Vector borne diseases

Vector Borne 疾病
  • 文章类型: Journal Article
    蜱传病原体构成了重大的全球威胁,给乳业造成了巨大的经济损失。在印度,热带Theileriosis,无形体病,babesiosis,和锥虫病是影响牛的主要血液寄生虫病。进行了一项横断面研究,以确定印度不同农场中血液寄生虫的患病率。采用PCR检测载体状态,使用基因靶标msp1b,tams1、rap-1、ama1和ITS1代表A.margale,T.annulata,B.牛,B.bigemina,和锥虫物种,分别。在578只看起来健康的动物中,30.45%(95%CI:26.84-34.32%)感染了至少一种血液寄生虫。牛的总体阳性率为32.87%,水牛的患病率为15.19%,具有统计学意义(p<0.001)。有趣的是,与杂交品种(25.53%)和外来动物(14.62%)相比,本地牛的患病率更高(47.81%),具有统计学上的显著差异(p<0.001)。农场中血液寄生虫的流行程度差异很大,从5.77到100%不等。A.marginale是最普遍的寄生虫(23.70%的动物),其次是T.annulata(13.67%),巴贝虫种类(1.90%),和锥虫种类(1.56%)。在八个农场中的六个观察到了动物不稳定,表明未来爆发的可能性。在176只血液寄生虫阳性的动物中,有60只检测到共感染,有59只动物同时感染了边际A和T.annulata,只有一只杂交牛同时感染了边缘疟原虫和babesiabigemina。研究结果强调了农场中血液寄生虫的流行,强调需要进行整群筛查,治疗受感染的动物,并改进农场管理措施,以防止这些病原体造成的生产损失。
    在线版本包含补充材料,可在10.1007/s12639-024-01673-3获得。
    Tick-borne pathogens pose a significant global threat, causing substantial economic losses to the dairy industry. In India, tropical theileriosis, anaplasmosis, babesiosis, and trypanosomiasis are major hemo-parasitic diseases affecting bovines. A cross-sectional study was conducted to determine the prevalence of hemo-parasites in different farms in India. PCR assays were employed to detect carrier status, using gene targets msp1b, tams1, rap-1, ama1, and ITS1 for A. marginale, T. annulata, B. bovis, B. bigemina, and Trypanosoma species, respectively. Out of the 578 apparently healthy animals screened, 30.45% (95% CI: 26.84-34.32%) were infected with at least one hemo-parasite. Cattle showed an overall positivity of 32.87%, while buffaloes had a prevalence of 15.19%, which was statistically significant (p < 0.001). Interestingly, prevalence was higher in indigenous cattle (47.81%) compared to cross-breeds (25.53%) and exotics (14.62%), with a statistically significant difference (p < 0.001). The prevalence of hemo-parasites varied widely among the farms, ranging from 5.77 to 100%. A. marginale was the most prevalent parasite (23.70% of animals), followed by T. annulata (13.67%), Babesia species (1.90%), and Trypanosoma species (1.56%). Enzootic instability was observed in six of the eight farms, indicating a potential for future outbreaks. Co-infection was detected in 60 out of 176 animals positive for hemo-parasites, with 59 animals co-infected with A. marginale and T. annulata, and only one cross-breed cattle infected with both Anaplasma marginale and Babesia bigemina. The findings highlight the prevalence of hemo-parasites in farms, underscoring the need for whole-herd screening, treatment of infected animals, and improvement in farm management practices to prevent production losses caused by these pathogens.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s12639-024-01673-3.
