Abstract:
:Rift Valley fever (RVF) is a vector-borne viral disease widespread in Africa. The primary cycle involves mosquitoes and wild and domestic ruminant hosts. Humans are usually contaminated after contact with infected ruminants. As many environmental, agricultural, epidemiological, and anthropogenic factors are implicated in RVF spread, the multidisciplinary One Health approach was needed to identify the drivers of RVF epidemics in Madagascar. We examined the environmental patterns associated with these epidemics, comparing human and ruminant serological data with environmental and cattle-trade data. In contrast to East Africa, environmental drivers did not trigger the epidemics: They only modulated local Rift Valley fever virus (RVFV) transmission in ruminants. Instead, RVFV was introduced through ruminant trade and subsequent movement of cattle between trade hubs caused its long-distance spread within the country. Contact with cattle brought in from infected districts was associated with higher infection risk in slaughterhouse workers. The finding that anthropogenic rather than environmental factors are the main drivers of RVF infection in humans can be used to design better prevention and early detection in the case of RVF resurgence in the region.
journal_name
Proc Natl Acad Sci U S Aauthors
Lancelot R,Béral M,Rakotoharinome VM,Andriamandimby SF,Héraud JM,Coste C,Apolloni A,Squarzoni-Diaw C,de La Rocque S,Formenty PB,Bouyer J,Wint GR,Cardinale Edoi
10.1073/pnas.1607948114subject
Has Abstractpub_date
2017-01-31 00:00:00pages
938-943issue
5eissn
0027-8424issn
1091-6490pii
1607948114journal_volume
114pub_type
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