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  1 / 1856 MEDLINE  
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[PMID]:29324725
[Au] Autor:Burakoff A; Lehman J; Fischer M; Staples JE; Lindsey NP
[Ti] Título:West Nile Virus and Other Nationally Notifiable Arboviral Diseases - United States, 2016.
[So] Source:MMWR Morb Mortal Wkly Rep;67(1):13-17, 2018 Jan 12.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Arthropod-borne viruses (arboviruses) are transmitted to humans primarily through the bites of infected mosquitoes and ticks. West Nile virus (WNV) is the leading cause of domestically acquired arboviral disease in the continental United States (1,2). Other arboviruses, including La Crosse, Powassan, Jamestown Canyon, St. Louis encephalitis, and eastern equine encephalitis viruses, cause sporadic cases of disease and occasional outbreaks. This report summarizes surveillance data reported to CDC for 2016 for nationally notifiable arboviruses. It excludes dengue, chikungunya, and Zika viruses, as these are primarily nondomestic viruses typically acquired through travel. Forty-seven states and the District of Columbia (DC) reported 2,240 cases of domestic arboviral disease, including 2,150 (96%) WNV disease cases. Of the WNV disease cases, 1,310 (61%) were classified as neuroinvasive disease (e.g., meningitis, encephalitis, acute flaccid paralysis), for a national incidence of 0.41 cases per 100,000 population. After WNV, the most frequently reported arboviruses were La Crosse (35 cases), Powassan (22), and Jamestown Canyon (15) viruses. Because arboviral diseases continue to cause serious illness, maintaining surveillance is important to direct prevention activities.
[Mh] Termos MeSH primário: Infecções por Arbovirus/epidemiologia
Surtos de Doenças
Vigilância da População
Febre do Nilo Ocidental/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Notificação de Doenças
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180119
[Lr] Data última revisão:
180119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6701a3


  2 / 1856 MEDLINE  
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[PMID]:29228413
[Au] Autor:Furuya H
[Ad] Endereço:Basic Clinical Science and Public Health, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. furuya@is.icc.u-tokai.ac.jp.
[Ti] Título:Estimating Vector-borne Viral Infections in the Urban Setting of the 2020 Tokyo Olympics, Japan, Using Mathematical Modeling.
[So] Source:Tokai J Exp Clin Med;42(4):160-164, 2017 Dec 20.
[Is] ISSN:2185-2243
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:The first domestic outbreak of dengue fever in Japan since 1945 was reported in Tokyo in 2014. Meanwhile, daily mean summer temperatures are expected to continue to rise world-wide. Such conditions are expected to increase the risk of an arbovirus outbreak at the 2020 Tokyo Olympic Games. To address this possibility, the present study compared estimates of the risk of infection by dengue, chikungunya, and Zika viruses in urban areas. To compare the risk of infection by arboviruses transmitted by Ae. albopictus mosquitoes, the reproduction number for each of three arboviruses was estimated under the environmental conditions associated with the 2014 dengue outbreak in Tokyo, and additionally under conditions assuming a daily mean temperature elevation of 2° C. For dengue, chikungunya, and Zika, the estimated distributions of R were independently fitted to gamma distributions yielding median R values of 1.00, 0.46, and 0.36, respectively. If the daily mean temperature were to rise from 28° C to 30° C, our model predicts increases of the median R of 18% for dengue, 4.3% for chikungunya, and 11.1% for Zika. Strengthening of the public health responsivity for these emerging arboviral diseases will be needed in preparation for the 2020 Olympic Games in Tokyo.
[Mh] Termos MeSH primário: Aniversários e Eventos Especiais
Infecções por Arbovirus/epidemiologia
Febre de Chikungunya/epidemiologia
Dengue/epidemiologia
Surtos de Doenças/estatística & dados numéricos
Modelos Teóricos
População Urbana/estatística & dados numéricos
Infecção pelo Zika virus/epidemiologia
[Mh] Termos MeSH secundário: Animais
Infecções por Arbovirus/prevenção & controle
Infecções por Arbovirus/transmissão
Febre de Chikungunya/prevenção & controle
Febre de Chikungunya/transmissão
Culicidae
Dengue/prevenção & controle
Dengue/transmissão
Surtos de Doenças/prevenção & controle
Vetores de Doenças
Previsões
Seres Humanos
Japão
Risco
Temperatura Ambiente
Tóquio
Infecção pelo Zika virus/prevenção & controle
Infecção pelo Zika virus/transmissão
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE


