Fauci Anthony S, Folkers Gregory K
School of Medicine and McCourt School of Public Policy, Georgetown University, Washington D.C., USA.
Washington D.C., USA.
Clin Infect Dis. 2025 Jun 4;80(5):1074-1079. doi: 10.1093/cid/ciae585.
The global experiences with the human immunodeficiency virus (HIV)/AIDS and coronavirus disease 2019 (COVID-19) pandemics hold important lessons for preparing for, and responding to, future outbreaks of emerging or reemerging infectious diseases. Scores of infectious diseases have emerged or reemerged over the past 4 decades, and future outbreaks are inevitable. The next emerging pathogen likely will again come from unanticipated sources and pose puzzles in terms of microbiology, transmission, natural history, pathogenesis, and epidemiology, and will present challenges to developing countermeasures such as diagnostics, therapeutics, and vaccines. Although dozens of lessons could be addressed, 8 selected lessons common to HIV/AIDS and COVID-19 are addressed here. Consideration of the commonality of lessons learned from HIV/AIDS and COVID-19, the 2 most devastating pandemics over the past half century, will help us-and those who follow us-to minimize the impact of future outbreaks and prevent them from becoming global pandemics.
全球应对人类免疫缺陷病毒(HIV)/艾滋病和2019冠状病毒病(COVID-19)大流行的经验,为防范和应对未来新出现或再次出现的传染病疫情提供了重要教训。在过去40年里,数十种传染病已经出现或再次出现,未来的疫情爆发不可避免。下一个新出现的病原体很可能再次来自意想不到的源头,并在微生物学、传播、自然史、发病机制和流行病学方面带来难题,还会对开发诊断、治疗和疫苗等应对措施构成挑战。尽管可以阐述几十条经验教训,但本文讨论了HIV/艾滋病和COVID-19共有的8条经验教训。考虑到从HIV/艾滋病和COVID-19(过去半个世纪里最具破坏性的两次大流行)中学到的经验教训的共性,将有助于我们以及我们的后人将未来疫情的影响降至最低,并防止其演变成全球大流行。