Logiudice Jacopo, Alberti Maria, Ciccarone Andrea, Rossi Benedetta, Tiecco Giorgio, De Francesco Maria Antonia, Quiros-Roldan Eugenia
Department of Clinical and Experimental Sciences, Unit of Infectious and Tropical Diseases, University of Brescia, ASST Spedali Civili di Brescia, 25123 Brescia, Italy.
Unit of Infectious and Tropical Diseases, ASST Spedali Civili di Brescia, 25123 Brescia, Italy.
Pathogens. 2025 Jan 12;14(1):63. doi: 10.3390/pathogens14010063.
The rise and resurgence of vector-borne diseases (VBDs) in Europe pose an expanding public health challenge, exacerbated by climate change, globalization, and ecological disruptions. Both arthropod-borne viruses (arboviruses) transmitted by ticks such as Crimean-Congo hemorrhagic fever and arboviruses transmitted by mosquitoes like dengue, Chikungunya, Zika, and Japanese encephalitis have broadened their distribution due to rising temperatures, changes in rainfall, and increased human mobility. By emphasizing the importance of interconnected human, animal, and environmental health, integrated One Health strategies are crucial in addressing this complex issue. Europe faces increased risk due to the expanding habitats of disease-carrying organisms, the spread of new species like since 2013, and increased movement of infected individuals between countries, leading European countries to implement strategies such as enhanced surveillance systems, public awareness campaigns, and prompt outbreak response strategies. However, the lack of both targeted antiviral therapies and vaccines for many arboviruses, together with undetected or asymptomatic cases, hamper containment efforts. Therefore, it is important to have integrated strategies that combine climate modeling, disease surveillance, and public health interventions to address expected changes in disease patterns due to global changes. This review explores the spread of arboviruses in Europe, highlighting their historical context, current transmission dynamics, and their impact on public health.
媒介传播疾病(VBDs)在欧洲的兴起和再度出现构成了日益严峻的公共卫生挑战,气候变化、全球化和生态破坏使这一挑战进一步加剧。由蜱传播的节肢动物传播病毒(虫媒病毒),如克里米亚-刚果出血热,以及由蚊子传播的虫媒病毒,如登革热、基孔肯雅热、寨卡病毒和日本脑炎,由于气温上升、降雨变化和人类流动性增加,其分布范围都有所扩大。通过强调人类、动物和环境卫生相互关联的重要性,一体化的“同一健康”战略对于解决这一复杂问题至关重要。由于携带疾病的生物栖息地不断扩大、自2013年以来新物种的传播以及受感染个体在国家之间流动增加,欧洲面临的风险上升,这促使欧洲国家实施诸如加强监测系统、开展公众宣传活动以及迅速采取疫情应对策略等措施。然而,许多虫媒病毒缺乏针对性的抗病毒疗法和疫苗,再加上存在未被发现或无症状的病例,阻碍了防控工作。因此,制定综合战略,将气候建模、疾病监测和公共卫生干预措施结合起来,以应对全球变化导致的疾病模式预期变化,至关重要。本综述探讨了虫媒病毒在欧洲的传播情况,突出了其历史背景、当前的传播动态及其对公共卫生的影响。