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群体免疫对抗 COVID-19:一项叙述性综述。

Herd Immunity to Fight Against COVID-19: A Narrative Review.

作者信息

Suryawanshi Yasha N, Biswas Dalia A

机构信息

Physiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2023 Jan 9;15(1):e33575. doi: 10.7759/cureus.33575. eCollection 2023 Jan.

Abstract

The advent of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its consequent illness, coronavirus disease 2019 (COVID-19), has revealed the severe impact of new, contagious pathogens on the population throughout the globe. Here, we describe the fundamental notions of herd immunity and discuss their consequences from the perspective of COVID-19, along with the obstacles to acquiring herd immunity. SARS-CoV-2 causes COVID-19, a contagious respiratory infection. It is a major global health issue, with more than 179 million positive cases and 3.8 million deaths globally. It has impacted more than 159 countries; hence, the World Health Organization designated it a pandemic. Different vaccines have been developed against coronavirus to slow the spread of this deadly virus. Immunizing people against coronavirus is the key to getting through this infectious virus. The central concept of this review article is the effect of vaccinating a large population to achieve herd immunity and the reasons for the delay in developing herd immunity. Herd immunity can prove highly beneficial for dealing with reinfection. Moreover, it can reduce the severity of the reinfection in many people who are twice infected with COVID-19. Herd immunity can prevent people in the high-risk group such as immunocompromised individuals; those on immunosuppressants; organ transplant recipients; particular age groups such as neonates, infants, toddlers, and elderly; those with impaired immunity; those with anaphylaxis reactions; and people with chronic diseases. However, due to repeated mutations of the virus, it is evolving into new strains with more severity. Its consequences on the immune system and response to a vaccine are still a big challenge to overcome. How new variants of COVID-19 impacted herd immunity needs to be investigated. The duration required for the development of herd immunity and how long it would last is still under research, along with the number of doses needed, booster doses, and the proportion of the population to be vaccinated.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的出现及其引发的疾病——2019冠状病毒病(COVID-19),揭示了新型传染性病原体对全球人口的严重影响。在此,我们描述群体免疫的基本概念,并从COVID-19的角度讨论其后果,以及获得群体免疫的障碍。SARS-CoV-2引发COVID-19,一种传染性呼吸道感染。它是一个重大的全球健康问题,全球有超过1.79亿例阳性病例和380万例死亡。它已影响到159多个国家;因此,世界卫生组织将其定为大流行病。已研发出针对冠状病毒的不同疫苗,以减缓这种致命病毒的传播。使人们对冠状病毒产生免疫是战胜这种传染性病毒的关键。这篇综述文章的核心概念是为实现群体免疫而对大量人群进行疫苗接种的效果,以及群体免疫发展延迟的原因。群体免疫对于应对再次感染可能非常有益。此外,它可以减轻许多再次感染COVID-19的人的感染严重程度。群体免疫可以保护高危人群,如免疫功能低下者;服用免疫抑制剂者;器官移植受者;特定年龄组,如新生儿、婴儿、幼儿和老年人;免疫力受损者;有过敏反应者;以及患有慢性病者。然而,由于病毒的反复突变,它正在演变成更具严重性的新毒株。其对免疫系统和疫苗反应的影响仍然是一个需要克服的巨大挑战。COVID-19的新变种如何影响群体免疫需要进行研究。群体免疫发展所需的时间以及它将持续多久仍在研究中,同时还包括所需的剂量、加强剂量以及需要接种疫苗的人群比例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/9909126/ee4595f6862e/cureus-0015-00000033575-i01.jpg

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