Ludwig A, Zheng H, Vrbova L, Drebot M A, Iranpour M, Lindsay L R
National Microbiology Laboratory, Public Health Agency of Canada, St. Hyacinthe, QC.
Center for Food-borne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Ottawa, ON.
Can Commun Dis Rep. 2019 Apr 4;45(4):91-97. doi: 10.14745/ccdr.v45i04a03.
There are currently over 80 species of mosquito endemic in Canada-although only a few of these carry pathogens that can cause disease in humans. West Nile virus, Eastern equine encephalitis virus and the California serogroup viruses (including the Jamestown Canyon and snowshoe hare viruses) are mosquito-borne viruses that have been found to cause human infections in North America, including in Canada. Over the last 20 years, the incidence of most of these endemic mosquito-borne diseases (MBD) has increased approximately 10% in Canada, due in large part to climate change. It is anticipated that both the mosquito lifecycle and virus transmission patterns will be affected by climate change, resulting in an increase in both the range and local abundance of several important mosquito species. Laboratory studies and mathematical modelling suggest that increased ambient temperatures, changes in precipitation and extreme weather events associated with climate change will likely continue to drive mosquito vector and MBD range expansion, increasing the duration of transmission seasons and leading to MBD-related epidemics. Furthermore, Canada's endemic MBDs have complex transmission cycles, involving multiple reservoir hosts (birds and mammals), multiple pathogens and multiple mosquito species-all of which may be sensitive to climate and other environmental changes, and making forecasting of potential emerging trends difficult. These expected climate-induced changes in mosquitoes and MBDs underline the need for continued (and expanded) surveillance and research to ensure timely and accurate evaluation of the risks to the public health of Canadians.
目前加拿大有80多种地方性蚊子——尽管其中只有少数携带可导致人类疾病的病原体。西尼罗河病毒、东部马脑炎病毒和加利福尼亚血清群病毒(包括詹姆斯敦峡谷病毒和雪兔病毒)是已发现可在北美(包括加拿大)导致人类感染的蚊媒病毒。在过去20年里,加拿大大多数这些地方性蚊媒疾病(MBD)的发病率增加了约10%,这在很大程度上归因于气候变化。预计蚊子的生命周期和病毒传播模式都将受到气候变化的影响,导致几种重要蚊子种类的分布范围和当地数量增加。实验室研究和数学模型表明,与气候变化相关的环境温度升高、降水变化和极端天气事件可能会继续推动蚊媒和蚊媒疾病分布范围的扩大,延长传播季节的持续时间并导致与蚊媒疾病相关的疫情。此外,加拿大的地方性蚊媒疾病有复杂的传播周期,涉及多个宿主(鸟类和哺乳动物)、多种病原体和多种蚊子种类——所有这些都可能对气候和其他环境变化敏感,使得预测潜在的新趋势变得困难。这些预计由气候引起的蚊子和蚊媒疾病变化凸显了持续(并扩大)监测和研究的必要性,以确保及时、准确地评估对加拿大公众健康的风险。