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  • 文章类型: Case Reports
    托斯卡纳病毒(TOSV)是中枢神经系统(CNS)感染的新兴原因,尤其是在夏季流行的国家。脑脊液(CSF)通常是透明的,<500白细胞/mm3,正常葡萄糖(>60%血清葡萄糖)和正常(<45mg/dL)至蛋白质水平略有增加。在这里,我们介绍了在圣玛丽亚安农齐亚塔医院(BagnoaRipoli,佛罗伦萨意大利)。病例1表现为脑膜炎的体征和症状。宏观检查时脑脊液呈乳白色,1192个细胞/mm3,低血糖(30%血清葡萄糖)和高蛋白(228.0mg/dL)。通过血清学证实了TOSV脑膜炎。病例2出现头痛,呕吐和轻度颈部僵硬。脑脊液有点混浊,1092个细胞/mm3,正常葡萄糖(61%血清葡萄糖)和略微增加的蛋白质(77.0mg/dL)水平。通过脑脊液血清学和分子检测证实了TOSV脑膜炎。我们进行了文献综述,包括报告了CSF特征的TOSV神经侵袭性感染病例。在12/62(19.4%)患者中报告>500个细胞/mm3,3/62(4.8%)患者的低血糖,7/62(11.3%)患者为轻度高蛋白性(45-75mg/dL),40/62(64.5%)患者为重度高蛋白性(>75mg/dL)。即使CSF检查显示不典型结果,在温暖季节流行地区的中枢神经系统感染的鉴别诊断中应考虑TOSV。
    Toscana virus (TOSV) is an emerging cause of central nervous system (CNS) infections, especially in endemic countries during summer. Cerebrospinal fluid (CSF) is usually clear, with < 500 leukocytes/mm3, normal glucose (> 60 % serum glucose) and normal (< 45 mg/dL) to slightly increased protein levels. Here we present two cases of TOSV meningitis with misleading CSF characteristics observed at Santa Maria Annunziata Hospital (Bagno a Ripoli, Florence, Italy). Case 1 presented with signs and symptoms of meningitis. CSF was opalescent on macroscopic examination, with 1192 cells/mm3, hypoglycorrhachia (30 % serum glucose) and hyperproteinorachia (228.0 mg/dL). TOSV meningitis was confirmed with serology. Case 2 presented with headache, vomiting and mild neck stiffness. CSF was slightly turbid, with 1092 cells/mm3, normal glucose (61 % serum glucose) and slightly increased protein (77.0 mg/dL) levels. TOSV meningitis was confirmed with serology and molecular test on CSF. We performed a literature review including cases of TOSV neuroinvasive infections in which CSF characteristics were reported. Pleocytosis > 500 cells/mm3 was reported in 12/62 (19.4 %) patients, hypoglycorrhachia in 3/62 (4.8 %) patients, mild hyperproteinorachia (45 - 75 mg/dL) in 7/62 (11.3 %) patients and severe hyperproteinorachia (> 75 mg/dL) in 40/62 (64.5 %) patients. TOSV should be considered in the differential diagnosis of CNS infections in endemic areas during the warm season even when CSF examination shows atypical results.
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  • 文章类型: Journal Article
    背景:蚊媒疾病是全球公共卫生关注的问题,每年导致全球超过70万人死亡。此外,由于各种因素,许多蚊子物种经历了巨大的全球扩张,包括气候变化,预测表明,蚊子种群将持续扩散到目前的地理范围之外,即在温带气候。近年来,关于这一主题的研究文献越来越多,包括一些系统的证据综合。然而,为了全面概述政策行动所需的日益增长的文献,这些证据的摘要,包括现有的系统审查,是必需的。这项研究旨在进行一项总括的审查,探讨气候变化对温带地区蚊子传播的疾病的出现和复发的影响,该协议的出版是确保可信度的基本步骤,这项研究的透明度和可重复性。
    方法:发表在PubMed索引的科学期刊上的研究,EMBASE,科克伦图书馆,认识论,和WebofScience核心合集将被纳入这个总括审查将满足以下标准:研究主题(气候变化和蚊子传播的疾病),区域(温带),研究设计(系统评价和荟萃分析),语言(任何)和日期(自成立以来至12月31日,2023年)。选定文章的标题和摘要将由两位作者独立评估,任何差异将通过共识解决,或者,如果不可能,通过第三作者。数据将被提取,并评估偏差的风险。将使用AMSTAR2评估纳入的审查方法的质量。叙述性综合将审查所包括的系统审查。所有结果的证据质量将使用建议等级评估来判断,开发和评估工作组方法。
    BACKGROUND: Mosquito-borne diseases represent a global public health concern and are responsible for over 700 000 deaths globally every year. Additionally, many mosquito species have undergone a dramatic global expansion due to various factors, including climate change, and forecasts indicate that mosquito populations will persist in dispersing beyond their present geographic range, namely in temperate climates. The research literature on this topic has grown in recent years, including some systematic evidence synthesis. However, to provide a comprehensive overview of this growing literature needed for policy action, a summary of this evidence, including existing systematic reviews, is required. This study aims to undertake an umbrella review that explores the impacts of climate change on the emergence and reemergence of diseases transmitted by mosquitoes in temperate zones and the publication of the protocol is a fundamental step to ensure the credibility, transparency and reproducibility of this research.
