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Diakité A, Agniwo P, Dabo A, Sidibé B, Savassi BA, Akplogan A, Guindo H, Dembélé L, Ibikounlé M, Niaré SD, Tembely S, Boissier J. Population genetic structure of Schistosoma bovis and S. curassoni collected from cattle in Mali. Parasite 2024; 31:36. [PMID: 38953782 PMCID: PMC11218738 DOI: 10.1051/parasite/2024035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Accepted: 06/07/2024] [Indexed: 07/04/2024] Open
Abstract
Schistosomiasis is of medical and veterinary importance. Despite the critical situation of schistosomiasis in sub-Saharan Africa, few molecular epidemiological studies have been carried out to determine the role of animals in its transmission. In Mali, it has been over three decades since the last molecular study of animal schistosomes was carried out. It is now urgent to identify circulating strains of the parasite because of potential interactions with other schistosome species, which could complicate disease control. The aim of our work was to study the composition and genetic structure of schistosome populations collected from cattle. The prevalence of schistosome was 23.9%, with the prevalences of Schistosoma bovis (Sb) and S. curassoni (Sc) estimated at 12.6% and 9.8%, respectively. No hybrid strains or S. haematobium were found. The parasites displayed distinct geographical distribution with Sb dominant in Bamako (78.8% and 98% in Central Bamako Slaughterhouse and Sabalibougou Slaughterhouses, respectively) and Sc dominant in Kayes (95.3%). Of the 476 parasites with a complete genetic profile, 60.4% were pure Sc, and were mainly from Kayes. We identified two clusters at the site level (Fst of 0.057 and 0.042 for Sb and Sc, respectively). Cluster 1 was predominantly composed of pure Sb parasites and cluster 2 was mainly composed of pure Sc parasites, from Bamako and Kayes, respectively. Our study shows that cattle schistosomiasis remains endemic in Mali with S. bovis and S. curassoni. A robust genetic structure between the different schistosome populations was identified, which included two clusters based on the geographical distribution of the parasites.
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Affiliation(s)
- Assitan Diakité
- Department of Epidemiology of Infectious Diseases, Faculty of Pharmacy, Malaria Research and Training Center (MRTC), University of Sciences, Techniques and Technologies of Bamako, Environnement, Santé, Sociétés (USTTB/UCAD/UGB/CNRST/CNRS) BP 1805, IRL3189 Bamako Mali
| | - Privat Agniwo
- Department of Epidemiology of Infectious Diseases, Faculty of Pharmacy, Malaria Research and Training Center (MRTC), University of Sciences, Techniques and Technologies of Bamako, Environnement, Santé, Sociétés (USTTB/UCAD/UGB/CNRST/CNRS) BP 1805, IRL3189 Bamako Mali
- Interactions Hôtes-Pathogènes-Environnements (IHPE), Univ. Montpellier, CNRS, Ifremer, Université de Perpignan Via Domitia 58 Avenue Paul Alduy Bâtiment R 66860 Perpignan France
- Centre de Recherche pour la lutte contre les Maladies Infectieuses Tropicales (CReMIT/TIDRC), Université d’Abomey-Calavi 01 BP 526 Abomey-Calavi Bénin
| | - Abdoulaye Dabo
- Department of Epidemiology of Infectious Diseases, Faculty of Pharmacy, Malaria Research and Training Center (MRTC), University of Sciences, Techniques and Technologies of Bamako, Environnement, Santé, Sociétés (USTTB/UCAD/UGB/CNRST/CNRS) BP 1805, IRL3189 Bamako Mali
| | - Bakary Sidibé
- Department of Epidemiology of Infectious Diseases, Faculty of Pharmacy, Malaria Research and Training Center (MRTC), University of Sciences, Techniques and Technologies of Bamako, Environnement, Santé, Sociétés (USTTB/UCAD/UGB/CNRST/CNRS) BP 1805, IRL3189 Bamako Mali
| | - Boris A.E.S. Savassi
- Interactions Hôtes-Pathogènes-Environnements (IHPE), Univ. Montpellier, CNRS, Ifremer, Université de Perpignan Via Domitia 58 Avenue Paul Alduy Bâtiment R 66860 Perpignan France
- Centre de Recherche pour la lutte contre les Maladies Infectieuses Tropicales (CReMIT/TIDRC), Université d’Abomey-Calavi 01 BP 526 Abomey-Calavi Bénin
| | - Ahristode Akplogan
- Department of Epidemiology of Infectious Diseases, Faculty of Pharmacy, Malaria Research and Training Center (MRTC), University of Sciences, Techniques and Technologies of Bamako, Environnement, Santé, Sociétés (USTTB/UCAD/UGB/CNRST/CNRS) BP 1805, IRL3189 Bamako Mali
| | - Hassim Guindo
- Department of Epidemiology of Infectious Diseases, Faculty of Pharmacy, Malaria Research and Training Center (MRTC), University of Sciences, Techniques and Technologies of Bamako, Environnement, Santé, Sociétés (USTTB/UCAD/UGB/CNRST/CNRS) BP 1805, IRL3189 Bamako Mali
| | - Laurent Dembélé
- Department of Epidemiology of Infectious Diseases, Faculty of Pharmacy, Malaria Research and Training Center (MRTC), University of Sciences, Techniques and Technologies of Bamako, Environnement, Santé, Sociétés (USTTB/UCAD/UGB/CNRST/CNRS) BP 1805, IRL3189 Bamako Mali
| | - Moudachirou Ibikounlé
- Centre de Recherche pour la lutte contre les Maladies Infectieuses Tropicales (CReMIT/TIDRC), Université d’Abomey-Calavi 01 BP 526 Abomey-Calavi Bénin
| | - Safiatou Doumbo Niaré
- Interactions Hôtes-Pathogènes-Environnements (IHPE), Univ. Montpellier, CNRS, Ifremer, Université de Perpignan Via Domitia 58 Avenue Paul Alduy Bâtiment R 66860 Perpignan France
| | - Saidou Tembely
- Académie des Sciences du Mali, Baco-Djicoroni ACI Ouest Rue 619 Porte, 104 Bamako Mali
