Retrospective Study On Rift Valley Fever in Selected States in Sudan With Reference to Spatial and Animal Patterns

M. Mansour, T. M. Abdellah, Selma Kamal, A. A. Abdelgadir
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Abstract

Background A retrospective study was performed in selected states of the Sudan that include Gezira state, White Nile, Blue Nile, Khartoum, River Nile and Sennar states in order to investigate the seroprevalence of Rift Valley Fever (RVF) from 2007 to 2016. The risk factors that identified for RVF were locality, species, and animal population. For example, locality and species were significantly associated with seroprevalence of RVF (P-value = 049)(P-value = 0.000) respectively, While animal population was not associated in Gezira state (P-value = .415) and χ2 value was (12.629), however it was significantly associated in other regions. The highest seroprevalence estimated for RVF was 0.7% in River Nile state, while lowest seroprevalence for RVF recorded was 0.01% in Khartoum and Sennar states, respectively. Methods The current study was carried out in selected states in Central Sudan to investigate the epidemiology of RVF. Also it was focused on livestock in particular sheep, goat and cattle. Study design was retrospective to investigate seroprevalence, risk factors and spatial and animal patterns associated with RVF from 2007 to 2016. Result Estimated seroprevalence of RVF was 0.15% (n = 905) in sheep, 0.20%( n = 776) in goats and 0.13%( n = 638) in cattle respectively. The risk factors that identified for RVF were locality, species, and animal population. For example, locality and species were significantly associated with seroprevalence of RVF (P-value = 049)(P-value = 0.000) respectively, While animal population was not associated in Gezira state (P-value = .415). Environmental risk factors i.e. annual temperature and annual rain fall were compared to RVF occurrence in study area with average mean of 29.0ºC and 398.8 mm Conclusion Rift valley fever is arthropod-born zoonosis disease. It affects livestock like sheep, goat, cattle and camel .it usually occurs following heavy rainfall and cause storm of abortion in pregnant animals. The principle vector of RVF is Mosquitoe and also it is transmitted through tissues of infected animal and human and also through of undercooked milk. In spite of there is no confirmed cases that can be transmitted from person to person by direct contact. It is characterized in human by influenza- like illness, in moderate cases can develop retinitis and eye infection and severe complication can cause hemorrhagic form with oozing of blood from natural orifices, the morbidity and mortality rate is varying from 5–100% in livestock, death rate can reach up to 10% and case fatality rate is less than one percent. The vaccination against RVF is used in case of outbreak and suspected cases in livestock; however there is no available vaccine for human usage. The current study is retrospective survey to investigate the seroprevalence, risk factor and spatial and animal patterns in selected states in Sudan. Estimated seroprevalence of RVF was 0.15% (n = 905) in sheep, 0.20%( n = 776) in goats and 0.13%( n = 638) in cattle respectively. The risk factors that identified for RVF were locality, species, and animal population. For instance, locality and species were significantly associated with seroprevalence of RVF (P-value = 049), (P-value = 0.000) respectively, While animal population was not associated in Gezira state (P-value = .415). Environmental risk factors i.e. annual temperature and annual rain fall were compared to RVF occurrence in study area with average mean of 29.0ºC and 398.8 mm respectively.
参考空间和动物模式对苏丹选定州裂谷热的回顾性研究
背景:为了调查2007年至2016年裂谷热(RVF)的血清患病率,在苏丹选定的州(包括格齐拉州、白尼罗州、青尼罗州、喀土穆州、尼罗河州和塞纳尔州)进行了一项回顾性研究。确定为裂谷热的危险因素是地点、物种和动物种群。例如,地区和物种与裂谷热血清阳性率分别有显著相关性(p值= 049)(p值= 0.000),格齐拉州动物种群与裂谷热血清阳性率无显著相关性(p值= 0.415),χ2值为(12.629),而其他地区有显著相关性。估计裂谷热血清阳性率最高的是尼罗河州的0.7%,而记录的裂谷热血清阳性率最低的是喀土穆州和塞纳尔州,分别为0.01%。方法本研究在中苏丹选定的州开展,调查裂谷热的流行病学。此外,它还专注于牲畜,特别是绵羊、山羊和牛。研究设计是回顾性的,旨在调查2007年至2016年与裂谷热相关的血清患病率、危险因素以及空间和动物模式。结果绵羊、山羊和牛的裂谷热血清患病率分别为0.15% (n = 905)、0.20%(n = 776)和0.13%(n = 638)。确定为裂谷热的危险因素是地点、物种和动物种群。例如,地点和物种分别与裂谷热血清患病率显著相关(p值= 049)(p值= 0.000),而动物种群与Gezira州的裂谷热血清患病率无相关性(p值= 0.415)。研究区年平均气温和年降雨量为29.0℃和398.8 mm,对比环境危险因素与裂谷热发生的关系。结论裂谷热为节肢动物传播的人畜共患病。它会影响绵羊、山羊、牛和骆驼等牲畜。它通常发生在暴雨之后,导致怀孕动物流产。裂谷热的主要媒介是蚊子,它也通过受感染动物和人的组织以及未煮熟的牛奶传播。尽管没有可通过直接接触在人与人之间传播的确诊病例。它的特点是在人类中以流感样疾病为特征,在中度病例中可发展为视网膜炎和眼睛感染,严重的并发症可引起出血形式,从自然口渗出血液,牲畜的发病率和死亡率从5-100%不等,死亡率可达10%,病死率低于1%。在牲畜中发生暴发和疑似病例时,使用裂谷热疫苗接种;然而,目前还没有可供人类使用的疫苗。目前的研究是回顾性调查,以调查苏丹选定州的血清流行率、危险因素以及空间和动物模式。绵羊、山羊和牛的裂谷热血清患病率分别为0.15% (n = 905)、0.20%(n = 776)和0.13%(n = 638)。确定为裂谷热的危险因素是地点、物种和动物种群。例如,地点和物种与裂谷热血清患病率分别显著相关(p值= 049)和(p值= 0.000),而动物种群与Gezira州的裂谷热血清患病率无相关性(p值= 0.415)。研究区年平均气温为29.0ºC,年平均降雨量为398.8 mm,对比环境危险因素年平均气温和年平均降雨量与裂谷热发生的关系。
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