猴痘病毒疫情综述:全球面临的新挑战
A review on monkeypox virus outbreak: New challenge for world.
作者信息
Ferdous Jannatul, Barek Md Abdul, Hossen Md Shafiul, Bhowmik Khokon Kanti, Islam Mohammad Safiqul
机构信息
Department of Pharmacy, Faculty of Science Noakhali Science and Technology University Sonapur Noakhali Bangladesh.
出版信息
Health Sci Rep. 2022 Dec 25;6(1):e1007. doi: 10.1002/hsr2.1007. eCollection 2023 Jan.
BACKGROUND
Monkeypox is a viral zoonotic disease caused by the monkeypox virus, a double-stranded DNA-enveloped virus that can be transmitted from animal to human or human to human. Consequently, it emerged as the most important orthopoxvirus for public health. Based on available online literature, this study reviewed the majority of the data representing the outbreak, diagnosis, treatment, and prevention of monkeypox.
METHODS
The literature search was conducted between July 5 and September 15, 2022. In addition to reviewing the databases of World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), Africa CDC, and United Kingdom Health Security Agency monkey pox advice, 43 papers were studied in depth.
RESULTS AND DISCUSSION
Human monkeypox was first identified in 1970 in a child in the Democratic Republic of the Congo. Until May 6, 2022, it was endemic in West and Central African countries and infrequently occurred outside of Africa. However, many cases have been identified in several nonendemic countries since May 13, 2022, with no prior human or animal travel from endemic areas; that was the first time to document the cases and long-term transmission in countries with no epidemiological ties to endemic African countries. Seven travel-related human monkeypox cases were recorded outside of Africa from September 2018 to November 2021: one in Israel, one in Singapore, and two in the US Youth are most affected. Monkeypox's unanticipated development in places with no known epidemiological linkages raises concerns about the virus's evolution, which permits undetected transmission for a long period.
CONCLUSION
Monkeypox is no longer a rare, self-limiting disease limited to endemic countries. Its ever-changing epidemiology and transmission dynamics have increased the possibility of its evolving into a much deadlier pathogen. Therefore, improved surveillance and detailed case and contact investigation are required to comprehend the ever-changing epidemiology of monkeypox.
背景
猴痘是一种由猴痘病毒引起的病毒性人畜共患病,猴痘病毒是一种双链DNA包膜病毒,可在动物与人之间或人与人之间传播。因此,它成为对公共卫生最重要的正痘病毒。基于现有的在线文献,本研究回顾了代表猴痘爆发、诊断、治疗和预防的大部分数据。
方法
文献检索于2022年7月5日至9月15日进行。除了查阅世界卫生组织(WHO)、疾病控制和预防中心(CDC)、非洲疾病预防控制中心以及英国卫生安全局猴痘建议的数据库外,还对43篇论文进行了深入研究。
结果与讨论
人类猴痘于1970年在刚果民主共和国的一名儿童中首次被发现。直到2022年5月6日,它在西非和中非国家流行,在非洲以外地区很少发生。然而,自2022年5月13日以来,在几个非流行国家发现了许多病例,且此前没有来自流行地区的人员或动物流动;这是首次记录在与非洲流行国家没有流行病学关联的国家发生的病例和长期传播情况。2018年9月至2021年11月期间,在非洲以外地区记录了7例与旅行相关的人类猴痘病例:以色列1例、新加坡1例、美国2例。青少年受影响最大。猴痘在没有已知流行病学联系的地方意外出现,引发了对该病毒进化的担忧,因为它可能长时间未被发现地传播。
结论
猴痘不再是一种仅限于流行国家的罕见的自限性疾病。其不断变化的流行病学和传播动态增加了它演变成一种更致命病原体的可能性。因此,需要加强监测以及详细的病例和接触者调查,以了解猴痘不断变化的流行病学情况。