Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province

Onur ACAR, (Çukurova University, Faculty of Medicine, Department of Public Health, Adana, Türkiye)
Burak AKBABA, (Hacettepe University, Faculty of Science, Department of Biology, Ankara, Türkiye)
Ali Tanju ALTUNSU, (Public Health Service Department, Provincial Directorate of Health, Adana, Türkiye)
Yakup YILANCIOĞLU (Public Health Service Department, Provincial Directorate of Health, Adana, Türkiye)
Ankara Medical Journal
2 1
Yıl: 2018 Cilt: 18 Sayı: 4 Sayfa Aralığı: 479 - 491 Metin Dili: İngilizce DOI: 10.17098/amj.497507 İndeks Tarihi: 27-08-2019

Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province

Öz:
Objectives: Aim of this study was to determine the biological and current epidemiologicalcharacteristics of some vector‐borne diseases including Cutaneous Leishmaniasis (CL), Crimean‐CongoHemorrhagic Fever (CCHF), West Nile Virus (WNV) and Malaria in Adana to provide guidance foremployees in public health.Materials and Methods: This study was carried out in cooperation with Public Health Department ofÇukurova University and Public Health Services of Adana Provincial Health Directorate. After thenecessary permissions, records of Vectorial and Zoonotic Diseases Unit including approximately 3 yearsperiod between 01.01.2016 and 15.11.2018 have been examined. Data were analyzed using STATISTICA 8.0software and χ2 binary or multiple comparisons were used. p<0.05 was considered significant level.Results: 86.20% (n: 550) of 638 cases were local cases in which contact with the agent was inside Adanaand the rest (n: 88) were import cases. 89.34% (n: 570) of all cases were belong to CL, followed byMalaria, WNV and CCHF with 5.32% (n: 34), 2.83% (n: 18) and 2.51% (n: 16), respectively. 50,35% (n: 287)of CL patients were male and the mean age was 23.97 years. Also 54.10% (n: 317) of CL was seen in Syrianmigrants. It was found statistically significant that number of CL in Syrian migrants was higher thanthat of Turkish citizens (p=0.023) and higher in January and May than in other months (p<0.001). Themean age of the cases in CCHF was 35.68 years, 75.00% (n: 12) was male and 6.25% (n: 1) resulted indeath. It was found statistically significant that CCHF was seen in June‐August period more than theother months (p<0.01). The mean age of WNV was 36.52 years, 88.9% (n: 16) was male, 22.22% (n: 4) hadWNV‐induced neurological disease and 5.55% (n: 1) resulted in death. It was also found that WNV wasmore common in July and September than in other months (p<0.001). The mean age of malaria caseswas 38.54 years, 2.94% (n: 1) was foreigners and all (n: 34) were males and import cases.Conclusion: All these diseases are still important today in our country as they have serious healtheffects. It is a known fact that current epidemiological studies that define the different characteristics ofdiseases guide the implementation of preventive health services. We hope that the current data on thesevector‐borne diseases will guide all healthcare providers working in the field.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp Diş Hekimliği

Şark Çıbanı, Kırım Kongo Kanamalı Ateşi, Batı Nil Virüsü ve Sıtma’nın Adana İlindeki Epidemiyolojisi

