https://scholars.lib.ntu.edu.tw/handle/123456789/628981
標題: | The Re-Emergence and Emergence of Vector-Borne Rickettsioses in Taiwan | 作者: | Minahan, Nicholas T Chao, Chien-Chung KUN-HSIEN TSAI |
關鍵字: | Anaplasmataceae; Rickettsia felis; Taiwan; emerging; murine typhus; re-emerging; scrub typhus; spotted fever group rickettsiae; vector-borne rickettsioses (VBR) | 公開日期: | 21-十二月-2017 | 出版社: | MDPI | 卷: | 3 | 期: | 1 | 來源出版物: | Tropical Medicine and Infectious Disease | 摘要: | Rickettsial diseases, particularly vector-borne rickettsioses (VBR), have a long history in Taiwan, with studies on scrub typhus and murine typhus dating back over a century. The climatic and geographic diversity of Taiwan's main island and its offshore islands provide many ecological niches for the diversification and maintenance of rickettsiae alike. In recent decades, scrub typhus has re-emerged as the most prevalent type of rickettsiosis in Taiwan, particularly in eastern Taiwan and its offshore islands. While murine typhus has also re-emerged on Taiwan's western coast, it remains neglected. Perhaps more alarming than the re-emergence of these rickettsioses is the emergence of newly described VBR. The first case of human infection with Rickettsia felis was confirmed in 2005, and undetermined spotted fever group rickettsioses have recently been detected. Taiwan is at a unique advantage in terms of detecting and characterizing VBR, as it has universal health coverage and a national communicable disease surveillance system; however, these systems have not been fully utilized for this purpose. Here, we review the existing knowledge on the eco-epidemiology of VBR in Taiwan and recommend future courses of action. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/628981 | ISSN: | 2414-6366 | DOI: | 10.3390/tropicalmed3010001 |
顯示於: | 環境與職業健康科學研究所 |
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