Controlling Ebola: what we can learn from China's 1911 battle against the pneumonic plague in Manchuria

Controlling Ebola: what we can learn from China's 1911 battle against the pneumonic plague in Manchuria
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控制埃博拉:我们可以从 1911 年中国抗击满洲肺鼠疫的斗争中学到什么

DOI:
10.1016/j.ijid.2015.02.013
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发表时间:
2015-02
影响因子:
8.4
通讯作者:
Hao Yanhua
Hao Yanhua
中科院分区:
医学2区
文献类型:
--
作者:
Liu He;Jiao Mingli;Zhao Siqi;Xing Kai;Li Ye;Ning Ning;Liang Libo;Wu Qunhong;Hao Yanhua

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1910年冬至1911年春,肺鼠疫席卷东北,造成大量死亡,并带来严重的社会动荡。在吴连德医生实施强制隔离等防疫措施后,疫情在4个月内得到控制。本文根据临床表现、病程、病死率、传播程度、贫困、卫生保健基础设施不足以及该地区最近充满冲突的历史等因素,从历史角度回顾了鼠疫的处理方法。在20世纪中国东北的肺鼠疫与目前肆虐非洲的埃博拉病毒爆发之间寻找相似之处,并努力总结成功地采取具体措施抗击早期流行病的方法。我们的努力突出了宝贵的经验,这些经验可能有助于抗击目前在西非肆虐的埃博拉疫情。
The pneumonic plague, which spread across Northeast China during the winter of 1910 and spring of 1911, caused numerous deaths and brought about severe social turmoil. After compulsory quarantine and other epidemic prevention measures were enforced by Dr Wu Lien-teh, the epidemic was brought to an end within 4 months. This article reviews the ways in which the plague was dealt with from a historical perspective, based on factors such as clinical manifestations, duration of illness, case fatality rate, degree of transmissibility, poverty, inadequate healthcare infrastructure, and the region's recent strife-filled history. Similarities were sought between the pneumonic plague in Northeast China in the twentieth century and the Ebola virus outbreak that is currently ravaging Africa, and an effort made to summarize the ways in which specific measures were applied successfully to fight the earlier epidemic. Our efforts highlight valuable experiences that are of potential benefit in helping to fight the current rampant Ebola epidemic in West Africa.
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