Vector-borne and zoonotic infections and their relationships with regional and socioeconomic statuses: An ID-IRI survey in 24 countries of Europe, Africa and Asia.
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Saydam Fatma Nurhayat, Erdem Hakan, Ankarali Handan, El-Arab Ramadan Manar Ezz, El-Sayed Nagwa Mostafa, Civljak Rok, Pshenichnaya Natalia, Moroti Ruxandra Valentina, Mahmuodabad Fatemeh Moradi, Maduka Agah Victor, Mahboob Amjad, Prakash Kumari Pilli Hema, Stebel Roman, Cernat Roxana, Fasanekova Lenka, Uysal Serhat, Tasbakan Meltem, Arapović Jurica, Magdalena Dumitru Irina, Angamuthu Kumar, Ghanem-Zoubi Nesrin, Meric-Koc Meliha, Ruch Yvon, Marino Andrea, Sadykova Ainur, Batirel Ayse, Khan Ejaz Ahmed, Kulzhanova Sholpan, Al-Moghazi Samir, Yegemberdiyeva Ravilya, Nicastri Emanuele, Pandak Nenad, Akhtar Nasim, Ozer-Balin Safak, Cascio Antonio, Dimzova Marija, Evren Hakan, Puca Edmond, Tokayeva Alma, Vecchi Marta, Bozkurt Ilkay, Dogan Mustafa, Dirani Natalia, Duisenova Amangul, Khan Mumtaz Ali, Kotsev Stanislav, Obradovic Zarema, Del Vecchio Rosa Fontana, Almajid Fahad, Barac Aleksandra, Dragovac Gorana, Pishmisheva-Peleva Maria, Rahman Md Tanvir, Rahman Taufiquer, Le Marechal Marion, Cag Yasemin, Ikram Aamer, Rodriguez-Morales Alfonso J
Аннотация
METHOD: VBZIs' data between May 20-28, 2018 was collected. The 24 Participatingcountries were classified as lower-middle, upper-middle, and high-income.
RESULTS: 382 patients were included. 175(45.8%) were hospitalized, most commonly in Croatia, Egypt, and Romania(P = 0.001). There was a significant difference between distributions of VBZIs according to geographical regions(P < 0.001). Amebiasis, Ancylostomiasis, Blastocystosis, Cryptosporidiosis, Giardiasis, Toxoplasmosis were significantly more common in the Middle-East while Bartonellosis, Borreliosis, Cat Scratch Disease, Hantavirus syndrome, Rickettsiosis, Campylobacteriosis, Salmonellosis in Central/East/South-East Europe; Brucellosis and Echinococcosis in Central/West Asia; Campylobacteriosis, Chikungunya, Tick-borne encephalitis, Visceral Leishmaniasis, Salmonellosis, Toxoplasmosis in the North-Mediterranean; CCHF, Cutaneous Leishmaniasis, Dengue, Malaria, Taeniasis, Salmonellosis in Indian Subcontinent; Lassa Fever in West Africa. There were significant regional differences for viral hemorrhagic fevers(P < 0.001) and tick-borne infections(P < 0.001), and according to economic status for VBZIs(P < 0.001). The prevalences of VBZIs were significantly higher in lower-middle income countries(P = 0.001). The most similar regions were the Indian Subcontinent and the Middle-East, the Indian Subcontinent and the North-Mediterranean, and the Middle-East and North-Mediterranean regions.
CONCLUSIONS: Regional and socioeconomic heterogeneity still exists for VBZIs. Control and eradication of VBZIs require evidence-based surveillance data, and multidisciplinary efforts.