Vonesch N, Di Renzi S, Martini A, Melis P, Signorini S, Tomao P
ISPESL - Dipartimento Medicina del Lavoro, Monte Porzio Catone, Roma.
G Ital Med Lav Ergon. 2007 Jul-Sep;29(3 Suppl):401-4.
In the last years emerging infections represent an important problem of public health and occupational medicine. Biological agents and their hosts exist in a precariously balanced and continuously evolving relationship, influenced by their environment. RNA viruses are responsible for most of the emerging diseases. Epidemics that recently affected the world of work are zoonoses, such as cases of SARS in healthcare staff Dutch poultry workers infected with the avian virus A/H7N7 in 2003, the current threat of avian flu A/H5N1 to poultry workers. Workers at risk include those who are in contact with live or dead infected animals, with aerosols, dust or surfaces contaminated by animal secretions, persons engaged in animal breeding and trade, veterinaries, and others. Pigs are at risk of acquiring many viral and bacterial diseases and, consequently, could be able to transmit some of these infections to occupationally exposed subjects. The aim of our study is to set out some emerging zoonosis that could affect swine workers, an occupational sector where a proper assessment of biological risks is difficult to perform.
在过去几年中,新出现的感染已成为公共卫生和职业医学的一个重要问题。生物制剂及其宿主存在于一种脆弱平衡且不断演变的关系中,并受其环境影响。RNA病毒是大多数新出现疾病的元凶。最近影响职场的流行病为人畜共患病,如2003年医护人员感染SARS病例、荷兰家禽工人感染甲型H7N7禽流感病毒,以及当前甲型H5N1禽流感对家禽工人构成的威胁。面临风险的工人包括那些接触感染的活禽或死禽、气溶胶、受动物分泌物污染的灰尘或表面的人,从事动物养殖和贸易的人员、兽医及其他人员。猪有感染多种病毒和细菌疾病的风险,因此可能会将其中一些感染传播给职业暴露人群。我们研究的目的是阐述一些可能影响养猪工人的新出现的人畜共患病,这一职业领域难以对生物风险进行适当评估。