巴西野生动物传播人类狂犬病的风险情景

P. C. Romijn, L. Kimura, Nélio Moraes, B. N. Rolim, M. F. Teixeira, F. A. S. Junior, J. D. C. O. Filho, Maria Cristina Schneider
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摘要

狂犬病是一个公共卫生和动物健康问题,具有环境、社会和经济驱动因素和影响。几十年来,在巴西几个州的实验室独立开展了lyssav病毒诊断研究。在一些地区开展了预防狂犬病的活动,例如监测食血蝙蝠的风险和控制其数量。然而,在过去几年中,巴西北部和东北部关于蝙蝠和其他野生动物传播的人类狂犬病病例的报告数量有所增加,并出现了新的挑战。在巴西里约热内卢,受感染的非人类灵长类动物(狐唇虱)攻击人类并在西亚和圆形锥虫感染宠物(主要是狗)中传播lyssav病毒的情况必须得到充分处理。最近有报道称,在城市附近地区,以宠物为食的圆齿蛾更为频繁,最终甚至有人成为受害者。2014年开始在北巴西大德州发生的新的狨猴传播狂犬病人间病例目前正在调查中,这表明迫切需要进行信息技术和部门间调查,以便从地方一级开始,立即对这些高风险事件的病因、原因和可能的解决办法进行跟踪、反馈和研究。狂犬病病例通常发生在不受伤害的人群中,为了解决这一被忽视的疾病,需要开展宣传和教育活动,促使受影响人群在出现风险时寻求接触后预防措施,并加强对"同一个健康"专业人员的培训,以确定风险领域并进行监测、预防和干预。DOI: http://dx.doi.org/10.17525/vrr.v19i1.108
本文章由计算机程序翻译,如有差异,请以英文原文为准。
RISK SCENARIO FOR HUMAN RABIES TRANSMITTED BY WILD ANIMALS IN BRAZIL
Rabies is a public health and animal health issue with environmental, social and economic drivers and impacts. For decades, Lyssaviruses diagnostic research has been carried out independently at laboratories of several States of Brazil. In some areas activities have been developed for rabies prevention, such as the monitoring of the risk and also population control of haemathophagous bats. During the last years, however, the number of reports on human cases of rabies transmitted by bats and others wildlife animals in the North and North-East of Brazil increased, and new challenges had occur. Adequate dealing with situations of infected non-human primates (Callithrix jacchus) attacking humans and transmitting Lyssavirus in Ceara and D. rotundus spoliating pets, mainly dogs, in Rio de Janeiro has to be deployed. The feeding of Desmodus rotundus on pets has been reported lately with much more frequency close tourban areas, and eventually even persons are the victims. The new human case of marmoset-transmitted rabies in the State of Rio Grande do Norte beginning 2014, currently under investigation, demonstrate the urgency of information of technology and intersectoral investigations, allowing immediate follow-up, feed-bac and studies towards nidality, causes and possible solutions for these high risk events, starting at the local level. Usually rabies cases occurred invulnerable populations and to address this neglected disease, there is need of awareness and educational activities that induce the affected population to look for post exposure prophylaxis in case of risk and also strengthening the training for “One Health” professionals to identify risk areas and for monitoring, prevention and interventions. DOI: http://dx.doi.org/10.17525/vrr.v19i1.108
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