Wei Baiqing, Xiong Haoming, Yang Xiaoyan, Yang Yonghai, Qi Meiying, Jin Juan, Xin Youquan, Li Xiang, Yang Hanqing, Han Xiumin, Dai Ruixia
Department of Plague Prevention and Control, Qinghai Institute for Endemic Diseases Prevention and Control, Xining 811602, China.
Department of Plague Prevention and Control, Qinghai Institute for Endemic Diseases Prevention and Control, Xining 811602, China; Email:
Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Mar;36(3):271-4.
To identify the epidemiology and etiology characteristics of Tibetan sheep plague in Qinghai plateau.
The background materials of Qinghai Tibetan sheep plague found during 1975 to 2009 were summarized, the regional, time and interpersonal distribution, infection routes, ecological factors for the spread were used to analyze; followed by choosing 14 Yersinia pestis strains isolated from such sheep for biochemical test, toxicity test, virulence factors identification, plasmid analysis, and DFR genotype.
From 1975 to 2009, 14 Yersinia pestis strains were isolated from Tibetan sheep in Qinghai province. Tibetan sheep, as the infection source, had caused 10 cases of human plague, 25 plague patients, and 13 cases of death. All of the initial cases were infected due to eating Tibetan sheep died of plague; followed by cases due to contact of plague patients, while all the initial cases were bubonic plague. Cases of bubonic plague developed into secondary pneumonic plague and septicemia plague were most popular and with high mortality. Most of the Tibetan sheep plague and human plague occurred in Gannan ecological zone in southern Gansu province, which was closely related to its unique ecological and geographical landscape. Tibetan sheep plague coincided with human plague caused by Tibetan sheep, especially noteworthy was that November (a time for marmots to start their dormancy) witnesses the number of Yersinia pestis strains isolated from Tibetan sheep and human plague cases caused by Tibetan sheep. This constituted the underlying cause that the epidemic time of Tibetan sheep plague lags obviously behind that of the Marmot plague. It was confirmed in the study that all the 14 strains were of Qinghai-Tibet Plateau ecotype, with virulence factors evaluation and toxicity test demonstrating strains as velogenic. As found in the (Different Region) DFR genotyping, the strains isolated from Yushu county and Zhiduo county were genomovar 5, the two strain isolated from Nangqian county were genomovar 5 and genomovar 7, while those isolated Delingha region were genomovar 8.
Tibetan sheep were vulnerable to plague infection, hence causing human plague as the infectious source. The Yersinia pestis strains isolated from Tibetan sheep plague carried pathogen characteristics of Qinghai-Tibet plateau plague, developing many new characteristics of such plague.
明确青海高原藏羊鼠疫的流行病学及病因学特征。
总结1975年至2009年间青海藏羊鼠疫的背景资料,分析其地区、时间和人群分布、感染途径、传播的生态因素;随后选取从藏羊分离出的14株鼠疫耶尔森菌进行生化试验、毒性试验、毒力因子鉴定、质粒分析及DFR基因型分析。
1975年至2009年,青海省从藏羊中分离出14株鼠疫耶尔森菌。藏羊作为传染源,已导致10例人间鼠疫,25例鼠疫患者,13例死亡。所有首例病例均因食用死于鼠疫的藏羊而感染;其次为接触鼠疫患者导致的病例,所有首例病例均为腺鼠疫。腺鼠疫病例发展为继发性肺鼠疫和败血症鼠疫最为常见且死亡率高。多数藏羊鼠疫和人间鼠疫发生在甘肃省南部的甘南生态区,这与其独特的生态和地理景观密切相关。藏羊鼠疫与藏羊引起的人间鼠疫时间吻合,尤其值得注意的是11月(旱獭开始冬眠的时间)从藏羊分离出的鼠疫耶尔森菌数量以及藏羊引起的人间鼠疫病例数。这构成了藏羊鼠疫流行时间明显滞后于旱獭鼠疫的根本原因。研究证实,所有14株菌均为青藏高原生态型,毒力因子评估和毒性试验表明菌株为强毒株。在(不同地区)DFR基因分型中发现,从玉树县和治多县分离的菌株为基因变种5,从囊谦县分离的两株菌为基因变种5和基因变种7,而从德令哈地区分离的菌株为基因变种8。
藏羊易感染鼠疫,从而作为传染源引发人间鼠疫。从藏羊鼠疫分离出的鼠疫耶尔森菌具有青藏高原鼠疫的病原体特征,呈现出该鼠疫的许多新特点。