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应对新出现的动物传染病和人畜共患病的防范活动及研究需求。

Preparedness activities and research needs in addressing emerging infectious animal and zoonotic diseases.

作者信息

Cardoen S, De Clercq K, Vanholme L, De Winter P, Thiry E, Van Huffel X

出版信息

Rev Sci Tech. 2017 Aug;36(2):557-568. doi: 10.20506/rst.36.2.2674.

Abstract

Emerging infectious animal and zoonotic diseases can inflict significant losses on animal production and public health, and threaten the safety and security of the food system. Threat analysis (forecasting), which monitors the measurable risk indicators of disease emergence, should be in place before the emergence of any threat. Animal and public health authorities develop and regularly re-evaluate disease preparedness, response and recovery plans, based on the 'One Health' principle. These plans should include surveillance, biosecurity measures, communication channels and training for personnel. Scenarios for outbreaks of natural emerging infectious disease or bioterrorist events should be prepared and practised. National and international legislation should be regularly updated to provide a robust legal basis to manage outbreaks. Reference laboratories should have reliable and validated diagnostic tools for rapid, high-throughput testing. Strict biosafety, biocontainment and biosecurity control measures must be implemented in laboratories in order to prevent the accidental or malicious release of pathogens. The pharmaceutical industry should be incentivised to develop vaccines and/or antiviral drugs against disease outbreaks. Conventions between public authorities and the pharmaceutical industry should guarantee adequate stockpiling of the pharmaceuticals needed to control large-scale outbreaks. In the early phase of disease emergence (early warning), veterinarians and stakeholders play an important role in early detection at the farm level. Upon notification, veterinary authorities must take rapid response measures to limit disease spread. National and international short- and medium-term strategic research agendas should be developed, based on a comprehensive gap analysis and horizon scan. This planning will help to guide funding agencies and non-governmental organisations in their quest to support relevant research.

摘要

新出现的动物传染病和人畜共患病会给动物生产和公共卫生造成重大损失,并威胁食品系统的安全与保障。威胁分析(预测)用于监测疾病出现的可衡量风险指标,应在任何威胁出现之前就位。动物和公共卫生当局应根据“同一健康”原则制定并定期重新评估疾病防范、应对和恢复计划。这些计划应包括监测、生物安全措施、沟通渠道和人员培训。应制定并演练自然出现的传染病或生物恐怖主义事件爆发的预案。国家和国际立法应定期更新,为管理疫情提供有力的法律依据。参考实验室应具备可靠且经过验证的诊断工具,用于快速、高通量检测。实验室必须实施严格的生物安全、生物遏制和生物安保控制措施,以防止病原体意外或恶意释放。应激励制药行业研发针对疾病爆发的疫苗和/或抗病毒药物。公共当局与制药行业之间的公约应确保储备足够的控制大规模疫情所需药品。在疾病出现的早期阶段(早期预警),兽医和利益相关者在农场层面的早期检测中发挥重要作用。接到通报后,兽医当局必须迅速采取应对措施,限制疾病传播。应基于全面的差距分析和前景展望,制定国家和国际短期及中期战略研究议程。这一规划将有助于指导资助机构和非政府组织寻求支持相关研究。

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