Marburg virus disease(MVD)is a highly fatal illness,with a case fatality rate of up to 88%,though this rate can be significantly reduced with prompt and effective patient care.The disease was first identified in 1967 ...Marburg virus disease(MVD)is a highly fatal illness,with a case fatality rate of up to 88%,though this rate can be significantly reduced with prompt and effective patient care.The disease was first identified in 1967 during concurrent outbreaks in Marburg and Frankfurt,Germany,and in Belgrade,Serbia,linked to laboratory use of African green monkeys imported from Uganda.Subsequent outbreaks and isolated cases have been reported in various African countries,including Angola,the Democratic Republic of the Congo,Equatorial Guinea,Ghana,Guinea,Kenya,Rwanda,South Africa(in an individual with recent travel to Zimbabwe),Tanzania,and Uganda.Initial human MVD infections typically occur due to prolonged exposure to mines or caves inhabited by Rousettus aegyptiacus fruit bats,the natural hosts of the virus.展开更多
Background:Chagas disease(CD)is transmitted by vectors but can also be transmitted orally through contaminated food,drinks,or meat.The One Health perspective aims to understand the complex interaction between human,an...Background:Chagas disease(CD)is transmitted by vectors but can also be transmitted orally through contaminated food,drinks,or meat.The One Health perspective aims to understand the complex interaction between human,animal,and environmental health in controlling disease.This study analyzed risk factors and drew lessons from past outbreaks of orally transmitted CD to develop effective preventive strategies.Methods:A simultaneous mixed methods study was conducted.The study consisted of two phases:an ecological epidemiological analysis at the municipal level using secondary data spanning from 1992 to 2023,and semistructured interviews with health providers and policymakers at the national level in Colombia.The results from both phases were triangulated to gain a comprehensive understanding of the topic.Results:A total of 64 outbreaks,infecting 302 individuals,were reported.Most of these outbreaks(89.2%)were classified as family-related,and they occurred most frequently during the months of April to June(46.6%).It is worth noting that a significant number of these outbreaks took place in municipalities that lacked vector control plans.Risk factors for oral transmission included the location of food preparation,poor housing quality,food preparation water source,the presence of vectors/marsupials,forest type,and climatic variables.Interviews conducted emphasized the importance of implementing outbreak plans and providing staff training to effectively address the issue.Conclusion:A One Health approach strengthening prevention,surveillance,case management and cross-sectoral collaboration is needed to control outbreaks and reduce transmission in Colombia.Preparedness plans and education of health professionals are also important.This study identified modifiable risk factors to guide public health interventions.展开更多
Research has indicated that simple forest eco-system composition,structure and diversity have uncompli-cated community relationships and insufficient pest control capabilities.To investigate changing characteristics o...Research has indicated that simple forest eco-system composition,structure and diversity have uncompli-cated community relationships and insufficient pest control capabilities.To investigate changing characteristics of plant and insect communities in under pest outbreaks in Larix principis-rupprechtii plantations,the research areas were defined as mature(48–50 years)and young(24–29 years)infested stands along with healthy stands.The results show a reduction in the complexity and diversity of plant communi-ties and herbaceous plant guilds(polycultures of beneficial plants)and the complexity and dominance of insect com-munities,especially natural insect enemies.The results also show the relative simplicity of the main factors of commu-nity change and development that represent the characteris-tics of pest outbreaks in L.principis-rupprechtii plantations.The complexity and diversity of plant communities,particu-larly herbaceous plant guilds play a fundamental role in the regulation and development in forest ecosystems.展开更多
Dengue fever(DF)has become a major public health concern in Nepal,with increasing outbreaks in recent years.Transmitted by Aedes mosquitoes,this climate-sensitive viral disease presents a significant challenge for hea...Dengue fever(DF)has become a major public health concern in Nepal,with increasing outbreaks in recent years.Transmitted by Aedes mosquitoes,this climate-sensitive viral disease presents a significant challenge for healthcare providers and policymakers.Since 2004,Nepal has experienced a sharp increase in DF cases,peaking in 2022 with 54784 cases and 88 deaths.The surge,driven mainly by serotypes 1,2,and 3,is exacerbated by climate change,which prolongs mosquito breeding seasons due to warmer temperatures and increased rainfall.This trend has even impacted previously unaffected hilly regions.Effective dengue control strategies must focus on climate change adaptation,strengthening healthcare system reinforcement,raising public awareness,and enhancing vector control measures.Government initiatives,like the national dengue control program,play a critical role,but research and community engagement are also vital for prevention and early detection.Integrating climate resilience into public health efforts is essential to reducing the dengue burden in Nepal.展开更多
Dengue fever,caused by the dengue virus(DENV),poses a significant public health challenge globally,with Nigeria experiencing sporadic outbreaks.A clear understanding of the dengue burden has not been achieved in Niger...Dengue fever,caused by the dengue virus(DENV),poses a significant public health challenge globally,with Nigeria experiencing sporadic outbreaks.A clear understanding of the dengue burden has not been achieved in Nigeria,just as in other African countries.Understanding the epidemiology and burden of dengue fever is essential for effective prevention and control strategies.This paper examines the recent dengue outbreaks in northern Nigeria,particularly in Sokoto state,and evaluates the recommended Takeda dengue vaccine(TDV)along with future prevention strategies.Despite limited surveillance and underreporting,dengue fever is endemic in Nigeria(with over 5 million cases and 5000 dengue-related deaths in 2023),with recent outbreaks indicating a growing concern.The TDV,a live attenuated tetravalent vaccine,has shown promise in preventing dengue fever,but challenges such as vaccine acceptance and access-ibility need to be addressed.Global urbanization contributes to the disease's spread,which is influenced by factors such as population density,cultural beliefs,water storage practices,hygiene,and water supply accessibility.Future prevention strategies must focus on government intervention,community practices,and innovative vector control measures to mitigate the spread of DENV in Nigeria.This study will serve as a valuable reference for policy-makers,researchers,and clinicians in the management and control of DENV in Nigeria and Africa as a whole.展开更多
