Halliday Jo E B, Hampson Katie, Hanley Nick, Lembo Tiziana, Sharp Joanne P, Haydon Daniel T, Cleaveland Sarah
Boyd Orr Centre for Population and Ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8QQ, UK.
School of Geography and Sustainable Development, University of St Andrews, St Andrews, Scotland, UK.
Science. 2017 Jul 14;357(6347):146-148. doi: 10.1126/science.aam8332.
Emerging infectious diseases (EIDs) threaten the health of people, animals, and crops globally, but our ability to predict their occurrence is limited. Current public health capacity and ability to detect and respond to EIDs is typically weakest in low- and middle-income countries (LMICs). Many known drivers of EID emergence also converge in LMICs. Strengthening capacity for surveillance of diseases of relevance to local populations can provide a mechanism for building the cross-cutting and flexible capacities needed to tackle both the burden of existing diseases and EID threats. A focus on locally relevant diseases in LMICs and the economic, social, and cultural contexts of surveillance can help address existing inequalities in health systems, improve the capacity to detect and contain EIDs, and contribute to broader global goals for development.
新发传染病(EIDs)对全球人类、动物和农作物的健康构成威胁,但我们预测其发生的能力有限。当前,中低收入国家(LMICs)的公共卫生监测能力以及发现和应对新发传染病的能力通常最为薄弱。许多已知的新发传染病驱动因素也集中在中低收入国家。加强对与当地人群相关疾病的监测能力,可以提供一种机制,以建立应对现有疾病负担和新发传染病威胁所需的跨领域、灵活的能力。关注中低收入国家与当地相关的疾病以及监测的经济、社会和文化背景,有助于解决卫生系统中现有的不平等问题,提高发现和控制新发传染病的能力,并为更广泛的全球发展目标做出贡献。