Zoonotic Infections Among Employees from Great Smoky Mountains and Rocky Mountain National Parks, 2008-2009

被引:34
作者
Adjemian, Jennifer [1 ,2 ]
Weber, Ingrid B. [1 ,3 ,4 ]
McQuiston, Jennifer [2 ]
Griffith, Kevin S. [3 ]
Mead, Paul S. [3 ]
Nicholson, William [2 ]
Roche, Aubree [2 ]
Schriefer, Martin [3 ]
Fischer, Marc [4 ]
Kosoy, Olga [4 ]
Laven, Janeen J. [4 ]
Stoddard, Robyn A. [5 ]
Hoffmaster, Alex R. [5 ]
Smith, Theresa [5 ]
Bui, Duy [5 ]
Wilkins, Patricia P. [6 ]
Jones, Jeffery L. [6 ]
Gupton, Paige N. [6 ]
Quinn, Conrad P. [7 ]
Messonnier, Nancy [7 ]
Higgins, Charles [8 ,9 ]
Wong, David [8 ,9 ]
机构
[1] Ctr Dis Control & Prevent CDC, Epidem Intelligence Serv, Off Workforce & Career Dev, Atlanta, GA USA
[2] CDC, Rickettsial Zoonoses Branch, Div Vector Borne Dis, Atlanta, GA 30333 USA
[3] CDC, Bacterial Dis Branch, Div Vector Borne Dis, Ft Collins, CO USA
[4] CDC, Arboviral Dis Branch, Div Vector Borne Dis, Ft Collins, CO USA
[5] CDC, Bacterial Special Pathogens Branch, Div High Consequence Pathogens & Pathol, Atlanta, GA 30333 USA
[6] CDC, Parasit Dis Branch, Div Parasit Dis, Atlanta, GA 30333 USA
[7] CDC, Meningitis & Vaccine Preventable Dis Branch, Div Bacterial Dis, Atlanta, GA 30333 USA
[8] Natl Pk Serv, Off Publ Hlth, Washington, DC USA
[9] Natl Pk Serv, Off Publ Hlth, Albuquerque, NM USA
关键词
Incidence; National Park Service; Prevalence; Vector-borne; Zoonoses; BORNE RELAPSING FEVER; WEST-NILE-VIRUS; TOXOPLASMA-GONDII INFECTION; UNITED-STATES; IMMUNOGLOBULIN-G; SPOTTED-FEVER; INTERSTATE OUTBREAK; BACILLUS-ANTHRACIS; OCCUPATIONAL RISK; LYME-DISEASE;
D O I
10.1089/vbz.2011.0917
中图分类号
R1 [预防医学、卫生学];
学科分类号
100235 [预防医学];
摘要
U.S. National Park Service employees may have prolonged exposure to wildlife and arthropods, placing them at increased risk of infection with endemic zoonoses. To evaluate possible zoonotic risks present at both Great Smoky Mountains (GRSM) and Rocky Mountain (ROMO) National Parks, we assessed park employees for baseline seroprevalence to specific zoonotic pathogens, followed by evaluation of incident infections over a 1-year study period. Park personnel showed evidence of prior infection with a variety of zoonotic agents, including California serogroup bunyaviruses (31.9%), Bartonella henselae (26.7%), spotted fever group rickettsiae (22.2%), Toxoplasma gondii (11.1%), Anaplasma phagocytophilum (8.1%), Brucella spp. (8.9%), flaviviruses (2.2%), and Bacillus anthracis (1.5%). Over a 1-year study period, we detected incident infections with leptospirosis (5.7%), B. henselae (5.7%), spotted fever group rickettsiae (1.5%), T. gondii (1.5%), B. anthracis (1.5%), and La Crosse virus (1.5%) in staff members at GRSM, and with spotted fever group rickettsiae (8.5%) and B. henselae (4.3%) in staff at ROMO. The risk of any incident infection was greater for employees who worked as resource managers (OR 7.4; 95% CI 1.4,37.5; p = 0.02), and as law enforcement rangers/rescue crew (OR 6.5; 95% CI 1.1,36.5; p = 0.03), relative to those who worked primarily in administration or management. The results of this study increase our understanding of the pathogens circulating within both parks, and can be used to inform the development of effective guidelines and interventions to increase visitor and staff awareness and help prevent exposure to zoonotic agents.
引用
收藏
页码:922 / 931
页数:10
相关论文
共 60 条
[1]
Spatial Clustering by Disease Severity among Reported Rocky Mountain Spotted Fever Cases in the United States, 2001-2005 [J].
Adjemian, Jennifer Zipser ;
Krebs, John ;
Mandel, Eric ;
McQuiston, Jennifer .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 2009, 80 (01) :72-77
[2]
Al Dahouk Sascha, 2003, Clin Lab, V49, P487
[3]
Al Dahouk Sascha, 2003, Clin Lab, V49, P577
[4]
Tick-Borne Diseases in North Carolina: Is "Rickettsia amblyommii" a Possible Cause of Rickettsiosis Reported as Rocky Mountain Spotted Fever? [J].
Apperson, Charles S. ;
Engber, Barry ;
Nicholson, William L. ;
Mead, Daniel G. ;
Engel, Jeffrey ;
Yabsley, Michael J. ;
Dail, Kathy ;
Johnson, Joey ;
Watson, D. Wesley .
VECTOR-BORNE AND ZOONOTIC DISEASES, 2008, 8 (05) :597-606
[5]
Bacon Rendi Murphree, 2008, Morbidity and Mortality Weekly Report, V57, P1
[6]
Bartosik K, 2008, ANN AGR ENV MED, V15, P181
[7]
Modeling the geographic distribution of Bacillus anthracis, the causative agent of anthrax disease, for the contiguous United States using predictive ecologic niche modeling [J].
Blackburn, Jason K. ;
McNyset, Kristina M. ;
Curtis, Andrew ;
Hugh-Jones, Martin E. .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 2007, 77 (06) :1103-1110
[8]
TICK-BORNE RELAPSING FEVER - INTERSTATE OUTBREAK ORIGINATING AT GRAND-CANYON-NATIONAL-PARK [J].
BOYER, KM ;
MUNFORD, RS ;
MAUPIN, GO ;
PATTISON, CP ;
FOX, MD ;
BARNES, AM ;
JONES, WL ;
MAYNARD, JE .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1977, 105 (05) :469-479
[9]
Bartonellosis: an emerging infectious disease of zoonotic importance to animals and human beings [J].
Breitschwerdt, Edward B. ;
Maggi, Ricardo G. ;
Chomel, Bruno B. ;
Lappin, Michael R. .
JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE, 2010, 20 (01) :8-30
[10]
SAFRANIN O-STAINED ANTIGEN MICROAGGLUTINATION TEST FOR DETECTION OF BRUCELLA ANTIBODIES [J].
BROWN, SL ;
KLEIN, GC ;
MCKINNEY, FT ;
JONES, WL .
JOURNAL OF CLINICAL MICROBIOLOGY, 1981, 13 (02) :398-400