| | - Jérôme Boissier
- Interactions Hôtes-Pathogènes-Environnements (IHPE), Univ. Montpellier, CNRS, Ifremer, Université de Perpignan Via Domitia 58 Avenue Paul Alduy Bâtiment R 66860 Perpignan France
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Bhandari D, Bi P, Sherchand JB, von Ehrenstein OS, Lokmic-Tomkins Z, Dhimal M, Hanson-Easey S. Climate change and infectious disease surveillance in Nepal: qualitative study exploring social, cultural, political and institutional factors influencing disease surveillance. J Public Health (Oxf) 2024; 46:30-40. [PMID: 37955595 DOI: 10.1093/pubmed/fdad211] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 09/11/2023] [Indexed: 11/14/2023] Open
Abstract
BACKGROUND To explore the impacts of contextual issues encompassing social, cultural, political and institutional elements, on the operation of public health surveillance systems in Nepal concerning the monitoring of infectious diseases in the face of a changing climate. METHODS Semi-structured interviews (n = 16) were conducted amongst key informants from the Department of Health Services, Health Information Management System, Department of Hydrology and Meteorology, World Health Organization, and experts working on infectious disease and climate change in Nepal, and data were analysed using thematic analysis technique. RESULTS Analysis explicates how climate change is constructed as a contingent risk for infectious diseases transmission and public health systems, and treated less seriously than other 'salient' public health risks, having implications for how resources are allocated. Further, analysis suggests a weak alliance among different stakeholders, particularly policy makers and evidence generators, resulting in the continuation of traditional practices of infectious diseases surveillance without consideration of the impacts of climate change. CONCLUSIONS We argue that along with strengthening systemic issues (epidemiological capacity, data quality and inter-sectoral collaboration), it is necessary to build a stronger political commitment to urgently address the influence of climate change as a present and exponential risk factor in the spread of infectious disease in Nepal.
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Affiliation(s)
- Dinesh Bhandari
- Faculty of Health and Medical Sciences, School of Public Health, University of Adelaide, Adelaide, SA 5000, Australia
- Faculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash University,Victoria 3800, Australia
| | - Peng Bi
- Faculty of Health and Medical Sciences, School of Public Health, University of Adelaide, Adelaide, SA 5000, Australia
| | - Jeevan Bahadur Sherchand
- Department of Microbiology, Public Health Research Laboratory, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu 44600, Nepal
| | - Ondine S von Ehrenstein
- Departments of Community Health Sciences and Epidemiology, Fielding School of Public Health, University of California Los Angeles (UCLA), Los Angeles, CA 90095, USA
| | - Zerina Lokmic-Tomkins
- Faculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash University,Victoria 3800, Australia
| | - Meghnath Dhimal
- Department of Research, Nepal Health Research Council, Kathmandu 44600, Nepal
| | - Scott Hanson-Easey
- Faculty of Health and Medical Sciences, School of Public Health, University of Adelaide, Adelaide, SA 5000, Australia
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Berger DJ, Léger E, Sankaranarayanan G, Sène M, Diouf ND, Rabone M, Emery A, Allan F, Cotton JA, Berriman M, Webster JP. Genomic evidence of contemporary hybridization between Schistosoma species. PLoS Pathog 2022; 18:e1010706. [PMID: 35939508 PMCID: PMC9387932 DOI: 10.1371/journal.ppat.1010706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 08/18/2022] [Accepted: 06/27/2022] [Indexed: 11/19/2022] Open
Abstract
Hybridization between different species of parasites is increasingly being recognised as a major public and veterinary health concern at the interface of infectious diseases biology, evolution, epidemiology and ultimately control. Recent research has revealed that viable hybrids and introgressed lineages between Schistosoma spp. are prevalent across Africa and beyond, including those with zoonotic potential. However, it remains unclear whether these hybrid lineages represent recent hybridization events, suggesting hybridization is ongoing, and/or whether they represent introgressed lineages derived from ancient hybridization events. In human schistosomiasis, investigation is hampered by the inaccessibility of adult-stage worms due to their intravascular location, an issue which can be circumvented by post-mortem of livestock at abattoirs for Schistosoma spp. of known zoonotic potential. To characterise the composition of naturally-occurring schistosome hybrids, we performed whole-genome sequencing of 21 natural livestock infective schistosome isolates. To facilitate this, we also assembled a de novo chromosomal-scale draft assembly of Schistosoma curassoni. Genomic analyses identified isolates of S. bovis, S. curassoni and hybrids between the two species, all of which were early generation hybrids with multiple generations found within the same host. These results show that hybridization is an ongoing process within natural populations with the potential to further challenge elimination efforts against schistosomiasis.
