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2019-nCoV 的致病性和传染性:快速概述及与其他新兴病毒的比较

Pathogenicity and transmissibility of 2019-nCoV-A quick overview and comparison with other emerging viruses.

机构信息

Key Laboratory of Medical Molecular Virology (MOE/NHC/CAMS), School of Basic Medical Sciences, Shanghai Medical College, Fudan University, Shanghai, China.

出版信息

Microbes Infect. 2020 Mar;22(2):69-71. doi: 10.1016/j.micinf.2020.01.004. Epub 2020 Feb 4.

Abstract

A zoonotic coronavirus, tentatively labeled as 2019-nCoV by the World Health Organization (WHO), has been identified as the causative agent of the viral pneumonia outbreak in Wuhan, China, at the end of 2019. Although 2019-nCoV can cause a severe respiratory illness like SARS and MERS, evidence from clinics suggested that 2019-nCoV is generally less pathogenic than SARS-CoV, and much less than MERS-CoV. The transmissibility of 2019-nCoV is still debated and needs to be further assessed. To avoid the 2019-nCoV outbreak turning into an epidemic or even a pandemic and to minimize the mortality rate, China activated emergency response procedures, but much remains to be learned about the features of the virus to refine the risk assessment and response. Here, the current knowledge in 2019-nCoV pathogenicity and transmissibility is summarized in comparison with several commonly known emerging viruses, and information urgently needed for a better control of the disease is highlighted.

摘要

一种人畜共患的冠状病毒,世界卫生组织(WHO)暂命名为 2019-nCoV,已被确定为 2019 年底中国武汉病毒性肺炎爆发的病原体。虽然 2019-nCoV 可引起类似于 SARS 和 MERS 的严重呼吸道疾病,但临床证据表明,2019-nCoV 的致病性通常比 SARS-CoV 低,比 MERS-CoV 低得多。2019-nCoV 的传染性仍存在争议,需要进一步评估。为避免 2019-nCoV 爆发演变成疫情甚至大流行,并将死亡率降至最低,中国启动了应急响应程序,但要了解病毒的特征以完善风险评估和应对措施,仍有许多工作要做。在此,将 2019-nCoV 的致病性和传染性与几种常见的新兴病毒进行了比较,突出了更好控制疾病所需的紧急信息。

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