in HFRS incidence was observed in Shaanxi from 2004 to 2019, with an average annual percentage change of −0.498 % (95 %CI -13.247 % to 12.602 %). HFRS incidence peaked in December and reached its lowest point in March each year. A 1 mm increase in aggregate precipitation (AP) was associated with a 4.3 % rise in HFRS incidence, while a 1 mm decrease contributed to a 3.7 % increase, indicating a long-term asymmetric impact (Wald long-term asymmetry test [WLT] = 9.072, P = 0.003). In the short term, a 1 % decrease in mean relative humidity (MRH) led to a 5.7 % decline in HFRS incidence (Wald short-term asymmetry test [WSR] = 5.978, P = 0.015). Additionally, changes in meteorological variables showed varied effects: ΔMWV(+) at a 1-month lag had a significant positive short-term effect on HFRS; ΔMRH(+) at a 3-month lag, ΔAP(+) at a 2-month lag, ΔAP(−) at a 1-month lag, ΔASH(+) at a 1-month lag, and ΔASH(−) at a 3-month lag all exhibited strong negative short-term impacts on HFRS incidence.

Conclusions

Weather variability plays a significant role in influencing HFRS incidence, with both long- and short-term asymmetric and/or symmetric effects. Utilizing the NARDL model through a One Health lens offers promising opportunities for enhancing HFRS control measures.

目的 肾综合征出血热(HFRS)继续对全球健康构成重大威胁。本研究旨在探究气象变量变化对出血热肾综合征的长期和短期非对称影响。方法收集陕西省2004年至2019年的出血热肾综合征月度发病报告数据以及相应的气象数据,进行生态趋势分析。结果总体而言,2004-2019年陕西HFRS发病率有所下降,年均变化率为-0.498%(95%CI为-13.247%至12.602%)。HFRS发生率在每年12月达到峰值,3月达到最低点。总降水量(AP)每增加 1 毫米,HFRS 发病率就会增加 4.3%,而每减少 1 毫米,HFRS 发病率就会增加 3.7%,这表明长期影响是不对称的(Wald 长期不对称检验 [WLT] = 9.072,P = 0.003)。在短期内,平均相对湿度(MRH)每降低 1%,HFRS 发病率就会下降 5.7%(Wald 短期不对称检验 [WSR] = 5.978,P = 0.015)。此外,气象变量的变化也显示出不同的影响:滞后 1 个月的ΔMWV(+)对 HFRS 有显著的短期正面影响;滞后 3 个月的ΔMRH(+)、滞后 2 个月的ΔAP(+)、滞后 1 个月的ΔAP(-)、滞后 1 个月的ΔASH(+)和滞后 3 个月的ΔASH(-)都对 HFRS 发病率有强烈的短期负面影响。结论天气变化在影响 HFRS 发病率方面起着重要作用,具有长期和短期的不对称和/或对称效应。通过 "一体健康 "视角利用 NARDL 模型为加强 HFRS 控制措施提供了大有可为的机会。
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