Tong Shilu, Dale Pat, Nicholls Neville, Mackenzie John S, Wolff Rodney, McMichael Anthony J
School of Public Health and Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Australia.
Environ Health Perspect. 2008 Dec;116(12):1591-7. doi: 10.1289/ehp.11680. Epub 2008 Jul 24.
Arbovirus diseases have emerged as a global public health concern. However, the impact of climatic, social, and environmental variability on the transmission of arbovirus diseases remains to be determined.
Our goal for this study was to provide an overview of research development and future research directions about the interrelationship between climate variability, social and environmental factors, and the transmission of Ross River virus (RRV), the most common and widespread arbovirus disease in Australia.
We conducted a systematic literature search on climatic, social, and environmental factors and RRV disease. Potentially relevant studies were identified from a series of electronic searches.
The body of evidence revealed that the transmission cycles of RRV disease appear to be sensitive to climate and tidal variability. Rainfall, temperature, and high tides were among major determinants of the transmission of RRV disease at the macro level. However, the nature and magnitude of the interrelationship between climate variability, mosquito density, and the transmission of RRV disease varied with geographic area and socioenvironmental condition. Projected anthropogenic global climatic change may result in an increase in RRV infections, and the key determinants of RRV transmission we have identified here may be useful in the development of an early warning system.
The analysis indicates that there is a complex relationship between climate variability, social and environmental factors, and RRV transmission. Different strategies may be needed for the control and prevention of RRV disease at different levels. These research findings could be used as an additional tool to support decision making in disease control/surveillance and risk management.
虫媒病毒疾病已成为全球公共卫生关注的问题。然而，气候、社会和环境变化对虫媒病毒疾病传播的影响仍有待确定。
本研究的目标是概述关于气候变异性、社会和环境因素与罗斯河病毒（RRV）传播之间的相互关系的研究进展和未来研究方向，RRV是澳大利亚最常见且分布最广的虫媒病毒疾病。
我们对气候、社会和环境因素以及RRV疾病进行了系统的文献检索。通过一系列电子检索确定了潜在相关的研究。
证据表明，RRV疾病的传播周期似乎对气候和潮汐变化敏感。降雨、温度和高潮是宏观层面RRV疾病传播的主要决定因素。然而，气候变异性、蚊子密度与RRV疾病传播之间相互关系的性质和程度因地理区域和社会环境条件而异。预计的人为全球气候变化可能导致RRV感染增加，我们在此确定的RRV传播的关键决定因素可能有助于开发预警系统。
分析表明，气候变异性、社会和环境因素与RRV传播之间存在复杂关系。在不同层面控制和预防RRV疾病可能需要不同的策略。这些研究结果可作为支持疾病控制/监测和风险管理决策的额外工具。
