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巴基斯坦新出现的病毒感染:问题、关注和未来展望。

Emerging Viral Infections in Pakistan: Issues, Concerns, and Future Prospects.

出版信息

Health Secur. 2017 May/Jun;15(3):268-281. doi: 10.1089/hs.2016.0072.

Abstract

Emerging infectious diseases pose a serious threat to public health security; this is especially true in the underdeveloped world because of limited resources to combat them. These emerging pathogens are characterized by a novel mode of pathogenesis and, in some cases, a broad host range. Over the past few decades, Pakistan has suffered a great deal from infectious diseases such as dengue, Crimean-Congo fever, hepatitis, measles, and polio. Changing climate conditions, environmental degradation, global warming, loss of biodiversity, and other ecological determinants have a direct effect on these diseases and result in the emergence and reemergence of infectious entities. The causes of such disease outbreaks are complex and often not well understood. Dealing with an outbreak requires an integrated and coordinated approach, with decision making by various state departments. Stringent biosecurity and biosafety protocols can help to reduce the chances of infection dissemination. In order to mitigate the risks associated with emerging pathogens, there is a greater need to understand the interactions of pathogen-host-environment, to monitor molecular evolution and genomic surveillance, and to facilitate the gearing up of scientists across the globe to control these emerging diseases. This article reviews recent outbreaks in Pakistan and challenges for the development of an agile healthcare setup in the country.

摘要

新发传染病对公共卫生安全构成严重威胁;由于资源有限,无法应对这些疾病,欠发达国家的情况尤其如此。这些新出现的病原体具有新的发病模式,在某些情况下宿主范围很广。在过去的几十年里,巴基斯坦深受登革热、克里米亚-刚果出血热、肝炎、麻疹和脊髓灰质炎等传染病的困扰。不断变化的气候条件、环境恶化、全球变暖、生物多样性丧失和其他生态决定因素对这些疾病有直接影响,并导致传染病原体的出现和再现。此类疾病暴发的原因很复杂,往往不为人所理解。应对疫情需要采取综合协调的方法,由各个国家部门做出决策。严格的生物安保和生物安全协议有助于降低感染传播的机会。为了降低与新发病原体相关的风险,需要更好地了解病原体-宿主-环境的相互作用,监测分子进化和基因组监测,并促进全球科学家的合作,以控制这些新发疾病。本文回顾了巴基斯坦最近的疫情爆发情况,以及该国在建立灵活的医疗保健体系方面面临的挑战。

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