Abstract：
Hawai\'i, the United States\' most western geographic state in the Pacific, is intermediate between the North and South American continents and Indo-Pacific regions, including Japan. The Hawaiian Islands\' tropical environmental conditions provide favorable ecosystems for various infectious pathogens, their vectors, and reservoirs. This creates a conducive environment for-transmission of various zoonotic diseases that affect both humans and animals. Hawai\'i has experienced an increase in outbreaks of dengue, leptospirosis, and murine typhus. Further, toxoplasmosis and neuroangiostrongyliasis cases remain prevalent throughout the state, and the putative presence of autochthonous Zika cases in a retrospective study may be of national public health concern. Understanding the factors that affect the transmission and distribution of zoonoses is necessary to identify at-risk places and populations. The One Health approach seeks to understand, report, and interpret these factors and requires collaborations between private and government institutions. One Health should focus its efforts on neglected tropical diseases (NTD) and prioritize intervention development to control and prevent the transmission of diseases that spread between animals and humans. This review will focus on the epidemiological and clinical characteristics of under-recognized zoonotic and NTD affecting Hawai\'i: leptospirosis, murine typhus, neuroangiostrongyliasis, toxoplasmosis, dengue, and Zika infections.
摘要：
夏威夷，美国太平洋最西部的地理州，位于北美和南美大陆以及印度太平洋地区之间，包括日本。夏威夷群岛的热带环境条件为各种传染性病原体提供了有利的生态系统，他们的向量，和水库。这为影响人类和动物的各种人畜共患疾病的传播创造了有利的环境。夏威夷经历了登革热爆发的增加，钩端螺旋体病,和鼠伤寒.Further,弓形虫病和神经管圆线虫病病例在全州仍然很普遍，回顾性研究中假定的本土寨卡病例可能引起国家公共卫生关注。了解影响人畜共患病传播和分布的因素对于确定高危场所和人群是必要的。一个健康的方法试图理解，报告,并解释这些因素，并需要私营和政府机构之间的合作。OneHealth应将工作重点放在被忽视的热带病（NTD）上，并优先考虑干预措施的发展，以控制和预防在动物和人类之间传播的疾病的传播。这篇综述将重点关注影响夏威夷的人畜共患和NTD的流行病学和临床特征：钩端螺旋体病，鼠斑疹伤寒,神经管圆线虫病，弓形虫病,登革热,和寨卡病毒感染。
