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叙利亚冲突与传染病

The Syrian conflict and infectious diseases.

作者信息

Ozaras Resat, Leblebicioglu Hakan, Sunbul Mustafa, Tabak Fehmi, Balkan Ilker Inanc, Yemisen Mucahit, Sencan Irfan, Ozturk Recep

机构信息

a Department of Infectious Diseases and Clinical Microbiology , Istanbul University, Cerrahpasa Medical School , Istanbul , Turkey.

b Department of Infectious Diseases and Clinical Microbiology , Ondokuz Mayis University, Medical School , Samsun , Turkey.

出版信息

Expert Rev Anti Infect Ther. 2016 Jun;14(6):547-55. doi: 10.1080/14787210.2016.1177457. Epub 2016 Apr 27.

Abstract

The conflict in Syria is a big humanitarian emergency. More than 200,000 Syrians have been killed, with more than half of the population either having been displaced or having immigrated. Healthcare has been interrupted due to the destruction of facilities, a lack of medical staff, and a critical shortage of life-saving medications. It produced suitable conditions leading to the re-emergence of tuberculosis, cutaneous leishmaniasis, polio, and measles. Lebanon and Jordan reported increased rates of tuberculosis among Syrian refugees. Cutaneous leishmaniasis outbreaks were noted not only in Syria but also in Turkey, Jordan, and Lebanon. After a polio-free 15 years, Syria reported a polio outbreak. Ongoing measles outbreaks in the region was accelerated by the conflict. Iraq declared a cholera outbreak among the Syrian refugees. The healthcare facilities of the countries hosting immigrants, mainly Turkey, Lebanon, Jordan, Iraq, and Egypt, are overburdened. The majority of the immigrants live in crowded and unsanitary conditions. Infectious diseases are big challenges for Syria and for the countries hosting immigrants. More structured support from international organizations is needed for the prevention, control, diagnosis, and treatment of infectious diseases.

摘要

叙利亚冲突是一场重大的人道主义危机。超过20万叙利亚人丧生,一半以上的人口被迫流离失所或移民。由于设施遭到破坏、医务人员短缺以及救命药物严重匮乏,医疗保健服务已被中断。这为结核病、皮肤利什曼病、小儿麻痹症和麻疹的再度出现创造了适宜条件。黎巴嫩和约旦报告称,叙利亚难民中的结核病发病率有所上升。不仅在叙利亚,而且在土耳其、约旦和黎巴嫩都发现了皮肤利什曼病疫情。在保持了15年无脊髓灰质炎状态之后,叙利亚报告了脊髓灰质炎疫情。冲突加剧了该地区持续的麻疹疫情。伊拉克宣布在叙利亚难民中爆发霍乱。接纳移民的国家,主要是土耳其、黎巴嫩、约旦、伊拉克和埃及,其医疗设施不堪重负。大多数移民生活在拥挤且不卫生的环境中。传染病对叙利亚以及接纳移民的国家构成了巨大挑战。在传染病的预防、控制、诊断和治疗方面,需要国际组织提供更有条理的支持。

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