Do P H, Caumes E, Bricaire F
UEPP, IUMSP, Université de Lausanne.
Praxis (Bern 1994). 2000 Jan 20;89(4):125-32.
We have recently seen a worldwide explosion of infectious diseases: emerging diseases like the HIV/AIDS pandemic, or old diseases like cholera, tuberculosis, diphteria, plague, yellow fever, dengue, or malaria. These reemerging diseases are on the surge because of multiple factors: environmental changes, transformation of ecosystems, ongoing socioeconomic degradation and deterioration of public health systems in many countries. The increasing bacterial resistance to antibiotics or virologic resistance to antiviral drugs are becoming a serious problem today. This global danger needs a global response. There must be a cooperation between the different actors in the field of public health. The general practitioner should look for good therapeutic compliance, control vaccinations, and give his patients health education, including prevention of HIV and other sexually transmitted diseases.
最近,我们目睹了传染病在全球范围内的爆发:诸如艾滋病毒/艾滋病大流行这类新出现的疾病,以及霍乱、结核病、白喉、鼠疫、黄热病、登革热或疟疾等古老疾病。由于多种因素,这些再度出现的疾病正在激增:环境变化、生态系统转变、持续的社会经济衰退以及许多国家公共卫生系统的恶化。如今,细菌对抗生素的耐药性不断增强以及病毒对抗病毒药物的耐药性已成为一个严重问题。这种全球危险需要全球共同应对。公共卫生领域的不同行为主体之间必须开展合作。全科医生应寻求良好的治疗依从性,控制疫苗接种,并对患者进行健康教育,包括预防艾滋病毒和其他性传播疾病。