Ferrer J F, Jonsson C B, Esteban E, Galligan D, Basombrio M A, Peralta-Ramos M, Bharadwaj M, Torrez-Martinez N, Callahan J, Segovia A, Hjelle B
New Bolton Center, University of Pennsylvania, Kennett Square 19348, USA.
Am J Trop Med Hyg. 1998 Sep;59(3):438-44. doi: 10.4269/ajtmh.1998.59.438.
Serologic evidence of past infection with a Sin Nombre-like hantavirus(es) was demonstrated in 78 (40.4%) of 193 Indians living in western Paraguay and in 38 (17.1%) of 222 Indians inhabiting the Salta province of northern Argentina. In both populations seroprevalence increased with age, with the most striking increase occurring at 18 years of age in the Paraguayan population and at 35 years of age in the Salta population. The peak prevalences in both populations (66.6% and 44.0%, respectively) were seen in Indians > 53 years old. Although no sex difference was observed in the Paraguayan Indians, in the Salta population seroprevalence was greater in males than in females. Familiar clustering of the infection was observed. The data indicate that the Indian populations of the Gran Chaco are frequently exposed to and survive infection with a Sin Nombre-like virus(es). Possible explanations of this novel epidemiology are discussed.
在居住于巴拉圭西部的193名印第安人中,78人(40.4%)有感染辛诺柏样汉坦病毒的既往血清学证据;在居住于阿根廷北部萨尔塔省的222名印第安人中,38人(17.1%)有该证据。在这两个人群中,血清阳性率均随年龄增长而升高,在巴拉圭人群中18岁时升高最为显著,在萨尔塔人群中35岁时升高最为显著。两个群体中血清阳性率峰值(分别为66.6%和44.0%)均见于53岁以上的印第安人。虽然在巴拉圭印第安人中未观察到性别差异,但在萨尔塔人群中男性血清阳性率高于女性。观察到感染存在家庭聚集性。数据表明,大查科地区的印第安人群经常接触辛诺柏样病毒并感染后存活。文中讨论了这种新的流行病学现象的可能解释。