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利什曼病是否是世界上新出现的动物源性传染病?

Is leishmaniasis the new emerging zoonosis in the world?

机构信息

Molecular Mechanisms of Zoonotic Disease (MMOPS) Group, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities Valencia, Valencia, Spain.

出版信息

Vet Res Commun. 2023 Dec;47(4):1777-1799. doi: 10.1007/s11259-023-10171-5. Epub 2023 Jul 12.

Abstract

Leishmania is a genus of parasitic protozoa that causes a disease called leishmaniasis. Leishmaniasis is transmitted to humans through the bites of infected female sandflies. There are several different species of Leishmania that can cause various forms of the disease, and the symptoms can range from mild to severe, depending on species of Leishmania involved and the immune response of the host. Leishmania parasites have a variety of reservoirs, including humans, domestic animals, horses, rodents, wild animals, birds, and reptiles. Leishmaniasis is endemic of 90 countries, mainly in South American, East and West Africa, Mediterranean region, Indian subcontinent, and Central Asia. In recent years, cases have been detected in other countries, and it is already an infection present throughout the world. The increase in temperatures due to climate change makes it possible for sandflies to appear in countries with traditionally colder regions, and the easy movement of people and animals today, facilitate the appearance of Leishmania species in new countries. These data mean that leishmaniasis will probably become an emerging zoonosis and a public health problem in the coming years, which we must consider controlling it from a One Health point of view. This review summarizes the prevalence of Leishmania spp. around the world and the current knowledge regarding the animals that could be reservoirs of the parasite.

摘要

利什曼原虫是一种寄生原生动物,可引起利什曼病。利什曼病通过受感染的雌性沙蝇叮咬传播给人类。有几种不同的利什曼原虫可引起各种形式的疾病,症状的严重程度取决于涉及的利什曼原虫种类和宿主的免疫反应。利什曼原虫寄生虫有多种宿主,包括人类、家畜、马、啮齿动物、野生动物、鸟类和爬行动物。利什曼病流行于 90 个国家,主要分布在南美、东非和西非、地中海地区、印度次大陆和中亚。近年来,其他国家也发现了病例,它已经是一种全球范围内存在的感染。由于气候变化导致气温升高,沙蝇出现在传统上较冷地区的可能性增加,而今天人们和动物的便捷流动,促使利什曼原虫在新的国家出现。这些数据意味着,利什曼病可能在未来几年成为一种新出现的人畜共患病和公共卫生问题,我们必须从“同一健康”的角度考虑控制它。本综述总结了世界各地利什曼原虫的流行情况,以及关于可能成为寄生虫宿主的动物的现有知识。

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