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昆虫学监测和病毒追踪表明,2017 年 7 月在斯里兰卡发生的登革热疫情是由迁移的病毒株引起的。

Entomological surveillance with viral tracking demonstrates a migrated viral strain caused dengue epidemic in July, 2017 in Sri Lanka.

机构信息

Molecular Medicine Unit, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.

Environmental Health Institute, National Environment Agency, Singapore, Singapore.

出版信息

PLoS One. 2020 May 6;15(5):e0231408. doi: 10.1371/journal.pone.0231408. eCollection 2020.

DOI:10.1371/journal.pone.0231408
PMID:32374725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7202666/
Abstract

Dengue is the most important mosquito-borne viral infection disease in Sri Lanka triggering extensive economic and social burden in the country. Even after numerous source reduction programmes, more than 30,000 incidences are reporting in the country every year. The last and greatest dengue epidemic in the country was reported in July, 2017 with more than 300 dengue related deaths and the highest number of dengue incidences were reported from the District of Gampaha. There is no Dengue Virus (DENV) detection system in field specimens in the district yet and therefore the aim of the study is development of entomological surveillance approach through vector survey programmes together with molecular and phylogenetic methods to identify detection of DENV serotypes circulation in order to minimize adverse effects of imminent dengue outbreaks. Entomological surveys were conducted in five study areas in the district for 36 months and altogether, 10,616 potential breeding places were investigated and 423 were positive for immature stages of dengue vector mosquitoes. During adult collections, 2,718 dengue vector mosquitoes were collected and 4.6% (n = 124) were Aedes aegypti. While entomological indices demonstrate various correlations with meteorological variables and reported dengue incidences, the mosquito pools collected during the epidemic in 2017 were positive for DENV. The results of the phylogenetic analysis illustrated that Envelope (E) gene sequences derived from the isolated DENV belongs to the Clade Ib of Cosmopolitan genotype of the DENV serotype 2 which has been the dominant stain in South-East Asian evidencing that a recent migration of DENV strain to Sri Lanka.

摘要

登革热是斯里兰卡最重要的蚊媒病毒感染疾病,给该国带来了广泛的经济和社会负担。尽管实施了多项源头减少计划,但该国每年仍报告超过 3 万例病例。该国最近一次也是最严重的登革热疫情发生在 2017 年 7 月,报告了 300 多例与登革热相关的死亡病例,发病率最高的地区是甘帕哈区。该地区目前还没有现场标本的登革热病毒(DENV)检测系统,因此本研究的目的是通过病媒调查计划以及分子和系统发育方法开发昆虫学监测方法,以确定 DENV 血清型的循环情况,从而最大程度地减少即将发生的登革热疫情的不利影响。在该地区的五个研究区域进行了 36 个月的昆虫学调查,共调查了 10616 个潜在的滋生地,发现有 423 个滋生地有登革热媒介蚊子的幼虫。在成虫采集期间,共收集了 2718 只登革热媒介蚊子,其中 4.6%(n = 124)为埃及伊蚊。尽管昆虫学指数与气象变量和报告的登革热发病率存在各种相关性,但在 2017 年疫情期间收集的蚊子池中检测到了 DENV。系统发育分析结果表明,从分离的 DENV 中获得的包膜(E)基因序列属于 DENV 血清型 2 的世界性基因型的 Ib 分支,这是东南亚的主要菌株,证明 DENV 菌株最近迁移到了斯里兰卡。

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