Öz:
Amaç: Çalışmamızın amacı Adana ilinde Şark Çıbanı, Kırım‐Kongo Kanamalı Ateşi (KKKA), Batı Nil Virüsü (BNV) ve Sıtma’nın dahil olduğu bazı vektörel hastalıkların biyolojik ve güncel epidemiyolojik özelliklerini tanımlayarak birinci basamak ve halk sağlığı alanında çalışanlara yol göstermesini sağlamaktır. Materyal ve Metot: Bu çalışma Çukurova Üniversitesi Halk Sağlığı Anabilim Dalı ve Adana İl Sağlık Müdürlüğü Halk Sağlığı Hizmetleri Başkanlığı ile ortaklaşa yapılmıştır. Gerekli izinler alındıktan sonra Adana İl Sağlık Müdürlüğü Halk Sağlığı Hizmetleri Başkanlığı Vektörel ve Zoonotik Hastalıklar Birimi’nin elde ettiği Şark Çıbanı, KKKA, BNV ve Sıtma içeren ve 01.01.2016 ile 15.11.2018 zaman aralığını kapsayan yaklaşık 3 yıllık kayıtlar incelenmiştir. Veriler STATISTICA 8.0 yazılımı kullanılarak analiz edilmiştir. Verilerin niteliğine göre uygun χ2 ikili veya çoklu karşılaştırma testlerinden yararlanılmıştır. Tüm istatistik analizlerde p<0,05 değeri anlamlı kabul edilmiştir. Vakaların %89,34’ü (n: 570) Şark Çıbanı, %5,32’si (n: 34) Sıtma, %2,83’ü (n: 18) BNV, %2,51 (n: 16) KKKA’dır. Şark çıbanında vakaların %50,35’i (n: 287) erkek ve yaş ortalaması 23,97 yıldır. Şark çıbanının %54,1’i (n: 317) Suriyeli göçmenlerde görülmüştür. Şark çıbanının Suriyeli göçmenlerde Türk vatandaşlarına göre daha fazla (p=0,023) ve Ocak ile Mayıs aralığında, diğer aylara göre daha yüksek sıklıkta görülmesi istatistiksel olarak anlamlı bulunmuştur (p<0,001). Kırım Kongo Kanamalı Ateşi’nde vakaların yaş ortalaması 35,68 yıl, %75,00’i (n: 12) erkek ve %6,25’sinin (n: 1) ölüm ile sonuçlandığı görülmektedir. Haziran ile ağustos aralığında, diğer aylara göre daha fazla görülmesi istatistiksel olarak anlamlı bulunmuştur (p<0,01). BNV’de yaş ortalaması 36,52 yıl, %88,9’u (n: 16) erkek, %22,22’sinde (n: 4) BNV kaynaklı nörolojik hastalık görülmüş ve %5,55’sı da (n: 1) ölümle sonuçlanmıştır. BNV’nin temmuz ile eylül aralığında diğer aylara göre daha fazla görüldüğü istatistiksel olarak anlamlı bulunmuştur (p<0,001). Sıtma vakalarının yaş ortalaması 38,54 yıl, %2,94’ü (n: 1) yabancı uyruklu ve tamamı (n: 34) erkek ve importe vakadır. Sonuç: Şark Çıbanı, KKKA, BNV ve Sıtma tüm dünyada olduğu gibi ülkemizde de ciddi sağlık etkileri olması bakımından günümüzde hala önemini korumaktadır. Hastalıkların farklı özelliklerini tanımlayan güncel epidemiyolojik çalışmaların, koruyucu sağlık hizmetlerinin uygulanmasına rehberlik ettiği bilinen bir gerçektir. Çalışmamızda yer alan bu vektörel hastalıklarla ilgili güncel verilerin, alanda çalışan tüm sağlık sunucularına yol göstereceğini umuyoruz.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp Diş Hekimliği
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. World Health Organization [Internet]. Vector‐borne diseases. Available from: http://www.who.int/news‐room/fact‐sheets/detail/vector‐borne‐diseases , Date of Access: October 15, 2018.
  • 2. European Centre for Disease Prevention and Control [Internet]. Vector‐borne diseases. Available from: https://ecdc.europa.eu/en/climate‐change/climate‐change‐europe/vectorborne‐ diseases , Date of Access: October 15, 2018.
  • 3. Kilpatrick AM, Randolph SE. Drivers, Dynamics, and control of emerging vector‐borne zoonotic diseases. Lancet 2012;380(9857):1946‐55.
