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刚果民主共和国疫苗衍生脊髓灰质炎的再度出现:原因与后果

Re-emergence of vaccine-derived polio in the demographic Republic of Congo: Causes and consequences.

作者信息

Oduoye Malik Olatunde, Ubechu Samuel Chinonso, Mourid Marina Ramzy, Ahmad Ahmad Ibrahim, Adegoke Abdullahi Adeyemi, Arama Umulkhairah Onyioiza, Furqan Muhammad, Ali Saiyad, Auwal Bashiru Muhammad, Fariha F N U, Mukherjee Ankini, Akilimali Aymar

机构信息

Department of Research, The Medical Research Circle (MedReC), Goma, Democratic Republic of the Congo.

University of Nigeria (UNN), Enugu State, Nigeria.

出版信息

New Microbes New Infect. 2024 Sep 24;62:101489. doi: 10.1016/j.nmni.2024.101489. eCollection 2024 Dec.

Abstract

Poliovirus is a deadly disease that needs to be eradicated in the world. Recently, issues with circulating vaccine-derived polioviruses (cVDPVs) in the Democratic Republic of the Congo (DRC) have been raised in the country. This article aims to determine the increase in Type 1 cVDPV1 and Type 2 cVDPV2 in the DRC. Relevant articles on PubMed, Google Scholar, ResearchGate, and Web of Science were searched from 2010 to 2023. Our findings indicate that the Democratic Republic of Congo has struggled with polio outbreaks, with the virus primarily linked to cVDPVs produced from vaccines rather than wild poliovirus. These cVDPVs have the potential to revert to their paralyzing capabilities by evolving from the weakened virus seen in the oral polio vaccination (OPV). Several regions in DRC have reported cVDPV outbreaks of cVDPVs. Numerous cVDPV2 outbreaks were documented in various provinces during the 2017-2018 period. Addressing the cVDPV outbreak in the DRC requires a concerted global effort, involving collaboration among governments, international health organizations, and donor agencies. There should be global support and collaboration among governments, international health organizations, and donor agencies to address the cVDPV outbreak in the DRC.

摘要

脊髓灰质炎病毒是一种需要在全球范围内根除的致命疾病。最近,刚果民主共和国出现了与循环疫苗衍生脊髓灰质炎病毒(cVDPVs)相关的问题。本文旨在确定刚果民主共和国1型cVDPV1和2型cVDPV2的增加情况。检索了2010年至2023年在PubMed、谷歌学术、ResearchGate和科学网等平台上的相关文章。我们的研究结果表明,刚果民主共和国一直在与脊髓灰质炎疫情作斗争,该病毒主要与疫苗产生的cVDPVs有关,而非野生脊髓灰质炎病毒。这些cVDPVs有可能从口服脊髓灰质炎疫苗(OPV)中弱化的病毒进化,恢复其导致瘫痪的能力。刚果民主共和国的几个地区报告了cVDPVs的疫情爆发。在2017 - 2018年期间,多个省份记录了大量cVDPV2疫情。应对刚果民主共和国的cVDPV疫情需要全球共同努力,包括各国政府、国际卫生组织和捐助机构之间的合作。各国政府、国际卫生组织和捐助机构之间应提供全球支持与合作,以应对刚果民主共和国的cVDPV疫情。

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