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Ross River virus disease in Australia, 1886-1998, with analysis of risk factors associated with outbreaks [Review]

机译:澳大利亚罗斯河病毒病,1886-1998年,分析了与暴发相关的危险因素[评论]

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Ross River virus (RE) is a mosquito-borne arbovirus responsible for outbreaks of polyarthritic disease throughout Australia. To better understand human and environmental factors driving such events, 57 historical reports oil RR Outbreaks between 1896 and 1998 were examined collectively. The magnitude, regularity, seasonality, and locality of outbreaks were found to be wide ranging; however, analysis of climatic and tidal data highlighted that environmental conditions let differently ill tropical, arid, and temperate regions. Overall, rainfall seems to be the single most important risk factor, with over 90% of major outbreak locations receiving higher than average rainfall in preceding mouths. Many temperatures were close to average, particularly in tropical populations; however, in arid regions, below average maximum temperatures predominated, and ill southeast temperate regions, above average minimum temperatures predominated. High spring tides preceded coastal Outbreaks, both in the presence and absence of rainfall, and the relationship between rainfall and the Southern Oscillation Index and Lit Nina episodes suggest they may be useful predictive tools, but only ill southeast temperate regions. Such heterogeneity predisposing outbreaks supports the notion that there are different RE epidemiologies throughout Australia but also Suggests that generic parameters for the prediction and control of outbreaks are of limited use at a local level.
机译:罗斯河病毒(RE)是一种蚊媒虫媒病毒,在整个澳大利亚引起多关节炎疾病的爆发。为了更好地了解驱动此类事件的人为因素和环境因素,对1896年至1998年之间的RR石油暴发的历史报道进行了共57次研究。发现暴发的程度,规律性,季节性和地点范围广泛。然而,对气候和潮汐数据的分析强调指出,环境条件使热带,干旱和温带地区的病情有所不同。总体而言,降雨似乎是最重要的单一危险因素,超过90%的主要暴发地区的前期降雨均高于平均水平。许多温度接近平均水平,特别是在热带地区。然而,在干旱地区,低于最高平均气温的情况占主导地位,而在东南温带地区,平均气温高于平均最低气温的情况最为普遍。在有无降雨的情况下,沿海暴发之前都是春季高潮,降雨与南方涛动指数和尼娜升起之间的关系表明,它们可能是有用的预测工具,但仅适用于东南温带地区。这种异质性易感性爆发支持以下观点:整个澳大利亚存在不同的RE流行病学,但也表明,在地方一级,用于预测和控制爆发的通用参数用途有限。

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