  • 4. Reiter P. Climate change and mosquito‐borne disease. Environ Health Perspect 2001; 109(Suppl 1):141‐61.
  • 5. Rogers DJ, Randolph SE. Climate change and vector‐borne diseases. Adv Parasitol 2006;62:345‐ 81.
  • 6. Vector‐borne diseases Report of an informal expert consultation SEARO, New Delhi, 7‐8 April 2014. World Health Organization 2014. Available from: http://apps.who.int/iris/bitstream/handle/10665/206531/B5139.pdf?sequence=1&isAllowed=y, Date of Access: October 15, 2018.
  • 7. Aradaib IE, Erickson BR, Mustafa ME et al. Nosocomial outbreak of Crimean‐Congo hemorrhagic fever, Sudan. Emerg Infect Dis 2010;16(5):837‐39.
  • 8. Chen LH, Wilson ME. Nosocomial Dengue by mucocutaneous transmission. Emerg Infect Dis. 2005;11(5):775.
  • 9. Gruell H, Hamacher L, Jennissen V et al. On taking a diffirent route: An unlikely case of Malaria by nosocomial transmission. Clin Infect Dis 2017;65(8):1404‐06.
  • 10. Ser O, Cetin H. Cutaneous leishmaniasis and its status in Antalya, Turkey. Turkish J Parasitology 2013;37(2):84‐91.
  • 11. Khosravi A, Sharifi I, Fekri A et al. Clinical features of anthroponotic cutaneous leishmaniasis in a major focus, Southeastern Iran, 1994‐2014. Iran J Parasitol 2017;12 (4):544‐53.
  • 12. Sucaklı MB, Saka G. Epidemiology of cutaneous leishmaniasis in Diyarbakir, 2002‐2006. Turkish J Parasitology 2007;31 (3):165‐9.
  • 13. Atakan E, Akbaba M, Sütoluk Z, Alptekın D, Demırhındı H, Uludağ SK. Population density of phlebotomus (Diphtera; Psychodidae; Phlebotomine) species and their relationship with cutaneous leishmaniasis in Hocallı and Turunçlu villages (Adana). Turkish J Parasitology 2010;34(2):106‐11.
  • 14. Ministry of İnterior Directorate General of Migration Management [İnternet]. Statistics of Temporary Protection. Available from: http://www.goc.gov.tr/icerik6/temporaryprotection_ 915_1024_4748_icerik , Date of Access: October 22, 2018.
  • 15. Culha G, Akcali C. Detection of cutaneous leishmaniasis cases in Hatay and surrounding areas. Turkish J Parasitology 2006;30(4):268‐71.
  • 16. Uzun S, Uslular C, Yucel A, Acar MA, Ozpoyraz M, Memisoglu HR. Cutaneous leishmaniasis: Evaluation of 3,074 cases in the Cukurova region of Turkey. British J Dermatology 1999;140(2):347‐50.
  • 17. Ok UZ, Balcioglu IC, Taylan Ozkan A, Ozensoy S, Ozbel Y. Leishmaniasis in Turkey. Acta Tropica 2002;84(1):43‐8.
  • 18. Yilmaz GR, Buzgan T, Irmak H et al. The epidemiology of Crimean‐ Congo hemorrhagic fever in Turkey, 2002‐ 2007. Int J Infect Dis. 2009;13(3):380‐6.
  • 19. Ince Y, Yasa C, Metin M et al. Crimean‐ Congo hemorrhagic fever infections reported by ProMED. Int J Infect Dis 2014;26:44‐6.
  • 20. Sharififard M, Alavi SM, Salmanzadeh S, Safdari F, Kamali A. Epidemiological survey of Crimean‐ Congo hemorrhagic fever (CCHF), a fatal infectious disease in Khuzestan province, Southwest Iran, during 1999‐ 2015. Jundishapur J Microbiol 2016;9(5):e30883.
  • 21. Chinikar S, Ghiasi SM, Moradi M et al. Geographical distribution and surveillance of Crimean‐ Congo hemorrhagic fever in Iran. Vector Borne Zoonotic Dis. 2010;10(7):705‐8.
  • 22. Aker S, Akıncı H, Kılıçoğlu C, Leblebicioglu H. The geographic distribution of cases of Crimean‐ Congo hemorrhagic fever: Kastamonu, Turkey. Ticks Tick Borne Dis 2015;6(6):730‐ 6.
