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蚊媒病毒 USUTU 可能对人类健康构成威胁。

Mosquito borne virus USUTU as potential threat to human health.

机构信息

Institute of Health Sciences, Pomeranian University in Słupsk, ul. Bohaterów Westerplatte 64, 76-200 Słupsk, Poland

出版信息

Ann Parasitol. 2024;70(2):55-71. doi: 10.17420/ap7002.524.

Abstract

USUV in Europe is detected in vectors (mosquitoes) and has a reservoir in vertebrates. There are known fatal epidemics among birds, especially blackbirds. Currently, USUV also causes rare infections in humans. However, the emergence of clinical cases, including severe neurological symptoms, and the finding of seroprevalence in asymptomatic people (e.g. blood donors, forest workers), indicate that USUV, due to its neurotropism, may become a potential public health problem. Therefore, it is very important to monitor cases infections in humans, migratory and resident birds and other animals that may constitute a reservoir of the virus, but also detection of the virus in mosquitoes (vectors), including alien and invasive species, as well as the impact of climatic factors on the ability to spread the virus in the Europe. There is currently no evidence of virus transmission during transfusion or transplantation, but the potential risk of virus transmission from an asymptomatic blood donor to an mmunocompromised recipient must be considered. Although the occurrence of USUV in European countries is currently not a significant threat, surveillance and screening of blood donors for USUV should be carried out during the period of vector activity and during WNV epidemics, as well as in patients with symptoms of meningitis and encephalitis.

摘要

在欧洲,西尼罗河病毒(USUV)在媒介(蚊子)中被检测到,并在脊椎动物中存在储存宿主。已知鸟类中存在致命的流行疫情,尤其是黑鸟。目前,USUV 也会导致人类罕见感染。然而,临床病例的出现,包括严重的神经症状,以及在无症状人群(如献血者、森林工作者)中发现血清阳性率,表明 USUV 由于其嗜神经性,可能成为一个潜在的公共卫生问题。因此,监测人类、迁徙和居留鸟类以及其他可能构成病毒储存库的动物中的感染病例非常重要,还需要检测蚊子(媒介)中的病毒,包括外来入侵物种,以及气候因素对病毒在欧洲传播能力的影响。目前尚无证据表明病毒在输血或移植过程中传播,但必须考虑无症状献血者将病毒传播给免疫功能低下受者的潜在风险。尽管 USUV 在欧洲国家的发生目前不是一个重大威胁,但应在媒介活动期间和西尼罗河病毒流行期间,以及在出现脑膜炎和脑炎症状的患者中,对献血者进行 USUV 的监测和筛查。

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