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东地中海区域、黎巴嫩和叙利亚霍乱死灰复燃:令人担忧的信号!过去、现在和未来。

The insidious return of cholera in the Eastern Mediterranean Region, Lebanon and Syria: a worrying signal! Past, present, and future forthcoming.

机构信息

University Museum System of Siena (SIMUS), History of Medicine, University of Siena, Italy.

Department of Health Sciences, University of Genoa, Italy.

出版信息

J Prev Med Hyg. 2023 May 16;64(1):E27-E33. doi: 10.15167/2421-4248/jpmh2023.64.1.2910. eCollection 2023 Mar.

Abstract

INTRODUCTION

War, hunger, and disease continue to decimate the populations of many countries in the world. Owing to conflicts, environmental instability and natural disasters, many people, especially the poorest, fall victim to epidemic diseases. One such disease, cholera, began to spread again in 2022, striking Lebanon and Syria, countries that have experienced serious social troubles for years. The return of cholera immediately alarmed the scientific community, which is now making every effort, most notably by implementing a major vaccination campaign, to prevent this disease from becoming endemic in these two countries, thus making them a reservoir for its potential spread in the Eastern Mediterranean Region.

DISCUSSION

Cholera is a disease that draws its strength from poor hygiene, primitive sanitation and the consumption of contaminated water and food. From the 19 Century onwards, its spread was facilitated by overcrowded housing and lack of hygiene, which became commonplace features of urban life.

METHOD

In outlining the spread of cholera in Lebanon and Syria, the authors raise the question of the possible resurgence of epidemic cholera, especially in the light of the consequences of the devastating earthquake that hit the border area between Turkey and Syria last February.

CONCLUSION

These events have had a devastating effect on the population, destroying, among other things, the few existing health facilities and aggravating the already difficult living conditions of millions of people who, owing to the ongoing war, have been living for years in makeshift settlements, bereft of water, sanitation and any form of health care.

摘要

简介

战争、饥饿和疾病继续使世界上许多国家的人口减少。由于冲突、环境不稳定和自然灾害,许多人,特别是最贫困的人,成为传染病的受害者。霍乱就是这样一种疾病,它在 2022 年再次开始传播,袭击了黎巴嫩和叙利亚这两个多年来一直遭受严重社会动荡的国家。霍乱的再次出现立即引起了科学界的警觉,科学界目前正在全力以赴,特别是通过实施大规模疫苗接种运动,以防止这种疾病在这两个国家成为地方性疾病,从而使它们成为该疾病在东地中海地区潜在传播的蓄水池。

讨论

霍乱是一种疾病,它的传播得益于卫生条件差、原始卫生设施以及受污染的水和食物的消费。自 19 世纪以来,拥挤的住房和缺乏卫生条件使它的传播变得更加容易,这成为城市生活的常见特征。

方法

在概述霍乱在黎巴嫩和叙利亚的传播时,作者提出了关于可能出现流行霍乱的问题,特别是考虑到去年 2 月土耳其和叙利亚边境地区发生毁灭性地震的后果。

结论

这些事件对人口造成了毁灭性影响,除其他外,摧毁了现有的少数卫生设施,并加剧了数百万人本已困难的生活条件,由于持续的战争,他们多年来一直生活在临时定居点,缺乏水、卫生设施和任何形式的医疗保健。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd74/10246608/155ba996c3bb/jpmh-2023-01-e27-g001.jpg

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