Maurizio Bifulco, Erika Di Zazzo, Cristina Pagano, Mariano Martini, Davide Orsini
Department of Molecular Medicine and Medical Biotechnology, University of Naples "Federico II", Naples, Italy.
Department of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.
Open Med (Wars). 2025 Sep 4;20(1):20241029. doi: 10.1515/med-2024-1029. eCollection 2025.
The World Health Organization (WHO) appeal of January 15, 2024, stated "The current number, size and concurrence of multiple outbreaks, the spread to areas free of cholera for decades and alarmingly high mortality rates present a major threat to global health security." The current state is extremely worrying, considering the difficulties of countries in dealing with cholera epidemics due to the lack of funding and the difficulty in oral cholera vaccine production and administration. This study aims to analyse the past and current influence of anthropization on cholera onset.
We analysed the literature, particularly of the last 5 years, on the influence of human actions that impact the spread of cholera.
The epidemiological data published by WHO and the available literature highlight a strong impact of human actions on the epidemic spread of cholera, the government's difficulty in making decisions on epidemic prevention or containment, and the fear of the population.
Cholera should be considered an anthropogenic disaster, considering the historical health analysis of the cholera epidemics in Italy in the last two centuries and in southern Italy and in Naples in 1973.
世界卫生组织（WHO）2024年1月15日发出呼吁，指出“当前多个疫情的数量、规模和并发情况，疫情蔓延至数十年来无霍乱的地区，以及惊人的高死亡率，对全球卫生安全构成重大威胁”。鉴于各国因缺乏资金以及口服霍乱疫苗生产和接种困难而难以应对霍乱疫情，当前状况极其令人担忧。本研究旨在分析过去及当前人类活动对霍乱发病的影响。
我们分析了文献，特别是过去5年中关于影响霍乱传播的人类行为的文献。
WHO公布的流行病学数据及现有文献凸显了人类行为对霍乱疫情传播的强烈影响、政府在做出防疫或控制疫情决策时的困难以及民众的恐惧。
考虑到对意大利过去两个世纪以及1973年意大利南部和那不勒斯霍乱疫情的历史健康分析，霍乱应被视为一场人为灾难。