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Affiliation(s)
- Duncan J. Berger
- Wellcome Sanger Institute, Hinxton, United Kingdom
- Royal Veterinary College, University of London, London, United Kingdom
| | - Elsa Léger
- Royal Veterinary College, University of London, London, United Kingdom
- London Centre for Neglected Tropical Diseases Research, Imperial College Faculty of Medicine, London, United Kingdom
| | | | - Mariama Sène
- Unité de Formation et de Recherche des Sciences Agronomiques, d’Aquaculture et de Technologies Alimentaires, Université Gaston Berger, Saint-Louis, Senegal
| | - Nicolas D. Diouf
- Unité de Formation et de Recherche des Sciences Agronomiques, d’Aquaculture et de Technologies Alimentaires, Université Gaston Berger, Saint-Louis, Senegal
| | - Muriel Rabone
- The Natural History Museum, Department of Life Sciences, Cromwell Road, London, United Kingdom
| | - Aidan Emery
- The Natural History Museum, Department of Life Sciences, Cromwell Road, London, United Kingdom
| | - Fiona Allan
- The Natural History Museum, Department of Life Sciences, Cromwell Road, London, United Kingdom
- Pelagic Ecology Research Group, Scottish Oceans Institute, Gatty Marine Laboratory, School of Biology, University of St Andrews, St Andrews, United Kingdom
| | - James A. Cotton
- Wellcome Sanger Institute, Hinxton, United Kingdom
- London Centre for Neglected Tropical Diseases Research, Imperial College Faculty of Medicine, London, United Kingdom
| | - Matthew Berriman
- Wellcome Sanger Institute, Hinxton, United Kingdom
- London Centre for Neglected Tropical Diseases Research, Imperial College Faculty of Medicine, London, United Kingdom
| | - Joanne P. Webster
- Royal Veterinary College, University of London, London, United Kingdom
- London Centre for Neglected Tropical Diseases Research, Imperial College Faculty of Medicine, London, United Kingdom
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Abe EM, Tambo E, Xue J, Xu J, Ekpo UF, Rollinson D, Yang K, Li SZ, Zhou XN. Approaches in scaling up schistosomiasis intervention towards transmission elimination in Africa: Leveraging from the Chinese experience and lessons. Acta Trop 2020; 208:105379. [PMID: 32006521 DOI: 10.1016/j.actatropica.2020.105379] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 01/29/2020] [Accepted: 01/29/2020] [Indexed: 12/20/2022]
Abstract
Schistosoma japonicum, differs from the African species including S. mansoni and S. haematobium, is a zoonotic parasite as it infects both human and animals including domestic ruminant animals such as cattle and animals from the wild. Considering China's success story in the elimination of schistosomiasis, the China-Africa collaboration on schistosomaisis elimination in Africa is an important cooperative health development initiative. This review examines the importance of China-Africa collaboration on schistosomiasis elimination using effective surveillance-response intervention strategy as the platform to effectively drive the elimination of schistosomiasis in Africa. Three conclusions were made after reviewing the similarity and differences in schistososmiasis control programmes between China and African continent as follows: (i) Politically, China's lessons is that leveraging on the integrated control strategies and the recognition that schistosomiasis is a public health problem which prompted the interest of government in China. It is necessary for African leaders and governments to recognize schistosomiasis as a public health challenge that must be given serious attention in terms of funding and setting up frameworks to complement control efforts. (ii) Technically, efficient monitoring and surveillance system mechanism will facilitate contextual and effective management of schistosomiasis elimination across different environment, and African programme managers should embrace the use of appropriate diagnostic tools to guide treatment strategies at different thresholds of schistosomiasis control. (iii) Strategically, effective control of snail intermediate hosts and precision mapping of snail distribution should be prioritized for successful schistosomiasis elimination in Africa.
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Affiliation(s)
- Eniola M Abe
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai 200025, China; WHO Collaborating Centre for Malaria, Schistosomiasis and Filariasis, Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai 200025, China.
| | - E Tambo
- Département de Biochimie et Science Pharmaceutiques, Université des Montagnes, Bagangté, République du Cameroon.
| | - Jingbo Xue
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai 200025, China; WHO Collaborating Centre for Malaria, Schistosomiasis and Filariasis, Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai 200025, China.
| | - Jing Xu
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai 200025, China; WHO Collaborating Centre for Malaria, Schistosomiasis and Filariasis, Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai 200025, China.
| | - Uwem F Ekpo
- Department of Pure and Applied Zoology, Federal University of Agriculture, Alabata Road, Abeokuta, 110001, Nigeria.
| | - David Rollinson
- The Natural History Museum, Cromwell Road, London SW7 5BD, United Kingdom.
| | - Kun Yang
- Jiangsu Institute of Parasitic Diseases, Wuxi, China.
| | - Shi-Zhu Li
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai 200025, China; WHO Collaborating Centre for Malaria, Schistosomiasis and Filariasis, Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai 200025, China.
| | - Xiao-Nong Zhou
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai 200025, China; WHO Collaborating Centre for Malaria, Schistosomiasis and Filariasis, Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai 200025, China.
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Salami D, Capinha C, Martins MDRO, Sousa CA. Dengue importation into Europe: A network connectivity-based approach. PLoS One 2020; 15:e0230274. [PMID: 32163497 PMCID: PMC7067432 DOI: 10.1371/journal.pone.0230274] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Accepted: 02/25/2020] [Indexed: 12/17/2022] Open
Abstract
The spread of dengue through global human mobility is a major public health concern. A key challenge is understanding the transmission pathways and mediating factors that characterized the patterns of dengue importation into non-endemic areas. Utilizing a network connectivity-based approach, we analyze the importation patterns of dengue fever into European countries. Seven connectivity indices were developed to characterize the role of the air passenger traffic, seasonality, incidence rate, geographical proximity, epidemic vulnerability, and wealth of a source country, in facilitating the transport and importation of dengue fever. We used generalized linear mixed models (GLMMs) to examine the relationship between dengue importation and the connectivity indices while accounting for the air transport network structure. We also incorporated network autocorrelation within a GLMM framework to investigate the propensity of a European country to receive an imported case, by virtue of its position within the air transport network. The connectivity indices and dynamical processes of the air transport network were strong predictors of dengue importation in Europe. With more than 70% of the variation in dengue importation patterns explained. We found that transportation potential was higher for source countries with seasonal dengue activity, high passenger traffic, high incidence rates, high epidemic vulnerability, and in geographical proximity to a destination country in Europe. We also found that position of a European country within the air transport network was a strong predictor of the country's propensity to receive an imported case. Our findings provide evidence that the importation patterns of dengue into Europe can be largely explained by appropriately characterizing the heterogeneities of the source, and topology of the air transport network. This contributes to the foundational framework for building integrated predictive models for bio-surveillance of dengue importation.
