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| Name | Class |
|---|---|
| TransVIHMI UM, IRD UMI233, Inserm U1175 | UNKNOWN |
| UMR 1058 Pathogenesis & Control of Chronic & Emerging Infections PCCEI | UNKNOWN |
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Zoonoses and arboviroses refer to a group of diseases transmitted from animals to humans, either directly or indirectly (via mosquitoes, ticks or contact with contaminated environments). Most of these diseases are found in certain tropical zones, but global warming and increased international trade are modifying their geographical distribution, with a gradual trend towards temperate regions. A number of these pathogens have already been detected in Occitania, including dengue fever, West Nile, leishmaniasis and Q fever. Given the region's high mosquito population and favorable climatic conditions, other zoonoses have a strong potential to appear in the region, or may already be circulating at a low level. The study focuses on 18 pathogens selected for their potential to emerge and establish themselves in the Occitanie region: Leishmaniasis, Leptospirosis, Brucellosis, Q fever, Rickettsiosis, Tularemia, Psittacosis, Lyme disease, Tick-borne encephalitis, Hantavirus, Hepatitis E virus, Dengue virus, Zika virus, Chikungunya virus, West-Nile virus, Usutu virus, Toscana virus, Crimean-Congo haemorrhagic fever virus.
The aim of the study is to find out whether patients have antibodies against these infectious agents, which would indicate that they have been exposed to them in the past, even in the absence of symptoms.
Describing the circulation of these pathogens will enable to implement appropriate public health measures to avoid the risk of epidemics (mosquito control, informing professionals, etc.), as well as to assess the risk incurred in the workplace and have this risk recognized by the healthcare system.
Current environmental changes are influencing the epidemiology of zoonoses, which account for over 75% of emerging infections, with the Mediterranean region being a high-risk area. The proposed study focuses on occupational zoonoses, that is, those that can be contracted in the workplace, through direct contact with animals or exposure to their environment. Some of these zoonoses are recognized and compensable as occupational diseases (OD), while for others, the onus is on the employee to prove the origin of the contamination. The advantages of studying this population are threefold: i) to document occupational risk and improve management and prevention practices in this context, ii) to use this sentinel population - when many of these zoonoses are emerging - to anticipate risks for the less-exposed general population, iii) in the event of the discovery of a positive serology for an infectious agent considered non-circulating in the Occitanie region, to improve the management of symptomatic patients by raising awareness of differential diagnosis. For the purposes of this study, the zoonoses recognized as occupational diseases are: Mediterranean spotted fever, Lyme borreliosis, tularemia, Q fever, brucellosis, psittacosis, hepatitis E and leptospirosis. Although not recognized as occupational diseases, leishmaniasis, hantaviruses, dengue fever, zika, chikungunya, West Nile virus, Usutu, Toscana, Crimean-Congo hemorrhagic fever and tick-borne encephalitis are of particular interest to workers exposed to these diseases, and are also included in the study.
Few data are currently available on the actual rate of circulation of these pathogens in the population of occupationally exposed workers, and none in Occitanie. These outdoor workers also represent a sentinel population, due to their increased exposure, so obtaining precise seroprevalence data in these groups would enable the researchers to anticipate the emergence of these pathogens in the general population in the near future, and to diagnose them individually.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| City of Montpellier employees working at the Zoo, the Ecolothèque and the Green Spaces Department | Experimental | City of Montpellier employees working at the Zoo, Ecolotheque or green spaces exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies) in the Occitanie region |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Peripheral venous blood sample | Other | Peripheral venous blood sampling for IgG serology against leishmaniasis, leptospirosis, brucellosis, Q fever, rickettsiosis, tularemia, psittacosis, Lyme disease, tick-borne encephalitis, hantavirus, hepatitis E virus, dengue virus, Zika virus, Chikungunya virus, West Nile virus, Usutu virus, Toscana virus, Crimean-Congo hemorrhagic fever virus. |
| Measure | Description | Time Frame |
|---|---|---|
