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布鲁氏菌病——区域性新发人畜共患病?

Brucellosis - regionally emerging zoonotic disease?

作者信息

Gwida Mayada, Al Dahouk Sascha, Melzer Falk, Rösler Uwe, Neubauer Heinrich, Tomaso Herbert

机构信息

Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Institute for Bacterial Infections and Zoonoses, Naumburger Str. 96a, 07743 Jena, Germany.

出版信息

Croat Med J. 2010 Aug;51(4):289-95. doi: 10.3325/cmj.2010.51.289.

Abstract

AIM

To gain deeper insight into the seroprevalence of brucellosis, which remains a zoonotic disease of worldwide public health concern, by reviewing studies from countries including North Africa, the Middle East, and India.

METHODS

Studies on brucellosis performed in countries that are neighbors or important trading partners of the European Union and on trade animals and their products were analyzed. We reviewed 37 seroprevalence studies on brucellosis published from 1948 to 2009 retrieved from Pubmed, Google, and ScienceDirect.

RESULTS

The set of studies was heterogeneous in the number of samples and laboratory tests used. We included studies from Algeria (n=1), Egypt (n=7), India (n=3), Iran (n=3), Iraq (n=1), Jordan (n=5), Libya (n=3), Saudi Arabia (n=3), Syria (n=1), Turkey (n=5), and Yemen (n=2). The total number of animals in these studies was 116317 (cattle 75375; buffalo 9644; sheep 10550; goats 14447; camels 6301). The prevalence of brucellosis in different animal species varied widely. Representative surveillance data have not recently been published in any of the countries.

CONCLUSIONS

Wars in the Middle East, insufficient preventive measures, the lack of adequate control programs in some countries, as well as uncontrolled animal transportation through "open" borders increased the risk that brucellosis will spread in some regions. New seroprevalence data are needed urgently to evaluate the current situation and for continuous monitoring of necessary control programs.

摘要

目的

通过回顾来自北非、中东和印度等国家的研究,更深入地了解布鲁氏菌病的血清流行率,该疾病仍是全球公共卫生关注的人畜共患病。

方法

分析了在欧盟邻国或重要贸易伙伴国家对贸易动物及其产品进行的布鲁氏菌病研究。我们回顾了从1948年至2009年从PubMed、谷歌和科学Direct检索到的37项关于布鲁氏菌病血清流行率的研究。

结果

这些研究在样本数量和使用的实验室检测方面存在异质性。我们纳入了来自阿尔及利亚(n = 1)、埃及(n = 7)、印度(n = 3)、伊朗(n = 3)、伊拉克(n = 1)、约旦(n = 5)、利比亚(n = 3)、沙特阿拉伯(n = 3)、叙利亚(n = 1)、土耳其(n = 5)和也门(n = 2)的研究。这些研究中的动物总数为116317只(牛75375头;水牛9644头;绵羊10550只;山羊14447只;骆驼6301峰)。不同动物物种中布鲁氏菌病的流行率差异很大。最近在任何一个国家都没有公布代表性的监测数据。

结论

中东的战争、预防措施不足、一些国家缺乏适当的控制计划以及通过“开放”边境的无控制动物运输增加了布鲁氏菌病在某些地区传播的风险。迫切需要新的血清流行率数据来评估当前状况并持续监测必要的控制计划。

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