re-emerging infectious diseases

重新出现的传染病
  • 文章类型: Journal Article
    Nipah和Hendra病毒属于副粘病毒科,对人类健康构成重大威胁,零星爆发导致严重的发病率和死亡率。早期症状包括发烧,咳嗽,喉咙痛,头痛,在鉴别诊断方面提供的很少。没有针对这些病毒的特异性治疗剂和疫苗。
    这篇综述全面涵盖了一系列尼帕和亨德拉病毒感染的诊断技术,在感染进展过程中结合适当类型的样本进行讨论。血清学测定,逆转录酶实时PCR检测,和等温扩增试验进行了详细讨论,以及一些市售检测试剂盒的列表。还涵盖了保护Nipah和Hendra病毒检测发明的专利。
    尽管在过去十年中多次爆发Nipah和Hendra感染,深入研究其发病机理,即时诊断,特定疗法,人类缺乏疫苗。及时准确的诊断对于有效的爆发管理至关重要,患者治疗,采取预防措施。快速即时测试的出现有望增强现实环境中的诊断能力。专利格局强调了法律和商业领域内创新和合作的重要性。
    UNASSIGNED: Nipah and Hendra viruses belong to the Paramyxoviridae family, which pose a significant threat to human health, with sporadic outbreaks causing severe morbidity and mortality. Early symptoms include fever, cough, sore throat, and headache, which offer little in terms of differential diagnosis. There are no specific therapeutics and vaccines for these viruses.
    UNASSIGNED: This review comprehensively covers a spectrum of diagnostic techniques for Nipah and Hendra virus infections, discussed in conjunction with appropriate type of samples during the progression of infection. Serological assays, reverse transcriptase Real-Time PCR assays, and isothermal amplification assays are discussed in detail, along with a listing of few commercially available detection kits. Patents protecting inventions in Nipah and Hendra virus detection are also covered.
    UNASSIGNED: Despite several outbreaks of Nipah and Hendra infections in the past decade, in-depth research into their pathogenesis, Point-of-Care diagnostics, specific therapies, and human vaccines is lacking. A prompt and accurate diagnosis is pivotal for efficient outbreak management, patient treatment, and the adoption of preventative measures. The emergence of rapid point-of-care tests holds promise in enhancing diagnostic capabilities in real-world settings. The patent landscape emphasizes the importance of innovation and collaboration within the legal and business realms.
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  • 文章类型: Journal Article
    化脓性链球菌,A组链球菌(GAS),是一种人类病原体,会导致一系列从轻度到重度的疾病,包括气体咽炎,发达国家常见的急性呼吸道疾病。尽管基于废水的流行病学(WBE)已被广泛用于监测病毒性病原体,例如严重急性呼吸道综合症冠状病毒2,但其对化脓性链球菌的适用性仍未得到探索。本研究旨在探讨通过定量聚合酶链反应(qPCR)检测和定量废水中化脓性链球菌的可行性,并评估WBE用于监测气体咽炎患病率的适用性。在2023年3月至2024年2月之间,每周一次从日本的一家污水处理厂收集总共52个抓斗进水样品。将样品离心,然后对化脓性链球菌特异性基因speB和spy1258进行核酸提取和qPCR。在52个样本中,90%和81%的speB和spy1258基因阳性,分别,表明化脓菌用于废水监测的可行性。然而,speB基因的可量化样本百分比在冬季明显高于春季和夏季。同样,这两个基因在废水样品中的浓度在冬季明显更高(speB,4.1±0.27log10拷贝/L;spy1258,4.1±0.28log10拷贝/L;单向方差分析,p<0.01)比春季和夏季。在集水区GAS咽炎病例增加期间,观察到化脓性链球菌基因的浓度和检测率较高。在靶基因浓度和报告的GAS咽炎病例之间观察到显着的中等相关性。这项研究增强了对WBE在社区内传染病监测和管理中的作用的理解。
    Streptococcus pyogenes, Group A Streptococcus (GAS), is a human pathogen that causes a spectrum of diseases from mild to severe, including GAS pharyngitis, a common acute respiratory disease in developed countries. Although wastewater-based epidemiology (WBE) has been extensively used to monitor viral pathogens such as severe acute respiratory syndrome coronavirus 2, its applicability to S. pyogenes remains unexplored. This study was conducted to investigate the feasibility of detecting and quantifying S. pyogenes in wastewater by quantitative polymerase chain reaction (qPCR) and evaluate the