Mpox,formerly known as monkeypox,is a viral zoonotic disease endemic to Central and West Africa that has posed significant public health challenges since its identification in 1970.Despite decades of experience in man...Mpox,formerly known as monkeypox,is a viral zoonotic disease endemic to Central and West Africa that has posed significant public health challenges since its identification in 1970.Despite decades of experience in managing outbreaks,the 2022-2024 Mpox outbreaks exposed substantial gaps in global preparedness and response,leading the World Health Organization(WHO)to declare a Public Health Emergency of International Concern(PHEIC)in 2022.The resurgence of cases in Europe in 2022 and the more recent emergence of the virulent clade Ib in the Democratic Republic of the Congo(DRC)in 2024 have highlighted a critical need for improved proactive and response strategies to curb the epidemic.This narrative review examines the historical and recent epidemiology of Mpox in Africa and explores the factors that have limited effective management.These include objective influences such as viral mutations,zoonotic transmission patterns,and environmental changes like deforestation,as well as subjective factors,including delayed responses,limited vaccine availability,cessation of smallpox vaccinations,and inequitable access to healthcare.In particular,the review emphasizes the ongoing disparities in global health equity,as wealthier nations have been able to secure vaccines and therapeutics quickly,while endemic regions in Africa continue to struggle with limited resources.The review also discusses how socio-economic and cultural factors,combined with weak public health infrastructure and inadequate surveillance systems,perpetuate cycles of outbreak in vulnerable populations.Furthermore,the emergence of clade Ib in 2024,with its higher virulence and mortality rates among children,particularly in rural areas,underscores the urgency of addressing the evolving epidemiological landscape of Mpox.In response to these challenges,this review recommends strengthening healthcare infrastructure,enhancing surveillance systems,ensuring equitable access to vaccines and treatments,and integrating environmental management into public health strategies.Global collaboration remains essential to provide African countries with the resources and support needed to manage and prevent future outbreaks effectively.Without these measures,the world risks a prolonged public health crisis with far-reaching consequences for both Africa and the global community.展开更多
Mpox disease is caused by a double-stranded DNA virus, genus Orthopoxvirus of the family Poxviridae. The incubation period is usually 6 to 13 days but can range from 5 to 21 days while symptoms and signs may persist f...Mpox disease is caused by a double-stranded DNA virus, genus Orthopoxvirus of the family Poxviridae. The incubation period is usually 6 to 13 days but can range from 5 to 21 days while symptoms and signs may persist for 2 to 5 weeks. Although, the clinical features are usually less severe when compared to the deadly smallpox, the disease can be fatal with case fatality rate between 1% and 10%. In Imo State, Nigeria, there has been a changing epidemiology of the disease in the last 6 years and the frequency and geographic distribution of cases have progressively increased. This study aims to conduct a review of the disease epidemiology between 2017 and 2023 and implications for surveillance in Imo State. Surveillance data from the Surveillance Outbreak Response and Management System (SORMAS) was extracted between January 2017 and December 2023 across the 27 Local Government Areas (LGAs) of Imo State. A line list of 231 suspected cases was downloaded into an excel template and analyzed using SPSS<sup>®</sup> version 20 software. Analysis was done using descriptive statistics and associations were tested using Fischer’s exact at 0.05 level of significance. Of the 231 suspected cases, 57.1% (132) were males, 42.9% (99) were females and the modal age group was between the ages of 0 - 4 (32.5%). Eight (8) LGAs (districts) accounted for 71% (n = 164) of all the suspected cases. 21.2% (49) were confirmed positive, 27 males (55.1%) and 22 females (44.9%) (p > 0.05). Modal age group was 20 - 24 (22.4%, n = 11), 18% (9) were children under 14 years, p > 0.05. Case fatality rate was 8% (n = 4). There was no significant association between mortality and age group. Five (5) LGAs accounted for about 60% (29) of all confirmed cases. These LGAs contribute only 20% to the total population in the State. Only 5.6% and 4% of suspected and confirmed cases, respectively, had knowledge of contact with an infectious source. The study described the epidemiology of Mpox outbreaks between 2017 and 2023 and the findings have significant implications on detection and outbreak response activities.展开更多
Since the water supply crisis in the Taihu Lake on May 29,2007,the control of the Taihu Lake has achieved remarkable results,and the eutrophication has been greatly reduced.Existing problems are as follows:outbreaks o...Since the water supply crisis in the Taihu Lake on May 29,2007,the control of the Taihu Lake has achieved remarkable results,and the eutrophication has been greatly reduced.Existing problems are as follows:outbreaks of blue-green alga still appear seriously every year,and there is no goal to eliminate outbreaks of blue-green alga;the load into the lake greatly exceeds the environmental capacity;reed wetlands are greatly reduced;there is still the possibility of a water supply crisis;the research of eliminating outbreak of blue-green alga is weak.In this paper,the experience of controlling the Taihu Lake is summarized,and the ultimate goals of eliminating eutrophication and outbreaks of blue-green alga and restoring wetlands and biodiversity are proposed.Control measures are proposed,such as deepening the promotion of the lake chief system,establishing the lake chief system in an all-round way,and increasing applied scientific and technological efforts and capital investment.The necessity and possibility of further controlling the Taihu Lake to eliminate outbreaks of blue-green alga should be recognized.Relying on controlling eutrophication alone cannot eliminate outbreaks of blue-green alga.The point that phosphorus control is the key to eliminate outbreaks of blue-green alga is not suitable for the Taihu Lake.The integration ideas of"three types"of technologies should be innovated.The first one is"double reduction and double increase"measures to eliminate eutrophication,of which"double reduction"is to reduce external point sources and non-point sources and internal blue-green alga in sediment;for external sources,the treatment standard of sewage plants should be paid special attention to.The second one is"double algae removal"measures to salvage blue-green alga,suppresses and kills algae.The blue-green alga on the surface,middle and bottom of water should be thoroughly salvaged and eliminated from various water areas.The third one is"double restoration"measures to restore wetlands and biodiversity.The area of wetlands should be restored to the area from the 1960s to the 1970s before outbreaks of blue-green alga,and vegetation coverage reaches 25%-30%.The Taihu Lake is controlled in different waters to ensure water supply safety in water sources.Five suggestions are proposed,such as revising the"Overall Plan for the Comprehensive Treatment of Water Environment in the Taihu Lake Basin"again,incorporating the goal of eliminating outbreaks of blue-green alga in the plan,setting up this research topic,greatly improving sewage treatment standards in local legislation.展开更多
Siberian silkmoth(SSM,Dendrolimus sibiricus Tschetv.)is the most important defoliator of Siberian pine(Pinus sibirica Du Tour)and fir(Abies sibirica Ledeb.)stands.Warming-induced SSM outbreaks are one of the major dri...Siberian silkmoth(SSM,Dendrolimus sibiricus Tschetv.)is the most important defoliator of Siberian pine(Pinus sibirica Du Tour)and fir(Abies sibirica Ledeb.)stands.Warming-induced SSM outbreaks are one of the major driving factors of successions within the taiga zone.It is suggested that climate change impacted the SSM range and life cycle.We analyzed the migration of alpine and northerly SSM outbreak boundaries in Siberia and the impact of the climate variables and topography on the outbreak dynamics.We used time-series scenes(multispectral data,and vegetation indexes EVI and NDII)in combination with field studies,climate variables,and GIS techniques.We found that SSM outbreaks in the area of alpine boundary shifted about 370 m uphill since the mid of 1950.The outbreak onset was promoted by increased dryness and active temperatures and decreased root zone moisture content in the spring-early summer period.The terrain topography strongly affected SSM outbreak onset and dynamics.Initially,the outbreak was located at the middle elevations on the gentle concave southeastern slopes,which are the favorable insect habitats between outbreaks.Then the outbreak expanded uphill and downhill,to steeper slopes,and both concave and convex terrains.Alongside with elevation range expansion,SSM surpassed its northern historical outbreak boundary:the potential outbreaks’boundary moved about 300 km northward.Climate warming contributes to SSM migration into former outbreak free conifer stands located in highlands and at northern latitudes.展开更多
