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乌干达基奥泰拉区的炭疽疫情:对公共卫生应急准备的影响

Anthrax Outbreaks in Kyotera District, Uganda: Implications for Public Health Emergency Preparedness.

作者信息

Edward Majani, Ogwang Francis, Ojera Samuel, Obaa Francis

机构信息

Department of Public Health St. Francis University College of Health and Allied Sciences Ifakara Morogoro Tanzania.

Faculty of Medicine and Life Sciences King Ceasor University Kampala Uganda.

出版信息

Health Sci Rep. 2025 Apr 20;8(4):e70687. doi: 10.1002/hsr2.70687. eCollection 2025 Apr.

Abstract

INTRODUCTION

In late 2023, Uganda's Ministry of Health declared an anthrax outbreak in the Kyotera district, Masaka region, following reported animal and human fatalities. This article outlines the initial outbreak characteristics and the multi-sectoral response initiated by national and international stakeholders.

METHODOLOGY

This article presents a descriptive account of the anthrax outbreak in Kyotera district based on preliminary investigations, surveillance data provided by the Ministry of Health and collaborating partners (WHO, Infectious Disease Institute, Public Health Fellowship Program, Masaka Regional PHEOC), and a review of the unfolding events up to October 31, 2023.

RESULTS

The anthrax outbreak in Kyotera district significantly impacted both human and livestock populations, leading to confirmed human cases, fatalities, and the death of 24 animals by October 31, 2023. The outbreak disrupted community livelihoods and strained the healthcare system, particularly as Uganda continues its recovery from the COVID-19 pandemic. Preliminary observations suggest a potential link between the outbreak and the rainy season, consistent with previous anthrax occurrences in East Africa. Economic consequences included potential job losses in the local meat industry and increased demands on healthcare resources.

CONCLUSION

The recent anthrax outbreak in Kyotera district underscores the ongoing threat of zoonotic diseases and the importance of a swift, coordinated, and multi-sectoral response. The findings highlight the need for strengthened interministerial cooperation, proactive health education campaigns targeting at-risk communities, consideration of prophylactic interventions, and the adoption of a comprehensive One Health approach for effective prevention and control of future outbreaks in Uganda.

摘要

引言

2023年末,在有动物和人员死亡报告后,乌干达卫生部宣布马萨卡地区基奥泰拉区爆发炭疽疫情。本文概述了此次疫情初期的特征以及国家和国际利益相关者发起的多部门应对措施。

方法

本文基于初步调查、卫生部及合作伙伴(世界卫生组织、传染病研究所、公共卫生奖学金项目、马萨卡地区公共卫生突发事件行动中心)提供的监测数据,以及对截至2023年10月31日事件发展情况的回顾,对基奥泰拉区的炭疽疫情进行了描述性阐述。

结果

基奥泰拉区的炭疽疫情对人类和牲畜群体均产生了重大影响,截至2023年10月31日,已确诊多例人类病例并有死亡病例,还有24只动物死亡。此次疫情扰乱了社区生计,给医疗系统带来压力,尤其是在乌干达仍在从新冠疫情中恢复的情况下。初步观察表明,此次疫情与雨季之间可能存在联系,这与东非此前发生的炭疽疫情情况相符。经济后果包括当地肉类行业可能出现的失业以及对医疗资源需求的增加。

结论

基奥泰拉区近期爆发的炭疽疫情凸显了人畜共患疾病持续存在的威胁以及迅速、协调的多部门应对措施的重要性。研究结果强调,需要加强部门间合作,针对高危社区开展积极的健康教育活动,考虑采取预防性干预措施,并采用全面的“同一健康”方法,以有效预防和控制乌干达未来的疫情爆发。

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