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传染病卷土重来:解析美国麻疹疫情爆发情况

Contagion comeback: unravelling the measles outbreak across the USA.

作者信息

Tahir Iman Muhammad, Kumar Vijay, Faisal Hanya, Gill Anosh, Kumari Vineeta, Tahir Haya Muhammad, Haque Md Ariful

机构信息

Liaquat National Hospital and Medical College, Karachi, Pakistan.

Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.

出版信息

Front Public Health. 2024 Dec 18;12:1491927. doi: 10.3389/fpubh.2024.1491927. eCollection 2024.

Abstract

Measles, a highly contagious respiratory illness caused by the measles virus (MeV), poses significant global and national public health challenges despite advancements in vaccination efforts. Though measles was declared eliminated in the United States in 2000, recent years have seen a resurgence of cases, particularly in under-vaccinated communities. This resurgence is compounded by factors such as vaccine hesitancy, the impact of the COVID-19 pandemic on immunization rates, and international travel introducing new cases from endemic regions. This paper examines the epidemiology and recent measles outbreaks in the United States, focusing on the significant rise in cases from 2020 to 2024. The analysis highlights the importance of maintaining high vaccination coverage, particularly in vulnerable populations, and explores the challenges of managing outbreaks. The study also reviews the pathophysiology, clinical presentation, diagnosis, and treatment of measles, emphasizing the role of prevention and control measures, including the MMR vaccine, public health interventions, and international cooperation in addressing this persistent threat.

摘要

麻疹是一种由麻疹病毒(MeV)引起的高度传染性呼吸道疾病,尽管疫苗接种工作取得了进展,但它仍给全球和各国的公共卫生带来了重大挑战。尽管2000年美国宣布已消除麻疹,但近年来病例有所回升,尤其是在疫苗接种率低的社区。疫苗犹豫、新冠疫情对免疫接种率的影响以及国际旅行从流行地区引入新病例等因素使这种回升情况更加复杂。本文研究了美国的麻疹流行病学及近期的麻疹疫情,重点关注2020年至2024年病例的显著增加。分析强调了维持高疫苗接种覆盖率的重要性,特别是在弱势群体中,并探讨了应对疫情的挑战。该研究还回顾了麻疹的病理生理学、临床表现、诊断和治疗,强调了预防和控制措施的作用,包括麻疹、腮腺炎、风疹(MMR)疫苗、公共卫生干预措施以及国际合作在应对这一持续威胁方面的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dd4/11688273/548075e3437a/fpubh-12-1491927-g001.jpg

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