2007 年,刚果民主共和国卢埃博市因直接接触果蝠而引发人类埃博拉疫情。

Human Ebola outbreak resulting from direct exposure to fruit bats in Luebo, Democratic Republic of Congo, 2007.

机构信息

Centre International de Recherches Médicales de Franceville (CIRMF), Franceville, Gabon.

出版信息

Vector Borne Zoonotic Dis. 2009 Dec;9(6):723-8. doi: 10.1089/vbz.2008.0167.

Abstract

Twelve years after the Kikwit Ebola outbreak in 1995, Ebola virus reemerged in the Occidental Kasaï province of the Democratic Republic of Congo (DRC) between May and November 2007, affecting more than 260 humans and causing 186 deaths. During this latter outbreak we conducted several epidemiological investigations to identify the underlying ecological conditions and animal sources. Qualitative social and environmental data were collected through interviews with villagers and by direct observation. The local populations reported no unusual morbidity or mortality among wild or domestic animals, but they described a massive annual fruit bat migration toward the southeast, up the Lulua River. Migrating bats settled in the outbreak area for several weeks, between April and May, nestling in the numerous fruit trees in Ndongo and Koumelele islands as well as in palm trees of a largely abandoned plantation. They were massively hunted by villagers, for whom they represented a major source of protein. By tracing back the initial human-human transmission events, we were able to show that, in May, the putative first human victim bought freshly killed bats from hunters to eat. We were able to reconstruct the likely initial human-human transmission events that preceded the outbreak. This study provides the most likely sequence of events linking a human Ebola outbreak to exposure to fruit bats, a putative virus reservoir. These findings support the suspected role of bats in the natural cycle of Ebola virus and indicate that the massive seasonal fruit bat migrations should be taken into account in operational Ebola risk maps and seasonal alerts in the DRC.

摘要

1995 年基奎特埃博拉疫情爆发 12 年后,2007 年 5 月至 11 月,刚果民主共和国(刚果(金))西开赛省再次爆发埃博拉疫情,影响了 260 多人,造成 186 人死亡。在这次疫情爆发期间,我们进行了几次流行病学调查,以确定潜在的生态条件和动物来源。通过对村民的访谈和直接观察收集了定性的社会和环境数据。当地居民报告称,野生动物或家畜没有出现异常的发病率或死亡率,但他们描述了每年大规模的果蝠向东南方向迁徙,沿着卢卢阿河而上。迁徙的蝙蝠在 4 月至 5 月间在疫情地区停留了数周,栖息在恩东戈岛和库梅莱莱岛以及一个废弃种植园的棕榈树上的许多果树上。它们被村民大量捕杀,因为它们是村民的主要蛋白质来源。通过追溯最初的人际传播事件,我们能够证明,在 5 月,疑似首例人类受害者从猎人那里购买了刚杀死的蝙蝠食用。我们能够重建疫情爆发前可能发生的最初的人际传播事件。这项研究提供了最有可能的事件序列,将人类埃博拉疫情与接触果蝠这一假定的病毒储存宿主联系起来。这些发现支持了蝙蝠在埃博拉病毒自然循环中的可疑作用,并表明应在刚果(金)的埃博拉风险图和季节性警报中考虑大规模的季节性果蝠迁徙。

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