{"title":"无声的公共威胁：阿富汗宰牲节期间克里米亚-刚果出血热疫情激增（向国家监测系统报告的病例，2015-2024 年）","authors":"Enayatullah Hamdard , Ahmadullah Zahir , Babrak Karwand , Zabih Ullah Nazari , Fangxiong Shi","doi":"10.1016/j.jiph.2024.102591","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne viral disease with a Case Fatality Ratio (CFR) of 10–40 %. It spreads from livestock to humans primarily through tick bites. It is crucial to monitor the peak months of this endemic disease in Afghanistan. Currently, the country is grappling with a potential national outbreak of CCHF, facing limitations in both diagnostic and preventive measures. Therefore, this study aims to describe CCHF prevalence during spike months (June-September) from 2015 to 2024, coinciding with Eid-al-Adha, and assess CCHF familiarity among inhabitants in eight regions of Afghanistan.</div></div><div><h3>Method</h3><div>We have analyzed the National Surveillance System data (2015–2024) on retrospective basis. A structured questionnaire was developed to assess CCHF knowledge among inhabitants of eight regions. Data analysis included percentages, frequencies, chi-square tests, using SPSS and power BI.</div></div><div><h3>Results</h3><div>The national surveillance system recorded 1796 CCHF confirmed cases with 238 deaths during spike months from 2015 to 2024. The highest number of Reported cases was in 2023 (734 cases, 78 deaths), followed by 2022 (221 cases). During Eid-al-Adha months from 2015 to 2024, there were 804 CCHF cases and 176 deaths, with the most in 2023 (313 cases, 78 deaths) and the fewest in 2015 (7 cases, 2 deaths).</div><div>A survey of 1440 inhabitants (80 % male, 20 % female) across eight regions of Afghanistan showed knowledge of CCHF varied within regions. Correct responses were highest in the central region (394/815), followed by north (336/760). Incorrect responses were highest in central highlands (1039/1440), followed by west (450/881), indicating limited knowledge despite annual spikes in cases.</div></div><div><h3>Conclusion</h3><div>The surge in CCHF outbreaks during Eid-al-Adha in Afghanistan underscores the challenge posed by limited knowledge of the disease. Uncontrolled animal movement and self-slaughter during Eid festival emphasize the urgent need for targeted public health strategies by relevant ministries.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 1","pages":"Article 102591"},"PeriodicalIF":4.7000,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Silent public threat: Crimean-Congo hemorrhagic fever outbreak spikes during Eid-al-Adha in Afghanistan (Reported cases to National Surveillance System, 2015-2024)\",\"authors\":\"Enayatullah Hamdard , Ahmadullah Zahir , Babrak Karwand , Zabih Ullah Nazari , Fangxiong Shi\",\"doi\":\"10.1016/j.jiph.2024.102591\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne viral disease with a Case Fatality Ratio (CFR) of 10–40 %. It spreads from livestock to humans primarily through tick bites. It is crucial to monitor the peak months of this endemic disease in Afghanistan. Currently, the country is grappling with a potential national outbreak of CCHF, facing limitations in both diagnostic and preventive measures. Therefore, this study aims to describe CCHF prevalence during spike months (June-September) from 2015 to 2024, coinciding with Eid-al-Adha, and assess CCHF familiarity among inhabitants in eight regions of Afghanistan.</div></div><div><h3>Method</h3><div>We have analyzed the National Surveillance System data (2015–2024) on retrospective basis. A structured questionnaire was developed to assess CCHF knowledge among inhabitants of eight regions. Data analysis included percentages, frequencies, chi-square tests, using SPSS and power BI.</div></div><div><h3>Results</h3><div>The national surveillance system recorded 1796 CCHF confirmed cases with 238 deaths during spike months from 2015 to 2024. The highest number of Reported cases was in 2023 (734 cases, 78 deaths), followed by 2022 (221 cases). During Eid-al-Adha months from 2015 to 2024, there were 804 CCHF cases and 176 deaths, with the most in 2023 (313 cases, 78 deaths) and the fewest in 2015 (7 cases, 2 deaths).</div><div>A survey of 1440 inhabitants (80 % male, 20 % female) across eight regions of Afghanistan showed knowledge of CCHF varied within regions. Correct responses were highest in the central region (394/815), followed by north (336/760). Incorrect responses were highest in central highlands (1039/1440), followed by west (450/881), indicating limited knowledge despite annual spikes in cases.</div></div><div><h3>Conclusion</h3><div>The surge in CCHF outbreaks during Eid-al-Adha in Afghanistan underscores the challenge posed by limited knowledge of the disease. Uncontrolled animal movement and self-slaughter during Eid festival emphasize the urgent need for targeted public health strategies by relevant ministries.</div></div>\",\"PeriodicalId\":16087,\"journal\":{\"name\":\"Journal of Infection and Public Health\",\"volume\":\"18 1\",\"pages\":\"Article 102591\"},\"PeriodicalIF\":4.7000,\"publicationDate\":\"2024-11-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Infection and Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1876034124003253\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Infection and Public Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1876034124003253","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Silent public threat: Crimean-Congo hemorrhagic fever outbreak spikes during Eid-al-Adha in Afghanistan (Reported cases to National Surveillance System, 2015-2024)
Background
Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne viral disease with a Case Fatality Ratio (CFR) of 10–40 %. It spreads from livestock to humans primarily through tick bites. It is crucial to monitor the peak months of this endemic disease in Afghanistan. Currently, the country is grappling with a potential national outbreak of CCHF, facing limitations in both diagnostic and preventive measures. Therefore, this study aims to describe CCHF prevalence during spike months (June-September) from 2015 to 2024, coinciding with Eid-al-Adha, and assess CCHF familiarity among inhabitants in eight regions of Afghanistan.
Method
We have analyzed the National Surveillance System data (2015–2024) on retrospective basis. A structured questionnaire was developed to assess CCHF knowledge among inhabitants of eight regions. Data analysis included percentages, frequencies, chi-square tests, using SPSS and power BI.
Results
The national surveillance system recorded 1796 CCHF confirmed cases with 238 deaths during spike months from 2015 to 2024. The highest number of Reported cases was in 2023 (734 cases, 78 deaths), followed by 2022 (221 cases). During Eid-al-Adha months from 2015 to 2024, there were 804 CCHF cases and 176 deaths, with the most in 2023 (313 cases, 78 deaths) and the fewest in 2015 (7 cases, 2 deaths).
A survey of 1440 inhabitants (80 % male, 20 % female) across eight regions of Afghanistan showed knowledge of CCHF varied within regions. Correct responses were highest in the central region (394/815), followed by north (336/760). Incorrect responses were highest in central highlands (1039/1440), followed by west (450/881), indicating limited knowledge despite annual spikes in cases.
Conclusion
The surge in CCHF outbreaks during Eid-al-Adha in Afghanistan underscores the challenge posed by limited knowledge of the disease. Uncontrolled animal movement and self-slaughter during Eid festival emphasize the urgent need for targeted public health strategies by relevant ministries.
期刊介绍：
The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other.
The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners.
It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.
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