新型冠状病毒变种给全球医疗系统带来更多挑战:当前知识简要报告

New Coronavirus Variants are Creating More Challenges to Global Healthcare System: A Brief Report on the Current Knowledge.

作者信息

Islam Salsabil, Islam Towhidul, Islam Md Rabiul

机构信息

Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh.

出版信息

Clin Pathol. 2022 Feb 3;15:2632010X221075584. doi: 10.1177/2632010X221075584. eCollection 2022 Jan-Dec.

Abstract

The coronavirus is naturally mutating over time and producing new variants. Some of them are more contagious and destructive than previous strains. Also, some variants are capable of therapeutic escaping. Earlier SARS-CoV-2 variants proved that some are supercritical, and newly mutated strains are creating new challenges to the global healthcare systems. Here we aimed to evaluate different coronavirus variants and associated challenges for healthcare systems. We searched for information online and on the PubMed, Scopus, and Embase databases. We found the wild-type virus is more sensitive for neutralization and more controllable than newer variants. The Delta and Omicron variants are more highly transmissible than Alpha, Beta, and Gamma variants. Also, few strains are resistant to neutralization. Therefore, there is a chance of reinfection among the vaccinated population. The transmissibility and resistance of the recently identified Omicron variant is still unclear. The Delta variant is the most dangerous among all variants due to its high transmissibility, disease severity, and mortality rate. For poor and developing countries, oxygen supply, medication, vaccination, and device supply are challenging during epidemic waves. Slowing down the transmission, mass vaccination, vaccine redesign, re-compiling action plans, and following safety guidelines can be effective solutions to the new challenges.

摘要

随着时间的推移,冠状病毒在自然变异并产生新的变种。其中一些变种比以前的毒株更具传染性和破坏性。此外,一些变种能够逃避治疗。早期的新冠病毒变种证明有些是超临界的,而新出现的变异毒株正在给全球医疗系统带来新的挑战。在此,我们旨在评估不同的冠状病毒变种以及医疗系统面临的相关挑战。我们在网上以及PubMed、Scopus和Embase数据库中搜索信息。我们发现野生型病毒比新变种对中和更敏感且更易于控制。德尔塔和奥密克戎变种比阿尔法、贝塔和伽马变种的传播性更强。此外,少数毒株对中和有抗性。因此,接种疫苗的人群中存在再次感染的可能性。最近发现的奥密克戎变种的传播性和抗性仍不明确。德尔塔变种在所有变种中最为危险,因为其传播性高、疾病严重程度高且死亡率高。对于贫穷国家和发展中国家而言,在疫情高峰期氧气供应、药物、疫苗接种和设备供应都具有挑战性。减缓传播速度、大规模接种疫苗、重新设计疫苗、重新制定行动计划以及遵循安全指南可能是应对这些新挑战的有效解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b25f/8819824/8ca6d8f6ef13/10.1177_2632010X221075584-fig1.jpg

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