海南疟疾流行区虫媒传染病的分子流行病学研究

项目名称： 海南疟疾流行区虫媒传染病的分子流行病学研究

项目编号： No.81672072

项目类型： 面上项目

立项/批准年度： 2017

项目学科： 医药、卫生

项目作者： 吕刚

作者单位： 海南医学院

项目金额： 25万元

中文摘要： 海南地处热带，曾是我国主要疟疾流行区之一，已5年无本地疟疾病例，但原疟疾流行区常年有镜检阴性的不明原因发热/贫血病人。流行区植被丰富，野生动物及节肢动物种类繁多，除疟疾外还存在多种已知及未知的虫媒传染病（ABIDs)。由于无系统的研究，流行区ABIDs本底及病原谱不清，缺乏有效的诊疗技术及防治措施，误诊、漏诊极为普遍，危害严重。本项目拟连续2年对流行区典型环境的不明原因发热/贫血患者及高危人群、主要动物宿主及节肢动物媒介进行采样，应用PCR/RT-PCR、高通量液相芯片及高通量基因组测序等技术开展ABIDs病原的分子流行病学调查，结果将初步获得海南疟疾流行区ABIDs的病原谱、分布的时空特征及病原体的遗传进化特征，构建病原资源库，是重要的基础工作，可为海南是否消除疟疾提供依据，为流行区ABIDs防治及研究提供科学数据及技术支撑，对保障民众健康、促进国际旅游岛及国防建设具有重要意义。

中文关键词： 虫媒传染病；疟疾；分子流行病学；高通量；海南

英文摘要： As a tropical island, Hainan was one of the main malaria endemic area in China. Although no local malaria infection case had been reported in the past five years, but there were a number of FUO(fever of unknown origin)/anemia cases that microscope examination were negative happened in endemic areas every year. Because of the rich forest and bush, plentiful rainfall, a lot of various wild animals and vectou arthropods, many other known and unknown arthropod-borne infectious diseases (ABIDs) except malaria could be found in these areas. Due to the no systematic research on ABIDs in past times, the background and the pathogen spectrum of ABIDs were unclear in Hainan. Misdiagnosis and underdiagnosis were common occurences for the reasons without effective diagonsis and prevention methods for ABIDs. So, ABIDs caused the great threaten for the health of population and for construction of International Tourism Island and defence. In recent years, the emerging and re-emerging ABIDs were epidemic in the global or local area and caused serious public health problems. Therefor, the systematic survey of pathogen spectrum for ABIDs in malaria endemic areas is very important for control and prevent these diseases. In this project, we plan to do a molecular epidemiological survey on pathogens of ABID to the samples of FUO/amemia cases, major wild animal hosts and arthropods from endemic areas during the next two years using PCR/RT-PCR，Luminex high-throughput multi-analyte suspension array and high-throughput genome sequencing technology. The results of the project will obtain the systematic pathogen spectrum，time-space distribution characteristics of ABIDs ，genetic evolution characteristics of pathogens and construction of pathogen resources. This work is very important for providing the molecular epidemiological evidence of malaria elimination, providing scientific data and technological surpports for control of ABIDs in endemic areas in Hainan. It is also great significance for guaranteeing the health of the population, promoting the construction of International Tourism Island and national defense .

英文关键词： arthropod-borne infectious diseases ;malaria;molecular epidemiology;High throughput;Hainan