Tick-borne diseases

滴答病
  • 文章类型: Journal Article
    Beijinirovirus(BJNV),在Nairoviridae家族中,Bunyavirales命令,最近被报道为中国新兴的tick传播的人畜共患感染的病原体。这项研究调查了日本蜱中BJNV的患病率。对来自多个地区的2,000多个蜱进行筛查,发现BJNV和BJNV相关病毒在日本分布广泛,特别是在北部岛屿,在其他高海拔地区,仅发生Ixodes蜱。系统发育分析在日本的壁虱中确定了三个不同的nairovirus组:BJNV,伊春nirovirus(YCNV)和一种新鉴定的mikuninirovirus(MKNV)。在日本的壁虱中鉴定出的BJNV和YCNV变体与中国和俄罗斯的变体具有高核苷酸序列同一性,并有证据表明BJNV之间存在非单系进化,提示BJNV在欧亚大陆和日本之间的多个跨境传播事件。BJNV和MKNV的全基因组测序揭示了S片段中独特的富含GA的区域,其意义还有待确定。总之,本研究显示了BJNV相关的nairovirus在日本Ixodes蜱中的广泛分布和多样性,并确定了独特的基因组结构。研究结果证明了BJNV以及相关病毒在日本的重要性,并强调了监测新出现的nairovirus感染及其对公共卫生的潜在风险的必要性。
    Beiji nairovirus (BJNV), in the family Nairoviridae, the order Bunyavirales, was recently reported as a causative agent of an emerging tick-borne zoonotic infection in China. This study investigated the prevalence of BJNV in ticks in Japan. Screening of over 2,000 ticks from multiple regions revealed a widespread distribution of BJNV and BJNV-related viruses in Japan, particularly in the northern island, and in other high altitude areas with exclusive occurrence of Ixodes ticks. Phylogenetic analysis identified three distinct groups of nairoviruses in ticks in Japan: BJNV, Yichun nairovirus (YCNV) and a newly identified Mikuni nairovirus (MKNV). BJNV and YCNV variants identified in ticks in Japan exhibited high nucleotide sequence identities to those in China and Russia with evidence of non-monophyletic evolution among BJNVs, suggesting multiple cross-border transmission events of BJNV between the Eurasian continent and Japan. Whole genome sequencing of BJNV and MKNV revealed a unique GA-rich region in the S segment, the significance of which remains to be determined. In conclusion, the present study has shown a wide distribution and diversity of BJNV-related nairoviruses in Ixodes ticks in Japan and has identified unique genomic structures. The findings demonstrate the significance of BJNV as well as related viruses in Japan and highlight the necessity of monitoring emerging nairovirus infections and their potential risks to public health.
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  • 文章类型: Journal Article
    背景:滴答,作为各种病原体的关键媒介,在全球范围内构成重大公共卫生挑战。在东南亚(SEA),壁虱负责传播影响人类和动物的各种病原体。SEA的地理和生态多样性提供了一个独特的环境,支持各种各样的蜱物种,这使得蜱传疾病(TBD)的管理和研究复杂化。
    结果:本文综合了第一届东南亚蜱和TBD国际研讨会的结果,2023年6月22日和23日在金边举行。它强调了区域努力了解蜱生态和病原体传播。本文建议在以下三个主要部分对研讨会期间的各种演讲进行总结。第一个是专门介绍SEA国家关于蜱和TBD的知识状况,来自6个不同国家的演讲,即柬埔寨,印度尼西亚,老挝,马来西亚,泰国,和越南。第二部分重点介绍了蜱传病原体(TBP)和TBD的新研究方法的开发。最后一部分是最后一天举行的圆桌讨论会的总结,旨在为SEA地区的TBP和TBD研究确定最重要的挑战和建议。
    结论:讨论的主要主题包括诊断工具的改进,如MALDI-TOFMS和蛋白质组学,以及制定蜱虫管理和疾病预防的可持续战略。专题讨论会促进了各学科专家之间的知识交流和合作网络,促进统一的方法来解决该地区的TBD。专题讨论会强调需要加强监测,诊断,和区域间合作,以有效管理TBD的威胁。建议包括建立蜱识别区域数据库和扩大媒介能力研究。这些举措对于制定有针对性的干预措施以及了解气候变化和城市化对TBD流行的更广泛影响至关重要。
    BACKGROUND: Ticks, as critical vectors of a variety of pathogens, pose a significant public health challenge globally. In Southeast Asia (SEA), ticks are responsible for transmitting a diverse array of pathogens affecting humans and animals. The geographical and ecological diversity of SEA provides a unique environment that supports a wide range of tick species, which complicates the management and study of tick-borne diseases (TBDs).
