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《埃博拉:疫情的解剖学》。

Ebola: Anatomy of an Epidemic.

机构信息

Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia 30333; email:

出版信息

Annu Rev Med. 2017 Jan 14;68:359-370. doi: 10.1146/annurev-med-052915-015604. Epub 2016 Oct 21.

Abstract

As of the end of March 2016, the West Africa epidemic of Ebola virus disease (Ebola) had resulted in a total of 28,646 cases, 11,323 of them fatal, reported to the World Health Organization. Guinea, Liberia, and Sierra Leone were most heavily affected, but Ebola cases were exported to several other African and European countries as well as the United States, with limited further transmission, including to healthcare workers. We review the descriptive epidemiology of the outbreak, novel aspects and insights concerning the unprecedented response, scientific observations, and public health implications. The large number of Ebola survivors has highlighted the frequency of persistent symptoms and the possibility of virus persistence in sanctuary sites, sometimes leading to delayed transmission. Although transmission appears to have ceased in 2016, the West Africa Ebola epidemic has profoundly influenced discussions and practice concerning global health security.

摘要

截至 2016 年 3 月底,据世界卫生组织报告,西非埃博拉病毒病(埃博拉)疫情共导致 28646 例病例,其中 11323 例死亡。受影响最严重的是几内亚、利比里亚和塞拉利昂,但埃博拉病例也输出到其他几个非洲和欧洲国家以及美国,进一步传播有限,包括对医护人员的传播。我们回顾了疫情的描述性流行病学、针对这一史无前例的疫情的新方面和新见解、科学观察以及对公共卫生的影响。大量埃博拉幸存者凸显了持续症状的频率以及病毒在避难所持续存在的可能性,有时会导致延迟传播。尽管 2016 年埃博拉病毒的传播似乎已经停止,但西非埃博拉疫情深刻影响了有关全球卫生安全的讨论和实践。

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