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Affiliation(s)
- Donald Salami
- Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisboa, Lisbon, Portugal
- * E-mail: (DS); (CS)
| | - César Capinha
- Centro de Estudos Geográficos, Instituto de Geografia e Ordenamento do Território, Universidade de Lisboa, Lisboa, Lisbon, Portugal
| | - Maria do Rosário Oliveira Martins
- Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisboa, Lisbon, Portugal
| | - Carla Alexandra Sousa
- Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisboa, Lisbon, Portugal
- * E-mail: (DS); (CS)
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Morin CW, Semenza JC, Trtanj JM, Glass GE, Boyer C, Ebi KL. Unexplored Opportunities: Use of Climate- and Weather-Driven Early Warning Systems to Reduce the Burden of Infectious Diseases. Curr Environ Health Rep 2019; 5:430-438. [PMID: 30350265 DOI: 10.1007/s40572-018-0221-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
PURPOSE OF REVIEW Weather and climate influence multiple aspects of infectious disease ecology. Creating and applying early warning systems based on temperature, precipitation, and other environmental data can identify where and when outbreaks of climate-sensitive infectious diseases could occur and can be used by decision makers to allocate resources. Whether an outbreak actually occurs depends heavily on other social, political, and institutional factors. RECENT FINDINGS Improving the timing and confidence of seasonal climate forecasting, coupled with knowledge of exposure-response relationships, can identify prior conditions conducive to disease outbreaks weeks to months in advance of outbreaks. This information could then be used by public health professionals to improve surveillance in the most likely areas for threats. Early warning systems are well established for drought and famine. And while weather- and climate-driven early warning systems for certain diseases, such as dengue fever and cholera, are employed in some regions, this area of research is underdeveloped. Early warning systems based on temperature, precipitation, and other environmental data provide an opportunity for early detection leading to early action and response to potential pathogen threats, thereby reducing the burden of disease when compared with passive health indicator-based surveillance systems.
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Affiliation(s)
- Cory W Morin
- University of Washington, 4225 Roosevelt Way NE # 100, Seattle, WA, 98105, USA.
| | - Jan C Semenza
- European Centre for Disease Prevention and Control, Solna, Sweden
| | - Juli M Trtanj
- National Oceanic and Atmospheric Administration, Silver Spring, MD, USA
| | | | - Christopher Boyer
- University of Washington, 4225 Roosevelt Way NE # 100, Seattle, WA, 98105, USA
| | - Kristie L Ebi
- University of Washington, 4225 Roosevelt Way NE # 100, Seattle, WA, 98105, USA
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Kloog I, Kaufman LI, de Hoogh K. Using Open Street Map Data in Environmental Exposure Assessment Studies: Eastern Massachusetts, Bern Region, and South Israel as a Case Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15112443. [PMID: 30388884 PMCID: PMC6267018 DOI: 10.3390/ijerph15112443] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 10/18/2018] [Accepted: 10/28/2018] [Indexed: 12/02/2022]
Abstract
There is an increase in the awareness of the importance of spatial data in epidemiology and exposure assessment (EA) studies. Most studies use governmental and ordnance surveys, which are often expensive and sparsely updated, while in most developing countries, there are often no official geo-spatial data sources. OpenStreetMap (OSM) is an open source Volunteered Geographic Information (VGI) mapping project. Yet very few environmental epidemiological and EA studies have used OSM as a source for road data. Since VGI data is either noncommercial or governmental, the validity of OSM is often questioned. We investigate the robustness and validity of OSM data for use in epidemiological and EA studies. We compared OSM and Governmental Major Road Data (GRD) in three different regions: Massachusetts, USA; Bern, Switzerland; and Beer-Sheva, South Israel. The comparison was done by calculating data completeness, positional accuracy, and EA using traditional exposure methods. We found that OSM data is fairly complete and accurate in all regions. The results in all regions were robust, with Massachusetts showing the best fits (R2 0.93). Results in Bern (R2 0.78) and Beer-Sheva (R2 0.77) were only slightly lower. We conclude by suggesting that OSM data can be used reliably in environmental assessment studies.
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Affiliation(s)
- Itai Kloog
- Department of Geography and Environmental Development, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel.
| | - Lara Ifat Kaufman
- Department of Geography and Environmental Development, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel.
| | - Kees de Hoogh
- Environmental Exposure and Health Unit, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, 4051 Basel, Switzerland.
- Epidemiology and Public Health, Socinstrasse 57, Basel University of Basel, 4002 Basel, Switzerland.
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Beyond Climate Change and Health: Integrating Broader Environmental Change and Natural Environments for Public Health Protection and Promotion in the UK. ATMOSPHERE 2018. [DOI: 10.3390/atmos9070245] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Increasingly, the potential short and long-term impacts of climate change on human health and wellbeing are being demonstrated. However, other environmental change factors, particularly relating to the natural environment, need to be taken into account to understand the totality of these interactions and impacts. This paper provides an overview of ongoing research in the Health Protection Research Unit (HPRU) on Environmental Change and Health, particularly around the positive and negative effects of the natural environment on human health and well-being and primarily within a UK context. In addition to exploring the potential increasing risks to human health from water-borne and vector-borne diseases and from exposure to aeroallergens such as pollen, this paper also demonstrates the potential opportunities and co-benefits to human physical and mental health from interacting with the natural environment. The involvement of a Health and Environment Public Engagement (HEPE) group as a public forum of “critical friends” has proven useful for prioritising and exploring some of this research; such public involvement is essential to minimise public health risks and maximise the benefits which are identified from this research into environmental change and human health. Research gaps are identified and recommendations made for future research into the risks, benefits and potential opportunities of climate and other environmental change on human and planetary health.