    RESULTS: This article synthesizes findings from the first international symposium on ticks and TBDs in Southeast Asia, held in Phnom Penh on June 22 and 23, 2023. It highlights regional efforts to understand tick ecology and pathogen transmission. This paper proposes to present a summary of the various presentations given during the symposium following 3 main parts. The first one is devoted to the state of knowledge regarding ticks and TBDs in SEA countries, with presentations from 6 different countries, namely Cambodia, Indonesia, Laos, Malaysia, Thailand, and Vietnam. The second part focuses on the development of new research approaches on tick-borne pathogens (TBPs) and TBDs. The last part is a summary of the round table discussion held on the final day, with the aim of defining the most important challenges and recommendations for researches on TBP and TBD in the SEA region.
    CONCLUSIONS: Key topics discussed include advancements in diagnostic tools, such as MALDI-TOF MS and proteomics, and the development of sustainable strategies for tick management and disease prevention. The symposium facilitated the exchange of knowledge and collaborative networks among experts from various disciplines, promoting a unified approach to tackling TBDs in the region. The symposium underscored the need for enhanced surveillance, diagnostics, and inter-regional cooperation to manage the threat of TBDs effectively. Recommendations include the establishment of a regional database for tick identification and the expansion of vector competence studies. These initiatives are crucial for developing targeted interventions and understanding the broader implications of climate change and urbanization on the prevalence of TBDs.
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  • 文章类型: Journal Article
    背景:在美国,蜱传疾病是一种日益严重的公共卫生威胁。尽管蜱传疾病的流行和负担不断上升,在基线知识和滴答向量的监测工作方面存在重大差距,甚至在病媒控制区和公共卫生机构之间。为了解决这个问题,通过东南媒介传播疾病卓越中心(SECOEVBD)开发了在线蜱培训课程(OTTC),以提供有关蜱的全面知识库,蜱传疾病,和他们的管理。
    方法:OTTC由培训模块组成,涵盖主题包括蜱生物学,滴答识别,蜱传疾病,和公共卫生,个人蜱安全,并勾选监视。该课程主要向美国东南部的病媒控制专家和公共卫生员工推广。我们收集了参与者的评估和调查数据来衡量学习成果,对所获得知识的效用的感知,以及在该领域应用知识的障碍和促进者。
    结果:OTTC成功地增加了所有课程学科领域的参与者的基线知识,评估的平均分数从62.6%(课程前)增加到86.7%(课程后)。超过一半的参与者(63.6%)表示他们肯定会在工作中使用课程中的信息。使用延迟评估中确定的信息的障碍包括缺乏应用技能的机会(18.5%)以及需要额外的专业培训,而OTTC目前提供的培训(18.5%)。虽然应用知识的主要推动者(70.4%)是在工作中有机会,例如现有的滴答监视程序。
    结论:总体而言,这个OTTC展示了在必要和服务不足的公共卫生领域提高知识的能力,超过一半的参与者在工作中使用或计划使用这些信息。这个在线资源的地理范围比它设计的东南地区大得多,表明对这种资源的更广泛需求。了解此类培训计划的实用性和外显率对于精炼材料和评估最佳培训目标非常重要。
    BACKGROUND: Tick-borne diseases are a growing public health threat in the United States. Despite the prevalence and rising burden of tick-borne diseases, there are major gaps in baseline knowledge and surveillance efforts for tick vectors, even among vector control districts and public health agencies. To address this issue, an online tick training course (OTTC) was developed through the Southeastern Center of Excellence in Vector-Borne Diseases (SECOEVBD) to provide a comprehensive knowledge base on ticks, tick-borne diseases, and their management.
