Globalization of leptospirosis through travel and migration.
Globalization of leptospirosis through travel and migration.
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DOI：
10.1186/s12992-014-0061-0
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发表时间：
2014-08-12
影响因子：
10.8
通讯作者：
Agampodi S
中科院分区：
文献类型：
--
作者：
Bandara M;Ananda M;Wickramage K;Berger E;Agampodi S
钩端螺旋体病仍然是世界上传播最广的人畜共患疾病，常见于热带或温带气候。虽然以前的研究提供了对国家内部和区域内传播的见解，但很少有研究分析跨国界传播。我们的综述旨在研究人类旅行和迁徙对钩端螺旋体病再次出现的影响。结果表明，除了区域环境和职业暴露外，国际旅行现在构成了疾病获得的主要独立风险因素。在一些国家，与旅行相关的钩端螺旋体病占总病例量的比例高达41.7%。在可获得纵向数据的国家，注意到与旅行相关的钩端螺旋体病的比例在这段时间内明显增加。报告模式清楚地表明，由于缺乏诊断设施，对这种疾病的严重低估。全球旅游和生态旅游的增加导致了钩端螺旋体病流行病学的巨大变化。我们探讨在流行国家的卫生系统中预防、筛查和诊断瘦体病的障碍以及返回的移徙者或旅行者。我们强调需要制定与旅行和移徙有关的钩端螺旋体病的指导方针和预防战略，包括提高高收入国家卫生专业人员对该疾病的认识。
Leptospirosis remains the most widespread zoonotic disease in the world, commonly found in tropical or temperate climates. While previous studies have offered insight into intra-national and intra-regional transmission, few have analyzed transmission across international borders. Our review aimed at examining the impact of human travel and migration on the re-emergence of Leptospirosis. Results suggest that alongside regional environmental and occupational exposure, international travel now constitute a major independent risk factor for disease acquisition. Contribution of travel associated leptospirosis to total caseload is as high as 41.7% in some countries. In countries where longitudinal data is available, a clear increase of proportion of travel-associated leptospirosis over the time is noted. Reporting patterns is clearly showing a gross underestimation of this disease due to lack of diagnostic facilities. The rise in global travel and eco-tourism has led to dramatic changes in the epidemiology of Leptospirosis. We explore the obstacles to prevention, screening and diagnosis of Leptopirosis in health systems of endemic countries and of the returning migrant or traveler. We highlight the need for developing guidelines and preventive strategies of Leptospirosis related to travel and migration, including enhancing awareness of the disease among health professionals in high-income countries.
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影响因子：
38.9
作者：
Coursin, DB;Updike, SJ;Maki, DG
通讯作者：
Maki, DG
影响因子：
25.7
作者：
Gelman, SS;Gundlapalli, AV;Carroll, KC
通讯作者：
Carroll, KC
DOI：
10.4269/ajtmh.2011.11-0276
发表时间：
2011-09-01
影响因子：
3.3
作者：
Agampodi, Suneth B.;Peacock, Sharon J.;Vinetz, Joseph M.
通讯作者：
Vinetz, Joseph M.
影响因子：
25.7
作者：
Goldsmid, JM;Bettiol, SS;Sharples, N
通讯作者：
Sharples, N
影响因子：
3.7
作者：
Field V;Gautret P;Schlagenhauf P;Burchard GD;Caumes E;Jensenius M;Castelli F;Gkrania-Klotsas E;Weld L;Lopez-Velez R;de Vries P;von Sonnenburg F;Loutan L;Parola P;EuroTravNet network
通讯作者：
EuroTravNet network