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环境因素在欧盟莱姆病传播中的作用:一项系统综述。

The Role of Environmental Factors in Lyme Disease Transmission in the European Union: A Systematic Review.

作者信息

Giesen Christine, Cifo Daniel, Gomez-Barroso Diana, Estévez-Reboredo Rosa M, Figuerola Jordi, Herrador Zaida

机构信息

Centro de Salud Internacional Madrid Salud, Ayuntamiento de Madrid, 28006 Madrid, Spain.

Escuela Nacional de Sanidad, Instituto de Salud Carlos III, 28029 Madrid, Spain.

出版信息

Trop Med Infect Dis. 2024 May 15;9(5):113. doi: 10.3390/tropicalmed9050113.

Abstract

BACKGROUND

Lyme disease (LD) is an emergent vector-borne disease caused by spp. and transmitted through infected ticks, mainly spp. Our objective was to determine meteorological and environmental factors associated with LD transmission in Europe and the effect of climate change on LD.

MATERIALS AND METHODS

A systematic review following the PRISMA guidelines was performed. We selected studies on LD transmission in the European Union (EU) and the European Economic Area (EEA) published between 2000 and 2022. The protocol was registered in the PROSPERO database.

RESULTS

We included 81 studies. The impact of environmental, meteorological or climate change factors on tick vectors was studied in 65 papers (80%), and the impact on human LD cases was studied in 16 papers (19%), whereas animal hosts were only addressed in one study (1%). A significant positive relationship was observed between temperature and precipitation and the epidemiology of LD, although contrasting results were found among studies. Other positive factors were humidity and the expansion of anthropized habitats.

CONCLUSIONS

The epidemiology of LD seems to be related to climatic factors that are changing globally due to ongoing climate change. Unfortunately, the complete zoonotic cycle was not systematically analyzed. It is important to adopt a One Health approach to understand LD epidemiology.

摘要

背景

莱姆病(LD)是一种由伯氏疏螺旋体属物种引起的新发媒介传播疾病,通过受感染的蜱传播,主要是蓖子硬蜱。我们的目标是确定欧洲与莱姆病传播相关的气象和环境因素以及气候变化对莱姆病的影响。

材料与方法

按照PRISMA指南进行了系统综述。我们选择了2000年至2022年期间发表的关于欧盟(EU)和欧洲经济区(EEA)莱姆病传播的研究。该方案已在PROSPERO数据库中注册。

结果

我们纳入了81项研究。65篇论文(80%)研究了环境、气象或气候变化因素对蜱媒介的影响,16篇论文(19%)研究了对人类莱姆病病例的影响,而动物宿主仅在一项研究(1%)中被提及。尽管研究结果存在差异,但观察到温度和降水与莱姆病的流行病学之间存在显著的正相关关系。其他积极因素包括湿度和人为化栖息地的扩张。

结论

莱姆病的流行病学似乎与由于持续的气候变化而在全球范围内发生变化的气候因素有关。不幸的是,完整的人畜共患病循环没有得到系统分析。采用“同一健康”方法来理解莱姆病流行病学很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e658/11125681/c4a8c37531d0/tropicalmed-09-00113-g001.jpg

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