    METHODS: The OTTC consisted of training modules covering topics including tick biology, tick identification, tick-borne diseases, and public health, personal tick safety, and tick surveillance. The course was largely promoted to vector control specialists and public health employees throughout the Southeastern US. We collected assessment and survey data on participants to gauge learning outcomes, perceptions of the utility of knowledge gained, and barriers and facilitators to applying the knowledge in the field.
    RESULTS: The OTTC was successful in increasing participants\' baseline knowledge across all course subject areas, with the average score on assessment increasing from 62.6% (pre-course) to 86.7% (post-course). More than half of participants (63.6%) indicated that they would definitely use information from the course in their work. Barriers to using information identified in the delayed assessment included lack of opportunities to apply skills (18.5%) and the need for additional specialized training beyond what the OTTC currently offers (18.5%), while the main facilitator (70.4%) for applying knowledge was having opportunities at work, such as an existing tick surveillance program.
    CONCLUSIONS: Overall, this OTTC demonstrated capacity to improve knowledge in a necessary and underserved public health field, and more than half of participants use or plan to use the information in their work. The geographic reach of this online resource was much larger than simply for the Southeastern region for which it was designed, suggesting a much broader need for this resource. Understanding the utility and penetrance of training programs such as these is important for refining materials and assessing optimal targets for training.
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  • 文章类型: Journal Article
    一个健康的方法,它整合了人类的健康,动物,植物,和不同层次的生态系统,对于解决相互关联的健康威胁至关重要。mRNA疫苗的出现补充了这一点,彻底改变了疾病预防。它们提供广谱的有效性,可以快速定制以靶向特定的病原体。它们的用途超越了人类医学,在兽医实践中显示出控制疾病和降低人畜共患传播风险的潜力。这篇综述将mRNA疫苗和一个健康放在蜱传疾病的背景下。这些疫苗赋予跨物种免疫力的潜力是巨大的,可能破坏人畜共患疾病的传播周期并保护人类和动物的健康,在减少蜱种群的同时,病原体的感染和循环。蜱和蜱传病原体mRNA疫苗的开发和应用代表了全球卫生的综合战略,在我们相互联系的世界中,为所有物种培育更健康的生态系统。
    The One Health approach, which integrates the health of humans, animals, plants, and ecosystems at various levels, is crucial for addressing interconnected health threats. This is complemented by the advent of mRNA vaccines, which have revolutionized disease prevention. They offer broad-spectrum effectiveness and can be rapidly customized to target specific pathogens. Their utility extends beyond human medicine, showing potential in veterinary practices to control diseases and reduce the risk of zoonotic transmissions. This review place mRNA vaccines and One Health in the context of tick-borne diseases. The potential of these vaccines to confer cross-species immunity is significant, potentially disrupting zoonotic disease transmission cycles and protecting the health of both humans and animals, while reducing tick populations, infestations and circulation of pathogens. The development and application of mRNA vaccines for tick and tick-borne pathogens represent a comprehensive strategy in global health, fostering a healthier ecosystem for all species in our interconnected world.