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies). Leishmaniasis, | prevalence (in percentage) of pathogen IgG positivity against : Leishmaniasis, | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Leptospirosis, | prevalence of pathogen IgG positivity against : Leptospirosis, | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Brucellosis | prevalence of pathogen IgG positivity against : Brucellosis | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Q fever | prevalence of pathogen IgG positivity against : Q fever | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Rickettsiosis | prevalence of pathogen IgG positivity against : Rickettsiosis, | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Tularemia | prevalence of pathogen IgG positivity against : Tularemia | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Determine the factors associated with seropositivity to these diseases. socio-demographic criteria | OR of logistic regression of univariate model between serologies and socio-demographic criteria (age, sex, profession) | Baseline |
| Determine the factors associated with seropositivity to these diseases. travel to endemic areas |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| CHARLOTTE BOULLE, MD | Contact | 04 67 33 52 34 | +33 | c-boulle@chu-montpellier.fr |
| Name | Affiliation | Role |
|---|---|---|
| CHARLOTTE BOULLE, MD | University Hospital, Montpellier | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Of Montpellier | Montpellier | herault | 34295 | France |
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cross-sectional study with minimal risk and constraints
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|
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Psittacosis | prevalence of pathogen IgG positivity against : Psittacosis | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Lyme disease, | prevalence of pathogen IgG positivity against : Lyme disease, | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Tick-borne encephalitis | prevalence of pathogen IgG positivity against : Tick-borne encephalitis | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Hantavirus | prevalence of pathogen IgG positivity against : Hantavirus | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies). Hepatitis E virus | prevalence of pathogen IgG positivity against : Hepatitis E virus | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Dengue virus | prevalence of pathogen IgG positivity against : Dengue virus | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies). Zika virus | prevalence of pathogen IgG positivity against : Zika virus | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Chikungunya virus | prevalence of pathogen IgG positivity against : Chikungunya virus | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies). West-Nile virus, | prevalence of pathogen IgG positivity against : West-Nile virus, | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies). usutu virus | prevalence of pathogen IgG positivity against : Usutu virus | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Toscana virus | prevalence of pathogen IgG positivity against : Toscana virus | Baseline |
| Estimate seroprevalences of the zoonoses in populations exposed to wildlife by zoo staff and to various vectors (ticks, mosquitoes, sandflies).Crimean-Congo haemorrhagic fever virus. | prevalence of pathogen IgG positivity against : Crimean-Congo haemorrhagic fever virus. | Baseline |
OR of the logistic regression of the univariate model between serologies and travel to endemic areas for these diseases |
| Baseline |
| Determine the factors associated with seropositivity to these diseases. occupational exposure | OR of the logistic regression of the univariate model between serologies and occupational exposure to these pathologies | Baseline |
| Determine the factors associated with seropositivity to these diseases. exposure in private activities | OR of the logistic regression of the univariate model between serologies and exposure in private activities, including the importance of contact with transmission vectors, | Baseline |
| Determine the factors associated with seropositivity to these diseases. use of mosquito protection | OR of the logistic regression of the univariate model between serologies and use of mosquito protection, | Baseline |
| Determine the factors associated with seropositivity to these diseases.history of transfusion or transplant | OR of the logistic regression of the univariate model between serologies and history of transfusion or transplant | Baseline |
| Determine the factors associated with seropositivity to these diseases. comparison of the linear models | AOR of the multivariate logistic regression with the best AIC among all the models tested | Baseline |
| Estimating vaccination coverage against leptospirosis in the workplace | prevalence (in percentage) of professional vaccinations for leptospirosis | Baseline |
| Estimating vaccination coverage against rabies in the workplace | prevalence (in percentage) of professional vaccinations for rabies | Baseline |
| Determine the sensitivity of DBS (dried blood spot) serum neutralization for viral serologies. Dengue virus | Determine the sensitivity (in percentage) of DBS (dried blood spot) seroneutralization for Dengue virus | Baseline |
