2016 年至 2022 年西班牙四个选定地区的人类 Q 热流行病学。

IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Eurosurveillance Pub Date : 2024-07-01 DOI:10.2807/1560-7917.ES.2024.29.27.2300688
Daniel Cifo, Rosa M Estévez-Reboredo, David González-Barrio, Isabel Jado, Diana Gómez-Barroso
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引用次数: 0

摘要

背景热是一种由烧伤柯西氏菌引起的细菌性人畜共患病。西班牙是欧洲通报人类病例最多的国家。方法我们从西班牙国家流行病学监测网络中提取了 2016 年至 2022 年期间加那利群岛、巴斯克地区、拉里奥哈和纳瓦拉的 Q 热病例数据。我们利用贝萨格-约克-莫利埃(Besag-York-Mollié)模型计算了标准化发病率(SIR)、空间相对风险(sRR)和后验概率(PP)。巴斯克地区、拉里奥哈和纳瓦拉地区报告了 11 起疫情,加那利群岛没有报告。3 月至 6 月期间,发病率呈季节性增长。在加那利群岛,拉帕尔马、大加那利岛、兰萨罗特岛和富埃特文图拉岛的 sRR 有所上升。在巴斯克地区、拉里奥哈和纳瓦拉地区,比斯开省南部的 sRR 最高。季节性增加可能与小型反刍动物的产仔季节和特定的环境条件有关。这些地区内 sRR 的地方性差异可能是由不同的环境因素造成的。未来以 "一个健康 "为导向的研究对于加深我们对 Q 热流行病学的了解至关重要。
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Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022.

BackgroundQ fever is a bacterial zoonosis caused by Coxiella burnetii. Spain has the highest number of notified human cases in Europe. Small ruminants are a key reservoir for the pathogen, transmission from animals to humans is usually airborne.AimWe aimed at exploring temporal and spatial epidemiological patterns of sporadic and outbreak cases of Q fever in four Spanish regions with the highest number of notified cases.MethodsWe extracted data on Q fever cases in the Canary Islands, Basque Country, La Rioja and Navarre between 2016 and 2022 from the Spanish National Epidemiological Surveillance Network. We calculated standardised incidence ratios (SIR), spatial relative risks (sRR) and posterior probabilities (PP) utilising Besag-York-Mollié models.ResultsThere were 1,059 notifications, with a predominance of males aged 30-60 years. In Basque Country, La Rioja and Navarre area, 11 outbreaks were reported, while no in the Canary Islands. A seasonal increase in incidence rates was observed between March and June. In the Canary Islands, elevated sRR was seen in La Palma, Gran Canaria, Lanzarote and Fuerteventura. In Basque Country, La Rioja and Navarre area, the highest sRR was identified in the south of Biscay province.ConclusionGoats were the main source for humans in outbreaks reported in the literature. Seasonal increase may be related to the parturition season of small ruminants and specific environmental conditions. Local variations in sRR within these regions likely result from diverse environmental factors. Future One Health-oriented studies are essential to deepen our understanding of Q fever epidemiology.

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来源期刊
Eurosurveillance
Eurosurveillance INFECTIOUS DISEASES-
CiteScore
32.70
自引率
2.10%
发文量
430
审稿时长
3-8 weeks
期刊介绍: Eurosurveillance is a European peer-reviewed journal focusing on the epidemiology, surveillance, prevention, and control of communicable diseases relevant to Europe.It is a weekly online journal, with 50 issues per year published on Thursdays. The journal includes short rapid communications, in-depth research articles, surveillance reports, reviews, and perspective papers. It excels in timely publication of authoritative papers on ongoing outbreaks or other public health events. Under special circumstances when current events need to be urgently communicated to readers for rapid public health action, e-alerts can be released outside of the regular publishing schedule. Additionally, topical compilations and special issues may be provided in PDF format.
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