Gay Noellie, Soupé-Gilbert Marie-Estelle, Goarant Cyrille
Institut Pasteur in New Caledonia, 9-11 avenue Paul Doumer, BP 61 98845 NOUMEA Cedex, New Caledonia.
Int J Environ Res Public Health. 2014 Apr 17;11(4):4316-25. doi: 10.3390/ijerph110404316.
Leptospira has been a major public health concern in New Caledonia for decades. However, few multidisciplinary studies addressing the zoonotic pattern of this disease were conducted so far. Here, pig, deer and dog samples were collected. Analyses were performed using molecular detection and genotyping. Serological analyses were also performed for dogs. Our results suggest that deer are a reservoir of L. borgpetersenii Hardjobovis and pigs a reservoir of L. interrogans Pomona. Interestingly, 4.4% of dogs were renal carriers of Leptospira. In dog populations, MAT results confirmed the circulation of the same Leptospira serogroups involved in human cases. Even if not reservoirs, dogs might be of significance in human contamination by making an epidemiological link between wild or feral reservoirs and humans. Dogs could bring pathogens back home, shedding Leptospira via their urine and in turn increasing the risk of human contamination. We propose to consider dog as a vector, particularly in rural areas where seroprevalence is significantly higher than urban areas. Our results highlight the importance of animal health in improving leptospirosis prevention in a One Health approach.
几十年来,钩端螺旋体病一直是新喀里多尼亚的一个主要公共卫生问题。然而,迄今为止,很少有针对这种疾病人畜共患病模式的多学科研究。在此,我们收集了猪、鹿和狗的样本。采用分子检测和基因分型进行分析。还对狗进行了血清学分析。我们的结果表明,鹿是博氏疏螺旋体哈德乔波维斯型的宿主,猪是问号钩端螺旋体波摩那型的宿主。有趣的是,4.4%的狗是钩端螺旋体的肾脏携带者。在狗群中,显微镜凝集试验结果证实了与人类病例相关的相同钩端螺旋体血清群的传播。即使狗不是宿主,但它们可能在野生或野生宿主与人类之间建立流行病学联系,从而在人类感染方面具有重要意义。狗可能会将病原体带回家,通过尿液排出钩端螺旋体,进而增加人类感染的风险。我们建议将狗视为一种传播媒介,特别是在血清阳性率明显高于城市地区的农村地区。我们的结果强调了动物健康在通过“同一健康”方法改善钩端螺旋体病预防方面的重要性。