2011年希腊伊庇鲁斯干旱夏季期间的4例炭疽病例汇总
An Aggregate of Four Anthrax Cases during the Dry Summer of 2011 in Epirus, Greece.
作者信息
Gaitanis Georgios, Lolis Christos J, Tsartsarakis Antonios, Kalogeropoulos Chris, Leveidiotou-Stefanou Stamatina, Bartzokas Aristidis, Bassukas Ioannis D
机构信息
Department of Skin and Venereal Diseases, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
出版信息
Dermatology. 2016;232(1):112-6. doi: 10.1159/000440860. Epub 2015 Nov 3.
BACKGROUND
Human anthrax is currently a sporadic disease in Europe, without significant regional clustering.
OBJECTIVE
To report an unexpected aggregate of anthrax cases and correlate local climatic factors with yearly anthrax admissions.
METHODS
Clinical description of a geographical-temporal anthrax aggregate, correlation of disease admissions with local weather data in the period 2001-2014 and literature reports of anthrax clusters from Europe in the last 20 years.
RESULTS
We identified 5 cases, all cutaneous: an unexpected aggregate of 4 cases in mid-summer 2011 (including a probable human-to-human transmission) and a sporadic case in August 2005, all in relatively dry periods (p < 0.05). Remarkably, 3/6 reports of human anthrax aggregates from Europe were observed in Balkan Peninsula countries in the year 2011.
CONCLUSION
In the light of the predicted climatic change, unexpected anthrax aggregates during dry periods in southern Europe underscore the risk of future anthrax re-emergence on this continent.
背景
人类炭疽病目前在欧洲是一种散发性疾病，无明显的区域聚集现象。
目的
报告炭疽病例的意外聚集情况，并将当地气候因素与每年的炭疽病入院情况相关联。
方法
对地理 - 时间上的炭疽病聚集情况进行临床描述，将2001 - 2014年期间的疾病入院情况与当地天气数据相关联，并查阅过去20年欧洲炭疽病聚集情况的文献报告。
结果
我们识别出5例病例，均为皮肤炭疽：2011年仲夏意外出现4例聚集病例（包括可能的人传人情况）以及2005年8月1例散发病例，所有病例均发生在相对干燥的时期（p < 0.05）。值得注意的是，2011年在巴尔干半岛国家观察到欧洲3/6的人类炭疽病聚集报告。
结论
鉴于预测的气候变化，南欧干旱时期意外出现的炭疽病聚集凸显了该大陆未来炭疽病再次出现的风险。
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