Ivers Louise C, Ryan Edward T
Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Curr Opin Infect Dis. 2006 Oct;19(5):408-14. doi: 10.1097/01.qco.0000244044.85393.9e.
The present review will focus on some of the possible infectious disease consequences of disastrous natural phenomena and severe weather, with a particular emphasis on infections associated with floods and the destruction of infrastructure.
The risk of infectious diseases after weather or flood-related natural disasters is often specific to the event itself and is dependent on a number of factors, including the endemicity of specific pathogens in the affected region before the disaster, the type of disaster itself, the impact of the disaster on water and sanitation systems, the availability of shelter, the congregating of displaced persons, the functionality of the surviving public health infrastructure, the availability of healthcare services, and the rapidity, extent, and sustainability of the response after the disaster. Weather events and floods may also impact disease vectors and animal hosts in a complex system.
Weather or flood-related natural disasters may be associated with an increased risk of soft tissue, respiratory, diarrheal, and vector-borne infectious diseases among survivors and responders.
本综述将聚焦于灾难性自然现象和恶劣天气可能导致的一些传染病后果,尤其着重于与洪水及基础设施破坏相关的感染。
天气或与洪水相关的自然灾害之后传染病的风险通常因事件本身而异,并且取决于多种因素,包括灾难发生前受灾地区特定病原体的流行情况、灾难本身的类型、灾难对水和卫生系统的影响、避难所的可利用性、流离失所者的聚集情况、尚存的公共卫生基础设施的功能、医疗服务的可及性,以及灾难后应对措施的速度、范围和可持续性。天气事件和洪水也可能在一个复杂系统中影响病媒和动物宿主。
天气或与洪水相关的自然灾害可能使幸存者和救援人员患软组织、呼吸道、腹泻及病媒传播传染病的风险增加。