在过去的几十年中,蜱传疾病(TBD)已成为美国重要的公共卫生问题。这些疾病的发病率和地理分布的增加促使实施了强有力的监测系统来监测其流行情况,分布,以及对人类健康的影响。这篇全面的综述描述了美国所有已知蜱传病原体的地理分布的关键疾病特征,在检查疾病监测工作的同时,专注于战略,挑战,和进步。监测方法包括被动和主动监测,实验室监测,哨兵监视,一个健康的方法。关键的监控系统,例如国家法定疾病监测系统(NNDSS),TickNET,和滴虫病实验室网络(TBDLN),正在讨论。数据收集和报告挑战,如漏报和误诊,被突出显示。审查解决了挑战,包括缺乏标准化,在非人类宿主中进行监视,和数据集成。创新包括分子技术,综合征监测,并勾选监视程序。对公共卫生保险预防战略的影响,早期发现,治疗,和公共教育。未来的方向强调增强的监视网络,综合病媒管理,研究重点,和政策影响。这篇综述增进了对TBD监测的理解,帮助做出有效的疾病预防和控制的知情决策。通过了解当前的监视环境,公共卫生官员,研究人员,政策制定者可以做出明智的决定来减轻(TBD)的负担。
Tick-borne diseases (TBDs) have become a significant public health concern in the United States over the past few decades. The increasing incidence and geographical spread of these diseases have prompted the implementation of robust surveillance systems to monitor their prevalence, distribution, and impact on human health. This comprehensive
review describes key disease features with the geographical distribution of all known tick-borne pathogens in the United States, along with examining disease surveillance efforts, focusing on strategies, challenges, and advancements. Surveillance methods include passive and active surveillance, laboratory-based surveillance, sentinel surveillance, and a One Health approach. Key surveillance systems, such as the National Notifiable Diseases Surveillance System (NNDSS), TickNET, and the Tick-Borne Disease Laboratory Network (TBDLN), are discussed. Data collection and reporting challenges, such as underreporting and misdiagnosis, are highlighted. The
review addresses challenges, including lack of standardization, surveillance in non-human hosts, and data integration. Innovations encompass molecular techniques, syndromic surveillance, and tick surveillance programs. Implications for public health cover prevention strategies, early detection, treatment, and public education. Future directions emphasize enhanced surveillance networks, integrated vector management, research priorities, and policy implications. This
review enhances understanding of TBD surveillance, aiding in informed decision-making for effective disease prevention and control. By understanding the current surveillance landscape, public health officials, researchers, and policymakers can make informed decisions to mitigate the burden of (TBDs).