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  • 文章类型: Journal Article
    它们携带的蜱和病原体严重影响人类和动物健康,莱姆病和α-gal综合征等疾病会带来风险。在线搜索健康信息可以改变人们的健康和预防行为,让他们面对滴答的风险。这项研究旨在通过检查个人的在线搜索行为来预测蜱传疾病的潜在风险。
    通过仔细检查美国各个地理区域和时间段的搜索趋势,我们确定户外活动与蜱相关疾病的潜在风险相关.谷歌趋势被用作数据收集和分析工具,因为它可以访问人们的在线搜索行为的大数据。我们与大量的人口搜索数据进行交互,并提供人口行为和健康相关现象之间的推论。数据是在2022年4月至2023年3月在美国收集的,其中有一些关于户外活动和蜱风险的术语。
    结果强调了公众参与活动时的风险易感性和严重程度。我们的结果发现,搜索与蜱风险相关的术语与各州五年平均莱姆病发病率相关,反映了在线健康搜索蜱传疾病风险的可预测性。地理上,结果显示,与tick相关的术语的相对搜索量最高的州主要位于东部地区。定期,可以发现术语在夏季具有较高的搜索记录。此外,结果表明,与户外活动相关的术语,如“玉米迷宫,\"\"狩猎,\"\"u-pick,\"和\"公园,“与tick相关的术语有适度的关联。这项研究为有效的沟通策略提供了建议,以鼓励公众采用健康促进行为。在在线搜索结果中显示有蜱虫暴露高风险或与户外活动地点合作传播身体预防信息的个人的警告可能有助于减轻与蜱传疾病相关的风险。
    UNASSIGNED: Ticks and pathogens they carry seriously impact human and animal health, with some diseases like Lyme and Alpha-gal syndrome posing risks. Searching for health information online can change people\'s health and preventive behaviors, allowing them to face the tick risks. This study aimed to predict the potential risks of tickborne diseases by examining individuals\' online search behavior.
    UNASSIGNED: By scrutinizing the search trends across various geographical areas and timeframes within the United States, we determined outdoor activities associated with potential risks of tick-related diseases. Google Trends was used as the data collection and analysis tool due to its accessibility to big data on people\'s online searching behaviors. We interact with vast amounts of population search data and provide inferences between population behavior and health-related phenomena. Data were collected in the United States from April 2022 to March 2023, with some terms about outdoor activities and tick risks.
    UNASSIGNED: Results highlighted the public\'s risk susceptibility and severity when participating in activities. Our results found that searches for terms related to tick risk were associated with the five-year average Lyme Disease incidence rates by state, reflecting the predictability of online health searching for tickborne disease risks. Geographically, the results revealed that the states with the highest relative search volumes for tick-related terms were predominantly located in the Eastern region. Periodically, terms can be found to have higher search records during summer. In addition, the results showed that terms related to outdoor activities, such as \"corn maze,\" \"hunting,\" \"u-pick,\" and \"park,\" have moderate associations with tick-related terms. This study provided recommendations for effective communication strategies to encourage the public\'s adoption of health-promoting behaviors. Displaying warnings in the online search results of individuals who are at high risk for tick exposure or collaborating with outdoor activity locations to disseminate physical preventive messages may help mitigate the risks associated with tickborne diseases.
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  • 文章类型: Journal Article
    这篇综述强调了致病生物,临床特征,诊断,以及在美国最常见的蜱传疾病的治疗,包括莱姆病,落基山斑点发烧,无形体病,埃里希体病,Tularemia,Powassan病毒,和alpha-gal综合征.还提供了预防蜱虫叮咬的策略和一些基本的蜱虫清除建议。
    This review highlights the causative organisms, clinical features, diagnosis, and treatment of the most common tick-borne illnesses in the United States, including Lyme disease, Rocky Mountain spotted fever, anaplasmosis, ehrlichiosis, tularemia, Powassan virus, and alpha-gal syndrome. Tick bite prevention strategies and some basic tick removal recommendations are also provided.
