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人畜共患病的监测与应对策略:全面综述

Surveillance and response strategies for zoonotic diseases: a comprehensive review.

作者信息

Sharan Manjeet, Vijay Deepthi, Yadav Jay Prakash, Bedi Jasbir Singh, Dhaka Pankaj

机构信息

Animal and Fisheries Resources Department, Patna, Bihar, 800015, India.

Department of Veterinary Public Health, College of Veterinary and Animal Sciences, Kerala Veterinary and Animal Sciences University, Mannuthy, Thrissur, 680651, India.

出版信息

Sci One Health. 2023 Nov 1;2:100050. doi: 10.1016/j.soh.2023.100050. eCollection 2023.

Abstract

Out of all emerging infectious diseases, approximately 75% are of zoonotic origin, with their source often traced back to animals. The emergence of zoonoses is driven by a complex interplay between anthropogenic, genetic, ecological, socioeconomic, and climatic factors. This intricate web of influences poses significant challenges for the prediction and prevention of zoonotic outbreaks. Effective coordination and collaboration among the animal, human, and environmental health sectors are essential for proactively addressing major zoonotic diseases. Despite advancements in surveillance and diagnostic practices, the emergence of zoonoses continues to be a pressing global concern. Therefore, prioritizing zoonotic disease surveillance is of paramount importance as part of a comprehensive disease prevention and containment strategy. Furthermore, evaluating existing surveillance systems provides insights into the challenges faced, which can be mitigated through implementation of One Health principles involving relevant stakeholders. To initiate multisectoral partnerships, it is crucial to identify the priorities and core themes of surveillance systems with equitable inputs from various sectors. Strengthening surveillance, promoting data sharing, enhancing laboratory testing capabilities, and fostering joint outbreak responses in both the human and animal health sectors will establish the necessary infrastructure to effectively prevent, predict, detect, and respond to emerging health threats, thereby reinforcing global health security. This review assesses existing surveillance approaches by offering an overview of global agencies engaged in monitoring zoonoses and outlines the essential components required at the human-animal-environment interface for designing comprehensive surveillance networks. Additionally, it discusses the key steps necessary for executing effective zoonotic disease surveillance through a One Health approach, while highlighting the key challenges encountered in establishing such a robust surveillance system.

摘要

在所有新出现的传染病中,约75%源自动物,其源头往往可追溯到动物身上。人畜共患病的出现是由人为、遗传、生态、社会经济和气候因素之间复杂的相互作用所驱动的。这种错综复杂的影响网络给人畜共患病疫情的预测和预防带来了重大挑战。动物、人类和环境卫生部门之间进行有效的协调与合作,对于积极应对主要的人畜共患病至关重要。尽管在监测和诊断方法上取得了进展,但人畜共患病的出现仍然是一个紧迫的全球问题。因此,将人畜共患病监测作为全面疾病预防和控制战略的一部分予以优先考虑至关重要。此外,评估现有的监测系统有助于深入了解所面临的挑战,通过实施涉及相关利益攸关方的“同一健康”原则可缓解这些挑战。为启动多部门伙伴关系,至关重要的是在各部门公平投入的情况下确定监测系统的优先事项和核心主题。加强监测、促进数据共享、提高实验室检测能力以及在人类和动物卫生部门推动联合疫情应对,将建立起有效预防、预测、检测和应对新出现的健康威胁的必要基础设施,从而加强全球卫生安全。本综述通过概述参与监测人畜共患病的全球机构,评估现有的监测方法,并概述在人-动物-环境界面设计全面监测网络所需的基本组成部分。此外,它还讨论了通过“同一健康”方法执行人畜共患病有效监测所需的关键步骤,同时强调建立这样一个强大的监测系统所面临的关键挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf97/11262259/134b590d5479/gr1.jpg

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