过去十年中国大陆新发蜱传疾病：系统回顾与制图分析

IF 7.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific Pub Date : 2025-06-01 DOI:10.1016/j.lanwpc.2025.101599

Ya-Fei Wu , Ming-Zhu Zhang , Xiao-Ling Su , Yi-Fei Wang , Li-Feng Du , Xiao-Ming Cui , Wenqiang Shi , Dai-Yun Zhu , Lin Zhao , Luo-Yuan Xia , Na Jia , Jia-Fu Jiang , Li-Li Ren , Wu-Chun Cao

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引用次数: 0

摘要

新出现的蜱传传染病在世界范围内日益流行。在之前的综述中，我们总结了1980年至2015年5月中国大陆的蜱传感染情况。在这里，我们对过去十年中新出现的蜱传疾病进行了系统的回顾和制图分析。方法检索2015年6月- 2025年1月中国大陆地区有关蜱传疾病的文献。随后，我们在没有时间限制的情况下，通过二次文献综述、GenBank和实地调查收集了蜱虫感染相关病原体的数据。总结了各类蜱传疾病的临床表现。显示新发蜱传疾病和相关蜱感染地理分布的专题地图是由ArcGIS制作的。在过去十年中，中国大陆共发现28种新发蜱传疾病，包括11种病毒性疾病、10种立克次体病、1种无形体病、1种埃立克体病、2种螺旋体疾病和3种原生动物疾病。这些由多种病原体引起的新出现疾病表现出不同的地理分布模式。在临床上，它们主要以发热和非特异性症状为特征，强调了病原体特异性诊断方法对准确诊断的重要性。导致这些新发疾病的蜱传病原体在40种蜱中被鉴定出来，并且在中国更广泛地分布，这意味着新发蜱传疾病的病例未得到充分诊断。新出现的蜱传疾病已经成为中国大陆前所未有的公共卫生威胁。需要提高认识和加强监测，以了解中国和存在蜱媒介的国家的蜱传疾病负担。国家重点研究与发展计划。

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Emerging tick-borne diseases in mainland China over the past decade: a systematic review and mapping analysis

Background

Emerging tick-borne infectious diseases have become increasingly prevalent worldwide. In a previous review, we summarized tick-borne infections in mainland China from 1980 to May, 2015. Here we conducted systematic review and mapping analysis of emerging tick-borne diseases over the past decade.

Methods

We searched multiple sources for publications regarding tick-borne diseases in mainland China from June, 2015 to January, 2025. Subsequently, we collected data on tick infections of related pathogens from secondary literature review, GenBank, and our field survey, without time limitation. The clinical manifestations of each kind of tick-borne diseases were summarized. The thematic maps showing geographical distribution of emerging tick-borne diseases and related tick infections were produced by ArcGIS.

Findings

Over the past decade, 28 emerging tick-borne diseases have been identified in mainland China, including 11 viral diseases, ten rickettsiosis, one anaplasmosis, one ehrlichiosis, two spirochetal diseases, and three protozoan diseases. These emerged diseases, caused by diverse pathogens, exhibit distinct geographic distribution patterns. Clinically, they are primarily characterized by febrile and non-specific symptoms, underscoring the importance of pathogen-specific diagnostic methods for accurate diagnosis. The tick-borne pathogens responsible for these emerging diseases were identified in 40 tick species and more widely distributed across China, implying cases of the emerging tick-borne diseases underdiagnosed.

Interpretation

Emerging tick-borne diseases have become an unprecedented public health threat in mainland China. Increased awareness and enhanced surveillance are required to understand the burden of tick-borne diseases in China and countries where tick vectors are present.

Funding

National Key Research and Development Program of China.

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来源期刊

The Lancet Regional Health: Western Pacific Medicine-Pediatrics, Perinatology and Child Health

CiteScore

8.80

自引率

2.80%

发文量

305

审稿时长

11 weeks

期刊介绍： The Lancet Regional Health – Western Pacific, a gold open access journal, is an integral part of The Lancet's global initiative advocating for healthcare quality and access worldwide. It aims to advance clinical practice and health policy in the Western Pacific region, contributing to enhanced health outcomes. The journal publishes high-quality original research shedding light on clinical practice and health policy in the region. It also includes reviews, commentaries, and opinion pieces covering diverse regional health topics, such as infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, aging health, mental health, the health workforce and systems, and health policy.