Kurki Line, Meri Seppo
Helsingfors Universitet - Helsinki, Finland - Helsinki, Finland.
Haartman-institutet - Avdelningen för bakteriologi och immunologi Helsinki, Finland Haartman-institutet - Avdelningen för bakteriologi och immunologi Helsinki, Finland.
Lakartidningen. 2016 May 23;113:DXUR.
The global burden of mosquito-borne diseases has seen major changes during the last few decades. Viruses like dengue, chikungunya and zika have spread rapidly all around the world. Modern transportation has facilitated the spread of vectors and pathogens to new geographical areas, sometimes resulting in large epidemics in nonimmune populations. Malaria is still an enormous burden to healthcare systems in Sub-Saharan Africa, but significant progress has been made in the global control and elimination of the disease. Climatic, ecological, demographic, social and political changes may affect the complex transmission networks, and there has been much discussion about the possible epidemiological outcomes of such changes. The present article reviews literature on possible reasons behind the shifts in the disease burden, highlighting the complexity of the problem and the need for further research on, improved surveillance of, and public education on mosquitoes and the pathogens they carry, in order to prevent and effectively treat mosquito-borne infections.
在过去几十年间,蚊媒疾病的全球负担发生了重大变化。登革热、基孔肯雅热和寨卡病毒等病毒已在全球迅速传播。现代交通运输促进了病媒和病原体向新地理区域的传播,有时会在无免疫力人群中引发大规模疫情。疟疾对撒哈拉以南非洲的医疗系统而言仍是巨大负担,但在全球控制和消除该疾病方面已取得重大进展。气候、生态、人口、社会和政治变化可能会影响复杂的传播网络,关于此类变化可能产生的流行病学后果已有诸多讨论。本文综述了关于疾病负担转变背后可能原因的文献,强调了问题的复杂性以及对蚊子及其携带的病原体进行进一步研究、加强监测和开展公众教育的必要性,以便预防和有效治疗蚊媒感染。