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  • 文章类型: Journal Article
    立克次体是专性细胞内细菌,需要脊椎动物和节肢动物来维持其生命周期。无性体属的一些物种,埃里希亚,立克次体通过蜱传播给动物和人类,并可能导致轻度到重度甚至致命的病例。在美洲,关于立克次体病原体的大量数据,包括临床病例和在蜱中检测到这些药物,但在厄瓜多尔,关于他们的信息仍然知之甚少。因此,这项研究的目的是检测从厄瓜多尔三个沿海省份的五个地区的家畜和牧场中收集的寄生和自由生活阶段的黑斑虱中的分子立克次体药物。立克次体Parkeri,念珠菌立克次体,和埃里希亚sp.在厄瓜多尔首次在A.maculatum中记录。这些记录是在人类中检测到斑点热立克次体组抗体的区域中进行的。需要进一步的研究来表征埃里希菌属。在一个特定的水平。此外,识别在壁虱和区域内宿主中循环的特定Rickettsiales物种对于评估潜在的接触风险至关重要。
    Rickettsiales are obligate intracellular bacteria that need vertebrates and arthropods to maintain their life cycles. Some species of the genera Anaplasma, Ehrlichia, and Rickettsia are transmitted by ticks to both animals and humans and can cause mild to severe and even fatal cases. In the Americas, there is substantial data on rickettsial agents, encompassing both clinical cases and the detection of these agents in ticks, but in Ecuador, the information about them remains poorly understood. Therefore, the objective of this study was to detect molecularly rickettsial agents in Amblyomma maculatum ticks in both parasitic and free-living phases collected from domestic animals and pasture in five localities across three coastal provinces of Ecuador. Rickettsia parkeri, Candidatus Rickettsia andeanae, and Ehrlichia sp. were recorded in A. maculatum for the first time in Ecuador. These records were made in a region where antibodies to the Spotted Fever Rickettsia Group were detected in humans. Additional studies are needed to characterize Ehrlichia sp. at a specific level. Furthermore, recognizing the specific Rickettsiales species circulating in the ticks and the hosts within a region is crucial for assessing potential contact risks.
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  • 文章类型: Journal Article
    监测野生动物健康对于了解全球疾病模式至关重要,特别是由于媒介传播的感染扩展了地理范围,从而由于环境变化而成为宿主。边缘无性体,主要影响牛,具有经济意义,并在不同的宿主中发现,然而,它存在于水蛭(Hydrochoerushydrochaeris)中,影响蜱传播的病原体传播,缺乏全面的了解。从2015年到2022年,在阿根廷东北部的两个不同地区对14只水豚进行了调查。在14个(7%)的鱼中,通过特定基因的扩增证实了边缘A.marginale的存在,msp5和msp1β。此外,A.通过定量PCR在水痘的血液样本中检测到边缘DNA,循环阈值为30.81(每个反应800个拷贝)。msp1α基因片段的扩增显示了三种不同大小的PCR产物,这表明水豚宿主中至少存在三种共感染边缘A.margenale变体。这项研究表明,在阿根廷的伊贝拉湿地中,水豚是A.marginale的野生寄主,潜在影响家养和野生物种的感染动态。这一发现强调了彻底研究水蛭在疾病动力学中的作用的必要性。对于了解野生动物健康和疾病传播至关重要。
    Monitoring wildlife health is essential for understanding global disease patterns, particularly as vector-borne infections extend the geographic ranges and thereby hosts due to environmental shifts. Anaplasma marginale, primarily impacting cattle, has economic implications and has been found in diverse hosts, yet its presence in capybaras (Hydrochoerus hydrochaeris), influential in tick-borne pathogen spread, lacks comprehensive understanding. From 2015 to 2022, 14 capybaras were surveyed across two different areas of northeastern Argentina. In 1 of 14 (7%) capybaras, the presence of A. marginale was confirmed through the amplification of specific genes, msp5 and msp1β. In addition, A. marginale DNA was detected in the capybara\'s blood sample through quantitative PCR, with a cycle threshold value of 30.81 (800 copies per reaction). Amplification of a fragment of the msp1α gene revealed PCR products of three different sizes, suggesting the presence of at least three coinfecting A. marginale variants in the capybara host. This study suggests that capybaras are wild hosts for A. marginale in the Ibera Wetlands in Argentina, potentially influencing the infection dynamics of both domestic and wild species. This finding highlights the necessity for thorough studies on the role of capybaras in disease dynamics, crucial for understanding wildlife health and the spread of disease.
