Holt J, Davis S, Leirs H
Natural Resources Institute, University of Greenwich, Central Avenue, Chatham Maritime, Chatham, Kent ME4 4TB, UK.
Acta Trop. 2006 Oct;99(2-3):218-25. doi: 10.1016/j.actatropica.2006.08.003. Epub 2006 Sep 20.
Human leptospirosis (Leptospira spp. infection) is a worldwide public health problem that is of greatest concern for humid tropical and subtropical regions. The magnitude of the problem in these areas is larger because of the climatic and environmental conditions the bacterium face outside their hosts but also because of the frequency of contacts between people and sources of infection. Rodents are thought to play the most important role in the transmission of human leptospirosis. We here model the dynamics of infection in an African rodent (Mastomys natalensis) that is thought to be the principal source of infection in parts of Tanzania. Our model, representing the climatic conditions in central Tanzania, suggests a strong seasonality in the force of infection on humans with a peak in the abundance of infectious mice between January and April in agricultural environments. In urban areas the dynamics are predicted to be more stable and the period of high numbers of infectious animals runs from February to July. Our results indicate that removal of animals by trapping rather than reducing the suitability of the environment for rodents will have the greater impact on reducing human cases of leptospirosis.
人感染钩端螺旋体病(钩端螺旋体属感染)是一个全球性的公共卫生问题,在潮湿的热带和亚热带地区最为令人担忧。由于细菌在宿主外面临的气候和环境条件,以及人与感染源之间接触的频率,这些地区该问题的规模更大。啮齿动物被认为在人感染钩端螺旋体病的传播中起着最重要的作用。我们在此对一种非洲啮齿动物(南非乳鼠)的感染动态进行建模,这种动物被认为是坦桑尼亚部分地区的主要感染源。我们的模型代表了坦桑尼亚中部的气候条件,表明人类感染强度存在强烈的季节性,在农业环境中,1月至4月感染小鼠数量最多时达到峰值。在城市地区,预计感染动态会更稳定,感染动物数量较多的时期从2月持续到7月。我们的结果表明,通过诱捕清除动物,而不是降低环境对啮齿动物的适宜性,对减少人类钩端螺旋体病病例的影响更大。