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气候变化对南美洲西部马脑炎病毒发生和分布的影响。

Effects of climate change on the occurrence and distribution of Western equine encephalitis virus in South America.

作者信息

Lorenz Camila, de Azevedo Thiago Salomão, Chiaravalloti-Neto Francisco

机构信息

Institute of Advanced Studies, University of Sao Paulo, R. do Anfiteatro, 513, CEP 05508-060, Sao Paulo, SP, Brazil.

Secretary of Health, Municipality of Santa Barbara d'Oeste, CEP 13450-021, Sao Paulo, Brazil.

出版信息

Public Health. 2025 Feb;239:1-8. doi: 10.1016/j.puhe.2024.12.031. Epub 2024 Dec 24.

Abstract

OBJECTIVES

The Western equine encephalitis virus (WEEV) is a globally relevant vector-borne pathogen that causes encephalitis. The role of environmental variables in the epidemiology of WEEV has become greater in the context of climate change. In December 2023, a significant resurgence of WEEV began in South America, with major ongoing outbreaks in Argentina and Uruguay. In this study, we employed a machine learning algorithm to model the distribution of WEEV in South America, considering both present and future scenarios.

STUDY DESIGN

Ecological retrospective study.

METHODS

We conducted a modelling study to identify areas with the highest prevalence of WEEV in South America, based on confirmed human and equine cases during the 2023/2024 outbreak and climatic variables. Our analysis utilised Maxent software, a machine learning algorithm for species distribution modelling.

RESULTS

Our results indicate that environmental variables, particularly thermal seasonality and annual rainfall, can directly influence the occurrence of WEEV, leading to increased virus incidence. Consequently, high-risk areas may shift in the future. Countries, such as Paraguay, Venezuela, Colombia, and various regions in Brazil, particularly the Northeast, Midwest, and the Pantanal biomes, will be significantly impacted, drastically altering the current distribution of WEEV.

CONCLUSIONS

The ongoing WEEV outbreak in South America is concerning because it coincides with migratory bird stopovers. These birds are natural hosts that can spread the virus to unaffected areas. Our results will help to identify priority areas for developing preventive measures and establishing epidemiological surveillance.

摘要

目的

西部马脑炎病毒(WEEV)是一种在全球范围内具有重要意义的媒介传播病原体,可引发脑炎。在气候变化的背景下,环境变量在WEEV流行病学中的作用变得更加显著。2023年12月,WEEV在南美洲开始显著复苏,阿根廷和乌拉圭正在发生重大疫情。在本研究中,我们采用机器学习算法对南美洲WEEV的分布进行建模,同时考虑当前和未来的情况。

研究设计

生态回顾性研究。

方法

我们进行了一项建模研究,根据2023/2024年疫情期间确诊的人类和马匹病例以及气候变量,确定南美洲WEEV流行率最高的地区。我们的分析使用了Maxent软件,这是一种用于物种分布建模的机器学习算法。

结果

我们的结果表明,环境变量,特别是热季节性和年降雨量,可直接影响WEEV的发生,导致病毒发病率增加。因此,未来高风险地区可能会发生变化。巴拉圭、委内瑞拉、哥伦比亚等国以及巴西的各个地区,特别是东北部、中西部和潘塔纳尔生物群落,将受到重大影响,从而极大地改变WEEV目前的分布。

结论

南美洲正在发生的WEEV疫情令人担忧,因为它与候鸟中途停留相吻合。这些鸟类是天然宿主,可将病毒传播到未受影响的地区。我们的结果将有助于确定制定预防措施和建立流行病学监测的重点地区。

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