Rodhain F
Institut Pasteur, 25 rue du Docteur-Roux, 75724, Paris cedex 15, France.
Bull Soc Pathol Exot. 2017 Aug;110(3):147-159. doi: 10.1007/s13149-017-0557-y. Epub 2017 May 16.
Some arboviruses that originated in the Old World have been introduced by humans into the American continent. The first of them was the yellow fever virus, coming from the West African coast with slaves in the 17th-19th centuries, followed by dengue viruses, which were always prevalent within the Americas. Next was theWest Nile virus, introduced in New York in 1999, that spread in only a few years over the whole continent. Then, Chikungunya virus arrived on Saint Martin Island in 2013 after its outbreak in Polynesia; it is now widespread in the Caribbean Islands and on the American continent from the United States to Brazil. Finally, Zika virus, already active in Asia and in the South Pacific region, was introduced in Brazil and spread between the southern part of United States and south Brazil. These unexpected emergences are the consequence of the generalization of transoceanic trading; so, it is humans who are truly responsible for such transportation of viruses from the African and Asian continents. The mechanisms of virus establishment in unusual ecosystems have to be analyzed in order to understand the conditions for the circulation of the viruses, which supposes an adaptation to new hosts and vectors that are sometimes local species (like Culex vectors of West Nile virus) but mainly previously introduced mosquitoes (like Aedes aegypti and/or Aedes albopictus). Over time, all these vectors developed a strong anthropophily and, most of them, a remarkable adaptation to urban environment; hence, these arboviruses can disseminate both in rural and urban context. This type of arboviral emergences will certainly continue in the following years and we must imperatively develop preventive strategies by detecting virus mutations with capacity for emergence, enhancing the sensibility and rapidity of epidemiological surveillance, and becoming ready to face such events that cause a truly international health crisis.
一些起源于旧大陆的虫媒病毒已被人类引入美洲大陆。其中第一种是黄热病病毒,在17至19世纪随奴隶从西非海岸传入,随后是登革病毒,其在美洲一直流行。接下来是西尼罗河病毒,于1999年在纽约被引入,仅在几年内就蔓延至整个大陆。然后,基孔肯雅病毒在波利尼西亚爆发后于2013年抵达圣马丁岛;如今它在加勒比群岛以及从美国到巴西的美洲大陆广泛传播。最后,已经在亚洲和南太平洋地区活跃的寨卡病毒被引入巴西,并在美国南部和巴西南部之间传播。这些意外出现是跨洋贸易普及的结果;所以,真正应对病毒从非洲和亚洲大陆这种传播负责的是人类。必须分析病毒在不寻常生态系统中立足的机制,以便了解病毒传播的条件,这需要适应新的宿主和媒介,这些宿主和媒介有时是本地物种(如西尼罗河病毒的库蚊媒介),但主要是先前引入的蚊子(如埃及伊蚊和/或白纹伊蚊)。随着时间的推移,所有这些媒介都形成了强烈的嗜人性,而且它们中的大多数对城市环境有显著的适应性;因此,这些虫媒病毒既能在农村也能在城市环境中传播。这种类型的虫媒病毒出现肯定会在接下来的几年继续,我们必须迫切制定预防策略,通过检测具有出现能力的病毒突变、提高流行病学监测的敏感性和快速性,并做好应对此类引发真正国际卫生危机事件的准备。