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自然灾害后的传染病:预防和控制措施。

Infectious diseases following natural disasters: prevention and control measures.

机构信息

United Nations University International Institute for Global Health, UKM Hospital Complex, Jalan Jaacob Latiff, Bandar Tun Razak, Cheras 56000, Kuala Lumpur, Malaysia.

出版信息

Expert Rev Anti Infect Ther. 2012 Jan;10(1):95-104. doi: 10.1586/eri.11.155.

Abstract

Natural disasters may lead to infectious disease outbreaks when they result in substantial population displacement and exacerbate synergic risk factors (change in the environment, in human conditions and in the vulnerability to existing pathogens) for disease transmission. We reviewed risk factors and potential infectious diseases resulting from prolonged secondary effects of major natural disasters that occurred from 2000 to 2011. Natural disasters including floods, tsunamis, earthquakes, tropical cyclones (e.g., hurricanes and typhoons) and tornadoes have been secondarily described with the following infectious diseases including diarrheal diseases, acute respiratory infections, malaria, leptospirosis, measles, dengue fever, viral hepatitis, typhoid fever, meningitis, as well as tetanus and cutaneous mucormycosis. Risk assessment is essential in post-disaster situations and the rapid implementation of control measures through re-establishment and improvement of primary healthcare delivery should be given high priority, especially in the absence of pre-disaster surveillance data.

摘要

自然灾害可能导致传染病爆发,如果它们导致大量人口流离失所,并加剧疾病传播的协同风险因素(环境变化、人类状况和对现有病原体的脆弱性)。我们回顾了 2000 年至 2011 年期间发生的重大自然灾害的长期次生效应所导致的风险因素和潜在传染病。洪水、海啸、地震、热带气旋(如飓风和台风)和龙卷风等自然灾害,以及腹泻病、急性呼吸道感染、疟疾、钩端螺旋体病、麻疹、登革热、病毒性肝炎、伤寒、脑膜炎以及破伤风和皮肤毛霉菌病等传染病,都有次生描述。在灾后情况下进行风险评估至关重要,应高度优先重视通过重建和改善初级医疗保健提供来快速实施控制措施,特别是在没有灾前监测数据的情况下。

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