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9
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Djennad A, Lo Iacono G, Sarran C, Fleming LE, Kessel A, Haines A, Nichols GL. A comparison of weather variables linked to infectious disease patterns using laboratory addresses and patient residence addresses. BMC Infect Dis 2018; 18:198. [PMID: 29703153 DOI: 10.1186/s12879-018-3106-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2017] [Accepted: 04/20/2018] [Indexed: 03/31/2024] Open
Abstract
BACKGROUND To understand the impact of weather on infectious diseases, information on weather parameters at patient locations is needed, but this is not always accessible due to confidentiality or data availability. Weather parameters at nearby locations are often used as a proxy, but the accuracy of this practice is not known. METHODS Daily Campylobacter and Cryptosporidium cases across England and Wales were linked to local temperature and rainfall at the residence postcodes of the patients and at the corresponding postcodes of the laboratory where the patient's specimen was tested. The paired values of daily rainfall and temperature for the laboratory versus residence postcodes were interpolated from weather station data, and the results were analysed for agreement using linear regression. We also assessed potential dependency of the findings on the relative geographic distance between the patient's residence and the laboratory. RESULTS There was significant and strong agreement between the daily values of rainfall and temperature at diagnostic laboratories with the values at the patient residence postcodes for samples containing the pathogens Campylobacter or Cryptosporidium. For rainfall, the R-squared was 0.96 for the former and 0.97 for the latter, and for maximum daily temperature, the R-squared was 0.99 for both. The overall mean distance between the patient residence and the laboratory was 11.9 km; however, the distribution of these distances exhibited a heavy tail, with some rare situations where the distance between the patient residence and the laboratory was larger than 500 km. These large distances impact the distributions of the weather variable discrepancies (i.e. the differences between weather parameters estimated at patient residence postcodes and those at laboratory postcodes), with discrepancies up to ±10 °C for the minimum and maximum temperature and 20 mm for rainfall. Nevertheless, the distributions of discrepancies (estimated separately for minimum and maximum temperature and rainfall), based on the cases where the distance between the patient residence and the laboratory was within 20 km, still exhibited tails somewhat longer than the corresponding exponential fits suggesting modest small scale variations in temperature and rainfall. CONCLUSION The findings confirm that, for the purposes of studying the relationships between meteorological variables and infectious diseases using data based on laboratory postcodes, the weather results are sufficiently similar to justify the use of laboratory postcode as a surrogate for domestic postcode. Exclusion of the small percentage of cases where there is a large distance between the residence and the laboratory could increase the precision of estimates, but there are generally strong associations between daily weather parameters at residence and laboratory.
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Affiliation(s)
- Abdelmajid Djennad
- Public Health England, London, UK. .,Statistics, Modelling and Economics Department, National Infection Service, Public Health England, 61, Colindale Avenue, London, NW9 5EQ, UK.
| | - Giovanni Lo Iacono
- School of Veterinary Medicine, University of Surrey, Guildford, UK.,Centre for Radiation Chemical and Environmental Hazards, Public Health England, Harwell, Didcot, UK
| | | | - Lora E Fleming
- European Centre for Environment and Human Health, University of Exeter, Exeter, UK
| | | | - Andy Haines
- London School of Hygiene and Tropical Medicine, London, UK
| | - Gordon L Nichols
- Public Health England, London, UK.,Centre for Radiation Chemical and Environmental Hazards, Public Health England, Harwell, Didcot, UK.,European Centre for Environment and Human Health, University of Exeter, Exeter, UK.,University of East Anglia, Norwich, UK
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10
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Abe EM, Guan W, Guo YH, Kassegne K, Qin ZQ, Xu J, Chen JH, Ekpo UF, Li SZ, Zhou XN. Differentiating snail intermediate hosts of Schistosoma spp. using molecular approaches: fundamental to successful integrated control mechanism in Africa. Infect Dis Poverty 2018; 7:29. [PMID: 29615124 PMCID: PMC5883423 DOI: 10.1186/s40249-018-0401-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2017] [Accepted: 03/07/2018] [Indexed: 12/11/2022] Open
Abstract
Background Snail intermediate hosts play active roles in the transmission of snail-borne trematode infections in Africa. A good knowledge of snail-borne diseases epidemiology particularly snail intermediate host populations would provide the necessary impetus to complementing existing control strategy. Main body This review highlights the importance of molecular approaches in differentiating snail hosts population structure and the need to provide adequate information on snail host populations by updating snail hosts genome database for Africa, in order to equip different stakeholders with adequate information on the ecology of snail intermediate hosts and their roles in the transmission of different diseases. Also, we identify the gaps and areas where there is need for urgent intervention to facilitate effective integrated control of schistosomiasis and other snail-borne trematode infections. Conclusions Prioritizing snail studies, especially snail differentiation using molecular tools will boost disease surveillance and also enhance efficient schistosomaisis control programme in Africa. Electronic supplementary material The online version of this article (10.1186/s40249-018-0401-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Eniola Michael Abe
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology, MOH ; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; WHO Collaborating Centre for Tropical Diseases, Shanghai, 200020, China.
| | - Wei Guan
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology, MOH ; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; WHO Collaborating Centre for Tropical Diseases, Shanghai, 200020, China
| | - Yun-Hai Guo
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology, MOH ; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; WHO Collaborating Centre for Tropical Diseases, Shanghai, 200020, China
| | - Kokouvi Kassegne
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology, MOH ; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; WHO Collaborating Centre for Tropical Diseases, Shanghai, 200020, China
| | - Zhi-Qiang Qin
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology, MOH ; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; WHO Collaborating Centre for Tropical Diseases, Shanghai, 200020, China
| | - Jing Xu
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology, MOH ; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; WHO Collaborating Centre for Tropical Diseases, Shanghai, 200020, China
| | - Jun-Hu Chen
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology, MOH ; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; WHO Collaborating Centre for Tropical Diseases, Shanghai, 200020, China
| | - Uwem Friday Ekpo
- Department of Pure & Applied Zoology, Federal University of Agriculture Abeokuta, Abeokuta, Nigeria
| | - Shi-Zhu Li
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology, MOH ; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; WHO Collaborating Centre for Tropical Diseases, Shanghai, 200020, China
| | - Xiao-Nong Zhou
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology, MOH ; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; WHO Collaborating Centre for Tropical Diseases, Shanghai, 200020, China
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Abstract
In the U.S., migration has been documented to affect the prevalence of infectious disease. As a mitigation entity, border security has been recorded by numerous scholarly works as being essential to the support of the health of the U.S. population. Consequently, the lack of current health care monitoring of the permeable U.S. border places the U.S. population at risk in the broad sectors of infectious disease and interpersonal violence. Visualizing border security in the context of public health mitigation has significant potential to protect migrant health as well as that of all populations on both sides of the border. Examples of how commonly this philosophy is held can be found in the expansive use of security-focused terms regarding public health. Using tools such as GIS to screen for disease in people before their entrance into a nation would be more efficient and ethical than treating patients once they have entered a population and increased the impact on the healthcare system. (Disaster Med Public Health Preparedness. 2018;12:554-562).
