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美国 2011-20 年啮齿动物和兔形目动物中的狂犬病

RABIES IN RODENTS AND LAGOMORPHS IN THE USA, 2011-20.

机构信息

Division of Infectious Diseases, Johns Hopkins University, 1830 E Monument Street, 4th Floor, Baltimore, Maryland 21205, USA.

Department of Public Health, East Carolina University, 115 Heart Drive, Greenville, North Carolina 27834, USA.

出版信息

J Wildl Dis. 2023 Oct 1;59(4):734-742. doi: 10.7589/JWD-D-23-00036.

Abstract

Rabies is an acute progressive encephalitis caused by infection with rabies viruses, with reservoirs among bats and mesocarnivores, but all mammals are susceptible. Despite its distribution and abundance, cases of rabies are much less common in rodents and lagomorphs. Familiarity with current rabies prevalence data is important for informed decisions on human postexposure prophylaxis after rodent and lagomorph bites. This study is an update of rabies cases reported in rodents and lagomorphs in the US from 2011 to 2020. Rabies reports were collected passively from laboratory testing agencies in the US and Puerto Rico from 2011 to 2020. Descriptive analysis was conducted to determine the percent positivity of rabies cases by species. A total of 401 cases of rabies in rodents and lagomorphs were reported from 2011 to 2020. Most reported cases were in groundhogs (Marmota monax), representing >90% of cases, and the trend closely aligned with rabies in raccoons (Procyon lotor). In any given year, the percent positivity of rabies in rodents and lagomorphs was <2.5%, and the trend of percent positivity from 2011 to 2020 was stable. Groundhog and North American beaver (Castor canadensis) percent positivity was significantly higher than the rest of the rodents and lagomorphs. Most rabies cases occurred during the months of May-September. Documented cases of rabies in rodents and lagomorphs are generally rare, but with variation between species. Groundhogs and North American beavers had rabies percent positivity similar to high-risk species, such as bats and raccoons, and constituted 97% of all rodent and lagomorph positive cases. Since 1993, the trend in rabies cases in groundhogs has significantly declined. These results can be used to help inform public health officials on rodent and lagomorph prevention and control efforts, as well as rabies postexposure prophylaxis.

摘要

狂犬病是一种由狂犬病病毒感染引起的急性进行性脑炎,其储存宿主为蝙蝠和中型食肉动物,但所有哺乳动物均易感。尽管狂犬病分布广泛且常见,但啮齿动物和兔形目动物的狂犬病病例却要少得多。了解当前狂犬病的流行情况对于在啮齿动物和兔形目动物咬伤后进行人类暴露后预防的决策至关重要。本研究更新了 2011 年至 2020 年美国啮齿动物和兔形目动物狂犬病报告病例。2011 年至 2020 年,从美国和波多黎各的实验室检测机构被动收集狂犬病报告。通过物种确定狂犬病病例的阳性率进行描述性分析。2011 年至 2020 年共报告了 401 例啮齿动物和兔形目动物狂犬病病例。报告的大多数病例来自土拨鼠(Marmota monax),占病例的 90%以上,其趋势与浣熊(Procyon lotor)的狂犬病非常吻合。在任何一年中,啮齿动物和兔形目动物狂犬病的阳性率均<2.5%,且 2011 年至 2020 年的阳性率趋势保持稳定。土拨鼠和北美海狸(Castor canadensis)的阳性率明显高于其他啮齿动物和兔形目动物。大多数狂犬病病例发生在 5 月至 9 月。啮齿动物和兔形目动物的狂犬病病例记录通常很少见,但物种间存在差异。土拨鼠和北美海狸的狂犬病阳性率与蝙蝠和浣熊等高风险物种相似,占所有啮齿动物和兔形目动物阳性病例的 97%。自 1993 年以来,土拨鼠的狂犬病病例数量呈明显下降趋势。这些结果可用于帮助公共卫生官员了解啮齿动物和兔形目动物的预防和控制工作,以及狂犬病暴露后预防。

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