Vector-borne disease

媒介传播疾病
  • 文章类型: Journal Article
    夜间人造光(ALAN)是世界范围内常见的光污染形式,和强度,定时,持续时间,光照射的波长会影响生物节律,这可能导致新陈代谢,生殖,和免疫功能障碍,因此,宿主-病原体相互作用。昆虫媒介传播疾病是一个需要解决的全球性问题,ALAN通过影响病媒生物的习性和生理功能,在疾病传播中起着重要作用。在这项工作中,我们描述了ALAN影响宿主生理和生物化学的机制,宿主-寄生虫相互作用,和媒介传播病毒,并提出相关传染病的预防措施,以最大程度地减少人造光对媒介传播疾病的影响。
    Artificial light at night (ALAN) is a common form of light pollution worldwide, and the intensity, timing, duration, and wavelength of light exposure can affect biological rhythms, which can lead to metabolic, reproductive, and immune dysfunctions and consequently, host-pathogen interactions. Insect vector-borne diseases are a global problem that needs to be addressed, and ALAN plays an important role in disease transmission by affecting the habits and physiological functions of vector organisms. In this work, we describe the mechanisms by which ALAN affects host physiology and biochemistry, host-parasite interactions, and vector-borne viruses and propose preventive measures for related infectious diseases to minimize the effects of artificial light on vector-borne diseases.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    智能技术与数字传感器和深度学习网络相结合,在各个领域都有新兴的领域,包括监测携带病原体的蚊子。已经进行了若干研究以高精度检查这种技术在蚊子的差异识别中的功效。一些智能陷阱使用计算机视觉技术和深度学习网络来实时识别埃及伊蚊和库蚊的特征。实施与可靠捕获机构配对的这种工具可以有益于识别活蚊子而不破坏它们的形态特征。这种智能陷阱可以正确区分Cx。昆克法西塔斯和阿伊。埃及伊蚊,也可能有助于控制蚊媒疾病并预测其可能的爆发。嵌入YOLOV4深度神经网络算法的智能设备设计有差动驱动机构和诱蚊模块,以吸引环境中的蚊子。声学和光学传感器与机器学习技术的结合使用正在加速根据蚊子的飞行特征对蚊子进行自动分类,包括翼拍频率。因此,这种基于人工智能的工具具有监测蚊子以控制媒介传播疾病的潜在范围。然而,这种技术的工作效率需要进一步评估,以便在全球范围内实施。
    Smart technology coupled with digital sensors and deep learning networks have emerging scopes in various fields, including surveillance of mosquitoes. Several studies have been conducted to examine the efficacy of such technologies in the differential identification of mosquitoes with high accuracy. Some smart trap uses computer vision technology and deep learning networks to identify live Aedes aegypti and Culex quinquefasciatus in real time. Implementing such tools integrated with a reliable capture mechanism can be beneficial in identifying live mosquitoes without destroying their morphological features. Such smart traps can correctly differentiates between Cx. quinquefasciatus and Ae. aegypti mosquitoes, and may also help control mosquito-borne diseases and predict their possible outbreak. Smart devices embedded with YOLO V4 Deep Neural Network algorithm has been designed with a differential drive mechanism and a mosquito trapping module to attract mosquitoes in the environment. The use of acoustic and optical sensors in combination with machine learning techniques have escalated the automatic classification of mosquitoes based on their flight characteristics, including wing-beat frequency. Thus, such Artificial Intelligence-based tools have promising scopes for surveillance of mosquitoes to control vector-borne diseases. However working efficiency of such technologies requires further evaluation for implementation on a global scale.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    肺动脉高压(PH)是狗感染Dirofilariaimmitis期间肺动脉内膜炎的结果。超声心动图是首选技术,但并非所有临床医生都能使用。这项研究旨在评估患有心丝虫病的狗的放射学发现与超声心动图表征的PH的存在与否之间的关联。该研究包括62只感染心丝虫的狗,这些狗接受了胸片和超声心动图检查。当右肺动脉扩张性(RPAD)指数<29.5%时,研究的狗显示中度至重度PH。RPAD指数用于与胸片比较。椎体心脏大小(VHS)右颅肺动脉通过第四肋外侧投影(CrPA/R4)的比值,右尾肺动脉至第九肋背腹侧投影(CdPA/R9)比值在有/无PH犬之间显示出显着差异(p<0.001)。获得敏感性(sen)和特异性(sp)临界值:VHS≥9.53(sen93.75%,sp63.33%);CrPA/R4≥1.08(森87.5%,sp70%);CdPA/R9≥1.10(森96.88%,sp76.66%)。CrPA/R4和CdPA/R9的比率显示出潜在的初步筛查工具,用于感染心丝虫的狗的PH。表明它们可以可靠地指示PH的存在,并指导进一步诊断测试的决定。