  3 / 1856 MEDLINE  
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[PMID]:28956525
[Au] Autor:Rocheleau JP; Michel P; Lindsay LR; Drebot M; Dibernardo A; Ogden NH; Fortin A; Arsenault J
[Ad] Endereço:Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire,Université de Montréal,Saint-Hyacinthe, Québec,Canada.
[Ti] Título:Emerging arboviruses in Quebec, Canada: assessing public health risk by serology in humans, horses and pet dogs.
[So] Source:Epidemiol Infect;145(14):2940-2948, 2017 10.
[Is] ISSN:1469-4409
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Periodic outbreaks of West Nile virus (WNV), Eastern equine encephalitis virus (EEEV) and to a lesser extent, California serogroup viruses (CSGV), have been reported in parts of Canada in the last decade. This study was designed to provide a broad assessment of arboviral activity in Quebec, Canada, by conducting serological surveys for these arboviruses in 196 horses, 1442 dogs and 485 humans. Sera were screened by a competitive enzyme linked immunosorbent assay and positive samples confirmed by plaque reduction neutralisation tests. The percentage of seropositive samples was 83·7%, 16·5%, 7·1% in horses, 18·8%, 0·6%, 0% in humans, 11·7%, 3·1%, 0% in adult dogs and 2·9%, 0·3%, 0% in juvenile dogs for CSGV, WNV and EEEV, respectively. Serological results in horses and dogs appeared to provide a meaningful assessment of risk to public health posed by multiple arboviruses.
[Mh] Termos MeSH primário: Infecções por Arbovirus/epidemiologia
Infecções por Arbovirus/veterinária
Doenças Transmissíveis Emergentes/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Animais
Infecções por Arbovirus/virologia
Arbovirus/fisiologia
Doenças Transmissíveis Emergentes/virologia
Doenças do Cão/sangue
Doenças do Cão/epidemiologia
Doenças do Cão/virologia
Cães
Vírus da Encefalite da Califórnia/fisiologia
Vírus da Encefalite Equina do Leste/fisiologia
Encefalite da Califórnia/epidemiologia
Encefalite da Califórnia/virologia
Encefalomielite Equina/epidemiologia
Encefalomielite Equina/virologia
Feminino
Doenças dos Cavalos/sangue
Doenças dos Cavalos/epidemiologia
Doenças dos Cavalos/virologia
Cavalos
Seres Humanos
Masculino
Meia-Idade
Saúde Pública
Quebeque/epidemiologia
Febre do Nilo Ocidental/epidemiologia
Febre do Nilo Ocidental/virologia
Vírus do Nilo Ocidental/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171125
[Lr] Data última revisão:
171125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170929
[St] Status:MEDLINE
[do] DOI:10.1017/S0950268817002205


  4 / 1856 MEDLINE  
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[PMID]:28953892
[Au] Autor:Lorenz C; Azevedo TS; Virginio F; Aguiar BS; Chiaravalloti-Neto F; Suesdek L
[Ad] Endereço:Department of Parasitology, Instituto Butantan, Sao Paulo, Sao Paulo, Brazil.
[Ti] Título:Impact of environmental factors on neglected emerging arboviral diseases.
[So] Source:PLoS Negl Trop Dis;11(9):e0005959, 2017 Sep.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Brazil is a tropical country that is largely covered by rainforests and other natural ecosystems, which provide ideal conditions for the existence of many arboviruses. However, few analyses have examined the associations between environmental factors and arboviral diseases. Thus, based on the hypothesis of correlation between environment and epidemiology, the proposals of this study were (1) to obtain the probability of occurrence of Oropouche, Mayaro, Saint Louis and Rocio fevers in Brazil based on environmental conditions corresponding to the periods of occurrence of the outbreaks; (2) to describe the macroclimatic scenario in Brazil in the last 50 years, evaluating if there was any detectable tendency to increase temperatures and (3) to model future expansion of those arboviruses in Brazil based on future temperature projections. METHODOLOGY/PRINCIPAL FINDINGS: Our model assessed seven environmental factors (annual rainfall, annual temperature, elevation, seasonality of temperature, seasonality of precipitation, thermal amplitude, and daytime temperature variation) for their association with the occurrence of outbreaks in the last 50 years. Our results suggest that various environmental factors distinctly influence the distribution of each arbovirus, with temperature being the central determinant of disease distribution in all high-risk areas. These areas are subject to change, since the average temperature of some areas has increased significantly over the time. CONCLUSIONS/SIGNIFICANCE: This is the first spatio-temporal study of the Oropouche, Mayaro, Saint Louis, and Rocio arboviruses, and our results indicate that they may become increasingly important public health problems in Brazil. Thus, next studies and control programs should include these diseases and also take into consideration key environmental elements.
[Mh] Termos MeSH primário: Infecções por Arbovirus/epidemiologia
Arbovirus/isolamento & purificação
Surtos de Doenças
Exposição Ambiental
Doenças Negligenciadas/epidemiologia
[Mh] Termos MeSH secundário: Arbovirus/classificação
Brasil/epidemiologia
Seres Humanos
Modelos Estatísticos
Análise Espaço-Temporal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005959


