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[艾滋病与梅毒大流行出现情况的比较研究]

[A comparative study of the emergence of the AIDS and syphilis pandemics].

作者信息

Molez Jean-François

机构信息

Institut de recherche pour le développement (IRD), Unité de recherche 178, Conditions et territoires d'émergences des maladies, Centre IRD de Hann, BP 1386, Dakar CP 18524 Sénégal.

出版信息

Sante. 2006 Oct-Dec;16(4):215-23.

Abstract

A historical and comparative study of the origins and emergence of syphilis and AIDS show that both result from human intrusions. Treponema probably existed in primates before human infection, and nonvenereal treponemal infection existed in prehistoric tropical Africa. When humans began wearing clothes, the disappearance of endemic infection ended immunity and led to receptivity to venereal infection. It was long thought that syphilis was first introduced in Europe by the conquistadors, but lesions typical of treponematosis dating from before the Common Era have been found in Europe. It is possible that the first navigators transferred treponemal infections to Latin America. AIDS seems to have appeared throughout the Congo River basin around 1950, and genetic studies attest to its long history in primates. It may have resulted from the Bantu migration and its strong human intrusion into the forest. After the initial human infection, new epidemiological factors in a transformed environment and behavioral changes led at 500-year intervals (1480-1490 for syphilis and 1940-1950 for AIDS) to the widespread emergence and subsequent pandemic of each disease.

摘要

一项关于梅毒和艾滋病起源与出现的历史比较研究表明,两者均源于人类的侵扰。梅毒螺旋体可能在人类感染之前就已存在于灵长类动物中,史前热带非洲就存在非性病性梅毒感染。当人类开始穿衣后,地方性感染的消失终结了免疫力,导致对性病感染的易感性。长期以来人们认为梅毒是由征服者首次引入欧洲的,但在欧洲发现了可追溯到公元纪年之前的典型梅毒病变。有可能最早的航海者将梅毒感染传播到了拉丁美洲。艾滋病似乎于1950年左右在整个刚果河流域出现,基因研究证明其在灵长类动物中有着悠久的历史。它可能是班图人迁徙以及人类对森林的强烈侵扰所致。在最初的人类感染之后,环境变化中的新流行病学因素和行为改变导致每一种疾病每隔500年(梅毒为1480 - 1490年,艾滋病为1940 - 1950年)广泛出现并随后大流行。

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