    Pulmonary hypertension (PH) is a consequence of pulmonary endarteritis during infection with Dirofilaria immitis in dogs. Echocardiography is the technique of choice but is not always accessible to all clinicians. This study aimed to evaluate the association of the radiological findings in dogs with heartworm disease and the presence or absence of echocardiographically characterised PH. The study included 62 heartworm-infected dogs that underwent thoracic radiographs and echocardiography. The studied dogs showed moderate to severe PH when the Right Pulmonary Artery Distensibility (RPAD) Index was <29.5%. The RPAD Index was used for comparison with thoracic radiographs. The Vertebral Heart Size (VHS), right cranial pulmonary artery passing through the fourth rib in the laterolateral projection (CrPA/R4) ratio, and right caudal pulmonary artery to the ninth rib in the dorsoventral projection (CdPA/R9) ratio showed significant differences between dogs with/without PH (p < 0.001). Sensitivity (sen) and specificity (sp) cut-off values were obtained: VHS ≥ 9.53 (sen 93.75%, sp 63.33%); CrPA/R4 ≥ 1.08 (sen 87.5%, sp 70%); and CdPA/R9 ≥ 1.10 (sen 96.88%, sp 76.66%). The CrPA/R4 and CdPA/R9 ratios showed potential as a preliminary screening tool for PH in heartworm-infected dogs, suggesting that they may reliably indicate the presence of PH and guide the decision for further diagnostic testing.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Editorial
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:疟疾是世界上最致命和最具挑战性的寄生虫病,由疟原虫寄生虫引起的,通过受感染的雌性蚊子的叮咬传播给人类。由于其地理位置,孟加拉国是最容易传播疟疾的地区。在本文中,我们考虑了向量-宿主模型的动力学,并观察了随机行为。本研究详细阐述了季节性变化,并计算了疾病爆发的概率。
    方法:我们提出了疟疾疾病传播模型,并开发了其相应的连续时间马尔可夫链(CTMC)表示。提出的矢量宿主模型说明了疟疾传播模型以及敏感性分析。描述了具有CTMC曲线的确定性模型,以显示真实场景中的随机性。按顺序,我们将这些研究扩展到包含季节性变化的时变随机向量-宿主模型。进行相平面分析以探索该疾病的特征,检查各个隔室之间的相互作用,并评估关键参数的影响。为相应的向量-宿主模型开发了分支过程近似,以计算爆发概率。为了观察分析研究,完成了许多数值结果。
    结果:季节性和接触模式影响疾病爆发的动态。数值说明提供了疾病爆发的概率取决于受感染的宿主或媒介。此外,周期性传播率对爆发概率有很大影响。导出基本再现数(R0),这是研究传染病模型动力学行为的主要依据。
    结论:季节变化显著影响疟疾传播,疾病爆发的可能性受时间和初始感染个体数量的影响。此外,当种群规模足够大且基本繁殖数小于1时,分支过程近似适用。在未来,这种分析可以帮助决策者了解各种参数的影响及其在载体-宿主模型中的随机行为,以防止此类疾病爆发。
    BACKGROUND: Malaria is the world\'s most fatal and challenging parasitic disease, caused by the Plasmodium parasite, which is transmitted to humans by the bites of infected female mosquitoes. Bangladesh is the most vulnerable region to spread malaria because of its geographic position. In this paper, we have considered the dynamics of vector-host models and observed the stochastic behavior. This study elaborates on the seasonal variability and calculates the probability of disease outbreaks.