    METHODS: Studies published in scientific journals indexed by PubMed, EMBASE, Cochrane Library, Epistemonikos, and Web of Science Core Collection to be included in this umbrella review will meet the following criteria: the topic of study (climate change and mosquito-borne diseases), regions (temperate zones), study designs (systematic reviews and meta-analysis), language (any) and date (since inception until December 31st, 2023). Titles and abstracts from selected articles will be evaluated by two authors independently and any discrepancy will be resolved through consensus or, if not possible, through a third author. The data will be extracted, and the risk of bias will be evaluated. The quality of the methodology of the included reviews will be assessed using AMSTAR 2. A narrative synthesis will examine the included systematic reviews. The quality of evidence for all outcomes will be judged using the Grading of Recommendations Assessment, Development and Evaluation working group methodology.
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  • 文章类型: Journal Article
    犬媒介传播病原体(CVBP)在全球范围内分布,并且在斯里兰卡等热带国家中患病率很高。一些CVBP是人畜共患的,在斯里兰卡,狗被确定为人类皮下丝虫病的宿主,并可能为斑点发烧立克次体病和重新出现的布鲁氏菌丝虫病,使这些病原体在该国成为公共卫生问题。兽医在监控方面至关重要,预防,并在狗中控制这些病原体。因此,必须了解兽医的知识,态度,以及有关CVBP的实践(KAP),以减轻其影响。设计了一项调查,并以电子方式向在斯里兰卡居住和执业的兽医进行了调查。使用描述性、单变量,和多变量分析,以调查人口统计学因素之间的关联,知识,态度,以及与CVBP相关的实践。在170名参与的兽医中,近70%的人有中等或较高的知识。然而,对人畜共患病原体的认识,布鲁吉亚物种。(16%)和立克次体(18%),很低,相当多的兽医不知道Dirofilariarepens的人畜共患性质。基于多变量分析,根据经验和自评知识进行调整,与有经验的兽医相比,新毕业生有更高的知识几率(OR5.7,95%CI1.7-23,p=0.028).评估对CVBP的态度的问题表明,大多数参与的兽医理解并同意他们的重要性。几乎所有参与者都同意外寄生虫控制是预防CVBP感染的最佳选择(91%,153/167)和对于有效治疗CVBP,需要明确的诊断(81%,135/167)。然而,兽医推荐了一些CVBP的次优治疗方法,比如GibsoniBabesia.更好的实践与成为伴侣动物从业者(OR2.4,95%CI1.1-5.7,p=0.032)和低至中度犬类病例(OR3.6,95%CI1.3-10.4,p=0.038)相关。兽医对人畜共患CVBP的知识有限,随着次优治疗,可能有助于狗充当水库和这些病原体在斯里兰卡的高流行。因此,建议继续进行兽医教育,以提高知识和实践,这反过来将有助于改善诊断,治疗,并控制斯里兰卡的这些感染,以确保狗和人类的福祉。
    Canine vector-borne pathogens (CVBP) have a worldwide distribution and show a high prevalence in tropical countries such as Sri Lanka. Some CVBP are zoonotic, with dogs identified as reservoir hosts for human subcutaneous dirofilariasis and potentially for spotted fever rickettsioses and re-emergent brugian filariasis in Sri Lanka, making these pathogens emerging public health issues in the country. Veterinarians are crucial in monitoring, preventing, and controlling these pathogens in dogs. Therefore, it is imperative to understand veterinarians\' knowledge, attitude, and practices (KAP) regarding CVBP to mitigate their impact. A survey was designed and administered electronically to veterinarians residing and practising in Sri Lanka. Responses were evaluated