绘制人类猴痘病毒病有效大流行防范健康研究优先事项蓝图。

Mapping the Landscape of Health Research Priorities for Effective Pandemic Preparedness in Human Mpox Virus Disease.

作者信息

Aggarwal Sumit, Agarwal Pragati, Nigam Kuldeep, Vijay Neetu, Yadav Pragya, Gupta Nivedita

机构信息

Indian Council of Medical Research, New Delhi 110029, India.

ICMR-National Institute of Virology, Pune 411001, India.

出版信息

Pathogens. 2023 Nov 14;12(11):1352. doi: 10.3390/pathogens12111352.

Abstract

The global re-emergence of monkeypox (Mpox) in non-endemic regions in 2022 has highlighted the critical importance of timely virus detection and robust public health surveillance in assessing outbreaks and their impact. Despite significant Mpox research being conducted worldwide, there is an urgent need to identify knowledge gaps and prioritize key research areas in order to create a roadmap that maximizes the utilization of available resources. The present research article provides a comprehensive mapping of health research priorities aimed at advancing our understanding of Mpox and developing effective interventions for managing its outbreaks, and, as evidenced by the fact that achieving this objective requires close interdisciplinary collaboration. The key research priorities observed were identifying variants responsible for outbreaks; discovering novel biomarkers for diagnostics; establishing suitable animal models; investigating reservoirs and transmission routes; promoting the One Health approach; identifying targets for vaccination; gaining insight into the attitudes, experiences, and practices of key communities, including stigma; and ensuring equity during public health emergencies. The findings of this study hold significant implications for decision making by multilateral partners, including research funders, public health practitioners, policy makers, clinicians, and civil society, which will facilitate the development of a comprehensive plan not only for Mpox but also for other similar life-threatening viral infections.

摘要

2022年猴痘在非流行地区的全球再度出现,凸显了及时进行病毒检测和强有力的公共卫生监测对于评估疫情及其影响的至关重要性。尽管全球正在开展大量关于猴痘的研究,但迫切需要找出知识空白并确定关键研究领域的优先级,以便制定一个能最大限度利用现有资源的路线图。本研究文章全面梳理了卫生研究重点,旨在增进我们对猴痘的了解,并制定有效的疫情管理干预措施,而且实现这一目标需要密切的跨学科合作。观察到的关键研究重点包括:确定导致疫情的病毒变体;发现用于诊断的新型生物标志物;建立合适的动物模型;调查宿主和传播途径;推广“同一健康”方法;确定疫苗接种靶点;深入了解关键群体的态度、经历和行为,包括污名化问题;以及在突发公共卫生事件期间确保公平。本研究结果对多边合作伙伴的决策具有重大意义,这些合作伙伴包括研究资助者、公共卫生从业者、政策制定者、临床医生和民间社会,这将有助于制定不仅针对猴痘,而且针对其他类似危及生命的病毒感染的全面计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bde/10674790/2b50649a6dbe/pathogens-12-01352-g001.jpg

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