Mackenzie John S, Lindsay Michael D A, Smith David W, Imrie Allison
Department of Microbiology, PathWest Laboratory Medicine WA, QEII Medical Centre, Nedlands, WA 6009.
Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA 6845.
Trans R Soc Trop Med Hyg. 2017 Jun 1;111(6):248-254. doi: 10.1093/trstmh/trx045.
Arboviruses are maintained and transmitted through an alternating biological cycle in arthropods and vertebrates, with largely incidental disease in humans and animals. As such, they provide excellent examples of One Health, as their health impact is inextricably linked to their vertebrate hosts, their arthropod vectors and the environment. Prevention and control requires a comprehensive understanding of these interactions, and how they may be effectively and safely modified. This review concentrates on human disease due to Ross River and Murray Valley encephalitis viruses, the two major arboviral pathogens in Australia. It describes how their pattern of infection and disease is influenced by natural climatic and weather patterns, and by anthropogenic activities. The latter includes human-mediated environmental manipulations, such as water impoundment infrastructures, human movements and migration, and community and social changes, such as urban spread into mosquito larval habitats. Effective interventions need to be directed at the environmental precursors of risk. This can best be achieved using One Health approaches to improve collaboration and coordination between different disciplines and cross-sectoral jurisdictions in order to develop more holistic mitigation and control procedures, and to address poorly understood ecological issues through multidisciplinary research.
虫媒病毒通过在节肢动物和脊椎动物中交替的生物循环得以维持和传播,在人类和动物中大多引发偶发性疾病。因此,它们为“同一健康”理念提供了绝佳范例,因为它们对健康的影响与脊椎动物宿主、节肢动物媒介以及环境紧密相连。预防和控制需要全面了解这些相互作用,以及如何对其进行有效且安全的改变。本综述聚焦于由罗斯河病毒和墨累河谷脑炎病毒引发的人类疾病,这两种病毒是澳大利亚的主要虫媒病毒病原体。文中描述了它们的感染和疾病模式如何受到自然气候和天气模式以及人为活动的影响。后者包括人类介导的环境操纵,如水坝基础设施建设、人类流动与迁徙,以及社区和社会变化,如城市向蚊虫幼虫栖息地的扩张。有效的干预措施需要针对风险的环境先兆。这可以通过采用“同一健康”方法来最好地实现,以改善不同学科和跨部门管辖区域之间的协作与协调,从而制定更全面的缓解和控制程序,并通过多学科研究解决理解不足的生态问题。