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  • 文章类型: Journal Article
    蜱传疾病的病例一直在增加,主要是由于郊区更大的发展,这导致更多的与蜱虫的相遇,和改变气候模式。本文回顾了美国最常见的蜱传疾病。病因学概述,评估结果,并为所审查的每种疾病提供治疗。重点放在早期识别和治疗,以防止严重的发病率和死亡率。
    UNASSIGNED: Cases of tick-borne diseases have been increasing, largely due to greater suburban development, which leads to more encounters with ticks, and changing climate patterns. This article reviews the most common tick-borne illnesses in the US. An overview of etiology, assessment findings, and treatment is provided for each illness reviewed. Emphasis is placed on early recognition and treatment to prevent significant morbidity and mortality.
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  • 文章类型: Journal Article
    蜱传立克次体病(TBRD)是一种危险的急性感染,通常在早期阶段无法诊断。知识的三位一体,态度,医疗专业人员的实践(KAP)是降低漏诊率的关键.因此,必须对KAP进行细致的评估。本研究旨在深入研究对TBRD的理解,并探索卢安地区个人预防方法的信念和实践。TBD的热点。在2023年夏季,通过向中国流行地区的1,206名参与者分发机密问卷,采用了便利抽样。该问卷全面介绍了参与者的社会人口统计学特征及其相对于TBRD的KAP水平。调查结果显示,参与者的知识得分仅为55.78%,虽然他们的态度和实践获得了90.09%和90.83%的令人印象深刻的分数,分别。在使用多元线性回归进行进一步分析后,几个有趣的模式出现了。男性参与者,受雇于传染病科,持有副高级或更高头衔,或先前的医学培训表现出优异的知识分数。另一方面,30岁以下,拥有研究生学位或更高资格的医务人员,并且在态度和实践方面受过出色的培训。值得注意的是,当采用波士顿咨询集团(BCG)矩阵时,在四个象限中观察到医务人员的显著分布.具体来说,37.43%,13.19%,19.61%,29.77%属于第一,第二,第三,第四象限这项调查强调了中国流行地区医务人员对TBRD的值得称赞的态度和做法。然而,他们的知识水平仍然不足,迫切需要提高。
    Tick-borne rickettsial disease (TBRD) is a perilous acute infection that often eludes diagnosis in its early stages. The triad of knowledge, attitudes, and practices (KAPs) among medical professionals is key to reducing missed diagnosis rates. Therefore, a meticulous evaluation of KAPs is imperative. This study aimed to delve into the understanding of TBRD and explore the beliefs and practices related to personal prevention methods among individuals in Lu\'an, a hotspot for TBRD. During the summer months of 2023, convenience sampling was employed by circulating a confidential questionnaire to 1,206 participants in the endemic regions of China. This questionnaire painted a comprehensive picture of the participants\' sociodemographic profiles and their KAPs levels vis-à-vis TBRD. The findings revealed that participants scored a mere 55.78% in knowledge, while their attitudes and practices garnered impressive scores of 90.09% and 90.83%, respectively. Upon further analysis using multiple linear regression, several intriguing patterns emerged. Male participants, employed in the Infectious Disease Department, held vice-senior or higher titles, or had prior medical training demonstrated superior knowledge scores. On the other hand, medical personnel who were younger than 30, possessed graduate degrees or higher qualifications, and had training excelled in attitudes and practices. Notably, when employing the Boston Consulting Group (BCG) matrix, a significant distribution of medical personnel was observed across the four quadrants. Specifically, 37.43%, 13.19%, 19.61%, and 29.77% fell into the first, second, third, and fourth quadrants. This survey underscores the commendable attitudes and practices of medical staff towards TBRD in endemic regions of China. However, their knowledge level remains wanting and demands urgent improvement.
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