    METHODS: We present a model for malaria disease transmission and develop its corresponding continuous-time Markov chain (CTMC) representation. The proposed vector-host models illustrate the malaria transmission model along with sensitivity analysis. The deterministic model with CTMC curves is depicted to show the randomness in real scenarios. Sequentially, we expand these studies to a time-varying stochastic vector-host model that incorporates seasonal variability. Phase plane analysis is conducted to explore the characteristics of the disease, examine interactions among various compartments, and evaluate the impact of key parameters. The branching process approximation is developed for the corresponding vector-host model to calculate the probability outbreak. Numerous numerical results are accomplished to observe the analytical investigation.
    RESULTS: Seasonality and contact patterns affect the dynamics of disease outbreaks. The numerical illustration provides that the probability of a disease outbreak depends on the infected host or vector. Additionally, periodic transmission rates have a great influence on the probability outbreak. The basic reproduction number (R0) is derived, which is the main justification for studying the dynamical behavior of epidemic models.
    CONCLUSIONS: Seasonal variability significantly impacts malaria transmission, and the probability of disease outbreaks is influenced by time and the initial number of infected individuals. Moreover, the branching process approximation is applicable when the population size is large enough and the basic reproduction number is less than 1. In the future, such analysis can help decision-makers understand the impact of various parameters and their stochastic behavior in the vector-host model to prevent such types of disease outbreaks.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:伊蚊和按蚊因传播引起疟疾的病原体而造成巨大的全球健康负担,淋巴丝虫病,登革热,黄热病。创新的媒介控制策略将有助于降低这些疾病的患病率。目前,大量饲养蚊子以进行研究和支持这些策略取决于脊椎动物的血液膳食,可以被收购,处理,和存储问题。已经为这些蚊子配制了各种无血替代品,但是这些替代品都没有得到广泛使用,对它们对蚊子感染疟原虫的能力的潜在影响知之甚少。
    方法:将埃及伊蚊和斯蒂芬氏按蚊的菌落持续维持在无血替代品(SkitoSnack;SS)或牛血(BB)上,并监测充血率和孵化率。Ae的感染。埃及伊蚊和安.用疟原虫和恶性疟原虫对stephensi进行评估,分别。
    结果:蚊子的复制菌落在BB或SS上维持了10代Ae。埃及伊蚊和超过63代的安。Stephensi.对于两个Ae,SS相对于BB维持的蚊子充血的几率更高。埃及伊蚊(OR=2.6,95%CI1.3-5.2)和An。斯蒂芬斯(OR2.7,95%CI1.4-5.5),而从这两个物种的SS维持蚊子中发现卵的孵化几率较低(Ae。埃及伊蚊OR=0.40,95%CI0.26-0.62;An。stephensiOR=0.59,95%CI0.36-0.96)。Ae的胆汁酸杆菌感染的卵囊计数相似。埃及伊蚊维持在SS或BB上(平均比率=[SS上的平均值]/[BB上的平均值]=1.11,95%CI0.85-1.49)。从SS或BB维持的An的恶性疟原虫感染中也观察到类似的卵囊计数。stephensi(平均比率=0.76,95%CI0.44-1.37)。子孢子/蚊子的平均计数没有显示出相对于两种物种的BB维持的蚊子的SS维持的减少的证据。
    结论:埃及伊蚊和安。stephensi可以在SS上可靠地维持多代,并且与在BB上维持的蚊子一样有能力感染疟原虫。SS的使用减轻了获取和保存用于蚊子饲养的血液的需要,并可能支持基础和应用研究的新举措。包括对中肠微生物群的新操作以及对蚊子生命周期和病原体易感性重要的因素。
    BACKGROUND: Aedes and Anopheles mosquitoes are responsible for tremendous global health burdens from their transmission of pathogens causing malaria, lymphatic filariasis, dengue, and yellow fever. Innovative vector control strategies will help to reduce the prevalence of these diseases. Mass rearing of mosquitoes for research and support of these strategies presently depends on meals of vertebrate blood, which is subject to acquisition, handling, and storage issues. Various blood-free replacements have been formulated for these mosquitoes, but none of these replacements are in wide use, and little is known about their potential impact on competence of the mosquitoes for Plasmodium infection.
