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裂谷热的流行病学难题有变化吗?

Has the epidemiologic conundrum of Rift Valley fever changed?

作者信息

Kivaria Fredrick, Mucheru Gerald, Caudell Mark, Bebay Charles

机构信息

Food and Agriculture Organization of the United Nations, Nairobi, Kenya.

出版信息

Trop Anim Health Prod. 2025 Jun 30;57(6):292. doi: 10.1007/s11250-025-04531-3.

DOI:10.1007/s11250-025-04531-3
PMID:40586979
Abstract

Rift Valley fever (RVF) is an acute, vector-borne viral zoonotic disease primarily affecting cattle, sheep, goats, and camels with significant public health and socio-economic impacts. The disease, caused by the Rift Valley fever virus (RVFV), has a complex epidemiology involving multiple vertebrate hosts and mosquito vectors. RVF outbreaks are often associated with prolonged rainfall and flooding, leading to periodic epizootics in endemic regions and potential spread to new areas. Despite its severe consequences, RVF has historically received inadequate attention in international public health efforts. However, its recent classification as a potential bioterrorism agent has spurred global interest in diagnostics and vaccine development. The disease's epidemiology is further complicated by factors such as climate change, uncontrolled urbanization, and increased global movement of livestock. An important aspect of RVF's epidemiology is the observed epidemiologic shift, characterized by changes in disease patterns, mortality rates, and the dynamics of virus transmission. Effective control and prevention of RVF require a multifaceted approach, including vaccination, vector control, and public education. The One Health approach, which promotes multisectoral and multidisciplinary collaboration, is essential for addressing the complex epidemiological pathways of RVF. Future research should focus on understanding the disease's dynamics during inter-epidemic periods, improving surveillance systems, and developing effective vaccines and therapeutics. Strengthening preparedness and response capacities in affected regions is crucial to mitigate the impacts of potential RVF outbreaks.

摘要

裂谷热是一种急性、媒介传播的病毒性人畜共患病,主要影响牛、羊、山羊和骆驼,对公共卫生和社会经济有重大影响。该疾病由裂谷热病毒(RVFV)引起,具有复杂的流行病学特征,涉及多种脊椎动物宿主和蚊媒。裂谷热疫情通常与长期降雨和洪水有关,导致流行地区周期性的动物疫情,并有可能传播到新的地区。尽管其后果严重,但裂谷热在国际公共卫生工作中历来受到的关注不足。然而,其最近被列为潜在的生物恐怖主义制剂,激发了全球对诊断和疫苗开发的兴趣。气候变化、不受控制的城市化和全球牲畜流动增加等因素使该疾病的流行病学更加复杂。裂谷热流行病学的一个重要方面是观察到的流行病学转变,其特征是疾病模式、死亡率和病毒传播动态的变化。有效控制和预防裂谷热需要采取多方面的方法,包括疫苗接种、媒介控制和公众教育。促进多部门和多学科合作的“同一健康”方法对于应对裂谷热复杂的流行病学途径至关重要。未来的研究应侧重于了解疾病在流行间期的动态、改善监测系统以及开发有效的疫苗和治疗方法。加强受影响地区的防范和应对能力对于减轻潜在裂谷热疫情的影响至关重要。

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本文引用的文献

1
Expanding Understanding of Urban Rift Valley Fever Risk and Associated Vector Ecology at Slaughterhouses in Kisumu, Kenya.加深对肯尼亚基苏木屠宰场城市裂谷热风险及相关病媒生态学的认识。
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Evidence for circulation of Rift Valley fever virus in wildlife and domestic animals in a forest environment in Gabon, Central Africa.
证据表明,裂谷热病毒在加蓬中部非洲森林环境中的野生动物和家畜中传播。
PLoS Negl Trop Dis. 2024 Mar 1;18(3):e0011756. doi: 10.1371/journal.pntd.0011756. eCollection 2024 Mar.
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Rift Valley Fever virus M and L genome segment detection: a comparison of field-deployable reverse transcription insulated isothermal PCR (RT-iiPCR) and laboratory-based multiplex reverse transcription real-time PCR.裂谷热病毒M和L基因组片段检测:现场可部署的逆转录绝缘等温PCR(RT-iiPCR)与基于实验室的多重逆转录实时PCR的比较
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Advancements in Rift Valley fever vaccines: a historical overview and prospects for next generation candidates.裂谷热疫苗的进展:历史概述及下一代候选疫苗的前景
NPJ Vaccines. 2023 Nov 4;8(1):171. doi: 10.1038/s41541-023-00769-w.
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Ecological and subject-level drivers of interepidemic Rift Valley fever virus exposure in humans and livestock in Northern Kenya.肯尼亚北部人类和牲畜间流行期裂谷热病毒暴露的生态和个体水平驱动因素。
Sci Rep. 2023 Sep 15;13(1):15342. doi: 10.1038/s41598-023-42596-y.
7
Seroprevalence and associated risk factors of brucellosis, Rift Valley fever and Q fever among settled and mobile agro-pastoralist communities and their livestock in Chad.乍得定居和流动农牧民社区及其牲畜布鲁氏菌病、裂谷热和 Q 热的血清流行率及相关危险因素。
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Detection of Sporadic Outbreaks of Rift Valley Fever in Uganda through the National Viral Hemorrhagic Fever Surveillance System, 2017-2020.乌干达通过国家病毒性出血热监测系统对裂谷热散发病例的检测,2017-2020 年。
Am J Trop Med Hyg. 2023 Mar 13;108(5):995-1002. doi: 10.4269/ajtmh.22-0410. Print 2023 May 3.
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Reconstructing Mayotte 2018-19 Rift Valley Fever outbreak in humans by combining serological and surveillance data.通过整合血清学和监测数据重建2018 - 19年马约特岛裂谷热人间疫情
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An Overview of Rift Valley Fever Vaccine Development Strategies.裂谷热疫苗研发策略概述
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