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利用“同一健康”主题对东南亚人畜共患病进行综合防控的建议

Proposed Integrated Control of Zoonotic in Southeast Asia Using Themes of One Health.

作者信息

Scott Jessica

机构信息

College of Public Health and Medical and Veterinary Sciences, Australian Institute of Tropical Health and Medicine, James Cook University, Townsville 4811, Australia.

出版信息

Trop Med Infect Dis. 2020 Nov 20;5(4):175. doi: 10.3390/tropicalmed5040175.

Abstract

Zoonotic malaria, , threatens the global progression of malaria elimination. Southeast Asian regions are fronting increased zoonotic malaria rates despite the control measures currently implemented-conventional measures to control human-malaria neglect residual transmission between the natural macaque host and vector. Initiatives to control should adopt themes of the One Health approach, which details that the management of an infectious disease agent should be scrutinized at the human-animal-ecosystem interface. This review describes factors that have conceivably permitted the emergence and increased transmission rates of to humans, from the understanding of genetic exchange events between subpopulations of to the downstream effects of environmental disruption and simian and vector behavioral adaptations. These factors are considered to advise an integrative control strategy that aligns with the One Health approach. It is proposed that surveillance systems address the geographical distribution and transmission clusters of and enforce ecological regulations that limit forest conversion and promote ecosystem regeneration. Furthermore, combining individual protective measures, mosquito-based feeding trapping tools and biocontrol strategies in synergy with current control methods may reduce mosquito population density or transmission capacity.

摘要

人畜共患疟疾威胁着全球消除疟疾的进程。尽管目前已实施控制措施,但东南亚地区的人畜共患疟疾发病率仍在上升,传统的控制人类疟疾的措施忽视了天然猕猴宿主与病媒之间的残余传播。控制疟疾的举措应采用“同一健康”方法的理念,该理念详细说明,应在人类-动物-生态系统界面审视传染病原体的管理。本综述描述了可能导致疟疾出现并增加其向人类传播率的因素,从了解疟原虫亚种群之间的基因交换事件到环境破坏以及猿猴和病媒行为适应的下游影响。考虑这些因素是为了提出一种与“同一健康”方法相一致的综合控制策略。建议监测系统关注疟疾的地理分布和传播集群,并执行限制森林砍伐和促进生态系统恢复的生态法规。此外,将个体防护措施、基于蚊子的诱捕工具和生物防治策略与当前控制方法协同使用,可能会降低蚊子种群密度或传播能力。

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