applicability of WBE for monitoring the prevalence of GAS pharyngitis. A total of 52 grab influent samples were collected from a wastewater treatment plant in Japan once a week between March 2023 and February 2024. The samples were centrifuged, followed by nucleic acid extraction and qPCR for the S. pyogenes-specific genes speB and spy1258. Of the 52 samples, 90 % and 81 % were positive for speB and spy1258 genes, respectively, indicating the feasibility of S. pyogenes for wastewater surveillance. However, the percentage of quantifiable samples for speB gene was significantly higher in winter than in spring and summer. Similarly, the concentrations of both genes in wastewater samples were significantly higher in winter (speB, 4.1 ± 0.27 log10 copies/L; spy1258, 4.1 ± 0.28 log10 copies/L; One-way ANOVA, p < 0.01) than in spring and summer. Higher concentrations and detection ratios of S. pyogenes genes were observed during increased GAS pharyngitis cases in the catchment. Significant moderate correlations were observed between target gene concentrations and reported GAS pharyngitis cases. This study enhances the understanding role of WBE in monitoring and managing infectious diseases within communities.
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  • 文章类型: Journal Article
    新出现的传染病(EID)和再出现的传染病(REID)构成了显著的健康问题并且变得非常重要。高达75%的EIDs和REIDs起源于人畜共患。一些因素,如自然栖息地的破坏导致人类和动物生活在附近,自然灾害引起的生态变化,战争或冲突导致的人口迁移,疾病预防计划的中断或减少,病媒控制应用和卫生设施不足涉及疾病的出现和分布。战争和自然灾害对人口中疾病的出现/再次出现有很大影响。根据世界银行的估计,20亿人生活在贫困和脆弱的境地。战争摧毁了卫生系统和基础设施,削减现有的疾病控制计划,并导致人口流动,导致暴露于健康风险的增加,并有利于传染病的出现。2021年,全球共记录了432起与自然灾害有关的灾难性案件。自然灾害通过破坏基础设施并导致人口流离失所,增加了EID和REID爆发的风险。涵盖风险评估的通用国家行动计划,作用机制,确定每个部门的角色和责任,建立协调机制,等。应该开发。
    Emerging Infectious Diseases (EIDs) and Re-Emerging Infectious Diseases (REIDs) constitute significant health problems and are becoming of major importance. Up to 75% of EIDs and REIDs have zoonotic origin. Several factors such as the destruction of natural habitats leading humans and animals to live in close proximity, ecological changes due to natural disasters, population migration resulting from war or conflict, interruption or decrease in disease prevention programs, and insufficient vector control applications and sanitation are involved in disease emergence and distribution. War and natural disasters have a great impact on the emergence/re-emergence of diseases in the population. According to a World Bank estimation, two billion people are living in poverty and fragility situations. Wars destroy health systems and infrastructure, curtail existing disease control programs, and cause population movement leading to an increase in exposure to health risks and favor the emergence of infectious diseases. A total of 432 catastrophic cases associated with natural disasters were recorded globally in 2021. Natural disasters increase the risk of EID and REID outbreaks by damaging infrastructure and leading to displacement of populations. A Generic National Action Plan covering risk assessment, mechanism for action, determination of roles and responsibilities of each sector, the establishment of a coordination mechanism, etc. should be developed.
