Chakraborty S, Andrade F C D, Ghosh S, Uelmen J, Ruiz M O
Department of Kinesiology and Community Health University of Illinois at Urbana-Champaign Champaign IL USA.
School of Social Work University of Illinois at Urbana-Champaign Urbana IL USA.
Geohealth. 2019 Feb 5;3(2):44-55. doi: 10.1029/2018GH000164. eCollection 2019 Feb.
A highly infectious tick-borne virus causes Kyasanur Forest disease (KFD), which has been expanding in recent decades in India. Current studies do not provide an updated understanding of the disease trends and its expansion in India. We address this gap in the literature through a detailed review to reveal the annual historic expansion of KFD cases across the span of years from 1957 to 2017. In addition, we explore the factors that may have led to the geographic expansion of KFD. The annual numbers of cases of KFD among humans are estimated using peer-reviewed journal articles, Pro-MED database, historical and archived newspapers, and government reports, technical reports, publications, and medical websites. From 1957 to 2017, there were an estimated 9,594 cases of KFD within 16 districts in India. The most significant human outbreaks of the disease were in the years 1957-1958 (681 cases), 1983-1984 (2,589 cases), 2002-2003 (1,562 cases), and 2016-2017 (809 cases). In 2015, KFD appeared in Goa. In 2016, new cases emerged in Belgaum, a district in Karnataka state, and in the Sindhudurg district in Maharashtra state. The processes by which KFD persists and spreads are not clear, but demographic, socioeconomic, political, and environmental factors seem to play a role.
一种极具传染性的蜱传病毒会引发基孔肯雅热森林病（KFD），近几十年来该病在印度不断蔓延。目前的研究并未对印度的疾病趋势及其蔓延情况提供最新认识。我们通过详细回顾来填补文献中的这一空白，以揭示1957年至2017年期间KFD病例的年度历史扩展情况。此外，我们还探讨了可能导致KFD地理扩展的因素。使用经过同行评审的期刊文章、Pro-MED数据库、历史存档报纸以及政府报告、技术报告、出版物和医学网站来估算每年人类感染KFD的病例数。1957年至2017年期间，印度16个地区估计有9594例KFD病例。该疾病最严重的人间疫情发生在1957 - 1958年（681例）、1983 - 1984年（2589例）、2002 - 2003年（1562例）以及2016 - 2017年（809例）。2015年，KFD在果阿邦出现。2016年，卡纳塔克邦的贝尔高姆区以及马哈拉施特拉邦的辛杜尔古尔区出现了新病例。KFD持续存在和传播的过程尚不清楚，但人口、社会经济、政治和环境因素似乎都起到了一定作用。