using descriptive, univariable, and multivariable analyses to investigate associations between demographic factors, knowledge, attitude, and practices related to CVBP. Out of the 170 participating veterinarians, nearly 70% had moderate or high knowledge. However, the awareness of zoonotic pathogens, Brugia spp. (16%) and Rickettsia conorii (18%), was low, and a considerable number of veterinarians were unaware of the zoonotic nature of Dirofilaria repens. Based on multivariable analysis adjusting for experience and self-rated knowledge, new graduates had higher odds of knowledge compared to experienced veterinarians (OR 5.7, 95% CI 1.7-23, p = 0.028). Questions assessing the attitude towards CVBP indicated that most participating veterinarians comprehend and agree with their importance. Nearly all participants agreed that ectoparasite control is the best option to prevent CVBP infections (91%, 153/167) and that for effective treatment of CVBP, a definitive diagnosis is required (81%, 135/167). However, veterinarians recommended suboptimal treatments for some CVBP, like Babesia gibsoni. Better practices were associated with being a companion animal practitioner (OR 2.4, 95% CI 1.1-5.7, p = 0.032) and having a low to moderate canine caseload (OR 3.6, 95% CI 1.3-10.4, p = 0.038). Limited knowledge of zoonotic CVBP among veterinarians, along with suboptimal treatment, might contribute to dogs acting as reservoirs and high prevalence of these pathogens in Sri Lanka. Therefore, continued veterinary education is recommended to improve knowledge and practices, which in turn will help to improve the diagnosis, treatment, and control of these infections in Sri Lanka to ensure the well-being of dogs and humans.
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  • 文章类型: Journal Article
    媒介传播疾病(VBD)在沙特阿拉伯构成了重大的公共卫生挑战,特别是在Jazan地区。这项研究旨在评估知识,态度,以及Jazan人群中有关VBD的实践,并确定与这些变量相关的因素。使用便利随机抽样技术对Jazan的642名成年居民进行了横断面调查。调查工具由6个领域组成:人口统计学,VBD的知识,预防措施,寻求照顾的行为,特定VBD的知识,以及对VBD的态度。数据采用描述性统计分析,卡方检验,t测试,方差分析,和多变量逻辑回归。大多数参与者(60.0%)的知识得分较高,而(75.5%)和(77.7%)的态度和练习分数很高,分别。然而,在特定领域发现了知识差距,如利什曼病和裂谷热的传播。性别是知识和实践得分的重要预测因子,男性拥有更高的知识,女性表现出更高水平的预防措施。年龄,教育,收入,和工作状态也与知识得分相关。调查结果强调,需要有针对性的干预措施和教育运动,以解决已查明的知识差距,态度,和实践。未来的研究应侧重于探索不同干预策略的有效性,并研究将VBD预防和控制措施整合到现有的医疗保健系统中。通过采用多学科方法,可以制定基于证据的策略来预防和控制VBD,最终改善Jazan和全球其他流行地区的公共卫生结果。
