有效的泛血清型登革热疫苗和强化的控制策略有助于减轻孟加拉国严重的登革热负担--观点。

IF 4 2区 生物学 Q2 MICROBIOLOGY Frontiers in Microbiology Pub Date : 2024-08-20 eCollection Date: 2024-01-01 DOI:10.3389/fmicb.2024.1423044
Mohammad Enamul Hoque Kayesh, Humayra Nazneen, Michinori Kohara, Kyoko Tsukiyama-Kohara
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引用次数: 0

摘要

登革热是一种重要的病媒传染疾病,在全球范围内都有发生。登革热病毒(DENV)感染可导致潜在的生命危险。迄今为止,还没有针对登革热病毒的抗病毒治疗方法。此外,也没有同样有效的泛种登革热病毒疫苗。最近,Dengvaxia 和 Qdenga 这两种登革热病毒疫苗获得了有限使用许可。然而,这两种疫苗在孟加拉国均未获得批准。登革热病毒由伊蚊传播,气候变化导致的全球变暖有利于伊蚊的繁殖,这对孟加拉国登革热病毒感染的增加起到了重要作用。登革热是孟加拉国严重的公共卫生问题。2023 年,孟加拉国爆发了规模最大的登革热疫情,登革热病例数(n = 321 179)和登革热相关死亡人数(n = 1 705)均创下单个流行年之最。如果感染了不同的登革热病毒血清型,则原有登革热病毒特异性免疫球蛋白 G 的人感染严重登革热的风险会增加。迄今为止,病媒控制仍是控制登革热的主要手段;因此,立即、加强和有效的病媒控制计划对控制孟加拉国登革热疫情至关重要,并应定期实施。此外,使用 DENV 疫苗来遏制登革热在孟加拉国的流行,还需要孟加拉国有关当局进行更多的考虑和判断。本综述提供了控制和预防登革热爆发的视角。我们还讨论了孟加拉国使用 DENV 疫苗减少登革热流行病感染所面临的挑战。
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An effective pan-serotype dengue vaccine and enhanced control strategies could help in reducing the severe dengue burden in Bangladesh-A perspective.

Dengue is an important vector-borne disease occurring globally. Dengue virus (DENV) infection can result in a potentially life-threatening disease. To date, no DENV-specific antiviral treatment is available. Moreover, an equally effective pan-serotype dengue virus vaccine is not available. Recently, two DENV vaccines, Dengvaxia and Qdenga, were licensed for limited use. However, none of them have been approved in Bangladesh. DENV is transmitted by Aedes mosquitoes, and global warming caused by climate change favoring Aedes breeding plays an important role in increasing DENV infections in Bangladesh. Dengue is a serious public health concern in Bangladesh. In the year 2023, Bangladesh witnessed its largest dengue outbreak, with the highest number of dengue cases (n = 321,179) and dengue-related deaths (n = 1,705) in a single epidemic year. There is an increased risk of severe dengue in individuals with preexisting DENV-specific immunoglobulin G if the individuals become infected with different DENV serotypes. To date, vector control has remained the mainstay for controlling dengue; therefore, an immediate, strengthened, and effective vector control program is critical and should be regularly performed for controlling dengue outbreaks in Bangladesh. In addition, the use of DENV vaccine in curbing dengue epidemics in Bangladesh requires more consideration and judgment by the respective authority of Bangladesh. This review provides perspectives on the control and prevention of dengue outbreaks. We also discuss the challenges of DENV vaccine use to reduce dengue epidemics infection in Bangladesh.

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来源期刊
CiteScore
7.70
自引率
9.60%
发文量
4837
审稿时长
14 weeks
期刊介绍: Frontiers in Microbiology is a leading journal in its field, publishing rigorously peer-reviewed research across the entire spectrum of microbiology. Field Chief Editor Martin G. Klotz at Washington State University is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
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