Background Major infectious disease has become a serious threat to people’s health worldwide.As the world’s largest healthcare workforce and the core forces fighting against the epidemic,nurses are on the frontline ...Background Major infectious disease has become a serious threat to people’s health worldwide.As the world’s largest healthcare workforce and the core forces fighting against the epidemic,nurses are on the frontline of this battle.A number of ethical issues have given rise to numerous concerns that have largely affected nurses in different ways as they respond to the epidemic.In addition,excessive expectations from people can exert undue pressure,which can easily lead to burnout in nurses.Methods In this consensus,the expert panel method was used to develop and reach a consensus.The members involved in the formation of the consensus included an expert discussion panel and a consensus writing expert group,a methodologist,and four secretaries.After 16 rounds of online expert consultation and two rounds of expert panel meetings,the writing team analyzed and reviewed the 78 amendments suggested by the experts to develop a consensus on nursing ethics for prevention and control of major infectious disease outbreaks based on the ethical vision of life care.Results This expert consensus focuses on five essential domains:the responsibilities and rights of nurses,the nurse-patient relationship,the doctor-nurse relationship,and the relationship between society and nurses throughout the epidemic.Conclusions We hope this consensus can help nurses better understand and respond to the ethical issues and challenges in public health emergencies,and raise reasonable public expectations of the roles and responsibilities of nurses in these situations.展开更多
After water storage in the Three Gorges Reservoir Region,there are no outbreaks of algal blooms in the main stream of the reservoir region,but the density of algae increases obviously. Outbreaks of algal blooms mainly...After water storage in the Three Gorges Reservoir Region,there are no outbreaks of algal blooms in the main stream of the reservoir region,but the density of algae increases obviously. Outbreaks of algal blooms mainly appeared in the tributaries of the reservoir region such as the Xiangxi River,Daning River,Shennong River and Xiaojiang River,but they did not occur every year. The reasons for outbreaks of algal blooms in the tributaries are shown as follows: the existence of sources of algae(blue-green algae) in the Three Gorges Reservoir is the root cause,and the sources include sources existing and being produced in the reservoir and sources from upstream main stream and its tributaries and other related lakes and reservoirs,of which the sources are mainly from the Dianchi Lake; slight or moderate eutrophication of water is the basic condition;hydrologic and hydrodynamic conditions and suitable temperature are conducive to proliferation and aggregation of algae(blue-green algae) after the operation of the Three Gorges Reservoir until outbreaks of algal blooms appear. Outbreaks of algal blooms in the tributaries of the Three Gorges Reservoir Region mainly appear in backwater reaches; they mainly occur in the tributaries in the north of the reservoir region and near to the dam;they mainly appear from March to July; the dominant species of algae( blue-green algae) in the Three Gorges Reservoir are Pyrrophyta,Bacillariophyta and Chlorophyta,but they tend to change into blue-green algae and other algae. To control outbreaks of algal blooms in the tributaries of the Three Gorges Reservoir Region,it is needed to prevent water containing blue-green algae collected from the Dianchi Lake and other lakes and reservoirs from being input into the lower reaches,reduce pollution load flowing into the Three Gorges Reservoir,use enclosures to change hydrodynamic conditions of backwater reaches of the tributaries appropriately,and adopt biological measures such as culturing fish and planting plants to improve ecosystem of the tributaries and other measures to inhibit and eliminate algae and decrease eutrophication level.展开更多
Objective: To identify the source of infection and determine the clinical features and laboratory finding of measles infection,Methods: In 27 measles patients,except for 3 adult patients,the rest of 24 pediatric measl...Objective: To identify the source of infection and determine the clinical features and laboratory finding of measles infection,Methods: In 27 measles patients,except for 3 adult patients,the rest of 24 pediatric measles cases were analyzed with regard to age,sex,immunization status,transmission routes and molecular genotyping of measles virus,Eighteen measles patients who admitted in isolation ward were set apart to investigate clinical findings and its correlation with laboratory characteristics,Retrospective analysis of cases was conducted in this study,Results: Of the 24 pediatric patients,23(95.8%) had not received any measles-containing vaccine(MCV),Sixteen of the patients(66.7%) were aged <12 months,The suspicious index case of a girl aged 34 months was not vaccinated with MCV1 and got measles after a trip to Philippines,and molecular genotype was revealed as B3,Measles outbreaks in the community such as a restaurant were followed by this one imported case,According to analysis of 18 patients admitted in isolation ward,the median level of C-reactive protein(CRP) was 0.38 mg/d L and that of lactate dehydrogenase(LDH) was 1 200 IU/L,All of the 18 patients had LDH levels above the normal range,Age correlated with CRP(ρ = 0.528,P = 0.024) and LDH(ρ = 0.501,P = 0.034),The duration of fever was correlated with the duration of fever before rash(ρ = 0.898,P < 0.01),The duration of hospitalization was correlated with CRP(ρ = 0.586,P = 0.011),The white blood cell counts were correlated with the levels of LDH(ρ = 0.505,P = 0.033),aspartate aminotransferase(ρ = 0.507,P = 0.032),and alanine aminotransferase(ρ = 0.481,P = 0.043),Conclusions: Early weaning of maternally derived measles antibodies therefore vaccination of MCV1 at a young age from 9 months to 12 months should be considered in situations of early exposure,Furthermore there is a call for consideration of scheduling an earlier age for the first dose of MMR vaccine in Europe,It is necessary for Korea to investigate the duration of the presence and quantitative analysis of maternal measles antibodies in infants and to reconsider the timing of MCV1.展开更多
The optimum delivery of safeguarding substances is a major part of supply chain management and a crucial issue in the mitigation against the outbreak of pandemics.A problem arises for a decision maker who wants to opt...The optimum delivery of safeguarding substances is a major part of supply chain management and a crucial issue in the mitigation against the outbreak of pandemics.A problem arises for a decision maker who wants to optimally choose a subset of candidate consumers to maximize the distributed quantities of the needed safeguarding substances within a specic time period.A nonlinear binary mathematical programming model for the problem is formulated.The decision variables are binary ones that represent whether to choose a specic consumer,and design constraints are formulated to keep track of the chosen route.To better illustrate the problem,objective,and problem constraints,a real application case study is presented.The case study involves the optimum delivery of safeguarding substances to several hospitals in the Al-Gharbia Governorate in Egypt.The hospitals are selected to represent the consumers of safeguarding substances,as they are the rst crucial frontline for mitigation against a pandemic outbreak.A distribution truck is used to distribute the substances from the main store to the hospitals in specied required quantities during a given working shift.The objective function is formulated in order to maximize the total amount of delivered quantities during the specied time period.The case study is solved using a novel Discrete Binary Gaining Sharing Knowledge-based Optimization algorithm(DBGSK),which involves two main stages:discrete binary junior and senior gaining and sharing stages.DBGSK has the ability of nding the solutions of the introduced problem,and the obtained results demonstrate robustness and convergence toward the optimal solutions.展开更多
