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历史上的大流行病。

Pandemics Throughout History.

作者信息

Piret Jocelyne, Boivin Guy

机构信息

CHU de Québec - Laval University, Quebec City, QC, Canada.

出版信息

Front Microbiol. 2021 Jan 15;11:631736. doi: 10.3389/fmicb.2020.631736. eCollection 2020.

Abstract

The emergence and spread of infectious diseases with pandemic potential occurred regularly throughout history. Major pandemics and epidemics such as plague, cholera, flu, severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV) have already afflicted humanity. The world is now facing the new coronavirus disease 2019 (COVID-19) pandemic. Many infectious diseases leading to pandemics are caused by zoonotic pathogens that were transmitted to humans due to increased contacts with animals through breeding, hunting and global trade activities. The understanding of the mechanisms of transmission of pathogens to humans allowed the establishment of methods to prevent and control infections. During centuries, implementation of public health measures such as isolation, quarantine and border control helped to contain the spread of infectious diseases and maintain the structure of the society. In the absence of pharmaceutical interventions, these containment methods have still been used nowadays to control COVID-19 pandemic. Global surveillance programs of water-borne pathogens, vector-borne diseases and zoonotic spillovers at the animal-human interface are of prime importance to rapidly detect the emergence of infectious threats. Novel technologies for rapid diagnostic testing, contact tracing, drug repurposing, biomarkers of disease severity as well as new platforms for the development and production of vaccines are needed for an effective response in case of pandemics.

摘要

具有大流行潜力的传染病在历史上时有出现和传播。鼠疫、霍乱、流感、严重急性呼吸综合征冠状病毒(SARS-CoV)和中东呼吸综合征冠状病毒(MERS-CoV)等重大疫情和流行病已经给人类带来了痛苦。世界现在正面临2019年新型冠状病毒病(COVID-19)大流行。许多导致大流行的传染病是由人畜共患病原体引起的,这些病原体由于通过养殖、狩猎和全球贸易活动增加了与动物的接触而传播给人类。对病原体传播给人类的机制的了解使得建立预防和控制感染的方法成为可能。几个世纪以来,隔离、检疫和边境管制等公共卫生措施的实施有助于遏制传染病的传播并维持社会结构。在没有药物干预的情况下,这些遏制方法如今仍被用于控制COVID-19大流行。对水传播病原体、媒介传播疾病以及动物与人类界面处的人畜共患病外溢进行全球监测计划对于快速检测传染病威胁的出现至关重要。在大流行情况下做出有效应对需要用于快速诊断检测、接触者追踪、药物重新利用、疾病严重程度生物标志物的新技术以及疫苗研发和生产的新平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43cc/7874133/bf0b3c20d5db/fmicb-11-631736-g001.jpg

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