عنوان المقالة:العدوى المنقولة بالنواقل والأمراض حيوانية المصدر وعلاقاتها مع الأوضاع الإقليمية والاجتماعية والاقتصادية: دراسة استقصائية في 24 دولة في أوروبا وأفريقيا وآسيا Vector-borne and zoonotic infections and their relationships with regional and socioeconomic statuses: A survey in 24 countries of Europe, Africa and Asia
Background: In this cross-sectional, international study, we aimed to analyze vector-borne and zoonotic infections
(VBZI), which are significant global threats.
Method: VBZIs’ data between May 20–28, 2018 was collected. The 24 Participatingcountries were classified as
lower-middle, upper-middle, and high-income.
Results: 382 patients were included. 175(45.8%) were hospitalized, most commonly in Croatia, Egypt, and
Romania(P = 0.001). There was a significant difference between distributions of VBZIs according to geographical
regions(P < 0.001). Amebiasis, Ancylostomiasis, Blastocystosis, Cryptosporidiosis, Giardiasis, Toxoplasmosis
were significantly more common in the Middle-East while Bartonellosis, Borreliosis, Cat Scratch Disease,
Hantavirus syndrome, Rickettsiosis, Campylobacteriosis, Salmonellosis in Central/East/South-East Europe;
Brucellosis and Echinococcosis in Central/West Asia; Campylobacteriosis, Chikungunya, Tick-borne encephalitis,
Visceral Leishmaniasis, Salmonellosis, Toxoplasmosis in the North-Mediterranean; CCHF, Cutaneous Leishmaniasis,
Dengue, Malaria, Taeniasis, Salmonellosis in Indian Subcontinent; Lassa Fever in West Africa. There
were significant regional differences for viral hemorrhagic fevers(P < 0.001) and tick-borne infections(P <
0.001), and according to economic status for VBZIs(P < 0.001). The prevalences of VBZIs were significantly
higher in lower-middle income countries(P = 0.001). The most similar regions were the Indian Subcontinent and
the Middle-East, the Indian Subcontinent and the North-Mediterranean, and the Middle-East and North-
Mediterranean regions.
Conclusions: Regional and socioeconomic heterogeneity still exists for VBZIs. Control and eradication of VBZIs
require evidence-based surveillance data, and multidisciplinary efforts.
ا.د. نجوى مصطفى السيد | Nagwa Mostafa El-Sayed | 3426