    METHODS: Colonies of Aedes aegypti and Anopheles stephensi were continuously maintained on a blood-free replacement (SkitoSnack; SS) or bovine blood (BB) and monitored for engorgement and hatch rates. Infections of Ae. aegypti and An. stephensi were assessed with Plasmodium gallinaceum and P. falciparum, respectively.
    RESULTS: Replicate colonies of mosquitoes were maintained on BB or SS for 10 generations of Ae. aegypti and more than 63 generations of An. stephensi. The odds of engorgement by SS- relative to BB-maintained mosquitoes were higher for both Ae. aegypti (OR = 2.6, 95% CI 1.3-5.2) and An. stephensi (OR 2.7, 95% CI 1.4-5.5), while lower odds of hatching were found for eggs from the SS-maintained mosquitoes of both species (Ae. aegypti OR = 0.40, 95% CI 0.26-0.62; An. stephensi OR = 0.59, 95% CI 0.36-0.96). Oocyst counts were similar for P. gallinaceum infections of Ae. aegypti mosquitoes maintained on SS or BB (mean ratio = [mean on SS]/[mean on BB] = 1.11, 95% CI 0.85-1.49). Similar oocyst counts were also observed from the P. falciparum infections of SS- or BB-maintained An. stephensi (mean ratio = 0.76, 95% CI 0.44-1.37). The average counts of sporozoites/mosquito showed no evidence of reductions in the SS-maintained relative to BB-maintained mosquitoes of both species.
    CONCLUSIONS: Aedes aegypti and An. stephensi can be reliably maintained on SS over multiple generations and are as competent for Plasmodium infection as mosquitoes maintained on BB. Use of SS alleviates the need to acquire and preserve blood for mosquito husbandry and may support new initiatives in fundamental and applied research, including novel manipulations of midgut microbiota and factors important to the mosquito life cycle and pathogen susceptibility.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    施马伦贝格病毒(SBV)一种新兴的主要是反刍动物宿主的直鼻病毒,2011年至2013年期间,欧洲反刍动物种群大量流行。病原体由节肢动物媒介传播(Culicoidesspp。)并可能导致生殖障碍和后代或死产的严重畸形。本研究旨在评估德国绵羊和山羊在该国首次病毒检测后几年(2011年11月)的SBV血清阳性率。此外,我们实施了广泛的危险因素分析,包括宿主特异性和饲养相关因素.血清阳性率是通过检查来自德国联邦五个州总共70只羊群中的2759只绵羊和446只山羊的血清样本来确定的。样本在2017年至2018年期间被撤回。使用商业竞争性ELISA,在所有70个调查群中都检测到了针对SBV的抗体.60.1%(1657/2759)的绵羊和40.4%(180/446)的山羊血清含有SBV抗体。广义线性混合模型显示宿主物种(绵羊>山羊)的显著影响,年龄(老>年轻)和性别(女性>男性)对SBV血清阳性率的影响。对于这两个物种来说,还有农业的目的,对山羊来说,体外寄生虫治疗和农场牛的存在在SBV暴露风险方面发挥了作用。这项研究的观察结果仍然强调了病原体在德国的广泛分布。然而,观察到的血清阳性率可能不足以实现有效的群体免疫。查明风险因素确定了有针对性的疫苗接种计划的易感人群,以减少SBV引起的潜在动物损失。
    The Schmallenberg virus (SBV), an emerging Orthobunyavirus of mainly ruminant hosts, caused a substantial epidemic in European ruminant populations between 2011 and 2013. The pathogen is transmitted by arthropod vectors (Culicoides spp.) and can cause reproductive disorders and severe malformations of the offspring or stillbirth. The present study aimed to assess SBV seroprevalence among German sheep and goats a few years after the first virus detection in the