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1997年澳大利亚炭疽疫情的疫苗接种及流行病学调查经验。

Experiences with vaccination and epidemiological investigations on an anthrax outbreak in Australia in 1997.

作者信息

Turner A J, Galvin J W, Rubira R J, Condron R J, Bradley T

机构信息

Department of Natural Resources and Environment, Attwood, Victoria, Australia.

出版信息

J Appl Microbiol. 1999 Aug;87(2):294-7. doi: 10.1046/j.1365-2672.1999.00894.x.

Abstract

Between January and February 1997, there was a severe outbreak of anthrax on 83 properties in north-central Victoria, Australia. Vaccination was used as a major tool to control the outbreak by establishing a vaccination buffer zone 30 km by 20 km. In all, 78, 649 cattle in 457 herds were vaccinated in a three week program. In the face of the outbreak, there was a delay before vaccination was able to stop deaths. In the 10 days following vaccination 144 cases of confirmed anthrax occurred and 38 cases occurred more than 10 days after vaccination. When all cattle on at-risk properties were revaccinated in October and early November 1997, there were only two confirmed cases of anthrax in vaccinated seven and nine month old calves in the following anthrax season. Investigations into the epidemiology of the outbreak were unable to establish a single major association for the spread of the disease by flies, biting insects, carrion scavengers, wind, manufactured feed, milk factory tanker routes, veterinary visits, animal treatments, movements of personnel between farms or burning of carcases. The weather conditions in the outbreak area were part of a long dry spell with periods of high daily and night temperatures, continuing high humidity over the period and higher than normal soil temperatures. It is possible that extensive earth works in the district involving irrigated pasture renovation and water channel and drainage renovation could have disturbed old anthrax graves. It is postulated that these works released spores that were dispersed in the preceding wet winter across poorly drained areas that formed the axis for the outbreak. The earth moving renovations establishing irrigation in the area were conducted in the late 1890s, and before the occurrence of anthrax outbreaks were recorded. The axis of the outbreak was the major stock route for cattle and sheep moving from southern Victoria to northern Victoria and southern New South Wales, and undoubtedly there would have been extensive anthrax outbreaks before vaccine became available in the 1890s. In respect of other outbreaks, the events in Victoria most resembled outbreaks of anthrax recorded in the United States of America in the 1950s, 1960s and 1970s.

摘要

1997年1月至2月期间,澳大利亚维多利亚州中北部的83处牧场爆发了严重的炭疽疫情。通过建立一个长30公里、宽20公里的疫苗接种缓冲区,疫苗接种成为控制疫情的主要手段。在为期三周的计划中,共有457个牛群的78649头牛接种了疫苗。面对疫情,疫苗接种在阻止死亡方面出现了延迟。在接种疫苗后的10天内,出现了144例确诊炭疽病例,38例病例在接种疫苗10天后出现。1997年10月和11月初,当所有处于危险中的牧场的牛再次接种疫苗时,在接下来的炭疽季节中,接种过疫苗的7个月和9个月大的小牛中仅出现了两例确诊炭疽病例。对疫情流行病学的调查未能确定通过苍蝇、叮咬昆虫、食腐动物、风、人工饲料、牛奶厂运输路线、兽医出诊、动物治疗、农场间人员流动或尸体焚烧传播疾病的单一主要关联因素。疫情爆发地区的天气状况是长期干旱的一部分,白天和夜间气温较高,在此期间湿度持续偏高,土壤温度高于正常水平。该地区涉及灌溉牧场翻新以及水道和排水系统翻新的大规模土方工程可能扰动了旧的炭疽坟墓。据推测,这些工程释放出的孢子在之前潮湿的冬季散布到排水不良的地区,而这些地区形成了疫情爆发的轴线。该地区建立灌溉系统的土方翻新工程于19世纪90年代后期进行,且在有炭疽疫情记录之前。疫情爆发的轴线是牛群和羊群从维多利亚州南部迁往维多利亚州北部和新南威尔士州南部的主要牲畜通道,毫无疑问,在19世纪90年代疫苗问世之前,这里曾爆发过广泛的炭疽疫情。就其他疫情而言,维多利亚州的疫情与美国在20世纪50年代、60年代和70年代记录的炭疽疫情最为相似。

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