  5 / 1856 MEDLINE  
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[PMID]:28832586
[Au] Autor:Little E; Bajwa W; Shaman J
[Ad] Endereço:Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York, United States of America.
[Ti] Título:Local environmental and meteorological conditions influencing the invasive mosquito Ae. albopictus and arbovirus transmission risk in New York City.
[So] Source:PLoS Negl Trop Dis;11(8):e0005828, 2017 Aug.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Ae. albopictus, an invasive mosquito vector now endemic to much of the northeastern US, is a significant public health threat both as a nuisance biter and vector of disease (e.g. chikungunya virus). Here, we aim to quantify the relationships between local environmental and meteorological conditions and the abundance of Ae. albopictus mosquitoes in New York City. Using statistical modeling, we create a fine-scale spatially explicit risk map of Ae. albopictus abundance and validate the accuracy of spatiotemporal model predictions using observational data from 2016. We find that the spatial variability of annual Ae. albopictus abundance is greater than its temporal variability in New York City but that both local environmental and meteorological conditions are associated with Ae. albopictus numbers. Specifically, key land use characteristics, including open spaces, residential areas, and vacant lots, and spring and early summer meteorological conditions are associated with annual Ae. albopictus abundance. In addition, we investigate the distribution of imported chikungunya cases during 2014 and use these data to delineate areas with the highest rates of arboviral importation. We show that the spatial distribution of imported arboviral cases has been mostly discordant with mosquito production and thus, to date, has provided a check on local arboviral transmission in New York City. We do, however, find concordant areas where high Ae. albopictus abundance and chikungunya importation co-occur. Public health and vector control officials should prioritize control efforts to these areas and thus more cost effectively reduce the risk of local arboviral transmission. The methods applied here can be used to monitor and identify areas of risk for other imported vector-borne diseases.
[Mh] Termos MeSH primário: Aedes/virologia
Infecções por Arbovirus/transmissão
Arbovirus/isolamento & purificação
Mosquitos Vetores/virologia
Tempo (Meteorologia)
[Mh] Termos MeSH secundário: Aedes/classificação
Aedes/fisiologia
Animais
Infecções por Arbovirus/epidemiologia
Infecções por Arbovirus/virologia
Arbovirus/fisiologia
Febre de Chikungunya/transmissão
Febre de Chikungunya/virologia
Meio Ambiente
Mosquitos Vetores/fisiologia
Cidade de Nova Iorque/epidemiologia
Saúde Pública
Fatores de Risco
Estações do Ano
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005828


