Kirk Osmond Douglas, Karl Payne, Gilberto Sabino-Santos, Peter Chami, Troy Lorde
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引用次数: 0
摘要
气候变化在加勒比地区不再是一个假设的问题,而是区域公共卫生系统必须适应的新现实。其重大影响之一是传染病的传播增加,如该地区流行的登革热,以及传播该疾病的埃及伊蚊病媒的存在。(1) 方法:为了评估加勒比地区气候因素与人类登革热病毒感染之间的关系,我们根据系统综述和元分析首选报告项目(Preferred Reporting Items for Systematic Reviews and Meta-Analyses,PRISMA)标准,对 MEDLINE 和 Web of Science 数据库中已发表的研究进行了系统综述。(2) 结果:共发现 153 篇论文,其中 27 项研究符合纳入标准,这些研究分布在加勒比海北部和南部。降雨量/降水量和蒸汽压与登革热发病率有很强的正相关性,而温度的影响则证据不一。(3) 结论:加勒比地区气候与人类登革热疾病之间的相互作用非常复杂,受到多种因素的影响,包括废物管理、基础设施风险、土地利用变化和公共卫生系统面临的挑战。因此,有必要进行更详细的研究,以了解大加勒比地区登革热的复杂性,并实现更好的登革热疾病管理。
The Impact of Climate on Human Dengue Infections in the Caribbean
Climate change is no longer a hypothetical problem in the Caribbean but a new reality to which regional public health systems must adapt. One of its significant impacts is the increased transmission of infectious diseases, such as dengue fever, which is endemic in the region, and the presence of the Aedes aegypti mosquito vector responsible for transmitting the disease. (1) Methods: To assess the association between climatic factors and human dengue virus infections in the Caribbean, we conducted a systematic review of published studies on MEDLINE and Web of Science databases according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. (2) Results: In total, 153 papers were identified, with 27 studies selected that met the inclusion criteria ranging from the northern and southern Caribbean. Rainfall/precipitation and vapor pressure had a strong positive association with dengue incidence, whereas the evidence for the impact of temperatures was mixed. (3) Conclusions: The interaction between climate and human dengue disease in the Caribbean is complex and influenced by multiple factors, including waste management, infrastructure risks, land use changes, and challenged public health systems. Thus, more detailed research is necessary to understand the complexity of dengue within the wider Caribbean and achieve better dengue disease management.
期刊介绍:
Pathogens (ISSN 2076-0817) publishes reviews, regular research papers and short notes on all aspects of pathogens and pathogen-host interactions. There is no restriction on the length of the papers. Our aim is to encourage scientists to publish their experimental and theoretical research in as much detail as possible. Full experimental and/or methodical details must be provided for research articles.