In Indonesia, most transmission of leptospirosis occurs through the rat under conditions of high rainfall or flooding. Sampang is endemic leptospirosis, during March-May 2013, there were 55 patients with 8 of them die...In Indonesia, most transmission of leptospirosis occurs through the rat under conditions of high rainfall or flooding. Sampang is endemic leptospirosis, during March-May 2013, there were 55 patients with 8 of them died. The purpose of this study was to analyze risk factors for outbreaks leptospirosis by climatic factors. Study is cross-sectional design of variable causes or risks that occur due to the object of research are measured simultaneously. The results showed that the distribution of events is based on epidemiological characteristics of leptospirosis in districts Sampang both rainy and dry season. Analysis of climatic factors show support to the continuation of leptospirosis whose temperatures ranged from 29.35 ~C-30.62 ~C, humidity range between 63.4%-80.5%. Rainfall ranges from 183-190 ram. Incidence of leptospirosis in Sampang shows the distribution of leptospirosis cases from 18 subdistricts, 14 subdistriets are at risk of the occurrence of leptospirosis. Results obtained rat trapping species caught in the neighborhood residential home patients were mice （Rattus tanezumi and Rattus novergicus） and the identification of the leptospira in rat urine sewers rat positive standing of the potential risk of leptospirosis in the community. The conclusions are climatic conditions, rainfall remarkable effecting on the incidence of leptospirosis.展开更多
Aim: To analyze the reasons for epidemic outbreaks of measles, mumps and viral hepatitis A and to propose measures to prevent them in future. Materials and methods: Тhe incidence of measles, mumps and hepatitis A in ...Aim: To analyze the reasons for epidemic outbreaks of measles, mumps and viral hepatitis A and to propose measures to prevent them in future. Materials and methods: Тhe incidence of measles, mumps and hepatitis A in Plovdiv region was studied for the period 2006-2010. An analysis of the age structure of the patients was made, while taking into account the time for routine immunization performed against measles and mumps (first and second dose). Results: In 2006-2009 single cases of measles were found occasionally, but in 2010 they were 2787 (incidence 395/100,000). Most of them (51%) were for ages 13 months-12years, 27%-0-13 months and 11%-13 to 18 years. The incidence of mumps for 2006-2010 varied widely, and has increased significantly in 2007 (130/100,000) and 2008 (169/100,000). The majority of patients (over 34%) during the epidemics were aged 13 months-12years, and over 26% of them-13-19 years. For the period 2006-2010 the incidence of hepatitis A ranged from 2.98/100, 000 (2009) to 426/100,000 (2006). Over 50% of the cases involved children aged up to 9 years. For the three diseases over 80% of patients were individuals of Roma origin. Conclusions: 1. Epidemic spread of measles in 2010 was mainly due to shortcomings in the routine immunization carried as a prevention of the disease. 2. There are two reasons for the outbreak of mumps: А) Failure to administer the second vaccine dose at 12 years in Bulgaria until 2001. B) Shortcomings in routinely performed immunization. 3. The extremely high incidence of hepatitis A in 2006 (and in the rest of the years) is due to the lack of routine immunization. 4. Essential for the outbreaks in all three diseases are the poor hygienic living conditions, the low social status and the lack of health promotion of the population at risk 5. To prevent future outbreaks of the diseases hereby in question, we suggest it is appropriate: А) To introduce compulsory immunization against hepatitis A;B) To carry out periodic catch-up vaccination campaigns against measles and mumps.展开更多
Background： Frequent outbreaks of insects and diseases have been recorded in the native forests of western North America during the last few decades, but the distribution of these outbreaks has been far from uniform....Background： Frequent outbreaks of insects and diseases have been recorded in the native forests of western North America during the last few decades, but the distribution of these outbreaks has been far from uniform. In some cases, recent climatic variations may explain some of this spatial variation along with the presence of expansive forests composed of dense, older trees. Forest managers and policy makers would benefit if areas especially prone to disturbance could be recognized so that mitigating actions could be taken. Methods： We use two ponderosa pine-dominated sites in western Montana, U.S.A. to apply a modeling approach that couples information acquired via remote sensing, soil surveys, and local weather stations to assess where bark beetle outbreaks might first occur and why. Although there was a general downward trend in precipitation for both sites over the period between 1998 and 2010 （slope =-1.3, R2 = 0.08）, interannual variability was high. Some years showed large increases followed by sharp decreases. Both sites had similar topography and fire histories, but bark beetle activity occurred earlier （circa 2000 to 2001） and more severely on one site than on the other. The initial canopy density of the two sites was also similar, with leaf area indices ranging between 1.7-2.0 m2. m-2. We wondered if the difference in bark beetle activity was related to soils that were higher in clay content at site I than at site II. To assess this possibility, we applied a process-based stand growth model （3-PG） to analyze the data and evaluate the hypotheses. Results： We found that when wet years were followed by drier years, the simulated annual wood production per unit of leaf area, a measure of tree vigor, dropped below a critical threshold on site I but not on site II. Conclusion： We concluded that the difference in vulnerability of the two stands to beetle outbreaks can be explained largely by differences in gross photosynthesis attributed to the fact that an equivalent amount of stored water in the rooting zone （100 mm） is extracted less efficiently from fine-textured soils than from coarse-textured ones.展开更多
Jellyfish outbreaks have become a new type of marine ecological disasters,and have great influence on the structure and function balance of marine ecosystems,fishery resources,production safety of coastal power plants...Jellyfish outbreaks have become a new type of marine ecological disasters,and have great influence on the structure and function balance of marine ecosystems,fishery resources,production safety of coastal power plants,marine landscape and tourism.In recent years,the Yellow Sea and the northern East China Sea are the high risk areas of jellyfish outbreaks.In this paper,the research results of jellyfish outbreaks in the Yellow Sea and the northern East China Sea are summarized,and the species composition,distribution,life-history characteristics and hazards of jellyfish outbreaks are described.Meanwhile,the possible causes of jellyfish outbreaks are analyzed,and the monitoring and control technology of jellyfish disasters are discussed.It will provide a scientific basis for the monitoring,management,and emergency disposal of jellyfish disasters.展开更多
on the basis of the analysis of the factors causing the cotton bollworm outbreaks and control failure, the authors recommend that the fundamental strategy for solving the problem of cotton bollworms in China should be...on the basis of the analysis of the factors causing the cotton bollworm outbreaks and control failure, the authors recommend that the fundamental strategy for solving the problem of cotton bollworms in China should be to conduct area-wide unified controls rather than depend on insecticides. The unified control system is the guarantee for Integrated Pest Management (IPM) for small-scale crop owners at present. So the authors call on policymakers to put stress on organizing individual growers to carry out area wide unified controls.展开更多
The purpose of this work is to study the molecular epiderniological characteristics of norovirus gastroenteritis outbreaks in Guangdong. During October 2003 and December 2004, fecal and anal swabs specimens collected ...The purpose of this work is to study the molecular epiderniological characteristics of norovirus gastroenteritis outbreaks in Guangdong. During October 2003 and December 2004, fecal and anal swabs specimens collected from 13 outbreaks of non-bacterial gastroenteritis were tested for nomvirus. Specimens were detected by RT-PCR and sequenced. The descriptive data were also collected. Eight in 13 outbreaks of gastroenteritis were positive for nomvirus. All of 8 virus strains were identified as genogroup Ⅱ but belonged to 3 genotypes. Six strains were G Ⅱ -4 genotype. Nomvirus is a major cause of outbreaks of nonbacterial gastroenteritis in Guangdong province and has a wide distribution. The illness happended from late autumn to winter. The prevalent strains were genogroup Ⅱ virus.展开更多
