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
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	hantaviruses work-related disease climate change public health sectors of activity workers Microbiology QR1-502
Acceso en línea:	https://doaj.org/article/c3173e6a2c0b48b38e65d56d72ad6c6f
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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
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Occupational Hantavirus Infections in Agricultural and Forestry Workers: A Systematic Review and Metanalysis

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