  6 / 1856 MEDLINE  
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Vasconcelos, Pedro Fernando da Costa
Texto completo SciELO Brasil
[PMID]:28767977
[Au] Autor:Ramos BA; Chiang JO; Martins LC; Chagas LLD; Silva FAE; Ferreira MS; Freitas MNO; Alcantara BN; Silva SPD; Miranda SA; Sepulvreda BA; Corrêa LTG; Negrão AMG; Vasconcelos PFDC; Casseb ADR
[Ad] Endereço:Universidade Federal do Pará, Instituto de Ciências Biológicas, Belém, PA, Brasil.
[Ti] Título:Clinical and serological tests for arboviruses in free-living domestic pigeons (Columba livia).
[So] Source:Mem Inst Oswaldo Cruz;112(8):532-536, 2017 Aug.
[Is] ISSN:1678-8060
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In this study, we evaluated the role of free-living domestic pigeons (Columba livia) as a reservoir of arboviruses in the city of Belém, state of Pará, Brazil. We investigated the presence of antibodies against the most prevalent arboviruses. OBJECTIVES: This study was aimed at evaluating some clinical and physical parameters of domestic pigeons, including the presence of antibodies to Amazon-endemic arboviruses. METHODS: Eighty-five healthy pigeons were captured in Mangal das Garças Park, in Belém, and were bled. Upon capture, the birds were subjected to a clinical examination in search of alterations that could indicate the presence of arboviruses. Blood samples were converted to serum and tested using the haemagglutination inhibition (HI) technique with a panel of 19 antigens of arboviruses circulating in the Amazon. The confirmation assay for the positive reactions to the viral species tested by HI was a neutralisation test in new-born Swiss albino mice (Mus musculus) [mouse neutralisation test (MNT)]. FINDINGS: A total of 10 (11.8%) serum samples tested positive for antiflavivirus antibodies by HI. All the samples positive for the HI test were subjected to MNT for detection of viruses and yielded negative results (logarithmic neutralisation index < 1.7). MAIN CONCLUSION: The results represent the first serological detection of antiarbovirus antibodies in domestic pigeons as potential hosts of arboviruses in Brazil. The detection of haemagglutination-inhibiting antibodies against genus Flavivirus indicated that there was recent contact between the analysed domestic pigeons and these arboviruses. Further studies are needed to evaluate the role of free-living pigeons in the maintenance cycle and spread of arboviruses in the Amazon.
[Mh] Termos MeSH primário: Anticorpos Antivirais/sangue
Infecções por Arbovirus/veterinária
Arbovirus/imunologia
Doenças das Aves/virologia
Columbidae/virologia
Vetores de Doenças
[Mh] Termos MeSH secundário: Animais
Infecções por Arbovirus/diagnóstico
Infecções por Arbovirus/virologia
Arbovirus/classificação
Doenças das Aves/diagnóstico
Brasil
Feminino
Testes de Inibição da Hemaglutinação
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Viral)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE


  7 / 1856 MEDLINE  
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[PMID]:28677547
[Au] Autor:Fraser B
[Ti] Título:IPK-Cuban-US collaboration targets arboviruses.
[So] Source:Lancet;390(10089):18, 2017 07 01.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Infecções por Arbovirus/prevenção & controle
Arbovirus
Pesquisa Biomédica
Cooperação Internacional
[Mh] Termos MeSH secundário: Infecções por Arbovirus/epidemiologia
Cuba
Epidemias/prevenção & controle
Política de Saúde
Doença pelo Vírus Ebola/prevenção & controle
Seres Humanos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170706
[St] Status:MEDLINE


  8 / 1856 MEDLINE  
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[PMID]:28495485
[Au] Autor:Pingen M; Schmid MA; Harris E; McKimmie CS
[Ad] Endereço:Virus Host Interaction Team, Section of Infection and Immunity, Leeds Institute of Cancer and Pathology, University of Leeds, Leeds LS9 7TF, UK.
[Ti] Título:Mosquito Biting Modulates Skin Response to Virus Infection.
[So] Source:Trends Parasitol;33(8):645-657, 2017 08.
[Is] ISSN:1471-5007
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Mosquito-borne infections are increasing in number and are spreading to new regions at an unprecedented rate. In particular, mosquito-transmitted viruses, such as those that cause Zika, dengue, West Nile encephalitis, and chikungunya, have become endemic or have caused dramatic epidemics in many parts of the world. Aedes and Culex mosquitoes are the main culprits, spreading infection when they bite. Importantly, mosquitoes do not act as simple conduits that passively transfer virus from one individual to another. Instead, host responses to mosquito-derived factors have an important influence on infection and disease, aiding replication and dissemination within the host. Here, we discuss the latest research developments regarding this fascinating interplay between mosquito, virus, and the mammalian host.
[Mh] Termos MeSH primário: Infecções por Arbovirus/imunologia
Infecções por Arbovirus/transmissão
Arbovirus/imunologia
Mordeduras e Picadas de Insetos/imunologia
Mosquitos Vetores/imunologia
Pele/imunologia
[Mh] Termos MeSH secundário: Animais
Seres Humanos
Mordeduras e Picadas de Insetos/virologia
Mosquitos Vetores/virologia
Saliva/imunologia
Pele/virologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171121
[Lr] Data última revisão:
171121
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170513
[St] Status:MEDLINE


