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2013 - 2016年埃博拉疫情:新疫情的旧教训

The Ebola outbreak, 2013-2016: old lessons for new epidemics.

作者信息

Coltart Cordelia E M, Lindsey Benjamin, Ghinai Isaac, Johnson Anne M, Heymann David L

机构信息

Research Department of Infection and Population Health, UCL, London WC1E 6JB, UK

Chatham House, London SW1Y 4LE, UK.

出版信息

Philos Trans R Soc Lond B Biol Sci. 2017 May 26;372(1721). doi: 10.1098/rstb.2016.0297.

Abstract

Ebola virus causes a severe haemorrhagic fever in humans with high case fatality and significant epidemic potential. The 2013-2016 outbreak in West Africa was unprecedented in scale, being larger than all previous outbreaks combined, with 28 646 reported cases and 11 323 reported deaths. It was also unique in its geographical distribution and multicountry spread. It is vital that the lessons learned from the world's largest Ebola outbreak are not lost. This article aims to provide a detailed description of the evolution of the outbreak. We contextualize this outbreak in relation to previous Ebola outbreaks and outline the theories regarding its origins and emergence. The outbreak is described by country, in chronological order, including epidemiological parameters and implementation of outbreak containment strategies. We then summarize the factors that led to rapid and extensive propagation, as well as highlight the key successes, failures and lessons learned from this outbreak and the response.This article is part of the themed issue 'The 2013-2016 West African Ebola epidemic: data, decision-making and disease control'.

摘要

埃博拉病毒可引发人类严重出血热,病死率高且具有显著的流行潜力。2013 - 2016年在西非爆发的疫情规模空前,超过了以往所有疫情的总和,报告病例达28646例,报告死亡11323例。其地理分布和多国传播情况也很独特。至关重要的是,不能忘记从全球最大规模埃博拉疫情中吸取的教训。本文旨在详细描述此次疫情的发展演变。我们将此次疫情与以往埃博拉疫情进行背景关联,并概述关于其起源和出现的理论。按时间顺序逐个国家描述此次疫情,包括流行病学参数以及疫情控制策略的实施情况。然后,我们总结导致疫情迅速广泛传播的因素,同时突出此次疫情及应对措施的关键成功之处、失败之处和经验教训。本文是主题为“2013 - 2016年西非埃博拉疫情:数据、决策与疾病控制”特刊的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa42/5394636/dcab7397e92d/rstb20160297-g1.jpg

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