country (November 2011). In addition, an extensive risk factor analysis including host-specific and husbandry-related factors was implemented. Seroprevalence was determined by examining serum samples from 2759 sheep and 446 goats out of a total of 70 flocks across five German federal states. The samples were withdrawn in the period between 2017 and 2018. Using a commercial competitive ELISA, antibodies against SBV were detected in all 70 investigated flocks. A percentage of 60.1 % (1657/2759) of the sheep and 40.4 % (180/446) of the goat sera contained SBV antibodies. Generalized linear mixed modeling revealed significant effects of host species (sheep > goats), age (old > young) and sex (female > male) on SBV seroprevalence. For both species, also the farming purpose, and for goats, ectoparasite treatment and the presence of cattle on the farm played a role in terms of risk for SBV exposure. The observations from this study still emphasize a wide distribution of the pathogen in Germany. Nevertheless, the observed seroprevalence might not be sufficient to achieve effective herd immunity. Pinpointing risk factors identified susceptible populations for targeted vaccination programs to reduce potential animal losses caused by SBV.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    登革热正迅速成为马来西亚最紧迫的健康问题,在过去十年中,报告的病例几乎翻了一番。没有有效的抗病毒药物,媒介控制仍然是抗击登革热的主要策略,而最近引入的四价免疫正在评估中。最近增加的最重要和最危险的风险是媒介传播的疾病。这些疾病引起重大的人类疾病,并通过跳蚤等吸血节肢动物传播,寄生虫,还有蚊子.要全面掌握各种因素,提高预测精度,通常会产生不准确、不稳定的预测,以及机器学习(ML)模型,天气驱动机制,和数值时间序列。
    在这项研究中,我们提出了一种使用径向基函数网络(RBFN)和飞镖游戏优化器(DGO)算法预测媒介传播疾病风险的新方法。
    所提出的方法需要用历史疾病数据训练RBFN并用DGO算法增强它们的参数。为了准备RBFN,我们使用了大量的媒介传播疾病发病率数据集,气候变量,和地理数据。DGO算法熟练地搜索RBFN参数空间,微调模型的架构,以提高预测准确性。
    RBFN-DGO提供了一种预测媒介传播疾病风险的潜在方法。这项研究通过阐明有效控制媒介传播疾病以保护人群,从而促进了公共卫生的预测性证明。我们进行了广泛的测试,以评估所提出的方法与标准优化方法和替代预测方法的性能。
    根据调查结果,RBFN-DGO模型在预测媒介传播疾病发生可能性的准确性和稳健性方面优于其他模型.
    UNASSIGNED: Dengue fever is rapidly becoming Malaysia\'s most pressing health concern, as the reported cases have nearly doubled over the past decade. Without efficacious antiviral medications, vector control remains the primary strategy for battling dengue, while the recently introduced tetravalent immunization is being evaluated. The most significant and dangerous risk increasing recently is vector-borne illnesses. These illnesses induce significant human sickness and are transmitted by blood-feeding arthropods such as fleas, parasites, and mosquitos. A thorough grasp of various factors is necessary to improve prediction accuracy and typically generate inaccurate and unstable predictions, as well as machine learning (ML) models, weather-driven mechanisms, and numerical time series.
    UNASSIGNED: In this research, we propose a novel method for forecasting vector-borne disease risk using Radial Basis Function Networks (RBFNs) and the Darts Game Optimizer (DGO) algorithm.
