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气候变化时代妊娠期的媒介传播传染病:聚焦蚊媒和蜱媒病原体(综述)

Vector-borne infectious diseases in pregnancy in the era of climate change: A focus on mosquito- and tick-borne pathogens (Review).

作者信息

Georgakopoulou Vasiliki Epameinondas, Taskou Chrysoula, Sarantaki Antigoni, Spandidos Demetrios A, Gourounti Kleanthi, Chaniotis Dimitrios, Beloukas Apostolos

机构信息

Department of Pathophysiology, Laiko General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Department of Midwifery, Faculty of Health and Caring Sciences, University of West Attica, 12243 Athens, Greece.

出版信息

Exp Ther Med. 2025 Jul 21;30(3):174. doi: 10.3892/etm.2025.12924. eCollection 2025 Sep.

DOI:10.3892/etm.2025.12924
PMID:40746445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12311562/
Abstract

The escalating challenges posed by climate change have profound implications for public health, particularly concerning the interplay between pregnancy and vector-borne infections. This review explores the multifaceted interactions between climate change, vector ecology, and pregnancy, with a focus on pathogens such as malaria, Zika virus, and dengue fever. For pregnant women, these vector-borne infections carry significant risks, including miscarriage, stillbirth, preterm birth, and congenital anomalies, necessitating urgent and effective public health responses. Highlighting the heightened vulnerability of pregnant women to these diseases, the review outlines the significant risks, including miscarriage, stillbirth, preterm birth, and congenital anomalies. It advocates actionable public health responses, emphasizing the urgent need for enhanced surveillance systems to monitor vector populations and disease incidence, particularly in climate-vulnerable regions. By integrating preventive measures and timely medical interventions into maternal healthcare systems, the study provides a pathway to mitigating adverse outcomes. Additionally, the findings underscore the importance of interdisciplinary approaches to bridge gaps between climate adaptation, vector control, and healthcare strategies. These insights not only enhance our understanding of a critical health challenge but also serve as a foundation for advancing medical research and healthcare practices, thereby promoting resilience in vulnerable populations.

摘要

气候变化带来的挑战不断升级,对公众健康有着深远影响,尤其是在妊娠与媒介传播感染之间的相互作用方面。本综述探讨了气候变化、媒介生态与妊娠之间的多方面相互作用,重点关注疟疾、寨卡病毒和登革热等病原体。对于孕妇而言,这些媒介传播感染存在重大风险,包括流产、死产、早产和先天性异常,因此需要采取紧急有效的公共卫生应对措施。该综述强调了孕妇对这些疾病的更高易感性,概述了包括流产、死产、早产和先天性异常在内的重大风险。它倡导可采取行动的公共卫生应对措施,强调迫切需要加强监测系统,以监测媒介种群和疾病发病率,特别是在气候脆弱地区。通过将预防措施和及时的医疗干预纳入孕产妇医疗保健系统,该研究提供了一条减轻不良后果的途径。此外,研究结果强调了跨学科方法对于弥合气候适应、媒介控制和医疗保健策略之间差距的重要性。这些见解不仅增进了我们对这一关键健康挑战的理解,还为推进医学研究和医疗保健实践奠定了基础,从而提高脆弱人群的复原力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9749/12311562/95355899dff2/etm-30-03-12924-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9749/12311562/b46a3ca8890d/etm-30-03-12924-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9749/12311562/2da8897713c8/etm-30-03-12924-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9749/12311562/95355899dff2/etm-30-03-12924-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9749/12311562/b46a3ca8890d/etm-30-03-12924-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9749/12311562/2da8897713c8/etm-30-03-12924-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9749/12311562/95355899dff2/etm-30-03-12924-g02.jpg

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本文引用的文献

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Bull Math Biol. 2025 Jan 23;87(2):33. doi: 10.1007/s11538-024-01409-7.
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Impact of Climate Change on Reproductive Health and Pregnancy Outcomes: A Systematic Review.气候变化对生殖健康和妊娠结局的影响:一项系统综述
Cureus. 2024 Aug 30;16(8):e68221. doi: 10.7759/cureus.68221. eCollection 2024 Aug.
3
Effects of climate change and human activities on vector-borne diseases.
气候变化和人类活动对虫媒传染病的影响。
Nat Rev Microbiol. 2024 Aug;22(8):476-491. doi: 10.1038/s41579-024-01026-0. Epub 2024 Mar 14.
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Changing climates, compounding challenges: a participatory study on how disasters affect the sexual and reproductive health and rights of young people in Fiji.气候变化,挑战加剧:参与式研究揭示灾害如何影响斐济年轻人的性健康和生殖健康及权利
BMJ Glob Health. 2023 Dec 16;8(Suppl 3):e013299. doi: 10.1136/bmjgh-2023-013299.
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Impact of wars and natural disasters on emerging and re-emerging infectious diseases.战争和自然灾害对新发和再发传染病的影响。
Front Public Health. 2023 Sep 1;11:1215929. doi: 10.3389/fpubh.2023.1215929. eCollection 2023.
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Challenge and opportunity for vector control strategies on key mosquito-borne diseases during the COVID-19 pandemic.COVID-19 大流行期间,病媒传播疾病的病媒控制策略面临的挑战与机遇。
Front Public Health. 2023 Jul 24;11:1207293. doi: 10.3389/fpubh.2023.1207293. eCollection 2023.
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Water scarcity in agriculture: An overview of causes, impacts and approaches for reducing the risks.农业中的水资源短缺:成因、影响及降低风险方法概述
Heliyon. 2023 Jul 21;9(8):e18507. doi: 10.1016/j.heliyon.2023.e18507. eCollection 2023 Aug.
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Nat Med. 2023 Jul;29(7):1631-1638. doi: 10.1038/s41591-023-02438-w. Epub 2023 Jul 18.
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