[尼帕病毒病的防控进展]
[Progress in prevention and control of Nipah virus disease].
作者信息
Shu H F, Wang K Y, Liu S L, Zhang M, Song T
机构信息
School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China.
Department of Communicable Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
出版信息
Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Feb 10;43(2):286-291. doi: 10.3760/cma.j.cn112338-20210706-00529.
Nipah virus disease (NVD) is a newly emerged zoonosis with a case fatality rate of 40%-75%. NVD is a severe threat to human health and the development of livestock farming. NVD has become one of the emerging infectious diseases with great concern globally during more than 20 years. Nipah virus (NiV) is a pathogen for NVD, the natural host of which is Fruit bats of the Pteropodidae family. The clinical spectrum of NiV infection is broad, including asymptomatic infection, acute respiratory infection, fatal encephalitis, and even death. Since NiV was first identified in Malaysia in 1999, it has been prevalent mainly in Southeast Asia and South Asia. NiV is primarily transmitted to humans through bat-pig-human, contaminated food. Currently, there are no specific therapeutic drugs and vaccines for NVD. Although there are no cases of NVD reported in China, which has close personnel and trade exchanges with major NVD-endemic countries, and NiV antibody has also been detected in relevant bats. There is a potential risk of importing NVD and domestic outbreaks in the future in this country. This paper provides a systematic review of the research progress in the prevention and control of NVD etiology, epidemiology, clinical manifestations and laboratory diagnosis to help relevant staff to understand NVD more comprehensively and systematically.
尼帕病毒病(NVD)是一种新出现的人畜共患病,病死率为40%-75%。尼帕病毒病对人类健康和畜牧业发展构成严重威胁。在20多年里,尼帕病毒病已成为全球高度关注的新发传染病之一。尼帕病毒(NiV)是尼帕病毒病的病原体,其天然宿主是狐蝠科的果蝠。尼帕病毒感染的临床谱广泛,包括无症状感染、急性呼吸道感染、致命性脑炎甚至死亡。自1999年尼帕病毒在马来西亚首次被发现以来,它主要在东南亚和南亚流行。尼帕病毒主要通过蝙蝠-猪-人、受污染食物传播给人类。目前,尚无针对尼帕病毒病的特异性治疗药物和疫苗。尽管中国与主要的尼帕病毒病流行国家有密切的人员和贸易往来,但尚未报告有尼帕病毒病病例,且在相关蝙蝠中也检测到了尼帕病毒抗体。该国未来存在输入性尼帕病毒病和国内暴发的潜在风险。本文对尼帕病毒病在病因学、流行病学、临床表现及实验室诊断等方面的防控研究进展进行系统综述,以帮助相关人员更全面、系统地了解尼帕病毒病。