Vital Signs: Trends in Reported Vectorborne Disease Cases - United States and Territories, 2004-2016.
Vital Signs: Trends in Reported Vectorborne Disease Cases - United States and Territories, 2004-2016.
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DOI：
10.15585/mmwr.mm6717e1
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发表时间：
2018-05-04
期刊：
影响因子：
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通讯作者：
Petersen LR
中科院分区：
文献类型：
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作者：
Rosenberg R;Lindsey NP;Fischer M;Gregory CJ;Hinckley AF;Mead PS;Paz-Bailey G;Waterman SH;Drexler NA;Kersh GJ;Hooks H;Partridge SK;Visser SN;Beard CB;Petersen LR
媒介传播疾病是全世界死亡和疾病的主要原因。在美国，最常见的媒介传播病原体是通过蜱虫或蚊子传播的，包括引起莱姆病的病原体；落基山斑疹热;以及西尼罗河、登革热和寨卡病毒疾病。本报告探讨了 2004 年至 2016 年期间国家报告的虫媒疾病的发生趋势。对 2004 年至 2016 年期间向国家法定传染病监测系统报告的 16 种法定媒介传播疾病的数据进行了分析；研究结果按疾病、媒介类型、地点和年份制成表格。总共报告了 642,602 例病例。在此期间，蜱传细菌和原生动物疾病的年度报告数量增加了一倍多，从 2004 年的 > 22,000 例增加到 2016 年的 > 48,000 例。莱姆病占 2004-2016 年所有蜱传疾病报告的 82%。蚊媒疾病的发生以病毒流行为标志。波多黎各、美属维尔京群岛和美属萨摩亚的传播占登革热、基孔肯雅热和寨卡病毒病报告的大部分；西尼罗河病毒在美国大陆呈地方性流行，并且周期性流行。媒介传播疾病是美国一个严重且日益严重的公共卫生问题，其特点是地理特异性和频繁的病原体出现和引入。蜱传疾病和蚊传疾病的分布和传播动力学差异往往源于媒介的生物学差异。为了有效减少传播和应对疫情爆发，需要国家大力改进监测、诊断、报告和病媒控制，以及包括疫苗在内的新工具。
Vectorborne diseases are major causes of death and illness worldwide. In the United States, the most common vectorborne pathogens are transmitted by ticks or mosquitoes, including those causing Lyme disease; Rocky Mountain spotted fever; and West Nile, dengue, and Zika virus diseases. This report examines trends in occurrence of nationally reportable vectorborne diseases during 2004–2016. Data reported to the National Notifiable Diseases Surveillance System for 16 notifiable vectorborne diseases during 2004–2016 were analyzed; findings were tabulated by disease, vector type, location, and year. A total 642,602 cases were reported. The number of annual reports of tickborne bacterial and protozoan diseases more than doubled during this period, from >22,000 in 2004 to >48,000 in 2016. Lyme disease accounted for 82% of all tickborne disease reports during 2004–2016. The occurrence of mosquitoborne diseases was marked by virus epidemics. Transmission in Puerto Rico, the U.S. Virgin Islands, and American Samoa accounted for most reports of dengue, chikungunya, and Zika virus diseases; West Nile virus was endemic, and periodically epidemic, in the continental United States. Vectorborne diseases are a large and growing public health problem in the United States, characterized by geographic specificity and frequent pathogen emergence and introduction. Differences in distribution and transmission dynamics of tickborne and mosquitoborne diseases are often rooted in biologic differences of the vectors. To effectively reduce transmission and respond to outbreaks will require major national improvement of surveillance, diagnostics, reporting, and vector control, as well as new tools, including vaccines.