The Changing Trends of Vector-Borne Diseases to Climate Change

Climate Change and Crimean-Congo Hemorrhagic Fever (CCHF)

Author(s): R Narendar and Jayalakshmi Krishnan *

Pp: 161-191 (31)

DOI: 10.2174/9798898812768125010009

* (Excluding Mailing and Handling)

Abstract

Crimean-Congo Hemorrhagic Fever (CCHF) is a highly virulent viral disease characterized by a rapid onset of symptoms and significant mortality rates. The primary mode of transmission to humans is through tick bites, particularly from the Hyalomma genus, or through direct contact with infected animals or humans. Clinically, CCHF typically begins with the abrupt onset of fever, myalgia, headache, nausea, vomiting, and diarrhea. As the disease advances, patients may exhibit severe hemorrhagic manifestations, including extensive bruising, epistaxis, and uncontrolled bleeding from venipuncture sites. The progression can result in multi-organ failure, with a fatality rate of up to 40%. CCHF is endemic in regions of Africa, Asia, Eastern Europe, and the Mediterranean. Recent decades have seen an expansion of its geographic range, attributed to factors such as climate change and increased global movement. Populations at elevated risk include healthcare workers and individuals involved in livestock handling and meat processing. Currently, the management of CCHF is primarily supportive, as there are no specific antiviral treatments approved for this disease. Key preventive measures include avoiding tick bites, adhering to safe practices during meat processing, and using personal protective equipment properly. Continuous surveillance, ongoing research, and robust public health preparedness are crucial to address this escalating global health threat effectively. 


Keywords: CCHFV, Climate changes, Crimean-Congo Hemorrhagic Fever, Infection control, Nairovirus, Public health, Ribavirin, Tick-borne disease, Vaccine development, Viral hemorrhagic fever.

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