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Semenza JC, Trinanes J, Lohr W, Sudre B, Löfdahl M, Martinez-Urtaza J, Nichols GL, Rocklöv J. Environmental Suitability of Vibrio Infections in a Warming Climate: An Early Warning System. ENVIRONMENTAL HEALTH PERSPECTIVES 2017; 125:107004. [PMID: 29017986 PMCID: PMC5933323 DOI: 10.1289/ehp2198] [Citation(s) in RCA: 64] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 08/12/2017] [Accepted: 08/14/2017] [Indexed: 05/19/2023]
Abstract
BACKGROUND Some Vibrio spp. are pathogenic and ubiquitous in marine waters with low to moderate salinity and thrive with elevated sea surface temperature (SST). OBJECTIVES Our objective was to monitor and project the suitability of marine conditions for Vibrio infections under climate change scenarios. METHODS The European Centre for Disease Prevention and Control (ECDC) developed a platform (the ECDC Vibrio Map Viewer) to monitor the environmental suitability of coastal waters for Vibrio spp. using remotely sensed SST and salinity. A case-crossover study of Swedish cases was conducted to ascertain the relationship between SST and Vibrio infection through a conditional logistic regression. Climate change projections for Vibrio infections were developed for Representative Concentration Pathway (RCP) 4.5 and RCP 8.5. RESULTS The ECDC Vibrio Map Viewer detected environmentally suitable areas for Vibrio spp. in the Baltic Sea in July 2014 that were accompanied by a spike in cases and one death in Sweden. The estimated exposure-response relationship for Vibrio infections at a threshold of 16°C revealed a relative risk (RR)=1.14 (95% CI: 1.02, 1.27; p=0.024) for a lag of 2 wk; the estimated risk increased successively beyond this SST threshold. Climate change projections for SST under the RCP 4.5 and RCP 8.5 scenarios indicate a marked upward trend during the summer months and an increase in the relative risk of these infections in the coming decades. CONCLUSIONS This platform can serve as an early warning system as the risk of further Vibrio infections increases in the 21st century due to climate change. https://doi.org/10.1289/EHP2198.
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Affiliation(s)
- Jan C Semenza
- Scientific Assessment Section, European Centre for Disease Prevention and Control , Stockholm, Sweden
| | - Joaquin Trinanes
- Instituto de Investigaciones Tecnoloxicas, Universidade de Santiago de Compostela , Santiago, Spain
- Physical Oceanography Division, Atlantic Oceanographic and Meteorological Laboratory, National Oceanic and Atmospheric Administration , Miami, Florida, USA
- Cooperative Institute for Marine and Atmospheric Studies, Rosenstiel School of Marine and Atmospheric Sciences, University of Miami , Miami, Florida, USA
| | - Wolfgang Lohr
- Umeå Centre for Global Health Research, Umeå University , Umeå, Sweden
- Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University , Umeå, Sweden
| | - Bertrand Sudre
- Epidemic Intelligence and Response, European Centre for Disease Prevention and Control , Stockholm, Sweden
| | | | - Jaime Martinez-Urtaza
- The Milner Centre for Evolution, Department of Biology and Biochemistry, University of Bath , Bath, UK
- The Centre for Environment, Fisheries and Aquaculture Science (CEFAS), Weymouth, UK
| | - Gordon L Nichols
- Public Health England , London, UK
- University of Exeter , Exeter, UK
- University of East Anglia , Norwich, UK
| | - Joacim Rocklöv
- Umeå Centre for Global Health Research, Umeå University , Umeå, Sweden
- Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University , Umeå, Sweden
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13
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Bangert M, Molyneux DH, Lindsay SW, Fitzpatrick C, Engels D. The cross-cutting contribution of the end of neglected tropical diseases to the sustainable development goals. Infect Dis Poverty 2017; 6:73. [PMID: 28372566 PMCID: PMC5379574 DOI: 10.1186/s40249-017-0288-0] [Citation(s) in RCA: 101] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2016] [Accepted: 03/16/2017] [Indexed: 01/14/2023] Open
Abstract
The Sustainable Development Goals (SDGs) call for an integrated response, the kind that has defined Neglected Tropical Diseases (NTDs) efforts in the past decade.NTD interventions have the greatest relevance for SDG3, the health goal, where the focus on equity, and its commitment to reaching people in need of health services, wherever they may live and whatever their circumstances, is fundamentally aligned with the target of Universal Health Coverage. NTD interventions, however, also affect and are affected by many of the other development areas covered under the 2030 Agenda. Strategies such as mass drug administration or the programmatic integration of NTD and WASH activities (SDG6) are driven by effective global partnerships (SDG17). Intervention against the NTDs can also have an impact on poverty (SDG1) and hunger (SDG2), can improve education (SDG4), work and economic growth (SDG8), thereby reducing inequalities (SDG10). The community-led distribution of donated medicines to more than 1 billion people reinforces women's empowerment (SDG5), logistics infrastructure (SDG9) and non-discrimination against disability (SDG16). Interventions to curb mosquito-borne NTDs contribute to the goals of urban sustainability (SDG11) and resilience to climate change (SDG13), while the safe use of insecticides supports the goal of sustainable ecosystems (SDG15). Although indirectly, interventions to control water- and animal-related NTDs can facilitate the goals of small-scale fishing (SDG14) and sustainable hydroelectricity and biofuels (SDG7).NTDs proliferate in less developed areas in countries across the income spectrum, areas where large numbers of people have little or no access to adequate health care, clean water, sanitation, housing, education, transport and information. This scoping review assesses how in this context, ending the epidemic of the NTDs can impact and improve our prospects of attaining the SDGs.
