Haverkos H W, Curran J W
CA Cancer J Clin. 1982 Nov-Dec;32(6):330-9. doi: 10.3322/canjclin.32.6.330.
The data suggest that: The recent outbreak of KS and PCP is a single epidemic, that of immunosuppression among homosexual men and drug abusers. The public health significance of this epidemic is probably underestimated, and clinicians should be alert to more subtle indications of immunosuppression, such as nonfatal opportunistic infections, unexplained lymphadenopathy, or other tumors. Opportunities to clarify the relationships between the environment, immunology, cancer, and infections make this outbreak scientifically important. The sudden and highly focal occurrence of these illnesses among homosexual men and drug addicts suggests a potential for their prevention if risk factors or etiologic agent(s) can be identified. The staggering morbidity and mortality associated with this outbreak dictate immediate concerted efforts to identify risk factors.
近期卡波西肉瘤(KS)和肺孢子菌肺炎(PCP)的爆发是单一疫情,即同性恋男性和药物滥用者中的免疫抑制疫情。这种疫情对公共卫生的重要性可能被低估了,临床医生应警惕免疫抑制的更细微迹象,如非致命性机会性感染、不明原因的淋巴结病或其他肿瘤。阐明环境、免疫学、癌症和感染之间关系的机会使这次疫情具有重要的科学意义。这些疾病在同性恋男性和吸毒者中突然且高度集中地出现,表明如果能够识别风险因素或病原体,就有可能预防这些疾病。与这次疫情相关的惊人发病率和死亡率决定了要立即齐心协力识别风险因素。