    Vector-borne diseases (VBDs) pose a significant public health challenge in Saudi Arabia, particularly in the Jazan region. This study aimed to assess the knowledge, attitudes, and practices regarding VBDs among the population of Jazan and to identify factors associated with these variables. A cross-sectional survey was conducted among 642 adult residents of Jazan using a convenience random sampling technique. The survey tool consisted of 6 domains: demographics, knowledge of VBDs, preventive practices, care-seeking behavior, knowledge of specific VBDs, and attitudes towards VBDs. Data were analyzed using descriptive statistics, chi-square tests, t tests, ANOVA, and multivariable logistic regression. The majority of participants (60.0%) had high knowledge scores, while (75.5%) and (77.7%) had high attitude and practice scores, respectively. However, knowledge gaps were identified in specific areas, such as the transmission of leishmaniasis and Rift Valley fever. Gender was a significant predictor of both knowledge and practice scores, with males having higher knowledge and females demonstrating higher levels of preventive practices. Age, education, income, and working status were also associated with knowledge scores. The findings highlight the need for targeted interventions and educational campaigns to address the identified gaps in knowledge, attitudes, and practices. Future research should focus on exploring the effectiveness of different intervention strategies and investigating the integration of VBD prevention and control measures into existing healthcare systems. By employing a multi-disciplinary approach, evidence-based strategies can be developed to prevent and control VBDs, ultimately improving public health outcomes in Jazan and other endemic regions worldwide.
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  • 文章类型: Journal Article
    2013-2016年埃博拉病毒病流行和2019年冠状病毒病流行激发了新兴的人畜共患和媒介传播病毒模型的巨大增长。因此,我们回顾了模型的主要目标和方法,以指导科学家和决策者。新兴病毒的模型元素因频谱而异:从了解过去到预测未来,使用跨空间和时间的数据,并使用统计与机械方法。混合/集成模型和人工智能为建模提供了新的机会。尽管取得了这些进展,将模型转化为可操作的决策仍然存在挑战,特别是在病毒性疾病爆发风险最高的地区。为了解决这个问题,我们必须找出特定病毒模型的差距,加强验证,并让决策者参与模型开发。
    The 2013-2016 Ebola virus disease epidemic and the coronavirus disease 2019 pandemic galvanized tremendous growth in models for emerging zoonotic and vector-borne viruses. Therefore, we have reviewed the main goals and methods of models to guide scientists and decision-makers. The elements of models for emerging viruses vary across spectrums: from understanding the past to forecasting the future, using data across space and time, and using statistical versus mechanistic methods. Hybrid/ensemble models and artificial intelligence offer new opportunities for modeling. Despite this progress, challenges remain in translating models into actionable decisions, particularly in areas at highest risk for viral disease outbreaks. To address this issue, we must identify gaps in models for specific viruses, strengthen validation, and involve policymakers in model development.