    UNASSIGNED: The proposed approach entails training the RBFNs with historical disease data and enhancing their parameters with the DGO algorithm. To prepare the RBFNs, we used a massive dataset of vector-borne disease incidences, climate variables, and geographical data. The DGO algorithm proficiently searches the RBFN parameter space, fine-tuning the model\'s architecture to increase forecast accuracy.
    UNASSIGNED: RBFN-DGO provides a potential method for predicting vector-borne disease risk. This study advances predictive demonstrating in public health by shedding light on effectively controlling vector-borne diseases to protect human populations. We conducted extensive testing to evaluate the performance of the proposed method to standard optimization methods and alternative forecasting methods.
    UNASSIGNED: According to the findings, the RBFN-DGO model beats others in terms of accuracy and robustness in predicting the likelihood of vector-borne illness occurrences.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    在自然环境中测量媒介与人的接触可以为干预措施提供精确的目标,以中断媒介传播疾病的传播。一种方法是使用歧视性短串联重复序列(STR)的基因型组直接将载体血粉中的人类DNA与被咬伤的个体进行匹配。用于将血粉中的STR谱与被咬的人进行匹配的现有方法排除了将大多数不完整的谱和多源血粉与被咬的人进行匹配的能力。我们开发了小酒馆,实现3个预先存在的STR匹配方法以及包的名称的R包,小酒馆,这里描述了一种新的算法。小酒馆采用法医分析方法计算似然比,并使用动态阈值将血餐中的人类STR谱与人进行匹配。我们评估了该算法的准确性,并将其与现有的匹配方法进行了比较,使用了一个由188个单一来源和100个包含50个已知人类来源的DNA的多源样本组成的公开小组。然后,我们将其应用于将777个新现场收集的蚊子血粉与645人的数据库进行匹配。R包以用户友好的功能实现了四种STR匹配算法,文档清晰。小酒馆在单一来源样本中正确匹配99%(187/188)的配置文件,62%(224/359)的图谱来自多源样本,导致0.75的灵敏度(与其他算法<0.51)。小酒馆的特异性为0.9998(vs.1对于其他算法)。此外,小酒馆确定了79%(720/906)的野外蚊子的所有可能匹配,产生比现有算法多1.4倍的匹配。小酒馆比现有方法识别出更正确的血粉-人类匹配,能够在自然环境中对矢量-人体接触进行更准确和可靠的分析。小酒馆R软件包和相应的文档允许其他人直接采用该算法。
    Measuring vector-human contact in a natural setting can inform precise targeting of interventions to interrupt transmission of vector-borne diseases. One approach is to directly match human DNA in vector bloodmeals to the individuals who were bitten using genotype panels of discriminative short tandem repeats (STRs). Existing methods for matching STR profiles in bloodmeals to the people bitten preclude the ability to match most incomplete profiles and multi-source bloodmeals to bitten individuals.We developed bistro, an R package that implements 3 preexisting STR matching methods as well as the package\'s namesake, bistro, a new algorithm described here. bistro employs forensic analysis methods to calculate likelihood ratios and match human STR profiles in bloodmeals to people using a dynamic threshold. We evaluated the algorithm\'s accuracy and compared it to existing matching approaches using a publicly-available panel of 188 single-source and 100 multi-source samples containing DNA from 50 known human sources. Then we applied it to match 777 newly field-collected mosquito bloodmeals to a database of 645 people.The R package implements four STR matching algorithms in user-friendly functions with clear documentation. bistro correctly matched 99% (187/188) of profiles in single-source samples, and 62% (224/359) of profiles from multi-source samples, resulting in a sensitivity of 0.75 (vs < 0.51 for other algorithms). The specificity of bistro was 0.9998 (vs. 1 for other algorithms). Furthermore, bistro identified 79% (720/906) of all possible matches for field-derived mosquitoes, yielding 1.4x more matches than existing algorithms.bistro identifies more correct bloodmeal-human matches than existing approaches, enabling more accurate and robust analyses of vector-human contact in natural settings. The bistro R package and corresponding documentation allow for straightforward uptake of this algorithm by others.