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严重急性呼吸综合征冠状病毒 2 这一国际关注的新兴威胁的流行历史和演变。

Epidemic history and evolution of an emerging threat of international concern, the severe acute respiratory syndrome coronavirus 2.

机构信息

Instituto Rene Rachou Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.

Sciences and Technologies for Sustainable Development and One Health, Università Campus Bio-Medico di Roma, Italy, Rome, Italy.

出版信息

J Med Virol. 2023 Aug;95(8):e29012. doi: 10.1002/jmv.29012.

Abstract

This comprehensive review focuses on the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its impact as the cause of the COVID-19 pandemic. Its objective is to provide a cohesive overview of the epidemic history and evolutionary aspects of the virus, with a particular emphasis on its emergence, global spread, and implications for public health. The review delves into the timelines and key milestones of SARS-CoV-2's epidemiological progression, shedding light on the challenges encountered during early containment efforts and subsequent waves of transmission. Understanding the evolutionary dynamics of the virus is crucial in monitoring its potential for adaptation and future outbreaks. Genetic characterization of SARS-CoV-2 is discussed, with a focus on the emergence of new variants and their implications for transmissibility, severity, and immune evasion. The review highlights the important role of genomic surveillance in tracking viral mutations linked to establishing public health interventions. By analyzing the origins, global spread, and genetic evolution of SARS-CoV-2, valuable insights can be gained for the development of effective control measures, improvement of pandemic preparedness, and addressing future emerging infectious diseases of international concern.

摘要

这篇全面综述聚焦于严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)及其作为 COVID-19 大流行病因的影响。其目的在于提供对该病毒的流行病史和进化方面的综合概述,特别强调其出现、全球传播及其对公共卫生的影响。本文深入探讨了 SARS-CoV-2 流行病学进展的时间线和关键里程碑,阐明了在早期遏制努力和随后的传播浪潮中所面临的挑战。了解病毒的进化动态对于监测其适应能力和未来爆发的潜力至关重要。本文讨论了 SARS-CoV-2 的遗传特征,重点关注新变体的出现及其对传染性、严重性和免疫逃逸的影响。本综述强调了基因组监测在追踪与制定公共卫生干预措施相关的病毒突变方面的重要作用。通过分析 SARS-CoV-2 的起源、全球传播和遗传进化,可以深入了解制定有效控制措施、改善大流行准备和应对国际关注的未来新发传染病的方法。

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