Childs J E, Trimarchi C V, Krebs J W
Viral and Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, GA 30333.
Epidemiol Infect. 1994 Dec;113(3):501-11. doi: 10.1017/s0950268800068515.
In 1993 New York and Texas each reported a human rabies case traced to a rare variant of rabies virus found in an uncommon species of bat. This study examined the epidemiology of bat rabies in New York State. Demographic, species, and animal-contact information for bats submitted for rabies testing from 1988-92 was analysed. The prevalence of rabies in 6810 bats was 4.6%. Nearly 90% of the 308 rabid bats identified to species were the common big brown bat (Eptesicus fuscus), which comprised 62% of all submissions. Only 25 submissions were silver-haired bats (Lasionycterus noctivagans), the species associated with the two 1993 human cases of rabies, and only two of these bats were positive. Rabies was most prevalent in female bats, in bats submitted because of human [corrected] contact, and in animals tested during September and October. These results highlight the unusual circumstances surrounding the recent human rabies cases in the United States. A species of bat rarely encountered by humans, and contributing little to the total rabies cases in bats, has been implicated in the majority of the indigenously acquired human rabies cases in the United States. The factors contributing to the transmission of this rare rabies variant remain unclear.
1993年,纽约州和得克萨斯州分别报告了一例人类狂犬病病例,追溯源头是在一种罕见蝙蝠体内发现的狂犬病病毒罕见变种。本研究调查了纽约州蝙蝠狂犬病的流行病学情况。分析了1988年至1992年提交狂犬病检测的蝙蝠的人口统计学、物种和动物接触信息。6810只蝙蝠的狂犬病患病率为4.6%。在已确定物种的308只狂犬病蝙蝠中,近90%是常见的大棕蝠(棕蝠),占所有送检蝙蝠的62%。只有25份送检样本是银毛蝙蝠(银毛蝙蝠),即与1993年两例人类狂犬病病例相关的物种,其中只有两只蝙蝠呈阳性。狂犬病在雌性蝙蝠、因与人类接触而送检的蝙蝠以及9月和10月检测的动物中最为普遍。这些结果凸显了美国近期人类狂犬病病例周围的异常情况。一种人类很少遇到且在蝙蝠狂犬病总病例中占比不大的蝙蝠物种,却与美国大多数本土获得性人类狂犬病病例有关。导致这种罕见狂犬病变种传播的因素仍不清楚。