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在温带气候下对基孔肯雅热病毒的监测:来自意大利拉齐奥大区经验的挑战和可能的解决方案。

The Surveillance of Chikungunya Virus in a Temperate Climate: Challenges and Possible Solutions from the Experience of Lazio Region, Italy.

机构信息

Regional Service for Surveillance and Control of Infectious Diseases (SERESMI)-Lazio Region, National Institute for Infectious Diseases "Lazzaro Spallanzani" IRCCS, 00149 Rome, Italy.

Regional Service for Surveillance and Control of Infectious Diseases (SEREMI)-Regione Piemonte, 15121 Alessandria, Italy.

出版信息

Viruses. 2018 Sep 14;10(9):501. doi: 10.3390/v10090501.

DOI:10.3390/v10090501
PMID:30223536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6163295/
Abstract

CHIKV has become an emerging public health concern in the temperate regions of the Northern Hemisphere as a consequenceof the expansion of the endemic areas of its vectors (mainly and ). In 2017, a new outbreak of CHIKV was detected in Italy with three clusters of autochthonous transmission in the Lazio Region (central Italy), in the cities of Anzio, Rome, and Latina and a secondary cluster in the Calabria Region (south Italy). Given the climate characteristics of Italy, sporadic outbreaks mostly driven by imported cases followed by autochthonous transmission could occur during the summer season. This highlights the importance of a well-designed surveillance system, which should promptly identify autochthonous transmission. The use of a surveillance system integrating different surveillance tools, including entomological surveillance in a one health approach, together with education of the health care professionals should facilitate the detection, response, and control of arboviruses spreading.

摘要

由于其传播媒介(主要是 和 )的流行地区不断扩大,CHIKV 已成为北半球温带地区的一个新出现的公共卫生关注点。2017 年,意大利发现了新的 CHIKV 疫情爆发,在拉齐奥地区(意大利中部)的安齐奥、罗马和拉蒂纳三个城市以及卡拉布里亚地区(意大利南部)的一个二级集群中出现了本地传播的病例。鉴于意大利的气候特点,在夏季期间,可能会出现由输入病例引发的零星暴发,随后会出现本地传播。这凸显了设计良好的监测系统的重要性,该系统应能及时识别本地传播。使用整合了不同监测工具的监测系统,包括在“One Health”方法下的昆虫学监测,以及对卫生保健专业人员的教育,将有助于发现、应对和控制传播的虫媒病毒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a0e/6163295/36e9b12c4cc4/viruses-10-00501-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a0e/6163295/ff20fdc2cd7a/viruses-10-00501-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a0e/6163295/36e9b12c4cc4/viruses-10-00501-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a0e/6163295/ff20fdc2cd7a/viruses-10-00501-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a0e/6163295/36e9b12c4cc4/viruses-10-00501-g002.jpg

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