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  • 文章类型: Journal Article
    媒介传播的病毒在全球范围内构成了重大的健康问题,因为它们通过被感染的节肢动物如蚊子和蜱的叮咬传播给人类。近年来,新出现和重新出现的媒介传播疾病引起了人们的关注,因为它们可以引起广泛的神经系统表现。媒介传播病毒的神经系统表现包括一系列临床表现,从轻度和自限性症状到严重和危及生命的疾病。常见的神经系统并发症包括病毒性脑炎,急性弛缓性麻痹,无菌性脑膜炎,和各种神经肌肉疾病。负责这些神经系统后遗症的特定病毒因地理区域而异,包括正氟病毒,寨卡病毒,登革热病毒,基孔肯雅病毒,日本脑炎病毒,和蜱传脑炎病毒.这篇综述着重于这些神经系统并发症的发病机理,并强调了媒介传播病毒侵入中枢神经系统并引发神经炎症反应的机制。讨论了早期发现神经系统表现的诊断挑战和策略。强调临床怀疑和高级实验室检测的重要性。
    Vector-borne viruses pose a significant health problem worldwide, as they are transmitted to humans through the bite of infected arthropods such as mosquitoes and ticks. In recent years, emerging and re-emerging vector-borne diseases have gained attention as they can cause a wide spectrum of neurological manifestations. The neurological manifestations of vector-borne viruses encompass a board spectrum of clinical manifestations, ranging from mild and self-limiting symptoms to severe and life-threatening conditions. Common neurological complications include viral encephalitis, acute flaccid paralysis, aseptic meningitis, and various neuromuscular disorders. The specific viruses responsible for these neurological sequelae vary by geographic region and include Orthoflavivirus nilense, Zika virus, dengue virus, chikungunya virus, Japanese encephalitis virus, and tick-borne encephalitis virus. This review focuses on the pathogenesis of these neurologic complications and highlights the mechanisms by which vector-borne viruses invade the central nervous system and trigger neuroinflammatory responses. Diagnostic challenges and strategies for early detection of neurological manifestations are discussed, emphasising the importance of clinical suspicion and advanced laboratory testing.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    蜱是一组遍布全球的吸血体外寄生虫,它们寄生在两栖动物等陆生脊椎动物身上,爬行动物,鸟,和哺乳动物。蜱是病原体的媒介和储库,在野生动物和人类健康中起着重要作用。立克次体是由蜱传播的细菌之一,一些致病物种会导致立克次体病,一种会对人类和动物造成严重伤害的人畜共患疾病。尽管哥伦比亚已经确定了57个蜱物种,但仍需要有关蜱与野生动植物之间相互作用的更多信息。本研究的目的是确定哥伦比亚六个省的寄生野生动物的蜱虫与立克次体属细菌之间的关联。一百八十五只蜱(80只幼虫,78个若虫,和27个成年人)是从55个野生动物物种(两栖动物,鸟,哺乳动物,和爬行动物)。确定了九个蜱物种,还有立克次体bellii,立克次体费利斯,检测到“Colombianensi立克次体”和派克立克次体。我们的结果有助于当前对与蜱相关的立克次体的了解以及野生动物在其传播动力学中的作用。
    Ticks are a globally distributed group of hematophagous ectoparasites that parasitize terrestrial vertebrates such as amphibians, reptiles, birds, and mammals. Ticks are vectors and reservoirs of pathogens that play an important role in wildlife and human health. Rickettsia is one of the bacteria transmitted by ticks, which some pathogenic species can cause rickettsiosis, a zoonotic disease that can cause serious harm to humans and animals. More information is necessary on the interactions between ticks and wildlife despite the fifty-seven ticks species already identified in Colombia. The objective of the present study was to determine the associations between ticks parasitizing wildlife and bacteria of the genus Rickettsia in six departments of Colombia. One hundred eighty-five ticks (80 larvae, 78 nymphs, and 27 adults) were collected from 55 wildlife species (amphibians, birds, mammals, and reptiles). Nine tick species were identified, and Rickettsia bellii, Rickettsia felis, \'Candidatus Rickettsia colombianensi\' and Rickettsia parkeri were detected. Our results contribute to the current knowledge of tick-associated rickettsiae and the role of wildlife in their transmission dynamics.
