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气候驱动的蚊媒病毒适宜性指数:评估登革热、基孔肯雅热和寨卡病毒在墨西哥的传播风险。

Climate-driven mosquito-borne viral suitability index: measuring risk transmission of dengue, chikungunya and Zika in Mexico.

机构信息

El Colegio de México (COLMEX), Carretera Picacho-Ajusco 20, Tlalpan, 14110, Mexico City, Mexico.

Queen Mary University of London (QMUL), Mile End Campus, Bancroft Building, 4th Floor, London, E1 4NS, UK.

出版信息

Int J Health Geogr. 2022 Oct 27;21(1):15. doi: 10.1186/s12942-022-00317-0.

Abstract

BACKGROUND

Climate variability influences the population dynamics of the Aedes aegypti mosquito that transmits the viruses that cause dengue, chikungunya and Zika. In recent years these diseases have grown considerably. Dengue is now the fastest-growing mosquito-transmitted disease worldwide, putting 40 per cent of the global population at risk. With no effective antiviral treatments or vaccines widely available, controlling mosquito population remains one of the most effective ways to prevent epidemics. This paper analyses the temporal and spatial dynamics of dengue in Mexico during 2000-2020 and that of chikungunya and Zika since they first appeared in the country in 2014 and 2015, respectively. This study aims to evaluate how seasonal climatological variability affects the potential risk of transmission of these mosquito-borne diseases. Mexico is among the world's most endemic countries in terms of dengue. Given its high incidence of other mosquito-borne diseases and its size and wide range of climates, it is a good case study.

METHODS

We estimate the recently proposed mosquito-borne viral suitability index P, which measures the transmission potential of mosquito-borne pathogens. This index mathematically models how humidity, temperature and precipitation affect the number of new infections generated by a single infected adult female mosquito in a host population. We estimate this suitability index across all Mexico, at small-area level, on a daily basis during 2000-2020.

RESULTS

We find that the index P predicted risk transmission is strongly correlated with the areas and seasons with a high incidence of dengue within the country. This correlation is also high enough for chikungunya and Zika in Mexico. We also show the index P is sensitive to seasonal climatological variability, including extreme weather shocks.

CONCLUSIONS

The paper shows the dynamics of dengue, chikungunya and Zika in Mexico are strongly associated with seasonal climatological variability and the index P. This potential risk of transmission index, therefore, is a valuable tool for surveillance for mosquito-borne diseases, particularly in settings with varied climates and limited entomological capacity.

摘要

背景

气候变异性会影响携带登革热、基孔肯雅热和寨卡病毒的埃及伊蚊的种群动态。近年来,这些疾病的发病率显著上升。登革热现已成为全球增长最快的蚊媒传染病,全球有 40%的人口面临感染风险。由于目前尚无广泛可用的有效抗病毒治疗方法或疫苗,控制蚊虫种群仍然是预防传染病最有效的方法之一。本文分析了 2000 年至 2020 年期间墨西哥登革热的时空动态,以及 2014 年和 2015 年基孔肯雅热和寨卡热首次在该国出现以来的动态。本研究旨在评估季节性气候变异性如何影响这些蚊媒疾病的传播风险。墨西哥是世界上登革热流行最严重的国家之一。鉴于其蚊媒传染病的高发病率以及其规模和广泛的气候,它是一个很好的案例研究对象。

方法

我们估计了最近提出的蚊媒病毒适宜性指数 P,该指数衡量了蚊媒病原体的传播潜力。该指数通过数学模型来模拟湿度、温度和降水如何影响宿主种群中由一只受感染的成年雌性蚊子产生的新感染数量。我们在 2000 年至 2020 年期间,在小区域层面上,对整个墨西哥进行了每日估计。

结果

我们发现,预测风险传播的指数 P 与该国高发病率的地区和季节密切相关。这种相关性在墨西哥的基孔肯雅热和寨卡热中也足够高。我们还表明,指数 P 对季节性气候变异性敏感,包括极端天气冲击。

结论

本文表明,墨西哥的登革热、基孔肯雅热和寨卡热动态与季节性气候变异性和指数 P 密切相关。因此,该传播风险指数是监测蚊媒疾病的一个有价值的工具,特别是在气候多变和昆虫学能力有限的环境中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f837/9615185/58f719b982a0/12942_2022_317_Fig1_HTML.jpg

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