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乌干达家畜中裂谷热疫情的时空分析:一项2013年至2022年的回顾性研究

Spatial and temporal analysis of Rift Valley fever outbreaks in livestock in Uganda: a retrospective study from 2013 to 2022.

作者信息

Arinaitwe Eugene, Atuhaire David Kalenzi, Hasahya Emmanuel, Gladys K Nakanjako, Mwebe Robert, Nizeyimana Gerald, Afayoa Mathias, Mwiine Frank Norbert, Erume Joseph

机构信息

National Animal Disease Diagnostics and Epidemiology Centre (NADDEC), Entebbe, Uganda.

College of Veterinary Medicine Animal Resources and Biosecurity, (COVAB), Makerere University, Kampala, Uganda.

出版信息

BMC Vet Res. 2025 May 26;21(1):375. doi: 10.1186/s12917-025-04825-6.

Abstract

BACKGROUND

Rift Valley fever (RVF) is a zoonotic disease caused by the Rift Valley fever virus (RVFV), primarily affecting livestock and transmitted by Aedes mosquitoes. First detected in Kenya in 1930, RVF has since spread across Africa, including Uganda, and to the Arabian Peninsula. Uganda reported its first human cases of RVF in 1968, with sporadic outbreaks continuing since the significant outbreak in 2016, particularly in regions with high livestock populations. Although RVFV was detected in mosquitoes in Uganda as early as 1944, the spatial and temporal distribution of RVF outbreaks has not been thoroughly documented. This study aimed to analyze trends in RVF outbreaks across Uganda from 2013 to 2022 to provide insights for effective control measures. A retrospective study was conducted utilizing archived RVF data from NADDEC, along with rainfall and temperature data from the Uganda Meteorological Centre. Maps were generated using QGIS software to illustrate the spatial distribution of RVF outbreaks. The distribution and trends were analyzed using the R programming language.

RESULTS

During the study period, RVF outbreaks were reported in 74.1% of districts surveyed, representing 27.2% of all districts nationwide. The overall RVF seropositivity among tested animals was found to be 13.02% [95% CI: 12.4-13.7%], with bovine exhibiting the highest RVF seropositivity among the commonly raised species, such as cattle, goats and sheep. The year 2017 recorded the highest RVF seropositivity at 19.6%. Notably, the central region had the highest RVF seropositivity at 17.7% [95% CI: 15.8-19.7%] while the eastern region recorded the lowest at 4.6%.

CONCLUSION

This analysis provides crucial insights into the spatial and temporal patterns of RVF outbreaks in Uganda, emphasizing the need for targeted interventions, strengthened surveillance, and interdisciplinary collaboration. Despite significant number of studies on RVF outbreaks and prevalence over recent years, little is known about the virus's maintenance mechanisms in the absence of visible outbreaks. Potential reservoirs, vector dynamics, and environmental factors that facilitate its survival and re-emergence remain poorly characterized. Addressing these gaps is critical to improving early warning systems, guiding targeted surveillance, and implementing effective control measures to mitigate future outbreaks.

摘要

背景

裂谷热(RVF)是一种由裂谷热病毒(RVFV)引起的人畜共患病,主要影响家畜,并由伊蚊传播。1930年在肯尼亚首次发现裂谷热,此后已传播至非洲各地,包括乌干达,以及阿拉伯半岛。乌干达在1968年报告了首例人类裂谷热病例,自2016年的重大疫情以来,散发病例持续不断,特别是在牲畜数量众多的地区。尽管早在1944年就在乌干达的蚊子中检测到了RVFV,但裂谷热疫情的时空分布尚未得到充分记录。本研究旨在分析2013年至2022年乌干达裂谷热疫情的趋势,为有效控制措施提供见解。利用来自NADDEC的裂谷热存档数据以及乌干达气象中心的降雨和温度数据进行了一项回顾性研究。使用QGIS软件生成地图以说明裂谷热疫情的空间分布。使用R编程语言分析分布情况和趋势。

结果

在研究期间,在所调查的74.1%的地区报告了裂谷热疫情,占全国所有地区的27.2%。在检测的动物中,总体裂谷热血清阳性率为13.02%[95%置信区间:12.4 - 13.7%],在牛、山羊和绵羊等常见养殖物种中,牛的裂谷热血清阳性率最高。2017年裂谷热血清阳性率最高,为19.6%。值得注意的是,中部地区裂谷热血清阳性率最高,为17.7%[95%置信区间:15.8 - 19.7%],而东部地区最低,为4.6%。

结论

该分析为乌干达裂谷热疫情的时空模式提供了关键见解,强调了有针对性干预、加强监测和跨学科合作的必要性。尽管近年来对裂谷热疫情和流行情况进行了大量研究,但在没有明显疫情的情况下,对该病毒的维持机制知之甚少。潜在的宿主、媒介动态以及促进其生存和再次出现的环境因素仍未得到充分描述。弥补这些差距对于改进早期预警系统、指导有针对性的监测以及实施有效的控制措施以减轻未来疫情至关重要。

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