Tick and Tickborne Pathogen Surveillance as a Public Health Tool in the United States.

Tick and Tickborne Pathogen Surveillance as a Public Health Tool in the United States.
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DOI:
10.1093/jme/tjaa087
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发表时间:
2021-07-16
影响因子:
2.1
通讯作者:
Paddock CD
Paddock CD
中科院分区:
农林科学3区
文献类型:
--
作者:
Eisen RJ;Paddock CD

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近几十年来,蜱传疾病 (TBD) 病例和具有重要医学意义的蜱虫种群在不断扩大的地理区域中不断被报道,越来越多的蜱传细菌、病毒和原生动物被认为是人类病原体,共同导致美国 TBD 负担日益加重。 TBD 的预防和诊断在很大程度上取决于公众和医疗保健提供者对人们何时何地有接触人类叮咬蜱虫以及这些蜱虫传播的病原体风险的准确了解。然而,显示医学上重要蜱虫分布以及蜱传病原体存在或流行情况的国家地图往往不完整、过时或完全缺乏。寻找寄主蜱丰度的地理变异也存在类似的缺陷。由于缺乏对医学上重要的蜱及其相关人类病原体的系统和常规监测,准确描述蜱虫风险的努力受到阻碍。在本次综述中,我们:1)概述了蜱虫监测对公共卫生的重要性; 2) 确定有关美国重要医学蜱虫的分布和丰度以及相关病原体的存在和流行的知识差距; 3) 描述蜱虫监测的关键目标并审查适合实现这些目标的方法; 4) 评估当前的能力以及蜱虫监测计划实施和可持续性的障碍。
In recent decades, tickborne disease (TBD) cases and established populations of medically important ticks have been reported over expanding geographic areas, and an increasing number of tickborne bacteria, viruses, and protozoans have been recognized as human pathogens, collectively contributing to an increasing burden of TBDs in the United States. The prevention and diagnosis of TBDs depend greatly on an accurate understanding by the public and healthcare providers of when and where persons are at risk for exposure to human-biting ticks and to the pathogens these ticks transmit. However, national maps showing the distributions of medically important ticks and the presence or prevalence of tickborne pathogens are often incomplete, outdated, or lacking entirely. Similar deficiencies exist regarding geographic variability in host-seeking tick abundance. Efforts to accurately depict acarological risk are hampered by lack of systematic and routine surveillance for medically important ticks and their associated human pathogens. In this review, we: 1) outline the public health importance of tick surveillance; 2) identify gaps in knowledge regarding the distributions and abundance of medically important ticks in the United States and the presence and prevalence of their associated pathogens; 3) describe key objectives for tick surveillance and review methods appropriate for addressing those goals; and 4) assess current capacity and barriers to implementation and sustainability of tick surveillance programs.
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