On 16 September 2016, the World Health Organization confirmed a Rift Valley fever (RVF) outbreak in Niger. Epidemiological surveillance was reinforced among the French Armed Forces deployed in Niger and bordering countries: Chad, Mali and Burkina Faso. On 26 October, a probable case of RVF was reported in a service member sampled in Mali 3 weeks earlier. At the time the result was reported, the patient was on vacation on Martinique. An epidemiological investigation was conducted to confirm this case and identify other cases. Finally, the case was not confirmed, but three suspected cases of RVF were confirmed using serological and molecular testing. RVF viral RNA was detectable in whole blood for 57 and 67 days after onset of symptoms for two cases, although it was absent from plasma and serum. At the time of diagnosis, these cases had already returned from Mali to Europe. The infectivity of other arboviruses in whole blood has already been highlighted. That RVF virus has been detected in whole blood that long after the onset of symptoms (67 days) raises the question of its potential prolonged infectivity. Because of exposure to tropical infectious diseases during deployment, military populations could import emerging pathogens to Europe.

译文

2016年9月16日,世界卫生组织确认尼日尔爆发裂谷发热 (RVF)。在部署在尼日尔和邻国乍得,马里和布基纳法索的法国武装部队中加强了流行病学监测。10月26日,3周前在马里抽样的一名服务人员报告了可能的RVF病例。报告结果时,患者正在马提尼克岛度假。进行了流行病学调查,以确认该病例并确定其他病例。最后,该病例没有得到证实,但使用血清学和分子检测证实了三个疑似病例的RVF。尽管有两例患者在出现症状后57天和67天的全血中可检测到RVF病毒RNA,尽管血浆和血清中没有RVF病毒RNA。在诊断时,这些病例已经从马里返回欧洲。其他虫媒病毒在全血中的传染性已经得到强调。在症状发作后很长时间 (67天) 在全血中检测到RVF病毒,这引发了其潜在的长期传染性的问题。由于在部署过程中暴露于热带传染病,军事人口可以将新兴病原体进口到欧洲。

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