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登革热。

Dengue.

机构信息

Centers for Disease Control and Prevention, San Juan, Puerto Rico.

Centers for Disease Control and Prevention, San Juan, Puerto Rico.

出版信息

Lancet. 2024 Feb 17;403(10427):667-682. doi: 10.1016/S0140-6736(23)02576-X. Epub 2024 Jan 24.

Abstract

Dengue, caused by four closely related viruses, is a growing global public health concern, with outbreaks capable of overwhelming health-care systems and disrupting economies. Dengue is endemic in more than 100 countries across tropical and subtropical regions worldwide, and the expanding range of the mosquito vector, affected in part by climate change, increases risk in new areas such as Spain, Portugal, and the southern USA, while emerging evidence points to silent epidemics in Africa. Substantial advances in our understanding of the virus, immune responses, and disease progression have been made within the past decade. Novel interventions have emerged, including partially effective vaccines and innovative mosquito control strategies, although a reliable immune correlate of protection remains a challenge for the assessment of vaccines. These developments mark the beginning of a new era in dengue prevention and control, offering promise in addressing this pressing global health issue.

摘要

登革热由四种密切相关的病毒引起,是一个日益严重的全球公共卫生问题,其暴发有可能使卫生保健系统不堪重负并扰乱经济。登革热在全球热带和亚热带地区的 100 多个国家流行,蚊子传播媒介的范围不断扩大,部分原因是气候变化的影响,这增加了西班牙、葡萄牙和美国南部等新地区的风险,而新出现的证据表明,非洲也存在无声的流行。在过去十年中,人们对病毒、免疫反应和疾病进展有了实质性的了解。出现了新的干预措施,包括部分有效的疫苗和创新的蚊子控制策略,尽管可靠的免疫保护相关因素仍然是评估疫苗的一个挑战。这些发展标志着登革热预防和控制的新时代的开始,为解决这一紧迫的全球卫生问题带来了希望。

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