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巴基斯坦的传染病监测:挑战、努力与建议。

Infectious diseases surveillance in Pakistan: Challenges, efforts, and recommendations.

作者信息

Bilal Wajeeha, Qamar Khulud, Abbas Samina, Siddiqui Amna, Essar Mohammad Yasir

机构信息

Faculty of Medicine, Dow Medical College, Dow University of Health Sciences, Pakistan.

Karachi Medical and Dental College, Pakistan.

出版信息

Ann Med Surg (Lond). 2022 May 20;78:103838. doi: 10.1016/j.amsu.2022.103838. eCollection 2022 Jun.

DOI:10.1016/j.amsu.2022.103838
PMID:35734665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9207098/
Abstract

Public health remains a major concern in Pakistan, with communicable diseases including HIV/AIDS, hepatitis B, and C, and tuberculosis the leading cause of morbidity and mortality. Several factors contribute to the country's high risk of infectious disease epidemics, including overcrowded cities, unclean drinking water, inadequate sanitation, poor socioeconomic conditions, and low vaccination coverage. Due to the absence of a comprehensive surveillance strategy and mechanism, it has been difficult to manage infectious disease outbreaks effectively. The article offers insights into the various challenges faced by public and private healthcare sectors to control the spread of communicable diseases and proposes solutions to prevent crippling of the overburdened healthcare system on a national scale.

摘要

公共卫生仍是巴基斯坦的一个主要关切问题,包括艾滋病毒/艾滋病、乙型和丙型肝炎以及结核病在内的传染病是发病和死亡的主要原因。有几个因素导致该国传染病流行的风险很高,包括城市过度拥挤、饮用水不清洁、卫生设施不足、社会经济条件差以及疫苗接种覆盖率低。由于缺乏全面的监测战略和机制,有效管理传染病疫情一直很困难。本文深入探讨了公共和私营医疗部门在控制传染病传播方面面临的各种挑战,并提出了解决方案,以防止负担过重的医疗系统在全国范围内陷入瘫痪。

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本文引用的文献

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JMIR Public Health Surveill. 2021 May 19;7(5):e28517. doi: 10.2196/28517.
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Strengthening health system building blocks: configuring post-COVID-19 scenario in Pakistan.加强卫生系统建设:为巴基斯坦 COVID-19 后情景配置。
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Overlapping clinical manifestations of COVID-19 with endemic infectious diseases in Pakistan: A looming threat of multiple lethal combinations.2019冠状病毒病(COVID-19)与巴基斯坦地方性传染病的重叠临床表现:多种致命组合的潜在威胁。
Infect Ecol Epidemiol. 2021 Jan 20;11(1):1873494. doi: 10.1080/20008686.2021.1873494.
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Public Health. 2016 May;134:72-85. doi: 10.1016/j.puhe.2016.01.006. Epub 2016 Feb 13.
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Extreme weather events and infectious disease outbreaks.极端天气事件与传染病爆发。
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