应对跨越尼日利亚国家陆地边界的炭疽疫情:需要通过流行病学调查优化监控。

IF 8.1 1区 医学
Hammed O Mogaji, Babatunde Adewale, Stella I Smith, Ehimario U Igumbor, Chidumebi J Idemili, Andrew W Taylor-Robinson
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引用次数: 0

摘要

背景:炭疽是一种由革兰氏阳性芽孢杆菌引起的非传染性人畜共患病。感染常见于牛、山羊、绵羊、骆驼和羚羊等牲畜和野生动物。人类接触受污染的尸体或牛奶和肉类等动物产品后也可能感染炭疽。预防人类感染炭疽病的最佳方法是确保牲畜接种疫苗,这将大大限制人畜共患病传播给人类的风险。然而,西非游牧民族饲养的家畜接种疫苗的比例很低。这些群体经常带着他们的牧群跨越国界。历史上,尼日利亚在控制这一公共卫生威胁方面做得相对较好。然而,2023 年爆发的几起人类疾病似乎与食用由邻国牧民带入尼日利亚的受炭疽污染的动物产品有关。临床表现包括皮肤溃疡或溃疡、恶心、呕吐和发烧。本文旨在提高人们对西非最近爆发的炭疽疫情的认识,并呼吁人们重新重视采取措施应对该地区这一被忽视的公共卫生问题:指出尼日利亚炭疽病例不断出现的关键问题的重要性怎么强调都不为过。通过深入研究炭疽病在尼日利亚边境地区的牲畜和人类中的流行情况,揭示炭疽杆菌菌株的遗传多样性和潜在来源,并确定造成传播的主要动物宿主,我们将加深对这一关键问题的理解。此外,调查导致炭疽传播的多方面因素、评估社区知识和习俗、绘制牧民的常见迁徙路线图以及针对边境社区面临的挑战制定有针对性的干预策略,都是实现有效控制和预防的关键步骤:结论:弥补炭疽方面的知识差距不仅对保障动物和人类健康至关重要,而且对培养可持续发展和具有复原力的社区也至关重要。解决这些跨学科问题的研究无疑将为尼日利亚及其边境地区做出明智决策、采取积极措施和更安全的未来铺平道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combatting anthrax outbreaks across Nigeria's national land borders: need to optimize surveillance with epidemiological surveys.

Background: Anthrax is a non-contagious zoonotic disease caused by the Gram-positive, spore-forming bacterium Bacillus anthracis. Infection is common in livestock and wild animals such as cattle, goats, sheep, camels, and antelopes. In humans, anthrax may occur after contact with contaminated carcasses or animal products like milk and meat. The best method to prevent anthrax in people is to ensure livestock are vaccinated, which significantly limits the risk of zoonotic spread to humans. However, the rate of vaccination of domesticated animals kept by nomadic pastoralists in West Africa is low. These groups regularly cross over national boundaries with their grazing herds. Nigeria is a country that historically has done comparatively well to contain this public health threat. However, in 2023 several outbreaks of human disease appear linked to the consumption of anthrax-contaminated animal products brought into Nigeria by pastoralists from neighboring countries. Clinical manifestations include skin sores or ulcers, nausea, vomiting, and fever. This article aims to raise awareness of recent outbreaks of anthrax in West Africa and to call for a renewed focus on measures to combat this neglected public health concern to the region.

Main body: The imperative to pinpoint pivotal issues relating to the ongoing emergence of anthrax cases in Nigeria cannot be overstated. By delving into the prevalence of anthrax in both livestock and human populations residing along Nigeria's borders, unraveling the genetic diversity and potential sources of B. anthracis strains, and identifying the primary animal host(s) responsible for transmission, we stand to enhance our understanding of this critical issue. Furthermore, investigating the multifaceted factors contributing to anthrax transmission, assessing community knowledge and practices, mapping common migratory routes of pastoralists, and formulating targeted intervention strategies tailored to the challenges of border communities, are each crucial steps towards effective control and prevention.

Conclusion: Closing these knowledge gaps on anthrax is not only essential for safeguarding both animal and human health but also for fostering sustainable and resilient communities. Addressing research questions on these interdisciplinary concerns will undoubtedly pave the way for informed decision-making, proactive measures, and a more secure future for Nigeria and its border regions.

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来源期刊
Infectious Diseases of Poverty
Infectious Diseases of Poverty INFECTIOUS DISEASES-
自引率
1.20%
发文量
368
期刊介绍: Infectious Diseases of Poverty is an open access, peer-reviewed journal that focuses on addressing essential public health questions related to infectious diseases of poverty. The journal covers a wide range of topics including the biology of pathogens and vectors, diagnosis and detection, treatment and case management, epidemiology and modeling, zoonotic hosts and animal reservoirs, control strategies and implementation, new technologies and application. It also considers the transdisciplinary or multisectoral effects on health systems, ecohealth, environmental management, and innovative technology. The journal aims to identify and assess research and information gaps that hinder progress towards new interventions for public health problems in the developing world. Additionally, it provides a platform for discussing these issues to advance research and evidence building for improved public health interventions in poor settings.
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