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Seroepidemiological Investigation of Lyme Disease and Human Granulocytic Anaplasmosis among People Living in Forest Areas of Eight Provinces in China

查看全文 作　　者：HAO [1,2]Qin;GENG [1,2]Zhen;HOU Xue [1,2]Xia;TIAN [3]Zhen;YANG Xiu [4]Jun;JIANG Wei [5]Jia;SHI [6]Yan;ZHAN Zhi [7]Fei;LI Guo [8]Hua;YU De [9]Shan;WANG Hua [10]Yong;XU Jian [1,2]Guo;WAN Kang [1,2]Lin 高影响力作者 机构地区：[1]National Institute for Communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention;[2]State Key Laboratory for Infectious Disease Prevention and Control;[3]Henan Oil Prospecting Bureau;[4]Jilin Provincial Centre for Disease Control and Prevention;[5]Guizhou Provincial Centre for Disease Control and Prevention;[6]Qinghai Provincial Centre for Disease Control and Prevention;[7]Hunan Provincial Centre for Disease Control and Prevention;[8]Shanxi Provincial Centre for Disease Control and Prevention;[9]Gansu Provincial Centre for Disease Control and Prevention;[10]Miyun Centre for Disease Control and Prevention高影响力机构 出　　处：《Biomedical and Environmental Sciences》索引2013年第26卷第3期,共5页高影响力期刊 基　　金：supported by the 12th Five-Year Major National Science and Technology Projects of China (No. 2012ZX10004219-007) and ( No. 2013ZX10004001) 摘　　要：Objective Lyme disease and Human granulocytic anaplasmosis are tick‐borne diseases caused by Borrelia burgdorferi and Anaplasma phagocytophilum respectively. We have investigated infection and co-infection of the two diseases in the population of forest areas of eight provinces in China by measuring seroprevalence of antibodies against B. burgdorferi and A. phagocytophilum. Methods Forest areas in 8 provinces were chosen for investigation using whole sampling and questionnaire survey methods. 3 669 serum samples from people in the forest areas were tested for the presence of antibodies by indirect immunofluorescent assay (IFA). Results Seroprevalence against B. burgdorferi was 3% to 15% and against A. phagocytophilum was 2% to 18% in the study sites in the 8 provinces in China. We also found co-infection of B. burgdorferi and A. phagocytophilum in 7 of the 8 provinces (the exception being the Miyun area in Beijing). The seroprevalence for both B. burgdorferi and A. phagocytophilum was significantly higher among people exposed to ticks than among people who were not exposed to ticks. Conclusion We conclude that both pathogens are endemic in the forest areas in the eight provinces, but the prevalence of B. burgdorferi and A. phagocytophilum differs between the provinces. 关 键 词：无形体病 粒细胞 莱姆病 流行病学调查 血清 人民生活 中国 林区
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