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人畜共患病溢出和来自中低收入国家的病毒突变:改善预防策略和弥合政策差距。

Zoonotic spillover and viral mutations from low and middle-income countries: improving prevention strategies and bridging policy gaps.

机构信息

ICMR project, Division of Livestock Production and Management, Sher-e-Kashmir University of Agricultural Sciences and Technology of Kashmir, India, Srinagar, Jammu and Kashmir, India.

Department of Clinical Biochemistry, Lovely Professional University, Phagwara, Punjab, India.

出版信息

PeerJ. 2024 May 30;12:e17394. doi: 10.7717/peerj.17394. eCollection 2024.

Abstract

The increasing frequency of zoonotic spillover events and viral mutations in low and middle-income countries presents a critical global health challenge. Contributing factors encompass cultural practices like bushmeat consumption, wildlife trade for traditional medicine, habitat disruption, and the encroachment of impoverished settlements onto natural habitats. The existing "vaccine gap" in many developing countries exacerbates the situation by allowing unchecked viral replication and the emergence of novel mutant viruses. Despite global health policies addressing the root causes of zoonotic disease emergence, there is a significant absence of concrete prevention-oriented initiatives, posing a potential risk to vulnerable populations. This article is targeted at policymakers, public health professionals, researchers, and global health stakeholders, particularly those engaged in zoonotic disease prevention and control in low and middle-income countries. The article underscores the importance of assessing potential zoonotic diseases at the animal-human interface and comprehending historical factors contributing to spillover events. To bridge policy gaps, comprehensive strategies are proposed that include education, collaborations, specialized task forces, environmental sampling, and the establishment of integrated diagnostic laboratories. These strategies advocate simplicity and unity, breaking down barriers, and placing humanity at the forefront of addressing global health challenges. Such a strategic and mental shift is crucial for constructing a more resilient and equitable world in the face of emerging zoonotic threats.

摘要

人畜共患病溢出事件的频率不断增加,以及低、中收入国家的病毒突变,对全球健康构成了严峻挑战。促成这些事件的因素包括文化习俗,如食用丛林肉、传统药物的野生生物贸易、栖息地破坏以及贫困居民侵占自然栖息地等。许多发展中国家存在“疫苗缺口”,这使得病毒不受控制地复制和新型突变病毒出现的情况更加恶化。尽管全球卫生政策针对人畜共患病出现的根本原因采取了措施,但具体的预防措施仍然严重不足,这对弱势群体构成了潜在威胁。本文针对政策制定者、公共卫生专业人员、研究人员和全球卫生利益攸关方,特别是那些参与低、中收入国家人畜共患病预防和控制的人员。本文强调了在人畜界面评估潜在人畜共患病的重要性,并理解导致溢出事件的历史因素。为了弥合政策差距,提出了包括教育、合作、专门工作组、环境采样和建立综合诊断实验室在内的综合战略。这些战略主张简单和统一,打破障碍,将人类置于应对全球健康挑战的前沿。在面对新出现的人畜共患病威胁时,这种战略和思维上的转变对于构建更具弹性和公平的世界至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8898/11144393/867beb7645cc/peerj-12-17394-g001.jpg

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