Strom surges are not only determined by the atmospheric forcing,but also influenced by the coastal geometry and bathymetry.The Bohai Sea,as one of China’s marginal seas,is seriously harmed by storm surges,especially ...Strom surges are not only determined by the atmospheric forcing,but also influenced by the coastal geometry and bathymetry.The Bohai Sea,as one of China’s marginal seas,is seriously harmed by storm surges,especially those caused by cold-air outbreaks.As the coastline of the Bohai Sea has changed evidently these years,storm surges may have new characteristics due to the changes in the local geometry.This paper aims to find out these new characteristics by primarily investigating the influence of the changes in the local geometry on storm surges with numerical methods.20 scenarios were constructed based on the track and inten-sity of the cold-air outbreaks to describe the actual situation.By analyzing the model results of the control scenarios,it is found that the main changes of the maximum surge elevation occur in the Bohai Bay and the Laizhou Bay.At the top of the Bohai Bay,the maximum surge elevation is obviously decreased,while in the Laizhou Bay,it is enhanced by the growing Yellow River Delta.This,however,does not suggest that the storm surges in the Laizhou Bay become more serious.A comparison of the risk assessment of storm surges in the Tanggu,Huanghua and Yangjiaogou regions shows that the risk of storm surges in these coastal areas is lightened by the evolvement of the coastal geometry.Particularly near Yangjiaogou,though the maximum surge elevation becomes higher to subject more areas to risk,the risk is still reduced by the evolvement of the Yellow River Delta.展开更多
文摘Marburg virus disease(MVD)is a highly fatal illness,with a case fatality rate of up to 88%,though this rate can be significantly reduced with prompt and effective patient care.The disease was first identified in 1967 during concurrent outbreaks in Marburg and Frankfurt,Germany,and in Belgrade,Serbia,linked to laboratory use of African green monkeys imported from Uganda.Subsequent outbreaks and isolated cases have been reported in various African countries,including Angola,the Democratic Republic of the Congo,Equatorial Guinea,Ghana,Guinea,Kenya,Rwanda,South Africa(in an individual with recent travel to Zimbabwe),Tanzania,and Uganda.Initial human MVD infections typically occur due to prolonged exposure to mines or caves inhabited by Rousettus aegyptiacus fruit bats,the natural hosts of the virus.
文摘Background:Chagas disease(CD)is transmitted by vectors but can also be transmitted orally through contaminated food,drinks,or meat.The One Health perspective aims to understand the complex interaction between human,animal,and environmental health in controlling disease.This study analyzed risk factors and drew lessons from past outbreaks of orally transmitted CD to develop effective preventive strategies.Methods:A simultaneous mixed methods study was conducted.The study consisted of two phases:an ecological epidemiological analysis at the municipal level using secondary data spanning from 1992 to 2023,and semistructured interviews with health providers and policymakers at the national level in Colombia.The results from both phases were triangulated to gain a comprehensive understanding of the topic.Results:A total of 64 outbreaks,infecting 302 individuals,were reported.Most of these outbreaks(89.2%)were classified as family-related,and they occurred most frequently during the months of April to June(46.6%).It is worth noting that a significant number of these outbreaks took place in municipalities that lacked vector control plans.Risk factors for oral transmission included the location of food preparation,poor housing quality,food preparation water source,the presence of vectors/marsupials,forest type,and climatic variables.Interviews conducted emphasized the importance of implementing outbreak plans and providing staff training to effectively address the issue.Conclusion:A One Health approach strengthening prevention,surveillance,case management and cross-sectoral collaboration is needed to control outbreaks and reduce transmission in Colombia.Preparedness plans and education of health professionals are also important.This study identified modifiable risk factors to guide public health interventions.
基金supported by National Natural Science Foundation of China (grant no.32371882)
文摘Research has indicated that simple forest eco-system composition,structure and diversity have uncompli-cated community relationships and insufficient pest control capabilities.To investigate changing characteristics of plant and insect communities in under pest outbreaks in Larix principis-rupprechtii plantations,the research areas were defined as mature(48–50 years)and young(24–29 years)infested stands along with healthy stands.The results show a reduction in the complexity and diversity of plant communi-ties and herbaceous plant guilds(polycultures of beneficial plants)and the complexity and dominance of insect com-munities,especially natural insect enemies.The results also show the relative simplicity of the main factors of commu-nity change and development that represent the characteris-tics of pest outbreaks in L.principis-rupprechtii plantations.The complexity and diversity of plant communities,particu-larly herbaceous plant guilds play a fundamental role in the regulation and development in forest ecosystems.
文摘Dengue fever(DF)has become a major public health concern in Nepal,with increasing outbreaks in recent years.Transmitted by Aedes mosquitoes,this climate-sensitive viral disease presents a significant challenge for healthcare providers and policymakers.Since 2004,Nepal has experienced a sharp increase in DF cases,peaking in 2022 with 54784 cases and 88 deaths.The surge,driven mainly by serotypes 1,2,and 3,is exacerbated by climate change,which prolongs mosquito breeding seasons due to warmer temperatures and increased rainfall.This trend has even impacted previously unaffected hilly regions.Effective dengue control strategies must focus on climate change adaptation,strengthening healthcare system reinforcement,raising public awareness,and enhancing vector control measures.Government initiatives,like the national dengue control program,play a critical role,but research and community engagement are also vital for prevention and early detection.Integrating climate resilience into public health efforts is essential to reducing the dengue burden in Nepal.
文摘Dengue fever,caused by the dengue virus(DENV),poses a significant public health challenge globally,with Nigeria experiencing sporadic outbreaks.A clear understanding of the dengue burden has not been achieved in Nigeria,just as in other African countries.Understanding the epidemiology and burden of dengue fever is essential for effective prevention and control strategies.This paper examines the recent dengue outbreaks in northern Nigeria,particularly in Sokoto state,and evaluates the recommended Takeda dengue vaccine(TDV)along with future prevention strategies.Despite limited surveillance and underreporting,dengue fever is endemic in Nigeria(with over 5 million cases and 5000 dengue-related deaths in 2023),with recent outbreaks indicating a growing concern.The TDV,a live attenuated tetravalent vaccine,has shown promise in preventing dengue fever,but challenges such as vaccine acceptance and access-ibility need to be addressed.Global urbanization contributes to the disease's spread,which is influenced by factors such as population density,cultural beliefs,water storage practices,hygiene,and water supply accessibility.Future prevention strategies must focus on government intervention,community practices,and innovative vector control measures to mitigate the spread of DENV in Nigeria.This study will serve as a valuable reference for policy-makers,researchers,and clinicians in the management and control of DENV in Nigeria and Africa as a whole.
