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新冠疫苗会引发过早的非传染性疾病吗:我们正走向何方?

Can COVID-19 Vaccines Induce Premature Non-Communicable Diseases: Where Are We Heading to?

作者信息

Hromić-Jahjefendić Altijana, Barh Debmalya, Uversky Vladimir, Aljabali Alaa A, Tambuwala Murtaza M, Alzahrani Khalid J, Alzahrani Fuad M, Alshammeri Saleh, Lundstrom Kenneth

机构信息

Department of Genetics and Bioengineering, Faculty of Engineering and Natural Sciences, International University of Sarajevo, Hrasnicka Cesta 15, 71000 Sarajevo, Bosnia and Herzegovina.

Department of Genetics, Ecology and Evolution, Institute of Biological Sciences, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil.

出版信息

Vaccines (Basel). 2023 Jan 17;11(2):208. doi: 10.3390/vaccines11020208.

Abstract

According to the WHO, as of January 2023, more than 850 million cases and over 6.6 million deaths from COVID-19 have been reported worldwide. Currently, the death rate has been reduced due to the decreased pathogenicity of new SARS-CoV-2 variants, but the major factor in the reduced death rates is the administration of more than 12.8 billion vaccine doses globally. While the COVID-19 vaccines are saving lives, serious side effects have been reported after vaccinations for several premature non-communicable diseases (NCDs). However, the reported adverse events are low in number. The scientific community must investigate the entire spectrum of COVID-19-vaccine-induced complications so that necessary safety measures can be taken, and current vaccines can be re-engineered to avoid or minimize their side effects. We describe in depth severe adverse events for premature metabolic, mental, and neurological disorders; cardiovascular, renal, and autoimmune diseases, and reproductive health issues detected after COVID-19 vaccinations and whether these are causal or incidental. In any case, it has become clear that the benefits of vaccinations outweigh the risks by a large margin. However, pre-existing conditions in vaccinated individuals need to be taken into account in the prevention and treatment of adverse events.

摘要

据世界卫生组织称,截至2023年1月,全球报告的新冠病毒病病例超过8.5亿例,死亡人数超过660万。目前,由于新型严重急性呼吸综合征冠状病毒2变种的致病性降低,死亡率有所下降,但全球接种超过128亿剂疫苗是死亡率降低的主要因素。虽然新冠病毒病疫苗挽救了生命,但接种疫苗后也报告了一些针对几种过早发生的非传染性疾病的严重副作用。然而,报告的不良事件数量较少。科学界必须调查新冠病毒病疫苗引发并发症的全貌,以便能够采取必要的安全措施,并对现有疫苗进行重新设计,以避免或尽量减少其副作用。我们深入描述了新冠病毒病疫苗接种后检测到的过早出现的代谢、精神和神经疾病、心血管、肾脏和自身免疫性疾病以及生殖健康问题等严重不良事件,以及这些事件是因果关系还是偶然事件。无论如何,显然接种疫苗的好处远远超过风险。然而,在预防和治疗不良事件时,需要考虑接种疫苗个体的既往病史。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce1/9960675/2e768e49a579/vaccines-11-00208-g001.jpg

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