  • 23. Swanepoel R, Struthers JK, Shepherd AJ, McGillivray GM, Nel Mj, Jupp PG. Am J Trop Med Hyg. 1983;32(6):1407‐15.
  • 24. Ergönül O. Crimean‐Congo hemorrhagic fever. Lancet Infect Dis 2006;6(4):203‐14.
  • 25. Fisher‐Hoch SP, McCormick JB, Swanepoel R, Van Middlekoop A, Harvey S, Kustner HG. Risk of human infections with Crimean‐Congo hemorrhagic fever virüs in a South African rural community. Am J Trop Med Hyg 1992;47(3):337‐45.
  • 26. Izadi S, Naieni KH, Madjdzadeh SR, Nadim A. Crimean‐Congo hemorrhagic fever in Sistan and Baluchestan province of Iran, a case‐control study on epidemiological characteristics. Int J Infect Dis 2004;8(5):299‐306.
  • 27. Türk Tabipleri Birliği Merkez Konseyi. Türk Tabipleri Birliği Kırım Kongo Kanamalı Ateşi Bilimsel Değerlendirme Raporu. 1.Baskı, Ankara: Türk Tabipleri Birliği Yayınları; 2010. Available from: https://www.ttb.org.tr/kutuphane/kirim_kongo_rpr.pdf Date of Access: October 23, 2018.
  • 28. Biçeroğlu SU, Karatayli E, Bayram A et al. Investigation of West Nile virus among healthy blood donors in the western part of Turkey. Turk J Med Sci 2015;45(1):84‐8.
  • 29. Kalaycioglu H, Korukluoglu G, Ozkul A et al. Emergence of West Nile virus infections in humans in Turkey, 2010 to 2011. Euro Surveill. 2012;17(21):20182.
  • 30. Napoli C, Iannetti S, Rizzo C et al. Vector borne infections in Italy: results of the integrated surveillance system for West Nile disease in 2013. Biomed Res Int 2015;2015:643439.
  • 31. Bassal R, Shohat T, Kaufman Z et al. The seroprevalence of West Nile virus in Israel: A nationwide cross‐sectional study. PLoS One 2017;12(6):e0179774.
  • 32. European Centre for Disease Prevention and Control [Internet]. Epidemiological update: West Nile virus transmission season in Europe, 2017. Available from: https://ecdc.europa.eu/en/newsevents/ epidemiological‐update‐west‐nile‐virus‐transmission‐season‐europe‐2017 Date of Access: October 24, 2018.
  • 33. European Centre for Disease Prevention and Control [Internet]. Table. Transmission of West Nile fever, May to November 2017‐ Table of cases, 2017. Available from: https://ecdc.europa.eu/en/publications‐data/table‐transmission‐west‐nile‐fever‐maynovember‐ 2017‐table‐cases‐2017 , Date of Access: October 24, 2018.
  • 34. European Centre for Disease Prevention and Control [Internet]. Weekly updates: 2018 West Nile fever transmission season. Available from: https://ecdc.europa.eu/en/west‐nilefever/ surveillance‐and‐disease‐data/disease‐data‐ecdc , Date of Access: October 24, 2018.
  • 35. Napp S, Petric D, Busquets N. West Nile virus and other mosquito‐borne viruses present in Eastern Europe. Pathog Glob Health. 2018;112(5):233‐48.
  • 36. Yentur Doni N, Yıldız Zeyrek F, Seyrek A, Simsek Z, Gurses G, Topluoglu S. Evaluation of epidemiological data of Malaria between 2001‐2011 in Sanliurfa, Turkey. Mikrobiyol Bul 2016;50(2):307‐14.
  • 37. Aydin MF, Sahin A. Malaria epidemiology in Mersin province, Turkey from 2002 to 2011. Iran J Parasitol 2013;8(2):296‐301.
  • 38. Sarafraz S, Ghabouli Mehrabani N, Mirzaei Y et al. Epidemiology of malaria in East Azerbaijan province, Iran, from 2001 to 2013. J Parasit Dis 2016;40(3):813‐7.
  • 39. Kuscu F, Ozturk DB, Gül S, Babayigit ML. The epidemiology of Malaria in Adana between 2002 and 2012. Turkish J Parasitol 2014;38(3):147‐50.