| Determine the specificity of DBS (dried blood spot) serum neutralization for viral serologies. Dengue virus | Determine the specificity (in percentage) of DBS (dried blood spot) seroneutralization for Dengue virus | Baseline |
| Determine the specificity of DBS (dried blood spot) serum neutralization for viral serologies. Zika virus | Determine the specificity (in percentage) of DBS (dried blood spot) seroneutralization for Zika virus | Baseline |
| Determine the sensitivity of DBS (dried blood spot) serum neutralization for viral serologies. Zika virus | Determine the sensitivity (in percentage) of DBS (dried blood spot) seroneutralization for Zika virus | Baseline |
| Determine the sensitivity of DBS (dried blood spot) serum neutralization for viral serologies. Chikungunya virus | Determine the sensitivity (in percentage) of DBS (dried blood spot) seroneutralization for Chikungunya virus | Baseline |
| Determine the specificity of DBS (dried blood spot) serum neutralization for viral serologies. Chikungunya virus | Determine the specificity (in percentage) of DBS (dried blood spot) seroneutralization for Chikungunya virus | Baseline |
| Determine the sensitivity of DBS (dried blood spot) serum neutralization for viral serologies. West-Nile virus | Determine the sensitivity (in percentage) of DBS (dried blood spot) seroneutralization for West-Nile virus | Baseline |
| Determine the specificity of DBS (dried blood spot) serum neutralization for viral serologies. West-Nile virus | Determine the specificity (in percentage) of DBS (dried blood spot) seroneutralization for West-Nile virus | Baseline |
| Determine the sensitivity of DBS (dried blood spot) serum neutralization for viral serologies. Usutu virus | Determine the sensitivity (in percentage) of DBS (dried blood spot) seroneutralization for Usutu virus | Baseline |
| Determine the specificity of DBS (dried blood spot) serum neutralization for viral serologies. Usutu virus | Determine the specificity (in percentage) of DBS (dried blood spot) seroneutralization for Usutu virus | Baseline |
| Determine the sensitivity of DBS (dried blood spot) serum neutralization for viral serologies. Toscana virus | Determine the sensitivity (in percentage) of DBS (dried blood spot) seroneutralization for Toscana virus | Baseline |
| Determine the specificity of DBS (dried blood spot) serum neutralization for viral serologies. Toscana virus | Determine the specificity (in percentage) of DBS (dried blood spot) seroneutralization for Toscana virus | Baseline |
| Determine the sensitivity of DBS (dried blood spot) serum neutralization for viral serologies. Crimean-Congo haemorrhagic fever virus | Determine the sensitivity (in percentage) of DBS (dried blood spot) seroneutralization for Crimean-Congo haemorrhagic fever virus | Baseline |
| Determine the specificity of DBS (dried blood spot) serum neutralization for viral serologies. Crimean-Congo haemorrhagic fever virus | Determine the specificity (in percentage) of DBS (dried blood spot) seroneutralization for Crimean-Congo haemorrhagic fever virus | Baseline |
| ID | Term |
|---|---|
| D007896 | Leishmaniasis |
| D007922 | Leptospirosis |
| D002006 | Brucellosis |
| D011778 | Q Fever |
| D012282 | Rickettsia Infections |
| D014406 | Tularemia |
| D009956 | Psittacosis |
| D008193 | Lyme Disease |
| D004675 | Encephalitis, Tick-Borne |
| D016751 | Hepatitis E |
| D000071243 | Zika Virus Infection |
| D065632 | Chikungunya Fever |
| D018804 | Hantavirus Pulmonary Syndrome |
| ID | Term |
|---|---|
| D056986 | Euglenozoa Infections |
| D011528 | Protozoan Infections |
| D010272 | Parasitic Diseases |
| D007239 | Infections |
| D012876 | Skin Diseases, Parasitic |
| D000079426 | Vector Borne Diseases |
| D012874 | Skin Diseases, Infectious |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D013145 | Spirochaetales Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D012288 | Rickettsiaceae Infections |
| D017282 | Tick-Borne Diseases |
| D023521 | Chlamydophila Infections |
| D002694 | Chlamydiaceae Infections |
| D001899 | Borrelia Infections |
| D004671 | Encephalitis, Arbovirus |
| D018792 | Encephalitis, Viral |
| D020805 | Central Nervous System Viral Diseases |
| D002494 | Central Nervous System Infections |
| D000069544 | Infectious Encephalitis |
| D001102 | Arbovirus Infections |
| D014777 | Virus Diseases |
| D012327 | RNA Virus Infections |
| D018177 | Flavivirus Infections |
| D018178 | Flaviviridae Infections |
| D004660 | Encephalitis |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D000090862 | Neuroinflammatory Diseases |
| D006525 | Hepatitis, Viral, Human |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D000096724 | Mosquito-Borne Diseases |
| D018354 | Alphavirus Infections |
| D014036 | Togaviridae Infections |
| D018778 | Hantavirus Infections |
| D002044 | Bunyaviridae Infections |
| D012131 | Respiratory Insufficiency |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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