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Affiliation(s)
- Mathieu Bangert
- Department of Control of Neglected Tropical Diseases, World Health Organization, 20 Avenue Appia, 1211 Geneva, Switzerland
| | - David H. Molyneux
- Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK
| | | | - Christopher Fitzpatrick
- Department of Control of Neglected Tropical Diseases, World Health Organization, 20 Avenue Appia, 1211 Geneva, Switzerland
| | - Dirk Engels
- Department of Control of Neglected Tropical Diseases, World Health Organization, 20 Avenue Appia, 1211 Geneva, Switzerland
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14
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Hybridizations within the Genus Schistosoma: implications for evolution, epidemiology and control. Parasitology 2016; 144:65-80. [PMID: 27572906 DOI: 10.1017/s0031182016001190] [Citation(s) in RCA: 102] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Hybridization of parasites is an emerging public health concern in our changing world. Hybridization and introgression in parasites and pathogens can have major impacts on the host and the epidemiology and evolution of disease. Schistosomiasis is a Neglected Tropical Disease of profound medical and veterinary importance across many parts of the world, with the greatest human burden within sub-Saharan Africa. Here we review how early phenotypic identification and recent confirmation through molecular studies on naturally occurring infections, combined with experimental manipulations, have revealed evidence of viable hybridization and introgressions within and between human and animal schistosome species. Environmental and anthropogenic changes in selective pressures following, for instance, new dam constructions, altered agricultural practices, together with mass drug administration programmes, may all be predicted to further impact the availability of suitable definitive and intermediate hosts for schistosomes. It is therefore imperative to understand the distribution and role of such novel zoonotic hybrid schistosomes on host range, drug efficacy, and hence ultimately transmission potential, if we are to achieve and maintain sustainable control.
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15
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King KC, Stelkens RB, Webster JP, Smith DF, Brockhurst MA. Hybridization in Parasites: Consequences for Adaptive Evolution, Pathogenesis, and Public Health in a Changing World. PLoS Pathog 2015; 11:e1005098. [PMID: 26336070 PMCID: PMC4559376 DOI: 10.1371/journal.ppat.1005098] [Citation(s) in RCA: 92] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- Kayla C. King
- Department of Zoology, University of Oxford, Oxford, United Kingdom
| | | | - Joanne P. Webster
- Department of Pathology and Pathogen Biology, Centre for Emerging, Endemic and Exotic Diseases (CEEED), Royal Veterinary College, University of London, London, United Kingdom
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16
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Christaki E. New technologies in predicting, preventing and controlling emerging infectious diseases. Virulence 2015; 6:558-65. [PMID: 26068569 DOI: 10.1080/21505594.2015.1040975] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Surveillance of emerging infectious diseases is vital for the early identification of public health threats. Emergence of novel infections is linked to human factors such as population density, travel and trade and ecological factors like climate change and agricultural practices. A wealth of new technologies is becoming increasingly available for the rapid molecular identification of pathogens but also for the more accurate monitoring of infectious disease activity. Web-based surveillance tools and epidemic intelligence methods, used by all major public health institutions, are intended to facilitate risk assessment and timely outbreak detection. In this review, we present new methods for regional and global infectious disease surveillance and advances in epidemic modeling aimed to predict and prevent future infectious diseases threats.
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Affiliation(s)
- Eirini Christaki
- a Hellenic Center for Disease Control and Prevention; First Department of Internal Medicine; AHEPA University Hospital ; Thessaloniki , Greece.,b Infectious Diseases Division; Alpert School of Medicine of Brown University ; Providence , RI USA
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17
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Semenza JC. Prototype early warning systems for vector-borne diseases in Europe. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 12:6333-51. [PMID: 26042370 PMCID: PMC4483704 DOI: 10.3390/ijerph120606333] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2015] [Revised: 05/21/2015] [Accepted: 05/25/2015] [Indexed: 11/18/2022]
Abstract
Globalization and environmental change, social and demographic determinants and health system capacity are significant drivers of infectious diseases which can also act as epidemic precursors. Thus, monitoring changes in these drivers can help anticipate, or even forecast, an upsurge of infectious diseases. The European Environment and Epidemiology (E3) Network has been built for this purpose and applied to three early warning case studies: (1) The environmental suitability of malaria transmission in Greece was mapped in order to target epidemiological and entomological surveillance and vector control activities. Malaria transmission in these areas was interrupted in 2013 through such integrated preparedness and response activities. (2) Since 2010, recurrent West Nile fever outbreaks have ensued in South/eastern Europe. Temperature deviations from a thirty year average proved to be associated with the 2010 outbreak. Drivers of subsequent outbreaks were computed through multivariate logistic regression models and included monthly temperature anomalies for July and a normalized water index. (3) Dengue is a tropical disease but sustained transmission has recently emerged in Madeira. Autochthonous transmission has also occurred repeatedly in France and in Croatia mainly due to travel importation. The risk of dengue importation into Europe in 2010 was computed with the volume of international travelers from dengue affected areas worldwide.These prototype early warning systems indicate that monitoring drivers of infectious diseases can help predict vector-borne disease threats.
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Affiliation(s)
- Jan C Semenza
- European Centre for Disease Prevention and Control, Tomtebodavagen 11A, SE-171 83 Stockholm, Sweden.
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18
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Fasina FO, Njage PMK, Ali AMM, Yilma JM, Bwala DG, Rivas AL, Stegeman AJ. Development of Disease-specific, Context-specific Surveillance Models: Avian Influenza (H5N1)-Related Risks and Behaviours in African Countries. Zoonoses Public Health 2015; 63:20-33. [PMID: 25923926 DOI: 10.1111/zph.12200] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2014] [Indexed: 12/24/2022]
Abstract
Avian influenza virus (H5N1) is a rapidly disseminating infection that affects poultry and, potentially, humans. Because the avian virus has already adapted to several mammalian species, decreasing the rate of avian-mammalian contacts is critical to diminish the chances of a total adaptation of H5N1 to humans. To prevent the pandemic such adaptation could facilitate, a biology-specific disease surveillance model is needed, which should also consider geographical and socio-cultural factors. Here, we conceptualized a surveillance model meant to capture H5N1-related biological and cultural aspects, which included food processing, trade and cooking-related practices, as well as incentives (or disincentives) for desirable behaviours. This proof of concept was tested with data collected from 378 Egyptian and Nigerian sites (local [backyard] producers/live bird markets/village abattoirs/commercial abattoirs and veterinary agencies). Findings revealed numerous opportunities for pathogens to disseminate, as well as lack of incentives to adopt preventive measures, and factors that promoted epidemic dissemination. Supporting such observations, the estimated risk for H5N1-related human mortality was higher than previously reported. The need for multidimensional disease surveillance models, which may detect risks at higher levels than models that only measure one factor or outcome, was supported. To develop efficient surveillance systems, interactions should be captured, which include but exceed biological factors. This low-cost and easily implementable model, if conducted over time, may identify focal instances where tailored policies may diminish both endemicity and the total adaptation of H5N1 to the human species.