  • 40. Ser O, Cetin H. Evaluation of Malaria cases in Antalya between 2001 and 2011. Turkish J Parasitol 2012;36(1):4‐8.
  • 41. Norouzinezhad F, Ghaffari F, Raeisi A, Norouzinejad A, Kaveh F. Malaria Four‐year epidemiological trends in Sistan and Baluchistan province, Iran. Electron Physician 2017;9(1):3660‐4.
  • 42. Karadag A, Unal N, Yanık K, Borucu R, Gunaydin M, Hokelek M. Evaluating of Plasmodium species isolated from peripheral blood samples in a non‐endemic region. Turkish J Parasitol 2015;39(1):5‐8.
  • 43. Fekri S, Vatandoost H, Daryanavard A et al. Malaria situation in an endemic area, Southeastern Iran. J Anthropod Borne Dis 2013;8(1):82‐90.
APA Acar O, Akbaba B, ALTUNSU A, YILANCIOĞLU Y (2018). Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province. , 479 - 491. 10.17098/amj.497507
Chicago Acar Onur,Akbaba Burak,ALTUNSU Ali Tanju,YILANCIOĞLU Yakup Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province. (2018): 479 - 491. 10.17098/amj.497507
MLA Acar Onur,Akbaba Burak,ALTUNSU Ali Tanju,YILANCIOĞLU Yakup Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province. , 2018, ss.479 - 491. 10.17098/amj.497507
AMA Acar O,Akbaba B,ALTUNSU A,YILANCIOĞLU Y Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province. . 2018; 479 - 491. 10.17098/amj.497507
Vancouver Acar O,Akbaba B,ALTUNSU A,YILANCIOĞLU Y Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province. . 2018; 479 - 491. 10.17098/amj.497507
IEEE Acar O,Akbaba B,ALTUNSU A,YILANCIOĞLU Y "Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province." , ss.479 - 491, 2018. 10.17098/amj.497507
ISNAD Acar, Onur vd. "Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province". (2018), 479-491. https://doi.org/10.17098/amj.497507
APA Acar O, Akbaba B, ALTUNSU A, YILANCIOĞLU Y (2018). Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province. Ankara Medical Journal, 18(4), 479 - 491. 10.17098/amj.497507
Chicago Acar Onur,Akbaba Burak,ALTUNSU Ali Tanju,YILANCIOĞLU Yakup Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province. Ankara Medical Journal 18, no.4 (2018): 479 - 491. 10.17098/amj.497507
MLA Acar Onur,Akbaba Burak,ALTUNSU Ali Tanju,YILANCIOĞLU Yakup Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province. Ankara Medical Journal, vol.18, no.4, 2018, ss.479 - 491. 10.17098/amj.497507
AMA Acar O,Akbaba B,ALTUNSU A,YILANCIOĞLU Y Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province. Ankara Medical Journal. 2018; 18(4): 479 - 491. 10.17098/amj.497507
Vancouver Acar O,Akbaba B,ALTUNSU A,YILANCIOĞLU Y Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province. Ankara Medical Journal. 2018; 18(4): 479 - 491. 10.17098/amj.497507
IEEE Acar O,Akbaba B,ALTUNSU A,YILANCIOĞLU Y "Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province." Ankara Medical Journal, 18, ss.479 - 491, 2018. 10.17098/amj.497507
ISNAD Acar, Onur vd. "Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province". Ankara Medical Journal 18/4 (2018), 479-491. https://doi.org/10.17098/amj.497507
Sayfa Oluşturulma Tarihi
23-04-2024 8:34

İLETİŞİM

TÜBİTAK ULAKBİM TR Dizin

Yüzüncüyıl, İşçi Blokları Mahallesi

Muhsin Yazıcıoğlu Caddesi No:51/C

06530 Çankaya / ANKARA +90 (312) 298 92 00

trdizin@tubitak.gov.tr

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © Tüm Hakları Saklıdır. Gizlilik Politikası Kullanım Şartları