  9 / 1856 MEDLINE  
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[PMID]:28482830
[Au] Autor:Vlieg WL; Fanoy EB; van Asten L; Liu X; Yang J; Pilot E; Bijkerk P; van der Hoek W; Krafft T; van der Sande MA; Liu QY
[Ad] Endereço:Department of Health, Ethics & Society, CAPHRI School of Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
[Ti] Título:Comparing national infectious disease surveillance systems: China and the Netherlands.
[So] Source:BMC Public Health;17(1):415, 2017 May 08.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Risk assessment and early warning (RAEW) are essential components of any infectious disease surveillance system. In light of the International Health Regulations (IHR)(2005), this study compares the organisation of RAEW in China and the Netherlands. The respective approaches towards surveillance of arboviral disease and unexplained pneumonia were analysed to gain a better understanding of the RAEW mode of operation. This study may be used to explore options for further strengthening of global collaboration and timely detection and surveillance of infectious disease outbreaks. METHODS: A qualitative study design was used, combining data retrieved from the literature and from semi-structured interviews with Chinese (5 national-level and 6 provincial-level) and Dutch (5 national-level) experts. RESULTS: The results show that some differences exist such as in the use of automated electronic components of the early warning system in China ('CIDARS'), compared to a more limited automated component in the Netherlands ('barometer'). Moreover, RAEW units in the Netherlands focus exclusively on infectious diseases, while China has a broader 'all hazard' approach (including for example chemical incidents). In the Netherlands, veterinary specialists take part at the RAEW meetings, to enable a structured exchange/assessment of zoonotic signals. CONCLUSION: Despite these differences, the main conclusion is that for the two infections studied, the early warning system in China and the Netherlands are remarkably similar considering their large differences in infectious disease history, population size and geographical setting. Our main recommendations are continued emphasis on international corporation that requires insight into national infectious disease surveillance systems, the usage of a One Health approach in infectious disease surveillance, and further exploration/strengthening of a combined syndromic and laboratory surveillance system.
[Mh] Termos MeSH primário: Doenças Transmissíveis/epidemiologia
Vigilância da População/métodos
[Mh] Termos MeSH secundário: Infecções por Arbovirus/epidemiologia
China/epidemiologia
Surtos de Doenças
Seres Humanos
Países Baixos/epidemiologia
Pneumonia/epidemiologia
Pesquisa Qualitativa
Medição de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-017-4319-3


  10 / 1856 MEDLINE  
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[PMID]:28425959
[Au] Autor:Canali M; Rivas-Morales S; Beutels P; Venturelli C
[Ad] Endereço:Department of Agricultural and Food Science, University of Bologna, 40127 Bologna, Italy. massimo.canali2@unibo.it.
[Ti] Título:The Cost of Arbovirus Disease Prevention in Europe: Area-Wide Integrated Control of Tiger Mosquito, Aedes albopictus, in Emilia-Romagna, Northern Italy.
[So] Source:Int J Environ Res Public Health;14(4), 2017 Apr 20.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:(tiger mosquito) has become the most invasive mosquito species worldwide, in addition to being a well-known vector of diseases, with a proven capacity for the transmission of chikungunya and dengue viruses in Europe as well as the Zika virus in Africa and in laboratory settings. This research quantifies the cost that needs to be provided by public-health systems for area-wide prevention of arboviruses in Europe. This cost has been calculated by evaluating the expenditure of the plan for control set up in the Emilia-Romagna region (Northern Italy) after a chikungunya outbreak occurred in 2007. This plan involves more than 280 municipalities with a total of 4.2 million inhabitants. Public expenditure for plan implementation in 2008-2011 was examined through simple descriptive statistics. Annual expenditure was calculated to be approximately €1.3 per inhabitant, with a declining trend (from a total of €7.6 million to €5.3 million) and a significant variability at the municipality level. The preventative measures in the plan included antilarval treatments (about 75% of total expenditure), education for citizens and in schools, entomological surveillance, and emergency actions for suspected viremias. Ecological factors and the relevance of tourism showed a correlation with the territorial variability in expenditure. The median cost of one antilarval treatment in public areas was approximately €0.12 per inhabitant. Organizational aspects were also analyzed to identify possible improvements in resource use.
[Mh] Termos MeSH primário: Aedes/fisiologia
Infecções por Arbovirus/prevenção & controle
Controle de Doenças Transmissíveis/economia
Controle de Mosquitos/economia
Saúde Pública/economia
[Mh] Termos MeSH secundário: Animais
Infecções por Arbovirus/economia
Itália
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde