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俄罗斯联邦脊髓灰质炎病毒传播的补充监测:“风险群体”流动儿童的研究结果

Supplementary Surveillance of Poliovirus Circulation in the Russian Federation: Results of a Study on Migrant Children of "Risk Group".

作者信息

Ivanova Olga E, Mikhailova Yulia M, Morozova Nadezhda S, Chirova Alina V, Cherepanova Evgeniya A, Golitsyna Lyudmila N, Baikova Olga Y, Yakovchuk Elizaveta V, Karpova Evgenia V, Kozlovskaya Liubov I

机构信息

Federal State Autonomous Scientific Institution "Chumakov Federal Center for Research and Development of Immune-and-Biological Products of the Russian Academy of Sciences" (Institute of Poliomyelitis) (FSASI "Chumakov FSC R&D IBP RAS"), 108819 Moscow, Russia.

Department of Organization and Technology of Production of Immunobiological Preparations, Institute for Translational Medicine and Biotechnology, First Moscow State Medical University (Sechenov University), 119048 Moscow, Russia.

出版信息

Viruses. 2025 May 23;17(6):746. doi: 10.3390/v17060746.

Abstract

The detection of "silent" poliovirus (PV) circulation among clinically healthy populations is an important component of supplementary surveillance for poliomyelitis. Migrants from countries or regions where polio is endemic, affected by outbreaks, or at risk may contribute to the introduction of PVs of epidemic significance: wild poliovirus type 1, vaccine-derived polioviruses (VDPVs), or poliovirus type 2 into polio-free countries. Migrant children, refugees under 5 years of age, are considered a "risk group" in Russia and are subject to testing for PVs. During 2014-2023, guided by the algorithm of virological and molecular investigation of acute flaccid paralysis cases recommended by the WHO, 51,548 migrant children, arriving from 40 countries, were examined. Among 4% of children excreting various cytopathogenic viruses, polio excretors accounted for 20.8%. Among the PVs, PV3 was predominant (41.7%), and PV types 2, 1, and a mixture of PVs accounted for, respectively, 28.2%, 18.8%, and 11.3%. All isolates of PVs 1 and 3 were identified as Sabin-like. The detection of five children excreting epidemically significant PV2 (four VDPV2 and one Sabin-like) required an assessment of the risk of dissemination and additional immunization activities. Among 580 identified isolates of NPEV, the most abundant was the species at 73.8% (CVB1-6, E11, E6, E13, E7). Information on NPEVs expands our knowledge of the spectrum of NPEVs circulating among healthy children worldwide, but its prognostic significance is still unclear. The detection of PVs in children from the "risk group" allows targeted anti-epidemic measures and is a significant advantage of this type of supplementary surveillance for polio.

摘要

在临床健康人群中检测“隐匿性”脊髓灰质炎病毒(PV)传播是脊髓灰质炎补充监测的重要组成部分。来自脊髓灰质炎流行、受疫情影响或有风险的国家或地区的移民可能会导致具有流行意义的脊髓灰质炎病毒传入无脊髓灰质炎国家:1型野生脊髓灰质炎病毒、疫苗衍生脊髓灰质炎病毒(VDPV)或2型脊髓灰质炎病毒。移民儿童,即5岁以下的难民,在俄罗斯被视为“风险群体”,需要接受脊髓灰质炎病毒检测。在2014年至2023年期间,按照世界卫生组织推荐的急性弛缓性麻痹病例病毒学和分子调查算法,对来自40个国家的51548名移民儿童进行了检查。在排出各种细胞病变病毒的儿童中,4%的儿童排出脊髓灰质炎病毒,占排出病毒儿童的20.8%。在脊髓灰质炎病毒中,PV3占主导(41.7%),2型、1型脊髓灰质炎病毒以及混合的脊髓灰质炎病毒分别占28.2%、18.8%和11.3%。所有1型和3型脊髓灰质炎病毒分离株均被鉴定为类似萨宾株。检测到5名儿童排出具有流行意义的PV2(4株VDPV2和1株类似萨宾株),需要评估传播风险并开展额外的免疫活动。在580株非脊髓灰质炎肠道病毒(NPEV)分离株中,最常见的是该种,占73.8%(CVB1 - 6、E11、E6、E13、E7)。关于NPEV的信息扩展了我们对全球健康儿童中传播的NPEV谱的认识但其预后意义仍不明确。在“风险群体”儿童中检测到脊髓灰质炎病毒有助于采取有针对性的抗疫措施,这是此类脊髓灰质炎补充监测的显著优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d2b/12197773/be889dc1eee3/viruses-17-00746-g001.jpg

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