旅行、移民与新发传染病
Travel, Migration and Emerging Infectious Diseases.
作者信息
Vignier Nicolas, Bouchaud Olivier
机构信息
INSERM, Sorbonne Université, Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP), Department of Social Epidemiology, Institut Convergences et Migration, Paris, France.
Groupe hospitalier Sud Ile-de-France, Department of Infectious and Tropical Diseases, Melun, France.
出版信息
EJIFCC. 2018 Nov 7;29(3):175-179. eCollection 2018 Nov.
Emerging infectious diseases (EID) threaten public health and are sustained by increasing global commerce, travel and disruption of ecological systems. Travelers could play a role in importing EIDs and could be a sentinel of major epidemics. In connection with the extension of poverty, urbanization, extensive livestock rearing and globalization, we could be exposed to a third epidemiological transition characterized by zoonotic diseases and infections with multidrug-resistant bacteria. The risk appears low for emerging infectious diseases, or very low for high-risk emerging infectious diseases, but higher for multidrug-resistant enterobacteriaceae carriage with possibly limited consequences. The role played by migrants is weaker than imagined. Immigrants don't play the role of sentinel epidemic so far. They could play a role in importing multidrug-resistant enterobacteriaceae, but it is poorly evaluated.
新发传染病（EID）威胁着公众健康，并且因全球商业活动增加、旅行以及生态系统破坏而持续存在。旅行者可能在输入新发传染病方面发挥作用，并且可能成为重大疫情的哨兵。随着贫困的蔓延、城市化、大规模牲畜饲养以及全球化，我们可能面临以人畜共患病和多重耐药菌感染为特征的第三次流行病学转变。新发传染病的风险似乎较低，高风险新发传染病的风险非常低，但多重耐药肠杆菌科细菌携带的风险较高，其后果可能有限。移民所起的作用比想象的要小。到目前为止，移民并未起到疫情哨兵的作用。他们可能在输入多重耐药肠杆菌科细菌方面发挥作用，但对此评估不足。
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