Pherez Francisco Miled
Department of Medicine, New York Medical College at Metropolitan Hospital Center, New York, NY 10029, USA.
J Vector Borne Dis. 2007 Sep;44(3):157-63.
Vector-borne infections (VBI) are very common around the globe and they account for many devastating diseases. They are not found exclusively in the third world or tropical regions but spread to every corner of the planet. The factors driving these infections are many and interact in very complex ways. This review attempts to put into perspective the external-climate change and demographics, as well as the internal factors that drive these infections with particular attention to the role that verticle transmission (VT) plays in the prevalence and emergence of these infections. VT has been widely demonstrated, its role in the maintenance of disease in nature has been suggested, but whether this role has a positive or negative effect seems to vary from species to species. The incorporation of this mechanism of transmission into the classic cycle of infection/maintenance of disease seems to explain important aspects of the epidemiology of VBI.
媒介传播感染(VBI)在全球非常普遍,它们导致了许多毁灭性疾病。这些感染并非仅存在于第三世界或热带地区,而是蔓延到了地球的每一个角落。推动这些感染的因素众多,且以非常复杂的方式相互作用。本综述试图从外部的气候变化和人口统计学以及内部因素的角度来审视这些感染,特别关注垂直传播(VT)在这些感染的流行和出现中所起的作用。VT已得到广泛证实,有人提出了它在自然界疾病维持中的作用,但这种作用是正面还是负面似乎因物种而异。将这种传播机制纳入经典的感染/疾病维持循环似乎可以解释VBI流行病学的重要方面。