Whelan Peter I, Jacups Susan P, Melville Lorna, Broom Annette, Currie Bart J, Krause Vicki L, Brogan Brett, Smith Fiona, Porigneaux Philippe
Department of Health and Community Services, Darwin, Northern Territory.
Commun Dis Intell Q Rep. 2003;27(1):110-6. doi: 10.33321/cdi.2003.27.8.
There have been 5 confirmed cases of Murray Valley encephalitis virus (MVE) infection in the Alice Springs region during the high rainfall years of 1999/00 and 2000/01, compared with one case in the preceding 9 years. There also appeared to be an increased prevalence of Ross River virus (RR) infection in the Alice Springs and Tennant Creek regions associated with high rainfall. This paper presents an analysis of summer rainfall from 1990/91 to 2000/01, numbers of seroconversion of sentinel chickens to MVE, and RR cases in both regions. In Alice Springs where summer rainfall (December to February) and average vector numbers in the December to March period are closely correlated, the analysis also included mosquito vector numbers and MVE cases. Summer rainfall over 100 mm was significantly associated with sentinel chicken seroconversions to MVE. From December to March there was also a significant association of average vector numbers (> or = 300) with seroconversions in sentinel chickens following high summer rainfall. MVE appears enzootic in the Tennant Creek region and epizootic in the Alice Springs region. In Alice Springs during December to March, there was a significant association of RR cases with rainfall over 100 mm and with average vector numbers over 300. There was also a significant correlation of summer rainfall with RR cases in Tennant Creek. Summer rainfall is a new and good early indicator of high risk for both MVE and RR disease in the Alice Springs locality and RR in the Tennant Creek locality. Although similar relationships between rainfall and vector abundance, and disease incidence probably exist in other areas of central Australia, rainfall and vector abundance thresholds will probably vary according to local climatic and environmental conditions.
在1999/00年和2000/01年降雨量大的年份里,爱丽丝泉地区有5例墨累谷脑炎病毒(MVE)感染确诊病例,而在之前的9年里仅有1例。在爱丽丝泉和滕南特克里克地区,罗斯河病毒(RR)感染率似乎也随着降雨量增加而上升。本文分析了1990/91年至2000/01年的夏季降雨量、哨兵鸡对MVE的血清转化率以及这两个地区的RR病例数。在爱丽丝泉,夏季降雨量(12月至2月)与12月至3月期间的平均病媒数量密切相关,分析还包括蚊虫病媒数量和MVE病例。夏季降雨量超过100毫米与哨兵鸡对MVE的血清转化显著相关。从12月到3月,在夏季降雨量高之后,平均病媒数量(≥300)与哨兵鸡的血清转化也存在显著关联。MVE在滕南特克里克地区呈地方流行性,在爱丽丝泉地区呈流行状态。在爱丽丝泉,12月至3月期间,RR病例与降雨量超过100毫米以及平均病媒数量超过300存在显著关联。在滕南特克里克,夏季降雨量与RR病例也存在显著相关性。夏季降雨量是爱丽丝泉地区MVE和RR疾病以及滕南特克里克地区RR疾病高风险的一个新的良好早期指标。尽管澳大利亚中部其他地区可能也存在降雨量与病媒数量以及疾病发病率之间的类似关系,但降雨量和病媒数量阈值可能会因当地气候和环境条件而有所不同。