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  • 文章类型: Journal Article
    背景:生境改变和土地利用变化影响生态相互作用并改变人与自然之间的关系。墨西哥在地方和区域尺度上经历了重大的景观变化,对森林覆盖和生物多样性产生负面影响,尤其是在墨西哥东南部的尤卡坦半岛.鉴于景观改造与人畜共患和媒介传播疾病的传播之间的密切关系,制定确定该国南部优先人畜共患病的标准至关重要。
    结果:我们回顾了该地区165项已发表的关于人畜共患和媒介传播疾病的研究(2015-2024年)。我们确定了最常见的矢量,水库,和主机,最普遍的感染,以及与传播风险和城市人为景观改造相关的因素,农村,Ecotone,和热带栖息地。人畜共患风险最相关的病原体包括克氏锥虫,虫媒病毒,利什曼原虫,立克次体,钩端螺旋体,和弓形虫.克氏锥虫是媒介传播的病原体,在整个生境中感染的脊椎动物物种数量最多,而影响人数最多的是利什曼原虫和虫媒病毒。狗,猫,后院动物,它们的嗜血体外寄生虫是最有可能在人类住区维持传播周期的物种,而啮齿动物,负鼠,蝙蝠,和其他同食动物促进森林栖息地与人类改造景观之间的联系和传播周期。病原体在景观之间显示出不同的患病率,T.Cruzi,虫媒病毒,钩端螺旋体感染在城市和农村地区最普遍,而利什曼原虫和立克次体在不同栖息地的患病率相似,可能是由于所涉及的受感染媒介的多样性和丰度。弓形虫和钩端螺旋体的患病率。可能反映卫生条件差。此外,结果表明,在森林砍伐地区和农业集合体中,人畜共患和媒介传播疾病的患病率较高,以及卫生和基础设施服务不稳定的地方。
    结论:一些主机,向量,YP中人畜共患和媒介传播疾病的传播趋势是众所周知的,但其他趋势仍然鲜为人知。必须加强旨在增加知识的实践,监测,预防,并在区域一级控制这些疾病。我们还强调需要在社会生态系统的角度下进行更大的时空尺度的研究,为了更好地阐明病原体之间的相互作用,主机,向量,环境,以及这个地区和许多其他热带地区的社会文化和经济方面。
    BACKGROUND: Habitat modification and land use changes impact ecological interactions and alter the relationships between humans and nature. Mexico has experienced significant landscape modifications at the local and regional scales, with negative effects on forest cover and biological biodiversity, especially in the Yucatan peninsula in southeastern Mexico. Given the close relationship between landscape modification and the transmission of zoonotic and vector-borne diseases, it is essential to develop criteria for identifying priority zoonoses in the south of the country.
    RESULTS: We reviewed 165 published studies on zoonotic and vector-borne diseases in the region (2015-2024). We identified the most frequent vectors, reservoirs, and hosts, the most prevalent infections, and the factors associated with transmission risk and the anthropogenic landscape modification in urban, rural, ecotone, and sylvatic habitats. The most relevant pathogens of zoonotic risk included Trypanosoma cruzi, arboviruses, Leishmania, Rickettsia, Leptospira, and Toxoplasma gondii. Trypanosoma cruzi was the vector-borne agent with the largest number of infected vertebrate species across habitats, while Leishmania and arboviruses were the ones that affected the greatest number of people. Dogs, cats, backyard animals, and their hematophagous ectoparasites are the most likely species maintaining the transmission cycles in human settlements, while rodents, opossums, bats, and other synanthropic animals facilitate connection and transmission cycles between forested habitats with human-modified landscapes. Pathogens displayed different prevalences between the landscapes, T. cruzi, arbovirus, and Leptospira infections were the most prevalent in urban and rural settlements, whereas Leishmania and Rickettsia had similar prevalence across habitats, likely due to the diversity and abundance of the infected vectors involved. The prevalence of T. gondii and Leptospira spp. may reflect poor hygiene conditions. Additionally, results suggest that prevalence of zoonotic and vector-borne diseases is higher in deforested areas and agricultural aggregates, and in sites with precarious health and infrastructure services.
    CONCLUSIONS: Some hosts, vectors, and transmission trends of zoonotic and vector-borne diseases in the YP are well known but others remain poorly recognized. It is imperative to reinforce practices aimed at increasing the knowledge, monitoring, prevention, and control of these diseases at the regional level. We also emphasize the need to perform studies on a larger spatio-temporal scale under the socio-ecosystem perspective, to better elucidate the interactions between pathogens, hosts, vectors, environment, and sociocultural and economic aspects in this and many other tropical regions.
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