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口服狂犬病疫苗的评估:对野生浣熊(北美浣熊)狂犬病的防护作用

EVALUATION OF ORAL RABIES VACCINATION: PROTECTION AGAINST RABIES IN WILD CAUGHT RACCOONS ( PROCYON LOTOR).

作者信息

Blanton Jesse D, Niezgoda Michael, Hanlon Cathleen A, Swope Craig B, Suckow Jason, Saidy Brandi, Nelson Kathleen, Chipman Richard B, Slate Dennis

机构信息

1   Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, Georgia 30333, USA.

2   United States Department of Agriculture, Wildlife Services, 59 Chenell Dr., Concord, New Hampshire 03301, USA.

出版信息

J Wildl Dis. 2018 Jul;54(3):520-527. doi: 10.7589/2017-01-007. Epub 2018 Mar 29.

Abstract

Oral rabies vaccination (ORV) is an effective tactic for wildlife rabies control, particularly for containment of disease spread along epizootic fronts. As part of the continuing evaluation of the ORV program in free-ranging raccoons ( Procyon lotor) in the US, 37 raccoons from ORV-baited areas in Pennsylvania were live-trapped and transferred to captivity to evaluate protection against rabies in animals with varying levels of existing neutralizing antibodies, expressed in international units per milliliter (IU/mL). Among the 37 raccoons at the date of capture, 24% (9/37) of raccoons were seronegative (<0.05 IU/mL), 22% (8/37) were low positive (≥0.05-0.11 IU/mL), 27% (10/37) were medium positive (>0.11-<0.5 IU/mL), and 27% (10/37) were high positive (≥0.5 IU/mL). Raccoons were held for 86-199 d between the date of capture and rabies virus challenge. At challenge, 68% (25/37) raccoons were seronegative. The overall survival rate among challenged animals was 46% (17/37). Based on the antibody titers at the time of challenge, survivorship was 24% (6/25) among seronegative animals, 100% (4/4) among low positive animals, 83% (5/6) among medium positive animals, and 100% (2/2) among high positive animals. Evidence of high-titer seroconversion after vaccination is a good surrogate indicator of rabies survival; however, survival rates of approximately 45% (15/35) were found among raccoons with detectable titers below 0.5 IU/mL. In contrast, any detectable titer at the time of challenge (>3 mo after vaccination) appeared to be a surrogate indicator of survival. Overall, we illustrated significant differences in the value of specific titers as surrogates for survival based on the timing of measurement relative to vaccination. However, survivorship was generally greater than 45% among animals with any detectable titer regardless of the timing of measurement. These findings suggest that lower titer cutoffs may represent a valid approach to measuring immunization coverage within ORV management zones, balancing both sensitivity and specificity for estimating herd immunity.

摘要

口服狂犬病疫苗(ORV)是控制野生动物狂犬病的一种有效策略,特别是对于遏制疾病沿 epizootic 前沿的传播。作为对美国自由放养浣熊(Procyon lotor)中 ORV 计划持续评估的一部分,从宾夕法尼亚州 ORV 诱饵区捕获了 37 只浣熊,并将其转移到圈养环境中,以评估不同水平的现有中和抗体(以每毫升国际单位(IU/mL)表示)的动物对狂犬病的抵抗力。在捕获时的 37 只浣熊中,24%(9/37)的浣熊血清学阴性(<0.05 IU/mL),22%(8/37)为低阳性(≥0.05 - 0.11 IU/mL),27%(10/37)为中阳性(>0.11 - <0.5 IU/mL),27%(10/37)为高阳性(≥0.5 IU/mL)。浣熊在捕获日期和狂犬病病毒攻击之间被圈养 86 - 199 天。在攻击时,68%(25/37)的浣熊血清学阴性。受攻击动物的总体存活率为 46%(17/37)。根据攻击时的抗体滴度,血清学阴性动物的存活率为 24%(6/25),低阳性动物为 100%(4/4),中阳性动物为 83%(5/6),高阳性动物为 100%(2/2)。疫苗接种后高滴度血清转化的证据是狂犬病存活的良好替代指标;然而,在滴度低于 0.5 IU/mL 可检测到的浣熊中,发现存活率约为 45%(15/35)。相比之下,攻击时(接种疫苗后>3 个月)任何可检测到的滴度似乎都是存活的替代指标。总体而言,我们说明了基于相对于疫苗接种的测量时间,特定滴度作为存活替代指标的价值存在显著差异。然而,无论测量时间如何,任何可检测到滴度的动物的存活率通常都大于 45%。这些发现表明,较低的滴度阈值可能是衡量 ORV 管理区内免疫覆盖率的一种有效方法,在估计群体免疫的敏感性和特异性之间取得平衡。

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