Potential impact of climate change on emerging vector-borne and other infections in the UK.

Potential impact of climate change on emerging vector-borne and other infections in the UK.
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气候变化对英国新兴媒介传播和其他感染的潜在影响。

DOI:
10.1186/s12940-017-0326-1
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发表时间:
2017-12-05
期刊:
Environmental health : a global access science source
影响因子:
--
通讯作者:
Baylis M
Baylis M
中科院分区:
其他
文献类型:
--
作者:
Baylis M

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气候是疾病出现的几个原因之一。虽然一半或一半以上的传染病受气候影响,但气候似乎是人类疾病出现的一个相对罕见的原因。气候主要影响由病原体引起的疾病,这些病原体的部分生命周期在宿主之外,暴露于环境中。对气候敏感的疾病最重要的传播途径是通过节肢动物(昆虫和蜱)媒介、水和食物传播。鉴于许多疾病对气候的敏感性,至少有一些疾病很可能会对未来的气候变化做出反应。就病媒传播疾病而言,这一对策将包括防止疾病传播到新的地区。近年来,欧洲出现了几种病媒传染的疾病,其中包括间日疟、西尼罗河热、登革热、基孔肯雅热、利什曼病、莱姆病和蜱媒脑炎。这些疾病的媒介是蚊子、白蛉和蜱。英国有能够传播疟疾和其他病原体的地方性蚊子物种,以及传播莱姆病的蜱虫。英国还受到已知能够传播西尼罗河病毒、登革热、基孔肯雅病毒和寨卡病毒的入侵蚊子物种以及传播利什曼病的白蛉的威胁。未来更温暖的气温将增加英国气候对这些入侵物种的适应性,并增加它们传播疾病的风险。虽然人们对入侵物种的关注很多,但认识到本土物种带来的威胁也很重要。为减少新出现的病媒传播疾病在联合王国的未来影响而建议采取的行动包括在车辆和某些货物入境点开展昆虫控制活动,更广泛地监测蚊子和白蛉,研究本地物种构成的威胁,提高医学界对特定疾病构成的威胁的认识,定期进行风险评估,以及加强对疾病紧急情况的准备。本文的在线版本(10.1186/s12940-017-0326-1)包含补充材料,可供授权用户使用。
Climate is one of several causes of disease emergence. Although half or more of infectious diseases are affected by climate it appears to be a relatively infrequent cause of human disease emergence. Climate mostly affects diseases caused by pathogens that spend part of their lifecycle outside of the host, exposed to the environment. The most important routes of transmission of climate sensitive diseases are by arthropod (insect and tick) vectors, in water and in food. Given the sensitivity of many diseases to climate, it is very likely that at least some will respond to future climate change. In the case of vector-borne diseases this response will include spread to new areas. Several vector-borne diseases have emerged in Europe in recent years; these include vivax malaria, West Nile fever, dengue fever, Chikungunya fever, leishmaniasis, Lyme disease and tick-borne encephalitis. The vectors of these diseases are mosquitoes, sand flies and ticks. The UK has endemic mosquito species capable of transmitting malaria and probably other pathogens, and ticks that transmit Lyme disease. The UK is also threatened by invasive mosquito species known to be able to transmit West Nile, dengue, chikungunya and Zika, and sand flies that spread leishmaniasis. Warmer temperatures in the future will increase the suitability of the UK’s climate for these invasive species, and increase the risk that they may spread disease. While much attention is on invasive species, it is important to recognize the threat presented by native species too. Proposed actions to reduce the future impact of emerging vector-borne diseases in the UK include insect control activity at points of entry of vehicles and certain goods, wider surveillance for mosquitoes and sand flies, research into the threat posed by native species, increased awareness of the medical profession of the threat posed by specific diseases, regular risk assessments, and increased preparedness for the occurrence of a disease emergency. The online version of this article (10.1186/s12940-017-0326-1) contains supplementary material, which is available to authorized users.
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