康涅狄格州西尼罗河病毒的流行病学:1999 - 2003年蚊虫数据的五年分析
Epidemiology of West Nile virus in Connecticut: a five-year analysis of mosquito data 1999-2003.
作者信息
Andreadis Theodore G, Anderson John F, Vossbrinck Charles R, Main Andrew J
机构信息
Connecticut Agricultural Experiment Station, New Haven, Connecticut 06504, USA.
出版信息
Vector Borne Zoonotic Dis. 2004 Winter;4(4):360-78. doi: 10.1089/vbz.2004.4.360.
Two hundred and ten isolations of West Nile virus (WNV) were obtained from 17 mosquito species in six genera in statewide surveillance conducted in Connecticut from June through October, 1999-2003. Culex pipiens (86), Culex salinarius (32), Culex restuans (26), Culiseta melanura (32), and Aedes vexans (12) were implicated as the most likely vectors of WNV in the region based on virus isolation data. Culex pipiens was abundant from July through September and is likely involved in early season enzootic transmission and late season epizootic amplification of the virus in wild bird populations. Epidemic transmission of WNV to humans in urban locales is probable. The abundance of Cx. restuans in June and July and isolations of WNV in early July suggest that this species may play an important role as an enzootic vector involved in early amplification of WNV virus among wild birds. Its involvement as a bridge vector to humans is unlikely. Culex salinarius was the most frequently captured Culex species and was abundant in August and September when virus activity was at its height. Frequent isolations of WNV from this species in September when the majority of human cases were reported in union with its abundance at this time of the year, demonstrated vector competence, and broad feeding habits, make Cx. salinarius a likely bridge vector to humans, horses and other mammals. Multiple isolations WNV from Cs. melanura collected in more rural locales in late August and September, provide supportive evidence to suggest that this predominant avian feeder may play a significant role in epizootic amplification of the virus among wild bird populations in these environs. Aedes vexans was the only species of Aedes or Ochlerotatus from which multiple isolations of WNV were made in more than one year and was among the most frequently trapped and abundant species throughout the season. Since Ae. vexans predominately feeds on mammals it is unlikely to play a significant role in epizootic amplification of WNV, however, because of its abundance and aggressive mammalian and human biting behavior it must receive strong consideration as a bridge vector to humans and horses. The occasional virus isolations obtained from Aedes cinereus (4), Uranotaenia sapphirina (3), Ochlerotatus canadensis (2), Ochlerotatus trivittatus (2), Ochlerotatus sollicitans (2), Ochlerotatus sticticus (2), Psorophora ferox (2), Anopheles punctipennis, Anopheles walkeri, Ochlerotatus cantator, Ochlerotatus taeniorhynchus, and Ochlerotatus triseriatus in conjunction with their inefficient vector competency and host feeding preferences indicate that these species likely play a very minor role in either the enzootic maintenance or epizootic transmission of WNV in this region. The principal foci of WNV activity in Connecticut were identified as densely populated (>3,000 people/mi2) residential communities in coastal Fairfield and New Haven Counties, and in the case of 2002, similar locales in proximity of the city of Hartford in central Hartford County. In almost all instances we observed a correlation both temporally and spatially between the isolation of WNV from field-collected mosquitoes and subsequent human cases in these locales. In most years the incidence of human cases closely paralleled the number of virus isolations made from mosquitoes with both peaks falling in early September. We conclude that the isolation of WNV from field-collected mosquitoes is a sensitive indicator of virus activity that is associated with the risk of human infection that habitually extends from early August through the end of October in Connecticut.
1999年至2003年6月至10月在康涅狄格州进行的全州监测中,从6个属的17种蚊子中分离出210株西尼罗河病毒(WNV)。根据病毒分离数据,尖音库蚊(86株)、盐泽库蚊(32株)、环跗库蚊(26株)、黑尾脉毛蚊(32株)和刺扰伊蚊(12株)被认为是该地区WNV最可能的传播媒介。尖音库蚊在7月至9月数量众多,可能参与了该病毒在野生鸟类种群中的早期地方性传播和后期动物流行病的扩大传播。WNV在城市地区向人类的流行传播是可能的。环跗库蚊在6月和7月数量众多,7月初分离出WNV,这表明该物种可能作为一种地方性传播媒介,在野生鸟类中参与WNV病毒的早期扩增,发挥重要作用。但它作为将病毒传播给人类的桥梁媒介的可能性不大。盐泽库蚊是捕获频率最高的库蚊种类,在8月和9月病毒活动最活跃时数量众多。9月从该物种中频繁分离出WNV,此时大多数人类病例被报告,再加上其在一年中的这个时候数量众多、具备传播病毒的能力以及广泛的摄食习性,使得盐泽库蚊成为可能将病毒传播给人类、马和其他哺乳动物的桥梁媒介。8月下旬和9月在更偏远地区收集的黑尾脉毛蚊多次分离出WNV,提供了支持性证据,表明这种主要以鸟类为食的蚊子可能在这些环境中的野生鸟类种群中病毒的动物流行病扩大传播中发挥重要作用。刺扰伊蚊是伊蚊或 Ochlerotatus 属中唯一在一年多时间里多次分离出WNV的物种,并且是整个季节中捕获频率最高、数量最多的物种之一。由于刺扰伊蚊主要以哺乳动物为食,它在WNV的动物流行病扩大传播中不太可能发挥重要作用,然而,由于其数量众多以及对哺乳动物和人类具有攻击性的叮咬行为,它必须被认真考虑作为将病毒传播给人类和马的桥梁媒介。偶尔从灰黑伊蚊(4株)、天蓝伊蚊(3株)、加拿大伊蚊(2株)、三带喙库蚊(2株)、海滨伊蚊(2株)、骚扰伊蚊(2株)、凶猛贪食蚊(2株)、致倦库蚊、沃克按蚊、歌带伊蚊、黄带伊蚊和三列伊蚊中分离出病毒,再加上它们传播病毒的能力低下以及宿主摄食偏好,表明这些物种在该地区WNV的地方性维持或动物流行病传播中可能只起非常小的作用。康涅狄格州WNV活动的主要集中区域被确定为沿海费尔菲尔德县和纽黑文县人口密集(>3000人/平方英里)的居民区,在某些年份(如2002年),哈特福德县中部哈特福德市附近的类似地区也有病例。几乎在所有情况下,我们都观察到从野外采集的蚊子中分离出WNV与这些地区随后出现的人类病例之间在时间和空间上存在相关性。在大多数年份,人类病例的发病率与从蚊子中分离出的病毒数量密切平行,两个峰值都出现在9月初。我们得出结论,从野外采集的蚊子中分离出WNV是病毒活动的一个敏感指标,它与人类感染风险相关,在康涅狄格州,这种风险通常从8月初持续到10月底。