文摘Mpox,formerly known as monkeypox,is a viral zoonotic disease endemic to Central and West Africa that has posed significant public health challenges since its identification in 1970.Despite decades of experience in managing outbreaks,the 2022-2024 Mpox outbreaks exposed substantial gaps in global preparedness and response,leading the World Health Organization(WHO)to declare a Public Health Emergency of International Concern(PHEIC)in 2022.The resurgence of cases in Europe in 2022 and the more recent emergence of the virulent clade Ib in the Democratic Republic of the Congo(DRC)in 2024 have highlighted a critical need for improved proactive and response strategies to curb the epidemic.This narrative review examines the historical and recent epidemiology of Mpox in Africa and explores the factors that have limited effective management.These include objective influences such as viral mutations,zoonotic transmission patterns,and environmental changes like deforestation,as well as subjective factors,including delayed responses,limited vaccine availability,cessation of smallpox vaccinations,and inequitable access to healthcare.In particular,the review emphasizes the ongoing disparities in global health equity,as wealthier nations have been able to secure vaccines and therapeutics quickly,while endemic regions in Africa continue to struggle with limited resources.The review also discusses how socio-economic and cultural factors,combined with weak public health infrastructure and inadequate surveillance systems,perpetuate cycles of outbreak in vulnerable populations.Furthermore,the emergence of clade Ib in 2024,with its higher virulence and mortality rates among children,particularly in rural areas,underscores the urgency of addressing the evolving epidemiological landscape of Mpox.In response to these challenges,this review recommends strengthening healthcare infrastructure,enhancing surveillance systems,ensuring equitable access to vaccines and treatments,and integrating environmental management into public health strategies.Global collaboration remains essential to provide African countries with the resources and support needed to manage and prevent future outbreaks effectively.Without these measures,the world risks a prolonged public health crisis with far-reaching consequences for both Africa and the global community.
文摘Mpox disease is caused by a double-stranded DNA virus, genus Orthopoxvirus of the family Poxviridae. The incubation period is usually 6 to 13 days but can range from 5 to 21 days while symptoms and signs may persist for 2 to 5 weeks. Although, the clinical features are usually less severe when compared to the deadly smallpox, the disease can be fatal with case fatality rate between 1% and 10%. In Imo State, Nigeria, there has been a changing epidemiology of the disease in the last 6 years and the frequency and geographic distribution of cases have progressively increased. This study aims to conduct a review of the disease epidemiology between 2017 and 2023 and implications for surveillance in Imo State. Surveillance data from the Surveillance Outbreak Response and Management System (SORMAS) was extracted between January 2017 and December 2023 across the 27 Local Government Areas (LGAs) of Imo State. A line list of 231 suspected cases was downloaded into an excel template and analyzed using SPSS<sup>®</sup> version 20 software. Analysis was done using descriptive statistics and associations were tested using Fischer’s exact at 0.05 level of significance. Of the 231 suspected cases, 57.1% (132) were males, 42.9% (99) were females and the modal age group was between the ages of 0 - 4 (32.5%). Eight (8) LGAs (districts) accounted for 71% (n = 164) of all the suspected cases. 21.2% (49) were confirmed positive, 27 males (55.1%) and 22 females (44.9%) (p > 0.05). Modal age group was 20 - 24 (22.4%, n = 11), 18% (9) were children under 14 years, p > 0.05. Case fatality rate was 8% (n = 4). There was no significant association between mortality and age group. Five (5) LGAs accounted for about 60% (29) of all confirmed cases. These LGAs contribute only 20% to the total population in the State. Only 5.6% and 4% of suspected and confirmed cases, respectively, had knowledge of contact with an infectious source. The study described the epidemiology of Mpox outbreaks between 2017 and 2023 and the findings have significant implications on detection and outbreak response activities.
文摘Since the water supply crisis in the Taihu Lake on May 29,2007,the control of the Taihu Lake has achieved remarkable results,and the eutrophication has been greatly reduced.Existing problems are as follows:outbreaks of blue-green alga still appear seriously every year,and there is no goal to eliminate outbreaks of blue-green alga;the load into the lake greatly exceeds the environmental capacity;reed wetlands are greatly reduced;there is still the possibility of a water supply crisis;the research of eliminating outbreak of blue-green alga is weak.In this paper,the experience of controlling the Taihu Lake is summarized,and the ultimate goals of eliminating eutrophication and outbreaks of blue-green alga and restoring wetlands and biodiversity are proposed.Control measures are proposed,such as deepening the promotion of the lake chief system,establishing the lake chief system in an all-round way,and increasing applied scientific and technological efforts and capital investment.The necessity and possibility of further controlling the Taihu Lake to eliminate outbreaks of blue-green alga should be recognized.Relying on controlling eutrophication alone cannot eliminate outbreaks of blue-green alga.The point that phosphorus control is the key to eliminate outbreaks of blue-green alga is not suitable for the Taihu Lake.The integration ideas of"three types"of technologies should be innovated.The first one is"double reduction and double increase"measures to eliminate eutrophication,of which"double reduction"is to reduce external point sources and non-point sources and internal blue-green alga in sediment;for external sources,the treatment standard of sewage plants should be paid special attention to.The second one is"double algae removal"measures to salvage blue-green alga,suppresses and kills algae.The blue-green alga on the surface,middle and bottom of water should be thoroughly salvaged and eliminated from various water areas.The third one is"double restoration"measures to restore wetlands and biodiversity.The area of wetlands should be restored to the area from the 1960s to the 1970s before outbreaks of blue-green alga,and vegetation coverage reaches 25%-30%.The Taihu Lake is controlled in different waters to ensure water supply safety in water sources.Five suggestions are proposed,such as revising the"Overall Plan for the Comprehensive Treatment of Water Environment in the Taihu Lake Basin"again,incorporating the goal of eliminating outbreaks of blue-green alga in the plan,setting up this research topic,greatly improving sewage treatment standards in local legislation.
基金supported by the Russian Foundation for Basic Research,project nos.18-45-240003 and 18-05-00432。
文摘Siberian silkmoth(SSM,Dendrolimus sibiricus Tschetv.)is the most important defoliator of Siberian pine(Pinus sibirica Du Tour)and fir(Abies sibirica Ledeb.)stands.Warming-induced SSM outbreaks are one of the major driving factors of successions within the taiga zone.It is suggested that climate change impacted the SSM range and life cycle.We analyzed the migration of alpine and northerly SSM outbreak boundaries in Siberia and the impact of the climate variables and topography on the outbreak dynamics.We used time-series scenes(multispectral data,and vegetation indexes EVI and NDII)in combination with field studies,climate variables,and GIS techniques.We found that SSM outbreaks in the area of alpine boundary shifted about 370 m uphill since the mid of 1950.The outbreak onset was promoted by increased dryness and active temperatures and decreased root zone moisture content in the spring-early summer period.The terrain topography strongly affected SSM outbreak onset and dynamics.Initially,the outbreak was located at the middle elevations on the gentle concave southeastern slopes,which are the favorable insect habitats between outbreaks.Then the outbreak expanded uphill and downhill,to steeper slopes,and both concave and convex terrains.Alongside with elevation range expansion,SSM surpassed its northern historical outbreak boundary:the potential outbreaks’boundary moved about 300 km northward.Climate warming contributes to SSM migration into former outbreak free conifer stands located in highlands and at northern latitudes.
基金Prevention&Control of COVID-19 Program of Soochow Securities,Grant/Award Number:JJ12700520Postgraduate Research&Practice Innovation Program of Jiangsu Province,Grant/Award Number:KYCX20_2684.
