Negligible risk for epidemics after geophysical disasters.

Negligible risk for epidemics after geophysical disasters.
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DOI:
10.3201/eid1204.051569
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发表时间:
2006-04
影响因子:
11.8
通讯作者:
Piarroux R
Piarroux R
中科院分区:
医学2区
文献类型:
--
作者:
Floret N;Viel JF;Mauny F;Hoen B;Piarroux R

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地球物理灾害后流行病的短期风险很低。在地球物理灾害(即,在发生地震、火山爆发、海啸等自然灾害时,媒体报道几乎总是强调流行病的风险;这种风险是否真实存在一直存在争议。我们分析了1985年至2004年人道主义机构和世界卫生组织的医学文献和数据。在记录的超过600起地球物理灾害中,我们发现只有3起报告的疫情与这些灾害有关:菲律宾皮纳图博火山爆发后发生的1起麻疹疫情、加州地震后发生的1起球孢子菌病疫情以及哥斯达黎加发生的1起间日疟原虫疟疾疫情与地震和强降雨有关。尽管人道主义反应可能在预防流行病方面发挥作用,但我们的研究结果支持流行病学证据,即地球物理灾害后流行病的短期风险非常低。
Short-term risk for epidemics after geophysical disasters is very low. After geophysical disasters (i.e., earthquakes, volcanic eruptions, tsunamis), media reports almost always stress the risk for epidemics; whether this risk is genuine has been debated. We analyzed the medical literature and data from humanitarian agencies and the World Health Organization from 1985 to 2004. Of >600 geophysical disasters recorded, we found only 3 reported outbreaks related to these disasters: 1 of measles after the eruption of Pinatubo in Philippines, 1 of coccidioidomycosis after an earthquake in California, and 1 of Plasmodium vivax malaria in Costa Rica related to an earthquake and heavy rainfall. Even though the humanitarian response may play a role in preventing epidemics, our results lend support to the epidemiologic evidence that short-term risk for epidemics after a geophysical disaster is very low.
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