持续传播的HIV-1CRF55_01B在它的起源地:动态和热点
Minghui An1,2, Chenli Zheng3, Lin Chen3
1State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, NHC Key Laboratory of AIDS Prevention and Treatment, National Clinical Research Center for Laboratory Medicine, The First Hospital of China Medical University, China Medical University, Shenyang, China.
The Journal of infectious diseases
|August 29, 2024
概括
隐藏的人类免疫缺陷病毒-1 (HIV-1) CRF55_01B传染在深持续存在,尽管干预措施. 识别传播中心和风险群体对于控制疫情和防止全国性传播至关重要.
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:
- 深是人类免疫缺陷病毒-1 (HIV-1) CRF55_01B疫情的中心.
- 流动人口和现有干预措施需要了解传播模式.
研究的目的:
- 在深确定HIV-1 CRF55_01B的传播和传播热点的传播模式.
- 评估当前干预措施的有效性,并确定未来控制的目标.
主要方法:
- 从新诊断的CRF55_01B感染中分析了1450个部分pol序列 (2008-2020年).
- 构建分子网络,使用最大的概率和时间解决的族系.
- 贝叶斯推理用于评估传播率,有效繁殖数 (Re) 和病毒分散.
主要成果:
- 确定了114个集群,7个大集群显示与人口统计和CD4+T细胞计数的相关性.
- 传播率超过了国家估计,四个大集群的Re > 1.
- 移民和当地居民作为传播枢纽;异性恋男性是主要来源,MSM主要目的地. 病毒的传播发生在30-49岁的个体和不同年龄组中.
结论:
- 尽管干预,但深的隐藏CRF55_01B传输仍在继续.
- 有风险的个人被确定为加强预防和控制战略的目标.
- 有效的本地控制可以缓解由于人口迁移而导致的全国性传播.
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