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Affiliation(s)
- F O Fasina
- Department of Production Animal Studies, Faculty of Veterinary Science, University of Pretoria, Onderstepoort, South Africa.,Department of Farm Animal Health, Faculty of Veterinary Medicine, Utrecht University, Yalenaan, the Netherlands
| | - P M K Njage
- Department of Food Science, University of Pretoria, Hatfield, South Africa
| | - A M M Ali
- Central Laboratory for Evaluation of Veterinary Biologics (CLEVB), Cairo, Egypt
| | - J M Yilma
- Emergency Centre for Transboundary Animal Diseases (ECTAD), FAO, Cairo, Egypt
| | - D G Bwala
- Department of Production Animal Studies, Faculty of Veterinary Science, University of Pretoria, Onderstepoort, South Africa
| | - A L Rivas
- Center for Global Health, Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, USA
| | - A J Stegeman
- Department of Farm Animal Health, Faculty of Veterinary Medicine, Utrecht University, Yalenaan, the Netherlands
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19
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Semenza JC, Sudre B, Miniota J, Rossi M, Hu W, Kossowsky D, Suk JE, Van Bortel W, Khan K. International dispersal of dengue through air travel: importation risk for Europe. PLoS Negl Trop Dis 2014; 8:e3278. [PMID: 25474491 PMCID: PMC4256202 DOI: 10.1371/journal.pntd.0003278] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2014] [Accepted: 09/18/2014] [Indexed: 12/04/2022] Open
Abstract
Background The worldwide distribution of dengue is expanding, in part due to globalized traffic and trade. Aedes albopictus is a competent vector for dengue viruses (DENV) and is now established in numerous regions of Europe. Viremic travellers arriving in Europe from dengue-affected areas of the world can become catalysts of local outbreaks in Europe. Local dengue transmission in Europe is extremely rare, and the last outbreak occurred in 1927–28 in Greece. However, autochthonous transmission was reported from France in September 2010, and from Croatia between August and October 2010. Methodology We compiled data on areas affected by dengue in 2010 from web resources and surveillance reports, and collected national dengue importation data. We developed a hierarchical regression model to quantify the relationship between the number of reported dengue cases imported into Europe and the volume of airline travellers arriving from dengue-affected areas internationally. Principal Findings In 2010, over 5.8 million airline travellers entered Europe from dengue-affected areas worldwide, of which 703,396 arrived at 36 airports situated in areas where Ae. albopictus has been recorded. The adjusted incidence rate ratio for imported dengue into European countries was 1.09 (95% CI: 1.01–1.17) for every increase of 10,000 travellers; in August, September, and October the rate ratios were 1.70 (95%CI: 1.23–2.35), 1.46 (95%CI: 1.02–2.10), and 1.35 (95%CI: 1.01–1.81), respectively. Two Italian cities where the vector is present received over 50% of all travellers from dengue-affected areas, yet with the continuing vector expansion more cities will be implicated in the future. In fact, 38% more travellers arrived in 2013 into those parts of Europe where Ae. albopictus has recently been introduced, compared to 2010. Conclusions The highest risk of dengue importation in 2010 was restricted to three months and can be ranked according to arriving traveller volume from dengue-affected areas into cities where the vector is present. The presence of the vector is a necessary, but not sufficient, prerequisite for DENV onward transmission, which depends on a number of additional factors. However, our empirical model can provide spatio-temporal elements to public health interventions. The global disease burden of dengue is staggering. Continuous expansion and vaccine failures illustrate the limitations of current dengue control efforts. Novel approaches and additional tools are required to combat and contain the disease. In Europe, dengue infections are rare and the last outbreak of dengue occurred in the late 1920s, in Greece. In 2010, however, local transmission occurred in France and Croatia. Based on 2010 data, we present a novel quantitative model of the risk of dengue importation for Europe. The 2010 model predicts the risk of dengue importation to be greatest for Milan, Rome and Barcelona in August, September and October, precisely when vector activity is the highest. With the current expansion of the vector in Europe, more cities are projected to be at risk in the future. Thus, the model based on 2010 data quantifies the likelihood and timing of importation. This approach employs global travel data to assess dengue importation risk in the EU and illustrates how quantitative models could tailor infectious disease control to certain regions and time periods.
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Affiliation(s)
- Jan C. Semenza
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
- * E-mail:
| | - Bertrand Sudre
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Jennifer Miniota
- Division of Infectious Diseases, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Massimiliano Rossi
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Wei Hu
- Division of Infectious Diseases, St. Michael's Hospital, Toronto, Ontario, Canada
| | - David Kossowsky
- Division of Infectious Diseases, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Jonathan E. Suk
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Wim Van Bortel
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Kamran Khan
- Division of Infectious Diseases, St. Michael's Hospital, Toronto, Ontario, Canada
- Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
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Climate change and human health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2014; 11:7347-53. [PMID: 25046633 PMCID: PMC4113880 DOI: 10.3390/ijerph110707347] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/07/2014] [Accepted: 07/09/2014] [Indexed: 12/05/2022]
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Semenza JC, Zeller H. Integrated surveillance for prevention and control of emerging vector-borne diseases in Europe. Euro Surveill 2014; 19. [DOI: 10.2807/1560-7917.es2014.19.13.20757] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- J C Semenza
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | - H Zeller
- European Centre for Disease Prevention and Control, Stockholm, Sweden
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