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  • 文章类型: Journal Article
    由于高度致命疾病的出现和再次出现,出血热病毒(HFV)对全球公共卫生构成威胁。由这些病毒引起的病毒性出血热(VHFs)的主要特征是急性发热综合征,伴有凝血异常和全身性出血,可能导致危及生命的器官功能障碍。目前,与多器官功能障碍综合征相关的病毒致病性事件仍未发生.在这篇小型评论中,我们阐述了目前对VHFs发病机制的认识,并讨论了治疗这些感染的预防和治疗方案的现有发展.此外,我们讨论了HFV引起全球紧急情况的潜力,以及有利于其传播超出其原始利基的因素。
    Hemorrhagic fever viruses (HFVs) pose a threat to global public health owing to the emergence and re-emergence of highly fatal diseases. Viral hemorrhagic fevers (VHFs) caused by these viruses are mostly characterized by an acute febrile syndrome with coagulation abnormalities and generalized hemorrhage that may lead to life-threatening organ dysfunction. Currently, the events underlying the viral pathogenicity associated with multiple organ dysfunction syndrome still underexplored. In this minireview, we address the current knowledge of the mechanisms underlying VHFs pathogenesis and discuss the available development of preventive and therapeutic options to treat these infections. Furthermore, we discuss the potential of HFVs to cause worldwide emergencies along with factors that favor their spread beyond their original niches.
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  • 文章类型: Journal Article
    目的:本研究的目的是全面了解广州市公众新发和再发传染病的知识状况,为制定卫生信息策略提供科学依据。
    方法:我们使用结构化问卷通过健康咨询热线对1000名广州居民进行了访谈。提出了描述性分析来评估参与者的知识。采用多元logistic回归模型确定新发和再发传染病知识的影响因素。
    结果:共有801个人完成了调查。大约三分之一的人听说过中东呼吸综合征(MERS)和寨卡病毒,而埃博拉和瘟疫约占50%。总共32.08%的参与者从未听说过这四种疾病中的任何一种。只有2.08%的人知道寨卡病毒的性传播,90.17%的人不知道鼠疫的流行地区。不超过15%的人知道他们从疫区返回后应该检查自己的健康状况。受教育程度和收入是影响知晓率的关键因素。
    结论:低级知识要求改善公众的健康信息,特别是那些教育水平和收入水平低的人。敦促开展有效和准确的健康信息,以改善对新出现和重新出现的传染病的预防。
    OBJECTIVE: The objective of this study is to get the overall picture about the knowledge of emerging and reemerging infectious diseases in public in Guangzhou and provide a scientific basis for developing health information strategies.
    METHODS: We used the structured questionnaire to interview 1,000 Guangzhou residents by health enquiry hotline. Descriptive analysis was presented to evaluate the knowledge of the participants. Multiple logistic regression model was performed to determine the influence factors for knowledge of emerging and reemerging infectious diseases.
    RESULTS: A total of 801 individuals completed the survey. About one-third had heard of Middle East respiratory syndrome (MERS) and Zika, whereas Ebola and plague about 50%. A total of 32.08% participants had never heard of any of the four diseases. Only 2.08% knew the sexual transmission of Zika and 90.17% had no idea about the epidemic region of plague. No more than 15% knew they should check their health status after returning from the epidemic region. Education level and income were the key factors that influenced knowledge rate.
    CONCLUSIONS: The low-level knowledge called for the improvement in health information to the public, especially those with low level of education and income. Effective and precise health information was urged to carry out to improve the prevention for the emerging and reemerging infectious diseases.
