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疫情应对研究在弥合新发传染病知识差距方面的重要性。

Importance of outbreak response research in bridging knowledge gaps on emerging infectious diseases.

作者信息

Breiman Robert F, Osoro Eric, Reithinger Richard, Wang David, Diamond Michael, Van Voorhis Wesley C, Wasserheit Judith N, Rabinowitz Peter MacGarr, Mboup Souleymane, Hemingway-Foday Jennifer J, de Oliveira Tulio, Boon Adrianus C M, Schieffelin J S, Sempowski Gregory D, Moody M Anthony, Vasilakis Nikos, Hanley Kathryn A, Nasimiyu Carolyne, Situma Silvia, Ngere Isaac, Kyobe Bosa Henry, Nyakarahuka Luke, Bakamutumaho Barnabas, Woodson Sara E, Njenga M Kariuki

机构信息

Rollins School for Public Health, Emory University, Atlanta, Georgia, USA.

Center for Research in Emerging Infectious Diseases-East and Central Africa, Washington State University, Nairobi, Kenya.

出版信息

BMJ Glob Health. 2025 Jun 4;10(6):e018297. doi: 10.1136/bmjgh-2024-018297.

DOI:
10.1136/bmjgh-2024-018297
PMID:40467089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12142168/
Abstract

An important outcome of the devastating 2014 West African Ebola virus disease outbreak and the 2020 COVID-19 pandemic has been the growing promotion of conducting research during outbreaks of emerging infectious diseases (EIDs) as a valuable and acceptable process of acquiring knowledge to enhance our ability to better prevent and control these diseases in the future. Recognising the unique opportunity during outbreaks to leverage increases in cases over a short time interval and in a circumscribed area, we articulate a systematic process of conducting EID outbreak response research, highlighting knowledge gaps that should be prioritised, and measures that can be applied to mitigate numerous barriers commonly experienced during such times. We also highlight ethical considerations that must be addressed to minimise practices that continue to erode global confidence in sharing specimens and data.

摘要

2014年西非埃博拉病毒病疫情的惨痛爆发以及2020年的新冠疫情带来的一个重要成果是,越来越多的人提倡在新发传染病(EID)爆发期间开展研究,将其视为获取知识以提升我们未来更好地预防和控制这些疾病能力的一个有价值且可接受的过程。认识到疫情期间在短时间间隔和限定区域内利用病例增加这一独特机会,我们阐述了开展新发传染病疫情应对研究的系统流程,强调了应优先考虑的知识空白以及可用于减轻此类时期常见的诸多障碍的措施。我们还强调了必须解决的伦理考量,以尽量减少那些继续侵蚀全球对标本和数据共享信心的做法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4b7/12142168/fb9688fad43d/bmjgh-10-6-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4b7/12142168/fb9688fad43d/bmjgh-10-6-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4b7/12142168/fb9688fad43d/bmjgh-10-6-g001.jpg

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本文引用的文献

1
World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Participants.《世界医学协会赫尔辛基宣言:涉及人类受试者的医学研究伦理原则》
JAMA. 2025 Jan 7;333(1):71-74. doi: 10.1001/jama.2024.21972.
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Mucosal vaccine-induced cross-reactive CD8 T cells protect against SARS-CoV-2 XBB.1.5 respiratory tract infection.黏膜疫苗诱导的交叉反应性 CD8 T 细胞可预防 SARS-CoV-2 XBB.1.5 呼吸道感染。
Nat Immunol. 2024 Mar;25(3):537-551. doi: 10.1038/s41590-024-01743-x. Epub 2024 Feb 9.
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Kenya's experience implementing event-based surveillance during the COVID-19 pandemic.
肯尼亚在 COVID-19 大流行期间实施基于事件的监测的经验。
BMJ Glob Health. 2023 Dec 18;8(12):e013736. doi: 10.1136/bmjgh-2023-013736.
4
Africa CDC's blueprint to enhance early warning surveillance: accelerating implementation of event-based surveillance in Africa.非洲疾病预防控制中心加强早期预警监测的蓝图:加速在非洲实施基于事件的监测
J Public Health Afr. 2023 Aug 11;14(8):2827. doi: 10.4081/jphia.2023.2827. eCollection 2023 Aug 7.
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Leveraging the structures of the COVID-19 pandemic response for successful control of Ebola in Uganda.利用应对新冠疫情的架构成功控制乌干达的埃博拉疫情。
Nat Med. 2023 Aug;29(8):1892-1893. doi: 10.1038/s41591-023-02395-4.
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SARS-CoV-2 case detection using community event-based surveillance system-February-September 2020: lessons learned from Senegal.利用社区事件监测系统检测 SARS-CoV-2 病例-2020 年 2 月至 9 月:塞内加尔的经验教训。
BMJ Glob Health. 2023 Jun;8(6). doi: 10.1136/bmjgh-2023-012300.
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The way forward in decolonising global health.全球卫生去殖民化的前进道路。
Lancet Glob Health. 2023 Jul;11(7):e982. doi: 10.1016/S2214-109X(23)00275-9.
8
Monkeypox virus: The changing facets of a zoonotic pathogen.猴痘病毒:人畜共患病原体的变化面貌。
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Ann Med. 2022 Dec;54(1):524-540. doi: 10.1080/07853890.2022.2031274.
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SARS-CoV-2 Omicron virus causes attenuated disease in mice and hamsters.新冠病毒奥密克戎变异株在小鼠和仓鼠中引起轻症疾病。
Nature. 2022 Mar;603(7902):687-692. doi: 10.1038/s41586-022-04441-6. Epub 2022 Jan 21.