Ahmadi Shahed, Amirzadeh Mahdi, Ahmadi Mousa, Soleiman-Meigooni Saeed
Department of Clinical Pharmacy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Infectious Disease, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran.
J Trop Med. 2024 Dec 30;2024:6688914. doi: 10.1155/jotm/6688914. eCollection 2024.
After the global impact of the COVID-19 pandemic, concerns over virus transmission have risen. A state of health emergency was declared in 2022 due to Clade 2 of the monkeypox (MPOX) virus. In August 2024, another emergency was declared by the World Health Organization (WHO) because of the widespread Clade 1b, which caused a more severe and lethal disease. This review synthesizes current MPOX knowledge to assist policymakers, clinicians, and researchers in developing effective diagnostics, therapeutic interventions, vaccination strategies, and outbreak management. This systematic review study searched for articles on virus epidemiology, virology, clinical features, transmission routes, available drugs and vaccines, and new artificial intelligence (AI) applications in diagnosis and drug discovery. MPOX virus is a 200-250-nm, double-stranded DNA (ds-DNA) virus that causes smallpox-like skin lesions. Tecovirimat is the primary drug for severe cases, especially in people with suppressed immune systems. Smallpox vaccines can help prevent MPOX infection because of the genetic similarities between the MPOX and smallpox viruses. AI-based models can assist medical teams in promptly diagnosing MPOX skin lesions, improving decision-making for treatment. This review highlights the importance of using traditional public health knowledge alongside modern AI to manage MPOX outbreaks effectively. It shows that we need strong public health policies, focused interventions, and ongoing research on how AI can help control infectious diseases.
在新冠疫情产生全球影响之后,人们对病毒传播的担忧加剧。2022年,由于猴痘病毒2型毒株,该国宣布进入卫生紧急状态。2024年8月,世界卫生组织(WHO)因广泛传播的1b型毒株宣布了另一项紧急情况,该毒株导致了更严重、更致命的疾病。本综述综合了当前关于猴痘的知识,以协助政策制定者、临床医生和研究人员制定有效的诊断方法、治疗干预措施、疫苗接种策略和疫情管理措施。这项系统综述研究检索了有关病毒流行病学、病毒学、临床特征、传播途径、可用药物和疫苗以及诊断和药物研发中新型人工智能(AI)应用的文章。猴痘病毒是一种200 - 250纳米的双链DNA(ds-DNA)病毒,可引起类似天花的皮肤病变。tecovirimat是治疗重症病例的主要药物,尤其是对免疫系统受抑制的人群。由于猴痘病毒和天花病毒在基因上的相似性,天花疫苗有助于预防猴痘感染。基于人工智能的模型可以帮助医疗团队迅速诊断猴痘皮肤病变,改善治疗决策。本综述强调了将传统公共卫生知识与现代人工智能相结合以有效管理猴痘疫情的重要性。研究表明,我们需要强有力的公共卫生政策、有针对性的干预措施,以及对人工智能如何帮助控制传染病的持续研究。