东地中海区域（EMRO）虫媒病毒流行病学综合综述：来自世界卫生组织区域办事处的见解

A comprehensive review on the epidemiology of arboviruses in the Eastern Mediterranean Region (EMRO): insights from the WHO's Regional Office.

作者信息

Owliaee Iman, Khaledian Mehran, Shojaeian Ali, Jalilian Farid Azizi

机构信息

Department of Medical Virology, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Medical Entomology, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

GMS Hyg Infect Control. 2025 Jun 27;20:Doc34. doi: 10.3205/dgkh000563. eCollection 2025.

DOI:10.3205/dgkh000563

PMID:40657625

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12248250/

Abstract

Arboviruses (arthropod-borne viruses) pose an ongoing public health threat in the Eastern Mediterranean Region (EMRO) of the World Health Organization. This review summarizes the epidemiology of major arboviruses - including Crimean-Congo hemorrhagic fever virus (CCHFV), chikungunya virus (CHIKV), dengue virus (DENV), Rift Valley fever virus (RVFV), West Nile virus (WNV), yellow fever virus (YFV), and Zika virus (ZIKV) in EMRO countries based on data from 2014-2023. Reported prevalence rates varied considerably between studies and countries, indicating localized transmission intensity. Overall, serological evidence confirms endemic circulation of CCHFV, CHIKV, DENV, and WNV in parts of the region. Large DENV outbreaks highlight it as a key concern. More systematic surveillance and standardized diagnostics are needed to characterize arbovirus epidemiology across the region and inform control strategies.

摘要

虫媒病毒（节肢动物传播病毒）对世界卫生组织东地中海区域（EMRO）的公共卫生构成持续威胁。本综述基于2014年至2023年的数据，总结了EMRO国家主要虫媒病毒的流行病学情况，这些病毒包括克里米亚-刚果出血热病毒（CCHFV）、基孔肯雅病毒（CHIKV）、登革病毒（DENV）、裂谷热病毒（RVFV）、西尼罗河病毒（WNV）、黄热病病毒（YFV）和寨卡病毒（ZIKV）。研究和国家之间报告的流行率差异很大，表明传播强度存在局部差异。总体而言，血清学证据证实该区域部分地区存在CCHFV、CHIKV、DENV和WNV的地方性传播。大规模的登革热疫情凸显了它是一个关键问题。需要更系统的监测和标准化诊断来描述该区域虫媒病毒的流行病学特征，并为控制策略提供依据。