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尼日利亚应对埃博拉病毒病、拉沙热和新冠肺炎这三种人畜共患病:挑战与教训的回顾

Combating the zoonotic trio of Ebola virus disease, Lassa fever, and COVID-19 in Nigeria: a retrospection of the challenges and lessons.

作者信息

Elebesunu Emmanuel E, Effiong Fortune B, Asika Marvellous O, Fadele Precious K, Onyeogalu Favour A, Okafor Charles A, Scott Godfred Y

机构信息

Department of Medical Laboratory Sciences, Faculty of Health Sciences and Technology.

Chester Medical School, University of Chester, Cheshire, United Kingdom.

出版信息

Ann Med Surg (Lond). 2023 Jul 3;85(8):3955-3959. doi: 10.1097/MS9.0000000000001038. eCollection 2023 Aug.

Abstract

Various infectious disease outbreaks linked to zoonotic sources have been recorded over the years, some of which have resulted in epidemics on a national, regional, or global scale. In Africa, a number of such outbreaks occur intermittently, especially in countries like Nigeria with a high-risk of epidemiological transmission. Three viral outbreaks with zoonotic links have hit the Nigerian healthcare system hardest, which are the Ebola virus disease, Lassa fever and Coronavirus disease 2019. Due to the fragile nature of the Nigerian health system, several challenges were encountered in the process of responding to these viral outbreaks, some of which included inadequate healthcare infrastructure, limited diagnostic capacity, unfledged nature of emergency response, unsatisfactory remuneration of health workers, misinformation trends, amongst others. By reminiscing on the challenges and lessons learnt from these viral disease outbreaks, the Nigerian government and policymakers will be able to adopt more effective approaches towards emergency preparedness for future outbreaks of infectious diseases.

摘要

多年来已记录到各种源自动物宿主的传染病爆发,其中一些已在国家、区域或全球范围内引发疫情。在非洲,此类疫情时有发生,尤其是在尼日利亚等具有高流行病学传播风险的国家。三种源自动物宿主的病毒爆发对尼日利亚医疗系统造成了最严重的打击,即埃博拉病毒病、拉沙热和2019冠状病毒病。由于尼日利亚卫生系统的脆弱性,在应对这些病毒爆发的过程中遇到了若干挑战,其中包括医疗基础设施不足、诊断能力有限、应急响应不完善、卫生工作者薪酬不尽人意、错误信息传播趋势等。通过回顾这些病毒性疾病爆发带来的挑战和经验教训,尼日利亚政府和政策制定者将能够采取更有效的方法来为未来的传染病爆发做好应急准备。

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