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亚马逊热带虫媒传染病研究倡议:在大健康时代解决人畜共患被忽视热带病的希望

The Amazonian Tropical Bites Research Initiative, a hope for resolving zoonotic neglected tropical diseases in the One Health era.

机构信息

U nive rsity of Surrey, School of Veterinary Medicine, Daphne Jackson Road, Guildford, GU2 7AL, UK.

Instituto Universitario de Enfermedades Tropicales y Biomedicina de Cusco - Universidad Nacional de San Antonio Abad del Cusco, Cusco, 08003, Peru.

出版信息

Int Health. 2023 Mar 1;15(2):216-223. doi: 10.1093/inthealth/ihac048.

Abstract

BACKGROUND

Neglected tropical diseases (NTDs) disproportionately affect populations living in resource-limited settings. In the Amazon basin, substantial numbers of NTDs are zoonotic, transmitted by vertebrate (dogs, bats, snakes) and invertebrate species (sand flies and triatomine insects). However, no dedicated consortia exist to find commonalities in the risk factors for or mitigations against bite-associated NTDs such as rabies, snake envenoming, Chagas disease and leishmaniasis in the region. The rapid expansion of COVID-19 has further reduced resources for NTDs, exacerbated health inequality and reiterated the need to raise awareness of NTDs related to bites.

METHODS

The nine countries that make up the Amazon basin have been considered (Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Peru, Surinam and Venezuela) in the formation of a new network.

RESULTS

The Amazonian Tropical Bites Research Initiative (ATBRI) has been created, with the aim of creating transdisciplinary solutions to the problem of animal bites leading to disease in Amazonian communities. The ATBRI seeks to unify the currently disjointed approach to the control of bite-related neglected zoonoses across Latin America.

CONCLUSIONS

The coordination of different sectors and inclusion of all stakeholders will advance this field and generate evidence for policy-making, promoting governance and linkage across a One Health arena.

摘要

背景

被忽视的热带病(NTDs)不成比例地影响生活在资源有限环境中的人群。在亚马逊流域,大量的 NTDs 是动物源性的,通过脊椎动物(狗、蝙蝠、蛇)和无脊椎动物(沙蝇和锥蝽)传播。然而,该地区没有专门的联盟来寻找与叮咬相关的 NTDs(如狂犬病、蛇咬伤、恰加斯病和利什曼病)的风险因素或缓解措施的共同点。COVID-19 的迅速蔓延进一步减少了 NTDs 的资源,加剧了健康不平等,并再次强调需要提高对与叮咬相关的 NTDs 的认识。

方法

在形成一个新网络时,考虑了由九个国家组成的亚马逊流域(玻利维亚、巴西、哥伦比亚、厄瓜多尔、法属圭亚那、圭亚那、秘鲁、苏里南和委内瑞拉)。

结果

创建了亚马逊热带叮咬研究倡议(ATBRI),旨在为亚马逊社区因动物叮咬而导致疾病的问题提供跨学科解决方案。ATBRI 旨在统一拉丁美洲目前对与叮咬相关的被忽视的动物传染病控制的分散方法。

结论

不同部门的协调和所有利益攸关方的参与将推动这一领域的发展,并为政策制定、治理和在一个健康领域建立联系提供证据。

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