Mims C A
Department of Microbiology, Guys Hospital Medical School, UMDS, London.
Epidemiol Infect. 1995 Dec;115(3):377-86. doi: 10.1017/s0950268800058532.
The possibility that a devastating human pandemic could arise, causing massive loss of human life, is discussed. Such a major threat to the human species is likely to be a virus, and would spread by the respiratory route. It need not necessarily cause massive loss of life, but if it caused serious illness or incapacity it would still have a major impact. A possible source is from an existing respiratory pathogen, but it would more probably arise from an infection that is maintained in an arthropod or vertebrate host, but which at present either does not infect humans, or if it does it fails to be effectively transmitted between them. More research should therefore focus on the pathogenetic factors and the viral determinants that promote respiratory transmission.
本文讨论了可能引发毁灭性全球大流行并导致大量人员死亡的可能性。对人类物种如此重大的威胁很可能是一种病毒,且会通过呼吸道途径传播。它不一定会导致大量人员死亡,但如果引发严重疾病或使人丧失能力,仍会产生重大影响。一个可能的源头是现有的呼吸道病原体,但更有可能源自一种在节肢动物或脊椎动物宿主中存在的感染,而这种感染目前要么不感染人类,要么即便感染人类也无法在人与人之间有效传播。因此,更多研究应聚焦于促进呼吸道传播的致病因素和病毒决定因素。