第十一章:TBE的一般流行病学

Gerhard Dobler, Sergey Tkachev
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摘要

蜱传脑炎病毒(TBEV)存在于自然疫源地,即TBEV在其媒介(不同种类和属的蜱)和宿主(通常是啮齿动物和小型哺乳动物)之间传播的地区。基于系统发育研究,已知四种TBEV亚型(远东、西伯利亚、欧洲、贝加尔湖)和两种假定亚型(喜马拉雅和“178-79”群)。在每个亚型中,描述了一些遗传谱系。TBEV的欧洲亚型(TBEV- eu)(以前也称为“西方亚型”)在欧洲普遍存在,但在俄罗斯和韩国的西伯利亚西部和东部也有分离。远东亚型(TBEV-FE)主要在欧亚大陆远东地区发现,但也有部分菌株在欧亚大陆其他地区分离到。西伯利亚(TBEV- sib)亚型是最常见的,几乎在所有的TBEV栖息地都有发现。贝加尔湖周围普遍存在贝加尔湖亚型,并多次从蜱虫和啮齿动物中分离出来。除4个亚型外,在东西伯利亚和中国还发现了1个单独的TBEV分离株(178-79)和2个基因序列(喜马拉雅),推测为新的TBEV亚型。人类和动物的脑热带病血清患病率数据可作为研究地区是否存在脑热带病的指示。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chapter 11: General epidemiology of TBE
Tick-borne encephalitis virus (TBEV) exists in natural foci, which are areas where TBEV is circulating among its vectors (ticks of different species and genera) and reservoir hosts (usually rodents and small mammals). Based on phylogenetic studies, four TBEV subtypes (Far-Eastern, Siberian, European, Baikalian) and two putative subtypes (Himalayan and “178-79” group) are known. Within each subtype, some genetic lineages are described. The European subtype (TBEV-EU) (formerly known also as the “Western subtype”) of TBEV is prevalent in Europe, but it was also isolated in Western and Eastern Siberia in Russia and South Korea. The Far-Eastern subtype (TBEV-FE) was preferably found in the territory of the far-eastern part of Eurasia, but some strains were isolated in other regions of Eurasia. The Siberian (TBEV-SIB) subtype is the most common and has been found in almost all TBEV habitat areas. The Baikalian subtype is prevalent around Lake Baikal and was isolated several times from ticks and rodents. In addition to the four TBEV subtypes, one single isolate of TBEV (178-79) and two genetic sequences (Himalayan) supposed to be new TBEV subtypes were described in Eastern Siberia and China. The data on TBEV seroprevalence in humans and animals can serve as an indication for the presence or absence of TBEV in studied area.
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