Tripp Lianne, Sawchuk Larry A, Samarakoon Mahinda
Department of Anthropology Trent University Peterborough Ontario Canada.
Department of Anthropology University of Toronto Scarborough Toronto Ontario Canada.
Public Health Chall. 2024 Jun 21;3(2):e203. doi: 10.1002/puh2.203. eCollection 2024 Jun.
Human brucellosis, otherwise known as undulant fever, is one of the most widespread zoonotic diseases in the world. Even though 9%-15% of stillbirths are known to be caused by infectious diseases, the study of the link between human and the termination of births in humans is a topic that has received little attention. This study examines if there was an association between infection of undulant fever, an endemic zoonotic disease in the Maltese Islands from 1919 until 1954, and reproductive loss through stillbirths.
A univariate descriptive analysis was used to show the temporal trend of undulant fever time, as well as the age and sex distribution. Time series analysis was used to assess the relationship between time (months) and undulant fever cases with stillbirth proportions.
On the island of Gozo, the majority of undulant fever cases for both males and females occurred in their reproductive period between 15 and 45 years of age. Based on regression analysis, undulant fever had a statistically significant effect on the stillbirth rate for males ( = 2.8986, = 0.0039). The effect of undulant fever on stillbirths was not significant for females ( = 0.9103).
This paper highlights the importance of undulant fever as having implications for the health burden in pregnant women and potential fetal loss through stillbirths in the contemporary context.
人类布鲁氏菌病，又称波状热，是世界上传播最广泛的人畜共患疾病之一。尽管已知9%-15%的死产是由传染病引起的，但关于人类感染与人类分娩终止之间联系的研究却很少受到关注。本研究调查了1919年至1954年马耳他群岛地方性人畜共患疾病波状热的感染与死产导致的生殖损失之间是否存在关联。
采用单变量描述性分析来显示波状热时间的时间趋势以及年龄和性别分布。时间序列分析用于评估时间（月）与波状热病例和死产比例之间的关系。
在戈佐岛，男性和女性的大多数波状热病例发生在15至45岁的生育期。基于回归分析，波状热对男性死产率有统计学显著影响（β = 2.8986，P = 0.0039）。波状热对女性死产的影响不显著（β = 0.9103）。
本文强调了波状热在当代背景下对孕妇健康负担和死产导致潜在胎儿损失的影响的重要性。
