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Published on: October 27, 2013
Emerging bacterial zoonotic and vector-borne diseases. Ecological and epidemiological factors
D H Walker1, A G Barbour, J H Oliver
1Department of Pathology, University of Texas Medical Branch at Galveston 77555-0609, USA.
Abstract:
Among the etiologic agents of emerging infectious diseases are several bacterial organisms that naturally reside in animal and arthropod hosts. The most compelling emerging bacterial zoonotic and vector-borne diseases in the United States are Lyme disease; a Southern erythema migrans-like illness; human monocytic ehrlichiosis; human granulocytic ehrlichiosis; a novel cat flea-associated typhus group rickettsiosis; bartonelloses of immunocompetent and immunocompromised persons, particularly with AIDS; and sylvatic plague. Some of these antimicrobial-treatable infections are life threatening. During the acute stage of illness when antimicrobial agents are most effective, the flulike clinical signs and symptoms and available laboratory tests frequently do not point to a particular diagnosis. Epidemiological factors determined by the ecology of the bacteria are often the most useful diagnostic clues. The recognition of these evolving problems emphasizes the need for development of better laboratory diagnostic methods, for surveillance for and tracking of disease, and for continued research into factors contributing to transmission of the organisms. The continual appearance of previously unidentified bacterial infections requires prospective national strategies for timely recognition of the syndrome, identification of the agent, establishment of criteria and methods for diagnosis, optimization of the treatment regimen, and determination of successful approaches to prevention and control.
Insights
Emerging bacterial zoonotic and vector-borne diseases pose significant threats, often presenting with non-specific symptoms. Epidemiological clues are crucial for diagnosing these life-threatening infections when lab tests are inconclusive.
Area of Science:
- Emerging infectious diseases
- Bacteriology
- Zoonotic and vector-borne diseases
Background:
- Bacterial organisms in animal and arthropod hosts are significant causes of emerging infectious diseases.
- Key emerging bacterial zoonotic and vector-borne diseases in the U.S. include Lyme disease, ehrlichiosis, typhus, bartonellosis, and plague.
- These infections can be life-threatening and often present with non-specific, flu-like symptoms during the acute, most treatable stage.
Purpose of the Study:
- To highlight the challenges in diagnosing emerging bacterial zoonotic and vector-borne diseases.
- To emphasize the importance of epidemiological factors in diagnosis.
- To underscore the need for improved diagnostic methods, surveillance, and research.
Main Methods:
- Review of significant emerging bacterial zoonotic and vector-borne diseases in the United States.
- Analysis of diagnostic challenges during the acute stage of illness.
- Discussion of the role of epidemiology in identifying causative agents.
Main Results:
- Clinical signs and laboratory tests are often insufficient for early diagnosis of these emerging infections.
- Epidemiological factors, derived from understanding bacterial ecology, are critical diagnostic indicators.
- Several specific diseases are identified as major concerns, including Lyme disease, ehrlichiosis, typhus, bartonellosis, and plague.
Conclusions:
- Improved laboratory diagnostic methods, robust surveillance, and research into transmission are essential.
- Prospective national strategies are required for timely recognition, diagnosis, treatment, and control of novel bacterial infections.
- Understanding the ecology of bacterial hosts is key to managing these evolving public health threats.
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