非洲猴痘疫情、风险因素及预防措施的批判性综述:经验教训与不断演变的实践
A critical review of mpox outbreaks, risk factors, and prevention efforts in Africa: lessons learned and evolving practices.
作者信息
Musuka Godfrey, Moyo Enos, Tungwarara Nigel, Mhango Malizgani, Pierre Gashema, Saramba Eric, Iradukunda Patrick Gad, Dzinamarira Tafadzwa
机构信息
Innovative Public Health and Development Solutions, Harare, Zimbabwe.
University of Zimbabwe, Harare, Zimbabwe.
出版信息
IJID Reg. 2024 Jul 6;12:100402. doi: 10.1016/j.ijregi.2024.100402. eCollection 2024 Sep.
OBJECTIVES
In recent years, mpox, a zoonotic disease caused by the mpox virus, has transcended its primary association with Central and West Africa, emerging as a global public health concern. The virus poses a substantial threat, particularly, to vulnerable demographics such as young children and individuals with compromised immune systems. This critical literature review aimed to comprehensively evaluate the burden, risk factors, and current management strategies associated with mpox in Africa.
METHODS
This critical literature review was guided by Jesson & Laccy's guidelines on conducting critical literature reviews. We searched PubMed and Google Scholar databases and websites of the World Health Organization and health ministries in different African countries. We included articles written in English and published between 2010 and 2023. The synthesis of findings involved several steps, including summarizing themes, integrating themes, and linking themes to research questions.
RESULTS
A total of 25 articles were included in this review. The review revealed that mpox cases are concentrated in Central African countries. The risk factors for mpox identified include being in contact with bushmeat or rodents, not having been vaccinated against smallpox, being HIV-positive, and having close physical contact with someone with the disease. The clinical presentation of mpox revealed in this review includes a skin rash, fever, lymphadenopathy, headache, pruritus, sore throat, and body aches. Four themes arose on strategies to prevent and control mpox in Africa.
CONCLUSIONS
The prevention and control of mpox in Africa require an improvement in community education, vaccination, disease surveillance, and infection control measures.
目标
近年来,由猴痘病毒引起的人畜共患疾病猴痘已不再局限于主要与中非和西非相关联,而是成为全球公共卫生问题。该病毒对弱势群体,尤其是幼儿和免疫系统受损的个体构成了重大威胁。本次关键文献综述旨在全面评估非洲猴痘的负担、风险因素及当前管理策略。
方法
本关键文献综述以杰森和拉西关于进行关键文献综述的指南为指导。我们检索了PubMed和谷歌学术数据库以及世界卫生组织和不同非洲国家卫生部的网站。我们纳入了2010年至2023年期间发表的英文文章。研究结果的综合涉及几个步骤,包括总结主题、整合主题以及将主题与研究问题联系起来。
结果
本综述共纳入25篇文章。综述显示,猴痘病例集中在中非国家。确定的猴痘风险因素包括接触丛林肉或啮齿动物、未接种天花疫苗、艾滋病毒呈阳性以及与患病者有密切身体接触。本综述揭示的猴痘临床表现包括皮疹、发热、淋巴结病、头痛、瘙痒、喉咙痛和身体疼痛。关于非洲预防和控制猴痘的策略出现了四个主题。
结论
非洲猴痘的预防和控制需要改善社区教育、疫苗接种、疾病监测和感染控制措施。
相似文献
Cochrane Database Syst Rev. 2022-2-1
J Infect Public Health. 2023-8
World J Emerg Med. 2023
J Med Virol. 2023-4
Annu Rev Med. 2024-1-29
Clin Microbiol Infect. 2023-12
Lancet Glob Health. 2024-4
引用本文的文献
One Health. 2025-4-10
J Public Health Afr. 2025-3-31
Can J Infect Dis Med Microbiol. 2025-1-22
New Microbes New Infect. 2024-11-14
本文引用的文献
Front Public Health. 2023
Signal Transduct Target Ther. 2023-12-27
Ann Med Surg (Lond). 2023-7-7
Clin Epidemiol Glob Health. 2023
Expert Rev Anti Infect Ther. 2023-6
Int J Emerg Med. 2023-3-17
Lancet Infect Dis. 2023-5
Emerg Microbes Infect. 2022-12