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:蜱传脑炎(TBE)是由蜱传脑炎病毒(TBEV)引起的。TBEV感染可引起中枢神经系统(CNS)炎症的症状,并导致包括死亡在内的严重后果。TBE在捷克共和国和欧洲其他地方对健康的威胁越来越大。2020年,向欧洲疾病预防和控制中心报告的3734例TBE病例中有23%来自捷克共和国。TBE疫苗在捷克共和国普遍推荐,但捷克共和国的TBE疫苗有效性(VE)的完整分析尚未发表。方法:TBE是捷克共和国的一种法定报告疾病,必须报告病例(即,实验室证实的有中枢神经系统炎症症状的TBEV感染患者)和向公共卫生当局接种疫苗史。使用筛查方法,利用2018年至2022年的公共卫生监测数据和2019年至2022年对普通人群进行的TBE疫苗摄取的在线家庭调查,对TBEVE进行了估算。结果:2018-2022年,捷克共和国报告了3648例TBE病例;98.1%(3105/3166)具有已知疫苗接种史的TBE病例未接种疫苗。在从普通人群中接受调查的42,671名具有TBE疫苗接种史的人中,66.5%未接种疫苗。针对TBE的VE为97.6%(95%置信区间95.7-98.7)。当按年龄组分层时,1-15岁的VE为97.1%(88.4-99.3),97.9%(95.3-99.0)在16-59岁,≥60岁的患者占96.9%(90.5-99.0)。从2018年到2022年,TBE疫苗在捷克共和国避免了大约1020例TBE病例。结论:这项首次发表的研究对捷克共和国的TBEVE进行了全面分析,表明疫苗接种对预防TBE非常有效,包括儿童,TBE疾病负担增加的年龄组。尽管对TBE疫苗建议的依从性相对较低,但疫苗接种避免了数百例TBE病例和住院。为了防止捷克共和国出现更多的TBE病例,需要加强努力以增加TBE疫苗的摄取。
    Background: Tick-borne encephalitis (TBE) is caused by the tick-borne encephalitis virus (TBEV). TBEV infection can cause symptoms of central nervous system (CNS) inflammation and result in severe consequences including death. TBE is an increasing health threat in the Czech Republic and elsewhere in Europe. In 2020, 23% of 3734 TBE cases reported to the European Centre for Disease Prevention and Control were from the Czech Republic. TBE vaccination is universally recommended in the Czech Republic, but a full analysis of TBE vaccine effectiveness (VE) in the Czech Republic has not been published. Methods: TBE is a notifiable disease in the Czech Republic with mandatory reporting of cases (i.e., laboratory-confirmed TBEV infected patient with symptoms of CNS inflammation) and vaccination history to public health authorities. TBE VE was estimated using the screening method utilizing public health surveillance data from 2018 to 2022 and online household surveys of the general population on TBE vaccine uptake conducted in 2019-2022. Results: In 2018-2022, 3648 TBE cases were reported in the Czech Republic; 98.1% (3105/3166) of TBE cases with known vaccination history were unvaccinated. Among 42,671 persons surveyed from the general population who had known TBE vaccination history, 66.5% were unvaccinated. VE against TBE was 97.6% (95% confidence interval 95.7-98.7). When stratified by age group, VE was 97.1% (88.4-99.3) in 1-15 years of age, 97.9% (95.3-99.0) in 16-59 years of age, and 96.9% (90.5-99.0) in ≥60 years of age. TBE vaccination averted an estimated 1020 TBE cases in the Czech Republic from 2018 to 2022. Conclusions: This first published study with a full analysis of TBE VE in the Czech Republic showed that vaccination was highly effective for the prevention of TBE including in children, an age group with increasing TBE disease burden. Vaccination averted hundreds of TBE cases and hospitalizations despite the relatively low compliance with TBE vaccine recommendations. To prevent additional TBE cases in the Czech Republic, enhanced efforts to increase TBE vaccine uptake are needed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号