文摘Background Major infectious disease has become a serious threat to people’s health worldwide.As the world’s largest healthcare workforce and the core forces fighting against the epidemic,nurses are on the frontline of this battle.A number of ethical issues have given rise to numerous concerns that have largely affected nurses in different ways as they respond to the epidemic.In addition,excessive expectations from people can exert undue pressure,which can easily lead to burnout in nurses.Methods In this consensus,the expert panel method was used to develop and reach a consensus.The members involved in the formation of the consensus included an expert discussion panel and a consensus writing expert group,a methodologist,and four secretaries.After 16 rounds of online expert consultation and two rounds of expert panel meetings,the writing team analyzed and reviewed the 78 amendments suggested by the experts to develop a consensus on nursing ethics for prevention and control of major infectious disease outbreaks based on the ethical vision of life care.Results This expert consensus focuses on five essential domains:the responsibilities and rights of nurses,the nurse-patient relationship,the doctor-nurse relationship,and the relationship between society and nurses throughout the epidemic.Conclusions We hope this consensus can help nurses better understand and respond to the ethical issues and challenges in public health emergencies,and raise reasonable public expectations of the roles and responsibilities of nurses in these situations.
文摘After water storage in the Three Gorges Reservoir Region,there are no outbreaks of algal blooms in the main stream of the reservoir region,but the density of algae increases obviously. Outbreaks of algal blooms mainly appeared in the tributaries of the reservoir region such as the Xiangxi River,Daning River,Shennong River and Xiaojiang River,but they did not occur every year. The reasons for outbreaks of algal blooms in the tributaries are shown as follows: the existence of sources of algae(blue-green algae) in the Three Gorges Reservoir is the root cause,and the sources include sources existing and being produced in the reservoir and sources from upstream main stream and its tributaries and other related lakes and reservoirs,of which the sources are mainly from the Dianchi Lake; slight or moderate eutrophication of water is the basic condition;hydrologic and hydrodynamic conditions and suitable temperature are conducive to proliferation and aggregation of algae(blue-green algae) after the operation of the Three Gorges Reservoir until outbreaks of algal blooms appear. Outbreaks of algal blooms in the tributaries of the Three Gorges Reservoir Region mainly appear in backwater reaches; they mainly occur in the tributaries in the north of the reservoir region and near to the dam;they mainly appear from March to July; the dominant species of algae( blue-green algae) in the Three Gorges Reservoir are Pyrrophyta,Bacillariophyta and Chlorophyta,but they tend to change into blue-green algae and other algae. To control outbreaks of algal blooms in the tributaries of the Three Gorges Reservoir Region,it is needed to prevent water containing blue-green algae collected from the Dianchi Lake and other lakes and reservoirs from being input into the lower reaches,reduce pollution load flowing into the Three Gorges Reservoir,use enclosures to change hydrodynamic conditions of backwater reaches of the tributaries appropriately,and adopt biological measures such as culturing fish and planting plants to improve ecosystem of the tributaries and other measures to inhibit and eliminate algae and decrease eutrophication level.
基金supported by the Soonchunhyang University Research Fund
文摘Objective: To identify the source of infection and determine the clinical features and laboratory finding of measles infection,Methods: In 27 measles patients,except for 3 adult patients,the rest of 24 pediatric measles cases were analyzed with regard to age,sex,immunization status,transmission routes and molecular genotyping of measles virus,Eighteen measles patients who admitted in isolation ward were set apart to investigate clinical findings and its correlation with laboratory characteristics,Retrospective analysis of cases was conducted in this study,Results: Of the 24 pediatric patients,23(95.8%) had not received any measles-containing vaccine(MCV),Sixteen of the patients(66.7%) were aged <12 months,The suspicious index case of a girl aged 34 months was not vaccinated with MCV1 and got measles after a trip to Philippines,and molecular genotype was revealed as B3,Measles outbreaks in the community such as a restaurant were followed by this one imported case,According to analysis of 18 patients admitted in isolation ward,the median level of C-reactive protein(CRP) was 0.38 mg/d L and that of lactate dehydrogenase(LDH) was 1 200 IU/L,All of the 18 patients had LDH levels above the normal range,Age correlated with CRP(ρ = 0.528,P = 0.024) and LDH(ρ = 0.501,P = 0.034),The duration of fever was correlated with the duration of fever before rash(ρ = 0.898,P < 0.01),The duration of hospitalization was correlated with CRP(ρ = 0.586,P = 0.011),The white blood cell counts were correlated with the levels of LDH(ρ = 0.505,P = 0.033),aspartate aminotransferase(ρ = 0.507,P = 0.032),and alanine aminotransferase(ρ = 0.481,P = 0.043),Conclusions: Early weaning of maternally derived measles antibodies therefore vaccination of MCV1 at a young age from 9 months to 12 months should be considered in situations of early exposure,Furthermore there is a call for consideration of scheduling an earlier age for the first dose of MMR vaccine in Europe,It is necessary for Korea to investigate the duration of the presence and quantitative analysis of maternal measles antibodies in infants and to reconsider the timing of MCV1.
基金funded by Deanship of Scientic Research,King Saud University through the Vice Deanship of Scientic Research.
文摘The optimum delivery of safeguarding substances is a major part of supply chain management and a crucial issue in the mitigation against the outbreak of pandemics.A problem arises for a decision maker who wants to optimally choose a subset of candidate consumers to maximize the distributed quantities of the needed safeguarding substances within a specic time period.A nonlinear binary mathematical programming model for the problem is formulated.The decision variables are binary ones that represent whether to choose a specic consumer,and design constraints are formulated to keep track of the chosen route.To better illustrate the problem,objective,and problem constraints,a real application case study is presented.The case study involves the optimum delivery of safeguarding substances to several hospitals in the Al-Gharbia Governorate in Egypt.The hospitals are selected to represent the consumers of safeguarding substances,as they are the rst crucial frontline for mitigation against a pandemic outbreak.A distribution truck is used to distribute the substances from the main store to the hospitals in specied required quantities during a given working shift.The objective function is formulated in order to maximize the total amount of delivered quantities during the specied time period.The case study is solved using a novel Discrete Binary Gaining Sharing Knowledge-based Optimization algorithm(DBGSK),which involves two main stages:discrete binary junior and senior gaining and sharing stages.DBGSK has the ability of nding the solutions of the introduced problem,and the obtained results demonstrate robustness and convergence toward the optimal solutions.
文摘In Indonesia, most transmission of leptospirosis occurs through the rat under conditions of high rainfall or flooding. Sampang is endemic leptospirosis, during March-May 2013, there were 55 patients with 8 of them died. The purpose of this study was to analyze risk factors for outbreaks leptospirosis by climatic factors. Study is cross-sectional design of variable causes or risks that occur due to the object of research are measured simultaneously. The results showed that the distribution of events is based on epidemiological characteristics of leptospirosis in districts Sampang both rainy and dry season. Analysis of climatic factors show support to the continuation of leptospirosis whose temperatures ranged from 29.35 ~C-30.62 ~C, humidity range between 63.4%-80.5%. Rainfall ranges from 183-190 ram. Incidence of leptospirosis in Sampang shows the distribution of leptospirosis cases from 18 subdistricts, 14 subdistriets are at risk of the occurrence of leptospirosis. Results obtained rat trapping species caught in the neighborhood residential home patients were mice （Rattus tanezumi and Rattus novergicus） and the identification of the leptospira in rat urine sewers rat positive standing of the potential risk of leptospirosis in the community. The conclusions are climatic conditions, rainfall remarkable effecting on the incidence of leptospirosis.
