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对疾病出现的监测与应对。

Surveillance and response to disease emergence.

作者信息

Merianos Angela

机构信息

Alert and Response Operations, Department of Epidemic and Pandemic Alert and Response, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland.

出版信息

Curr Top Microbiol Immunol. 2007;315:477-509. doi: 10.1007/978-3-540-70962-6_19.

Abstract

New and emerging infectious diseases affect humans, domestic animals, livestock and wildlife and can have a significant impact on health, trade and biodiversity. Of the emerging infectious diseases of humans, 75% are zoonotic, with wildlife being an increasingly important source of inter-species transmission. Recent animal health emergencies have highlighted the vulnerability of the livestock sector to the impact of infectious diseases and the associated risks to human health. Outbreaks resulting from wildlife trade have resulted in enormous economic losses globally. On a global level, the human health sector lags behind the animal health sector in the assessment of potential threats, although substantive differences exist among countries in the state of national preparedness planning for emerging diseases. The lack of surveillance data on emerging zoonoses from many developing countries means that the burden of human, livestock and wildlife disease is underestimated and opportunities for control interventions thereby limited. In the context of emerging zoonoses, comprehensive risk assessments are needed to identify the animal-human and animal-animal interfaces where transmission of infectious agents occurs and the feasibility of risk reduction interventions. The impact of emerging diseases can be minimised through a well-prepared and strong public health system and similar systems developed by the livestock, wildlife and food safety sectors. National animal disease emergencies, especially those that spill over to affect human health, require a whole-of-government approach for effective disease containment. As it is highly likely that zoonoses and animal diseases with the potential to affect human health will continue to emerge, surveillance and response systems for emerging zoonotic diseases will need to be strengthened and maintained at national and international levels. Applied research, linked across the human, livestock and wildlife sectors, is needed to inform preparedness planning and the development of evidence-based approaches to zoonotic disease prevention and control.

摘要

新出现和正在出现的传染病影响人类、家畜、牲畜和野生动物,并可能对健康、贸易和生物多样性产生重大影响。在新出现的人类传染病中,75%是人畜共患病,野生动物日益成为跨物种传播的重要来源。最近的动物卫生紧急情况凸显了畜牧业对传染病影响的脆弱性以及对人类健康的相关风险。野生动物贸易引发的疫情在全球造成了巨大经济损失。在全球层面,人类卫生部门在潜在威胁评估方面落后于动物卫生部门,尽管各国在新发疾病国家防范规划状况方面存在实质性差异。许多发展中国家缺乏关于新发人畜共患病的监测数据,这意味着对人类、牲畜和野生动物疾病负担的低估,从而限制了控制干预措施的机会。在新发人畜共患病的背景下,需要进行全面的风险评估,以确定传染病传播发生的动物与人类以及动物与动物的界面,以及降低风险干预措施的可行性。通过完善且强大的公共卫生系统以及畜牧业、野生动物和食品安全部门建立的类似系统,可以将新发疾病的影响降至最低。国家动物疾病紧急情况,尤其是那些蔓延至影响人类健康的紧急情况,需要政府采取整体方法来有效控制疾病。由于很可能会继续出现人畜共患病和可能影响人类健康的动物疾病,因此需要在国家和国际层面加强和维持新发人畜共患病的监测和应对系统。需要开展跨人类、畜牧业和野生动物部门的应用研究,为防范规划以及制定基于证据的人畜共患病预防和控制方法提供信息。

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