Akinsulie Olalekan Chris, Adesola Ridwan Olamilekan, Aliyu Victor Ayodele, Oladapo Ifeoluwa Peace, Hamzat Abdulafees
College of Veterinary Medicine, Washington State University, Pullman, WA 99163, USA.
Faculty of Veterinary Medicine, University of Ibadan, Ibadan 200005, Nigeria.
Infect Dis Rep. 2023 Sep 5;15(5):504-517. doi: 10.3390/idr15050050.
Encephalitis is an inflammation of the brain, often caused by an autoimmune reaction, or in most cases because of a direct viral, bacterial, or parasitic infection. Viral encephalitides (VE) presents a significant public health concern globally, especially in West Africa. There are more than five hundred known arthropod-borne viruses (arboviruses), with over a hundred of them identified to cause encephalitic diseases in humans and animals, giving rise to a tremendous burden of the diseases and socioeconomic strains in tropical and subtropical regions worldwide. Despite their importance, few effective preventive and control measures in the form of vaccines and therapies are available, and when they are, their use is limited. These limitations are largely hinged on the paucity of information about the molecular epidemiology and transmission patterns of VE in West Africa. Here, we reviewed the transmission dynamics, molecular epidemiology, and the ecological drivers of VE in West Africa. Collectively, timely and accurate interventions are essential for encephalitic viral disease control. Moreover, the integrated health system approach, combining surveillance, vaccination, vector control, and community engagement, could be effective in preventing viral encephalitis globally.
脑炎是大脑的炎症,通常由自身免疫反应引起,或者在大多数情况下是由直接的病毒、细菌或寄生虫感染所致。病毒性脑炎(VE)在全球范围内是一个重大的公共卫生问题,尤其是在西非。已知有五百多种节肢动物传播病毒(虫媒病毒),其中一百多种被确定可导致人类和动物的脑炎疾病,在全球热带和亚热带地区造成了巨大的疾病负担和社会经济压力。尽管它们很重要,但以疫苗和疗法形式存在的有效预防和控制措施却很少,而且即便有,其使用也受到限制。这些限制很大程度上取决于西非关于病毒性脑炎分子流行病学和传播模式的信息匮乏。在此,我们综述了西非病毒性脑炎的传播动态、分子流行病学以及生态驱动因素。总体而言,及时且准确的干预对于控制脑炎病毒疾病至关重要。此外,将监测、疫苗接种、病媒控制和社区参与相结合的综合卫生系统方法,可能在全球预防病毒性脑炎方面有效。