文摘Aim: To analyze the reasons for epidemic outbreaks of measles, mumps and viral hepatitis A and to propose measures to prevent them in future. Materials and methods: Тhe incidence of measles, mumps and hepatitis A in Plovdiv region was studied for the period 2006-2010. An analysis of the age structure of the patients was made, while taking into account the time for routine immunization performed against measles and mumps (first and second dose). Results: In 2006-2009 single cases of measles were found occasionally, but in 2010 they were 2787 (incidence 395/100,000). Most of them (51%) were for ages 13 months-12years, 27%-0-13 months and 11%-13 to 18 years. The incidence of mumps for 2006-2010 varied widely, and has increased significantly in 2007 (130/100,000) and 2008 (169/100,000). The majority of patients (over 34%) during the epidemics were aged 13 months-12years, and over 26% of them-13-19 years. For the period 2006-2010 the incidence of hepatitis A ranged from 2.98/100, 000 (2009) to 426/100,000 (2006). Over 50% of the cases involved children aged up to 9 years. For the three diseases over 80% of patients were individuals of Roma origin. Conclusions: 1. Epidemic spread of measles in 2010 was mainly due to shortcomings in the routine immunization carried as a prevention of the disease. 2. There are two reasons for the outbreak of mumps: А) Failure to administer the second vaccine dose at 12 years in Bulgaria until 2001. B) Shortcomings in routinely performed immunization. 3. The extremely high incidence of hepatitis A in 2006 (and in the rest of the years) is due to the lack of routine immunization. 4. Essential for the outbreaks in all three diseases are the poor hygienic living conditions, the low social status and the lack of health promotion of the population at risk 5. To prevent future outbreaks of the diseases hereby in question, we suggest it is appropriate: А) To introduce compulsory immunization against hepatitis A;B) To carry out periodic catch-up vaccination campaigns against measles and mumps.
文摘Background： Frequent outbreaks of insects and diseases have been recorded in the native forests of western North America during the last few decades, but the distribution of these outbreaks has been far from uniform. In some cases, recent climatic variations may explain some of this spatial variation along with the presence of expansive forests composed of dense, older trees. Forest managers and policy makers would benefit if areas especially prone to disturbance could be recognized so that mitigating actions could be taken. Methods： We use two ponderosa pine-dominated sites in western Montana, U.S.A. to apply a modeling approach that couples information acquired via remote sensing, soil surveys, and local weather stations to assess where bark beetle outbreaks might first occur and why. Although there was a general downward trend in precipitation for both sites over the period between 1998 and 2010 （slope =-1.3, R2 = 0.08）, interannual variability was high. Some years showed large increases followed by sharp decreases. Both sites had similar topography and fire histories, but bark beetle activity occurred earlier （circa 2000 to 2001） and more severely on one site than on the other. The initial canopy density of the two sites was also similar, with leaf area indices ranging between 1.7-2.0 m2. m-2. We wondered if the difference in bark beetle activity was related to soils that were higher in clay content at site I than at site II. To assess this possibility, we applied a process-based stand growth model （3-PG） to analyze the data and evaluate the hypotheses. Results： We found that when wet years were followed by drier years, the simulated annual wood production per unit of leaf area, a measure of tree vigor, dropped below a critical threshold on site I but not on site II. Conclusion： We concluded that the difference in vulnerability of the two stands to beetle outbreaks can be explained largely by differences in gross photosynthesis attributed to the fact that an equivalent amount of stored water in the rooting zone （100 mm） is extracted less efficiently from fine-textured soils than from coarse-textured ones.
基金Supported by Special Project of National Key Research and Development Program of China(2016YFC1402201).
文摘Jellyfish outbreaks have become a new type of marine ecological disasters,and have great influence on the structure and function balance of marine ecosystems,fishery resources,production safety of coastal power plants,marine landscape and tourism.In recent years,the Yellow Sea and the northern East China Sea are the high risk areas of jellyfish outbreaks.In this paper,the research results of jellyfish outbreaks in the Yellow Sea and the northern East China Sea are summarized,and the species composition,distribution,life-history characteristics and hazards of jellyfish outbreaks are described.Meanwhile,the possible causes of jellyfish outbreaks are analyzed,and the monitoring and control technology of jellyfish disasters are discussed.It will provide a scientific basis for the monitoring,management,and emergency disposal of jellyfish disasters.
文摘on the basis of the analysis of the factors causing the cotton bollworm outbreaks and control failure, the authors recommend that the fundamental strategy for solving the problem of cotton bollworms in China should be to conduct area-wide unified controls rather than depend on insecticides. The unified control system is the guarantee for Integrated Pest Management (IPM) for small-scale crop owners at present. So the authors call on policymakers to put stress on organizing individual growers to carry out area wide unified controls.
文摘The purpose of this work is to study the molecular epiderniological characteristics of norovirus gastroenteritis outbreaks in Guangdong. During October 2003 and December 2004, fecal and anal swabs specimens collected from 13 outbreaks of non-bacterial gastroenteritis were tested for nomvirus. Specimens were detected by RT-PCR and sequenced. The descriptive data were also collected. Eight in 13 outbreaks of gastroenteritis were positive for nomvirus. All of 8 virus strains were identified as genogroup Ⅱ but belonged to 3 genotypes. Six strains were G Ⅱ -4 genotype. Nomvirus is a major cause of outbreaks of nonbacterial gastroenteritis in Guangdong province and has a wide distribution. The illness happended from late autumn to winter. The prevalent strains were genogroup Ⅱ virus.
基金supported by the National Science and Technology Pillar Program during China's Eleventh Five-Year Plan Period (2006BAC03B01)
文摘Strom surges are not only determined by the atmospheric forcing,but also influenced by the coastal geometry and bathymetry.The Bohai Sea,as one of China’s marginal seas,is seriously harmed by storm surges,especially those caused by cold-air outbreaks.As the coastline of the Bohai Sea has changed evidently these years,storm surges may have new characteristics due to the changes in the local geometry.This paper aims to find out these new characteristics by primarily investigating the influence of the changes in the local geometry on storm surges with numerical methods.20 scenarios were constructed based on the track and inten-sity of the cold-air outbreaks to describe the actual situation.By analyzing the model results of the control scenarios,it is found that the main changes of the maximum surge elevation occur in the Bohai Bay and the Laizhou Bay.At the top of the Bohai Bay,the maximum surge elevation is obviously decreased,while in the Laizhou Bay,it is enhanced by the growing Yellow River Delta.This,however,does not suggest that the storm surges in the Laizhou Bay become more serious.A comparison of the risk assessment of storm surges in the Tanggu,Huanghua and Yangjiaogou regions shows that the risk of storm surges in these coastal areas is lightened by the evolvement of the coastal geometry.Particularly near Yangjiaogou,though the maximum surge elevation becomes higher to subject more areas to risk,the risk is still reduced by the evolvement of the Yellow River Delta.
