Occupational Hantavirus Infections in Agricultural and Forestry Workers: A Systematic Review and Metanalysis

Hantaviruses are zoonotic pathogens that can cause serious human disorders, including hemorrhagic fever with renal syndrome and hantavirus cardiopulmonary syndrome. As the main risk factor for human infections is the interaction with rodents, occupational groups such as farmers and forestry workers...

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Autores principales: Matteo Riccò, Simona Peruzzi, Silvia Ranzieri, Nicola Magnavita
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:c3173e6a2c0b48b38e65d56d72ad6c6f2021-11-25T19:12:48ZOccupational Hantavirus Infections in Agricultural and Forestry Workers: A Systematic Review and Metanalysis10.3390/v131121501999-4915https://doaj.org/article/c3173e6a2c0b48b38e65d56d72ad6c6f2021-10-01T00:00:00Zhttps://www.mdpi.com/1999-4915/13/11/2150https://doaj.org/toc/1999-4915Hantaviruses are zoonotic pathogens that can cause serious human disorders, including hemorrhagic fever with renal syndrome and hantavirus cardiopulmonary syndrome. As the main risk factor for human infections is the interaction with rodents, occupational groups such as farmers and forestry workers are reportedly at high risk, but no summary evidence has been collected to date. Therefore, we searched two different databases (PubMed and EMBASE), focusing on studies reporting the prevalence of hantaviruses in farmers and forestry workers. Data were extracted using a standardized assessment form, and results of such analyses were systematically reported, summarized and compared. We identified a total of 42 articles, including a total of 28 estimates on farmers, and 22 on forestry workers, with a total workforce of 15,043 cases (821 positive cases, 5.5%). A pooled seroprevalence of 3.7% (95% confidence interval [95% CI] 2.2–6.2) was identified in farmers, compared to 3.8% (95% CI 2.6–5.7) in forestry workers. Compared to the reference population, an increased occurrence was reported for both occupational groups (odds ratio [OR] 1.875, 95% CI 1.438–2.445 and OR 2.892, 95% CI 2.079–4.023 for farmers and forestry workers, respectively). In summary, our analyses stress the actual occurrence of hantaviruses in selected occupational groups. Improved understanding of appropriate preventive measures, as well as further studies on hantavirus infection rates in reservoir host species (rodents, shrews, and bats) and virus transmission to humans, is needed to prevent future outbreaks.Matteo RiccòSimona PeruzziSilvia RanzieriNicola MagnavitaMDPI AGarticlehantaviruseswork-related diseaseclimate changepublic healthsectors of activityworkersMicrobiologyQR1-502ENViruses, Vol 13, Iss 2150, p 2150 (2021)
institution DOAJ
collection DOAJ
language EN
topic hantaviruses
work-related disease
climate change
public health
sectors of activity
workers
Microbiology
QR1-502
spellingShingle hantaviruses
work-related disease
climate change
public health
sectors of activity
workers
Microbiology
QR1-502
Matteo Riccò
Simona Peruzzi
Silvia Ranzieri
Nicola Magnavita
Occupational Hantavirus Infections in Agricultural and Forestry Workers: A Systematic Review and Metanalysis
description Hantaviruses are zoonotic pathogens that can cause serious human disorders, including hemorrhagic fever with renal syndrome and hantavirus cardiopulmonary syndrome. As the main risk factor for human infections is the interaction with rodents, occupational groups such as farmers and forestry workers are reportedly at high risk, but no summary evidence has been collected to date. Therefore, we searched two different databases (PubMed and EMBASE), focusing on studies reporting the prevalence of hantaviruses in farmers and forestry workers. Data were extracted using a standardized assessment form, and results of such analyses were systematically reported, summarized and compared. We identified a total of 42 articles, including a total of 28 estimates on farmers, and 22 on forestry workers, with a total workforce of 15,043 cases (821 positive cases, 5.5%). A pooled seroprevalence of 3.7% (95% confidence interval [95% CI] 2.2–6.2) was identified in farmers, compared to 3.8% (95% CI 2.6–5.7) in forestry workers. Compared to the reference population, an increased occurrence was reported for both occupational groups (odds ratio [OR] 1.875, 95% CI 1.438–2.445 and OR 2.892, 95% CI 2.079–4.023 for farmers and forestry workers, respectively). In summary, our analyses stress the actual occurrence of hantaviruses in selected occupational groups. Improved understanding of appropriate preventive measures, as well as further studies on hantavirus infection rates in reservoir host species (rodents, shrews, and bats) and virus transmission to humans, is needed to prevent future outbreaks.
format article
author Matteo Riccò
Simona Peruzzi
Silvia Ranzieri
Nicola Magnavita
author_facet Matteo Riccò
Simona Peruzzi
Silvia Ranzieri
Nicola Magnavita
author_sort Matteo Riccò
title Occupational Hantavirus Infections in Agricultural and Forestry Workers: A Systematic Review and Metanalysis
title_short Occupational Hantavirus Infections in Agricultural and Forestry Workers: A Systematic Review and Metanalysis
title_full Occupational Hantavirus Infections in Agricultural and Forestry Workers: A Systematic Review and Metanalysis
title_fullStr Occupational Hantavirus Infections in Agricultural and Forestry Workers: A Systematic Review and Metanalysis
title_full_unstemmed Occupational Hantavirus Infections in Agricultural and Forestry Workers: A Systematic Review and Metanalysis
title_sort occupational hantavirus infections in agricultural and forestry workers: a systematic review and metanalysis
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/c3173e6a2c0b48b38e65d56d72ad6c6f
work_keys_str_mv AT matteoricco occupationalhantavirusinfectionsinagriculturalandforestryworkersasystematicreviewandmetanalysis
AT simonaperuzzi occupationalhantavirusinfectionsinagriculturalandforestryworkersasystematicreviewandmetanalysis
AT silviaranzieri occupationalhantavirusinfectionsinagriculturalandforestryworkersasystematicreviewandmetanalysis
AT nicolamagnavita occupationalhantavirusinfectionsinagriculturalandforestryworkersasystematicreviewandmetanalysis
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