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[严重急性呼吸综合征冠状病毒2大流行的流行病学特征、临床情况及防控机制:西班牙的情况]

[Epidemiological aspects, clinic and control mechanisms of SARS-CoV-2 pandemic: Situation in Spain].

作者信息

Garcia-Alamino Josep M

机构信息

Grupo de investigación salud global, género y sociedad (GHenderS), Barcelona, España; Blanquerna-Universitat Ramon Llull, Barcelona, España; Programme in Evidence Based Health Care, University of Oxford, Oxford, Reino Unido.

出版信息

Enferm Clin (Engl Ed). 2021 Feb;31:S4-S11. doi: 10.1016/j.enfcli.2020.05.001. Epub 2020 May 15.

Abstract

In January 2020, the Chinese authorities confirmed the causative agent of an outbreak of cases with pneumonia of unknown etiology that appeared in December 2019. The World Health Organization (WHO) called SARS-CoV-2 is a new virus of the coronavirus family. On March 12, the WHO declared this outbreak as a pandemic as it spread worldwide. Human epidemics usually follow the start of exponential growth, this means that from a small number of cases in a few days, a large increase in the number of infected people is observed. The clinical manifestations and spectrum of symptomatic disease range from moderate to critical presentations. In cases with fatal progression, the most serious complications sometimes are cause of a multi-organ failure and patient death. SARS-CoV-2 has a high transmission rate, the route of transmission between humans is through the secretions of infected people, hands or contaminated objects. In general, the epidemic control measures used so far have been based on adoption of interventions from the classical epidemiology, identifying and isolating the cases, following the contacts and establishing restrictions, including quarantine, closure of educational centers, avoiding events in which crowds of people occur, limiting mobility. These measures have been effective in China, the original focus of the outbreak.

摘要

2020年1月,中国当局确认了2019年12月出现的不明病因肺炎病例的病原体。世界卫生组织(WHO)称严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是冠状病毒家族的一种新病毒。3月12日,由于该疫情在全球蔓延,WHO宣布此次疫情为大流行。人类疫情通常在指数增长开始后出现,这意味着在几天内从少数病例开始,观察到感染人数大幅增加。有症状疾病的临床表现和范围从中度到重症表现。在病情呈致命进展的病例中,最严重的并发症有时会导致多器官衰竭和患者死亡。SARS-CoV-2传播率高,人与人之间的传播途径是通过感染者的分泌物、手或被污染的物体。总体而言,迄今为止所采用的疫情防控措施基于采用经典流行病学的干预措施,识别和隔离病例、追踪接触者并实施限制措施,包括检疫、关闭教育中心、避免人群聚集的活动、限制流动。这些措施在中国这一疫情最初的焦点地区是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abdb/7225708/23f45d4e7274/gr1_lrg.jpg

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