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  • 文章类型: Journal Article
    Vector-borne emerging and re-emerging diseases pose considerable public health problem worldwide. Some of these diseases are emerging and/or re-emerging at increasing rates and appeared in new regions in the past two decades. Studies emphasized that the interactions among pathogens, hosts, and the environment play a key role for the emergence or re-emergence of these diseases. Furthermore, social and demographic factors such as human population growth, urbanization, globalization, trade exchange and travel and close interactions with livestock have significantly been linked with the emergence and/or re-emergence of vector-borne diseases. Other studies emphasize the ongoing evolution of pathogens, proliferation of reservoir populations, and antimicrobial drug use to be the principal exacerbating forces for emergence and re-emergence of vector-borne infectious diseases. Still other studies equivocally claim that climate change has been associated with appearance and resurgence of vector-borne infectious diseases. Despite the fact that many important emerging and re-emerging vector-borne infectious diseases are becoming better controlled, our success in stopping the many new appearing and resurging vector-borne infectious diseases that may happen in the future seems to be uncertain. Hence, this paper reviews and synthesizes the existing literature to explore global patterns of emerging and re-emerging vector-borne infections and the challenges for their control. It also attempts to give insights to the epidemiological profile of major vector-borne diseases including Zika fever, dengue, West Nile fever, Crimean-Congo hemorrhagic fever, Chikungunya, Yellow fever, and Rift Valley fever.
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  • 文章类型: Journal Article
    布鲁氏菌病是许多发展中国家的地方病,被世界卫生组织列为“被忽视的人畜共患病”前七名。尽管1998年启动了巴勒斯坦布鲁氏菌病控制计划,但该疾病在2012年后再次出现。有趣的是,据报道,邻近的以色列地区也出现了类似的重新出现模式。这项工作的目的是表征重新出现的菌株并描述它们的遗传相关性。在2015年至2017年期间,使用两项血清学测试对1324例疑似人类病例的血液样本进行了分析。血清阳性样本进行培养,通过不同的遗传标记分析它们的DNA,以确定涉及的布鲁氏菌物种,并排除任何可能涉及的Rev.1疫苗株。对9个分离株的rpoB基因进行测序,以筛选利福平抗性突变。使用多位点VNTR分析(MLVA-16)对分离物进行基因分型。分子分析表明,所有分离株均为与Rev.1疫苗无关的布鲁氏菌菌株。rpoB基因序列显示四个与利福平抗性无关的单核苷酸变异(SNV)。MLVA-16分析将分离株聚集为属于东地中海谱系的22种独特基因型。总之,我们的研究结果表明,布鲁氏菌病的重新出现是由于当地的B.melitensis菌株,巴勒斯坦和以色列控制计划的弱点可能是疾病重新出现的主要因素。然而,必须调查其他社会经济和环境因素。此外,加强布鲁氏菌病控制计划和加强所有利益相关者之间的合作对于确保抗击布鲁氏菌病的长期计划成果至关重要。
    Brucellosis is an endemic disease in many developing countries and ranked by the World Health Organization among the top seven \"neglected zoonoses\". Although a Palestinian brucellosis control program was launched in 1998, the disease re-emerged after 2012. Interestingly, a similar re-emerging pattern was reported in the neighbouring Israeli regions. The aim of this work was to characterize the re-emerging strains and delineate their genetic relatedness. During 2015-2017, blood samples from 1324 suspected human cases were analyzed using two serological tests. Seropositive samples were cultured, and their DNAs were analyzed by different genetic markers to determine the involved Brucella species and rule out any possible involvement of the Rev.1 vaccine strain. The rpoB gene was sequenced from nine isolates to screen for rifampicin resistance mutations. Multi locus VNTR analysis (MLVA-16) was used for genotyping the isolates. The molecular analysis showed that all isolates were Brucella melitensis strains unrelated to the Rev.1 vaccine. The rpoB gene sequences showed four single nucleotide variations (SNVs) not associated with rifampicin resistance. MLVA-16 analysis clustered the isolates into 22 unique genotypes that belonged to the East Mediterranean lineage. Altogether, our findings show that the re-emergence of brucellosis was due to B. melitensis strains of local origin, the Palestinian and Israeli control programs\' weaknesses could be a major factor behind the re-emergence of the disease. However, other socioeconomic and environmental factors must be investigated. Moreover, strengthening brucellosis control programs and enhancing cooperation between all stakeholders is essential to ensure long-term program outcomes to fight brucellosis.
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