Within this context, the tropical Andes is the most diverse in terms of species, sometimes called the "global epicenter of biodiversity". The tropical Andean ecosystem shared by these three countries coverskm2 of forests and contains a population of more thanfamilies about 4 million peoplewith human development index of about 0. In this ecosystem we have identified four core issues common to the three Andean countries: Its population has a growing situation of poverty and exclusion, in particular among the indigenous Amazonian groups, due to the degradation of natural resources and inadequate technological capacity.
For Scopus, the annual average number of articles published up to was 5 IQR: In Juneonly two articles had been published that year. Nevertheless, afteralthough not uniform, there was an increasing trend in the number of articles published on OROV per year, reaching 9 in Figure 2.
At Scopus 19 countries contributed to the publication of at least 1 paper during the study period Figure 3. For SCI-E, the annual average number of articles published up to was 6. Research trends on Oropouche virus from to Data taken from Scopus. Data taken from SCI-E.
The year with the highest number of articles published at this database was with 5. At SciELO, 22 articles were located, 18 from the Brazil collection and 1 from Peru collection, published mainly between — 6 articlesbeing 12 in English, 8 in Portuguese and 2 in Spanish.
Discussion OROV outbreaks increase when the rainy season starts January to June in endemic areas, where the population density of Culicoides paraensis is high 1.
In fact, the OROV dispersion routes and its genetic diversity 5 impacted on the growth of scientific publications, as well as on the international collaboration on this topic. Most cases originate in towns located in the northern part of the Cusco Region, which is situated in the Amazon rainforest.
There were no fatalities and all patients have recovered following symptomatic treatment. While Madre de Dios already experienced an outbreak of OROV fever inat the time of the mission in February, this latest outbreak was of a higher magnitude, with confirmed cases 6.
Cases have also been reported in other nearby countries such as Panama, Trinidad and Tobago and Brazil, and very recently in Venezuela 17. It highlights the potential for expansion of OROV and other related reassortant viruses to other countries in the region, such as Colombia, Venezuela and Ecuador, amongst others in South and Central America.
This lack of published studies does not allow evidence-based decision-making on public health policies. More clinical and epidemiological information regarding OROV is urgently needed.
Especially in highly vulnerable areas, such as those where other arboviruses CHIKV, ZIKV, DENV are circulating because vector and climate conditions are suitable for transmission 10 — 13research on OROV deserves more incentives among institutions, so that specific laboratory tests can be designed and more knowledge on this this emerging arbovirus can be gathered properly 210 — The current bibliometric analysis was not restricted to Latin American countries.
Although this is an arbovirus that emerged in the region, there is interest from international groups to cooperate in the research on OROV from outside Latin America. Even more, Latin America can be the source of imported cases in North America and Europe, as has been happening not just with arboviral diseases 910but also with Chagas disease.
When revising the bibliometric analysis to take into account such a situation, it can be seen that there are research groups outside Latin America contributing to research about this disease. Then, countries such as USA, Canada andSpain, among others, would be concerned about the potential impact of the spread of this arbovirus outside Latin America Probably this country is the main contributor since its budget for science is one of the highest in Latin America, and not necessarily because it suffers in a greater proportion of this problem.
Besides this, international research networks should be expanded to gain a full understanding of this arboviral disease and explore its potential expansion and impact. To do this, the epidemic dispersion, transmission cycle, molecular epidemiology, pathogenesis, and clinical features of OROV need to be studied.
Data availability DOI, All authors were involved in the writing and read the final version submitted. Competing interests No competing interests were disclosed. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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