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野生动物在新出现和重新出现的人畜共患病中的作用。

The role of wildlife in emerging and re-emerging zoonoses.

作者信息

Bengis R G, Leighton F A, Fischer J R, Artois M, Mörner T, Tate C M

机构信息

Veterinary Investigation Centre, PO Box 12, Skukuza, Kruger National Park, 1350, South Africa.

出版信息

Rev Sci Tech. 2004 Aug;23(2):497-511.

Abstract

There are huge numbers of wild animals distributed throughout the world and the diversity of wildlife species is immense. Each landscape and habitat has a kaleidoscope of niches supporting an enormous variety of vertebrate and invertebrate species, and each species or taxon supports an even more impressive array of macro- and micro-parasites. Infectious pathogens that originate in wild animals have become increasingly important throughout the world in recent decades, as they have had substantial impacts on human health, agricultural production, wildlife-based economies and wildlife conservation. The emergence of these pathogens as significant health issues is associated with a range of causal factors, most of them linked to the sharp and exponential rise of global human activity. Among these causal factors are the burgeoning human population, the increased frequency and speed of local and international travel, the increase in human-assisted movement of animals and animal products, changing agricultural practices that favour the transfer of pathogens between wild and domestic animals, and a range of environmental changes that alter the distribution of wild hosts and vectors and thus facilitate the transmission of infectious agents. Two different patterns of transmission of pathogens from wild animals to humans are evident among these emerging zoonotic diseases. In one pattern, actual transmission of the pathogen to humans is a rare event but, once it has occurred, human-to-human transmission maintains the infection for some period of time or permanently. Some examples of pathogens with this pattern of transmission are human immunodeficiency virus/acquired immune deficiency syndrome, influenza A, Ebola virus and severe acute respiratory syndrome. In the second pattern, direct or vector-mediated animal-to-human transmission is the usual source of human infection. Wild animal populations are the principal reservoirs of the pathogen and human-to-human disease transmission is rare. Examples of pathogens with this pattern of transmission include rabies and other lyssaviruses, Nipah virus, West Nile virus, Hantavirus, and the agents of Lyme borreliosis, plague, tularemia, leptospirosis and ehrlichiosis. These zoonotic diseases from wild animal sources all have trends that are rising sharply upwards. In this paper, the authors discuss the causal factors associated with the emergence or re-emergence of these zoonoses, and highlight a selection to provide a composite view of their range, variety and origins. However, most of these diseases are covered in more detail in dedicated papers elsewhere in this Review.

摘要

世界范围内分布着大量的野生动物,野生动物物种的多样性极为丰富。每一片景观和栖息地都有各种各样的生态位,支撑着种类繁多的脊椎动物和无脊椎动物物种,而每一个物种或分类单元又有着数量更为惊人的宏观和微观寄生虫。近几十年来,源自野生动物的传染性病原体在全球范围内变得越来越重要,因为它们对人类健康、农业生产、以野生动物为基础的经济以及野生动物保护都产生了重大影响。这些病原体成为重大健康问题与一系列因果因素有关,其中大多数与全球人类活动的急剧和指数级增长有关。这些因果因素包括人口的迅速增长、本地和国际旅行的频率和速度增加、人类协助的动物和动物产品流动增加、有利于病原体在野生动物和家畜之间传播的农业实践变化,以及一系列改变野生宿主和病媒分布从而促进传染病传播的环境变化。在这些新出现的人畜共患病中,病原体从野生动物传播到人类有两种不同的模式。在一种模式中,病原体实际传播给人类是罕见事件,但一旦发生,人与人之间的传播会在一段时间内维持感染或使其永久存在。具有这种传播模式的病原体的一些例子是人类免疫缺陷病毒/获得性免疫缺陷综合征、甲型流感、埃博拉病毒和严重急性呼吸综合征。在第二种模式中,直接或通过媒介介导的动物到人的传播是人类感染的常见来源。野生动物种群是病原体的主要储存宿主,人与人之间的疾病传播很少见。具有这种传播模式的病原体的例子包括狂犬病和其他狂犬病病毒、尼帕病毒、西尼罗河病毒、汉坦病毒,以及莱姆病、鼠疫、兔热病、钩端螺旋体病和埃立克体病的病原体。这些源自野生动物的人畜共患病都呈现出急剧上升的趋势。在本文中,作者讨论了与这些人畜共患病的出现或再次出现相关的因果因素,并重点选取了一些例子,以全面展示它们的范围、种类和起源。然而,本综述其他地方的专题论文对这些疾病中的大多数进行了更详细的阐述。

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