在秘鲁林中爆发人类狂犬病疫情
1Oficina General de Epidemiologia, Programa de Entrenamiento en Epidemiologia de Campo, Ministerio de Salud, Lima, Peru.
Lancet (London, England)
|February 15, 1992
概括
吸血蝙蝠传播的狂犬病在秘鲁造成了致命的疫情,不成比例地影响了儿童. 及时的伤口护理和防蝙蝠住所对于孤立社区的预防至关重要.
科学领域:
- 动物传染病是动物传播的疾病.
- 病毒病原发生的病毒病原体.
- 流行病学 流行病学
背景情况:
- 吸血鬼蝙蝠向人类传播狂犬病是一种已知的,但很少报告的现象.
- 很少有研究详细介绍了通过吸血鬼蝙蝠咬伤获得的狂犬病的临床特征.
研究的目的:
- 研究秘鲁农村由吸血鬼蝙蝠传播的狂犬病疫情的临床特征和流行病学.
- 确定孤立群体中蝙蝠传播狂犬病的风险因素并推预防策略.
主要方法:
- 在1990年初在秘鲁的两个亚马逊社区爆发期间进行了回顾性研究.
- 进行了人口普查,患者/家庭采访,并对一名已故个体进行了解剖.
- 隔离并对狂犬病病毒菌株进行了表征.
主要成果:
- 29名居民 (5%) 死于一种由恐水症,发烧和头痛为特征的疾病.
- 5-14岁的儿童比其他年龄组受影响明显 (17%) 更多.
- 96%的患者报告有蝙蝠咬伤史,而健康人群中这一比例为22%.
- 从患者中分离出来的狂犬病病毒与吸血鬼蝙蝠 (Desmodus rotundus) 的菌株相同.
结论:
- 在这次疫情期间,吸血鬼蝙蝠咬伤是主要的传播途径.
- 预防措施,包括防蝙蝠的住所和及时的伤口护理是必不可少的.
- 在这些孤立的社区中,接种疫苗可能具有挑战性,这凸显了需要有效的非疫苗干预措施的需要.
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