意大利感染 chikungunya 病毒:在温带地区爆发疫情
G Rezza1, L Nicoletti, R Angelini
1Department of Infectious, Parasitic, and Immunomediated Diseases, Istituto Superiore di Sanità, Rome, Italy.
Lancet (London, England)
|December 7, 2007
概括
奇孔古尼亚病毒 (CHIKV) 在意大利引起了意想不到的爆发. 这种由蚊子传播的疾病凸显了全球感染性疾病准备的必要性.
科学领域:
- 流行病学 流行病学
- 病毒学 病毒学
- 公共卫生 公共卫生
背景情况:
- 奇孔古尼亚病毒 (CHIKV) 疫情发生在印度洋和亚洲.
- 奇克病毒是由Aedes spp蚊子传播的.
- 据报道,意大利东北部爆发了一次疫情.
研究的目的:
- 在意大利调查发烧性疾病的爆发.
- 确定致病原体的来源和传播.
- 实施对奇孔古尼亚病毒的积极监测.
主要方法:
- 进行了疫情调查和积极监测.
- 通过发烧和关节疼痛来定义临床病例.
- 使用PCR和血清学分析了人类和蚊子样本.
- 对CHIKV E1区域进行了遗传学分析.
主要成果:
- 确认了奇孔古尼亚病毒 (CHIKV) 是疫情的原因.
- 在2007年7月至9月期间,确定了205例CHIKV感染病例.
- 遗传学分析将意大利菌株与印度洋菌株联系起来.
- 在大多数情况下观察到轻度疾病,有1人死亡.
结论:
- 在非热带地区的CHIKV疫情是意想不到的.
- 强调需要为新出现的传染病做好准备.
- 强调疾病传播的全球互联性.
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