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Landscape attributes governing local transmission of an endemic zoonosis: Rabies virus in domestic dogs

机译:治疗地方性病病的地方传播的景观属性:家养犬的狂犬病病毒

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Landscape heterogeneity plays an important role in disease spread and persistence, but quantifying landscape influences and their scale dependence is challenging. Studies have focused on how environmental features or global transport networks influence pathogen invasion and spread, but their influence on local transmission dynamics that underpin the persistence of endemic diseases remains unexplored. Bayesian phylogeographic frameworks that incorporate spatial heterogeneities are promising tools for analysing linked epidemiological, environmental and genetic data. Here, we extend these methodological approaches to decipher the relative contribution and scale-dependent effects of landscape influences on the transmission of endemic rabies virus in Serengeti district, Tanzania (area similar to 4,900 km(2)). Utilizing detailed epidemiological data and 152 complete viral genomes collected between 2004 and 2013, we show that the localized presence of dogs but not their density is the most important determinant of diffusion, implying that culling will be ineffective for rabies control. Rivers and roads acted as barriers and facilitators to viral spread, respectively, and vaccination impeded diffusion despite variable annual coverage. Notably, we found that landscape effects were scale-dependent: rivers were barriers and roads facilitators on larger scales, whereas the distribution of dogs was important for rabies dispersal across multiple scales. This nuanced understanding of the spatial processes that underpin rabies transmission can be exploited for targeted control at the scale where it will have the greatest impact. Moreover, this research demonstrates how current phylogeographic frameworks can be adapted to improve our understanding of endemic disease dynamics at different spatial scales.
机译:景观异质性在疾病传播和持久性中起着重要作用,但量化景观影响及其规模依赖性是具有挑战性的。研究专注于环境特征或全球运输网络如何影响病原体入侵和传播,但它们对局部传播动态的影响,这是在缺血性疾病的持续存在下仍未开发。包含空间异质性的贝叶斯语文理框架是分析链接流行病学,环境和遗传数据的有希望的工具。在这里,我们扩展了这些方法论方法来破译景观影响对坦桑尼亚塞伦盖蒂区流行狂犬病病毒传播的相对贡献和规模依赖作用(类似于4,900公里(2))。利用2004年至2013年间收集的详细流行病学数据和152种完全病毒基因组,我们表明狗的本地化存在,但不是它们的密度是最重要的传播决定因素,这意味着戒华对狂犬病控制无效。河流和道路分别担任障碍和促进者,分别为病毒蔓延,尽管可变年度覆盖范围,但疫苗接种阻碍了扩散。值得注意的是,我们发现景观效果依赖于鳞片:河流是较大的尺度上的障碍和道路促进者,而狗的分布对于狂犬病分散在多种尺度上很重要。这种对狂犬病传输的空间过程的对空间过程进行了深入的理解,可以在其具有最大影响的范围内进行针对性控制。此外,该研究证明了当前的Phyloography框架可以适应如何改善我们对不同空间尺度的地方性疾病动态的理解。

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