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大流行管理需要暴露科学。

Pandemic management requires exposure science.

机构信息

Research Professor Emeritus [retired], Kuopio, Finland.

出版信息

Environ Int. 2022 Nov;169:107470. doi: 10.1016/j.envint.2022.107470. Epub 2022 Aug 20.

Abstract

COVID-19 was first detected in Wuhan, China, on 8.12.2019, and WHO announced it a pandemic on 11.3.2020. No vaccines or medical cures against COVID-19 were available in the first corona year. Instead, different combinations of generic non-pharmaceutical interventions - to slow down the spread of infections via exposure restrictions to 'flatten the curve' so that it would not overburden the health care systems, or to suppress the virus to extinction - were applied with varying levels of strictness, duration and success in the Pacific and North Atlantic regions. Due to an old misconception, almost all public health authorities dismissed the possibility that the virus would be transmitted via air. Opportunities to reduce the inhalation exposure - such as wearing effective FFP2/N95 respirators, improving ventilation and indoor air cleaning - were missed, and instead, hands were washed and surfaces disinfected. The fact that aerosols were acknowledged as the main route of COVID-19 transmission in 2021 opened avenues for more efficient and socially less disruptive exposure and risk reduction policies that are discussed and evaluated here, demonstrating that indoor air and exposure sciences are crucial for successful management of pandemics. To effectively apply environmental and personal exposure mitigation measures, exposure science needs to target the human-to-human exposure pathways of the virus.

摘要

2019 年 12 月 8 日,中国武汉首次发现 COVID-19,世界卫生组织于 2020 年 3 月 11 日宣布其为大流行。在首个新冠疫情年,尚无针对 COVID-19 的疫苗或医学疗法。相反,在太平洋和北大西洋地区,不同组合的非药物干预措施(通过限制接触来减缓感染传播,以“拉平曲线”,避免医疗系统不堪重负,或通过抑制病毒使其灭绝)被以不同的严格程度、持续时间和成功率应用。由于一个陈旧的误解,几乎所有公共卫生当局都排除了病毒通过空气传播的可能性。减少吸入暴露的机会(例如佩戴有效率的 FFP2/N95 口罩、改善通风和室内空气清洁)被错过了,反而只强调了洗手和表面消毒。2021 年,气溶胶被确认为 COVID-19 传播的主要途径,这为更有效且对社会干扰更小的暴露和降低风险政策开辟了道路,这些政策在此处进行了讨论和评估,表明室内空气和暴露科学对于成功管理大流行至关重要。为了有效地应用环境和个人暴露缓解措施,暴露科学需要针对病毒的人际暴露途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd5d/9392555/9b1e1acb4812/gr1_lrg.jpg

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