Mathematical and spatial epidemiology to rift valley fever and its association with climate in Sudan : Prospective study

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Abstract

Rift valley fever (RVF) is transboundary zoonosis that impacts on health and trade. It caused by RNA virus that belongs to family Bunyviridae, genus Phlebovirus. It characterized by abortion in small ruminants following heavy rain falls. Also the virus is stable and survives in mosquito vector. Also, it is transmitted by contact with infected tissues and undercooked milk. RVF symptom is influenza like illness, in a severe cases bilateral blindness and encephalitis occurred. Its case fatality rate is very low (CFR=1%), however, it is reported to be as 50% in man. The objectives were to understand RVF epidemiology, analyze its climate and spatial patterns. The method used was to examine dependent and independent variables. The univariate analyses showed significant association between RVF and rain falls, vegetation cover, temperature and ElNino, respectively. The multivariate analyses found significant association between rain fall and vegetation index and RVF. This means rain fall and vegetation index were risk factors for RVF occurrence. Also, likelihood of transmission was calculated as 2.42 where infectiousness that an individual can infect another one. RVF basic reproduction number (R0) was estimated as 0.003. The study discussed RVF likelihood as (1.08%±2SD) decrease in RVF prevalence during year 2025; however no RVF outbreak is expected. The study concluded overall RVF prevalence was 34%. It recommended regression analyses is a very good to predict RVF, however vector ecology is essential. Therefore, this improves RVF management.
苏丹裂谷热的数学和空间流行病学及其与气候的关系:前瞻性研究
裂谷热(RVF)是一种影响健康和贸易的跨境人畜共患病。它由 RNA 病毒引起,属于布尼病毒科,弗莱博病毒属。其特点是小反刍动物在暴雨后流产。此外,该病毒在蚊媒中稳定存活。此外,它还通过接触受感染的组织和未煮熟的牛奶传播。RVF 的症状类似流感,严重时会导致双目失明和脑炎。其病死率非常低(CFR=1%),但据报道,人类病死率高达 50%。研究的目的是了解 RVF 的流行病学,分析其气候和空间模式。采用的方法是研究因变量和自变量。单变量分析表明,RVF 分别与降雨量、植被覆盖率、温度和厄尔尼诺现象有显著关联。多变量分析发现,降雨量、植被指数和 RVF 之间存在显著关联。这说明降雨量和植被指数是 RVF 发生的风险因素。此外,计算出的传播可能性为 2.42,即一个个体可感染另一个个体的传染性。RVF 基本繁殖数(R0)估计为 0.003。研究认为,2025 年的 RVF 流行率可能会下降(1.08%±2SD),但预计不会爆发 RVF。研究得出结论,RVF 的总体流行率为 34%。研究建议,回归分析是预测 RVF 的一个很好的方法,但病媒生态学是必不可少的。因此,这将改善 RVF 的管理。
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