Emerging respiratory tract infections 1 Surveillance for emerging respiratory viruses

Emerging respiratory tract infections 1 Surveillance for emerging respiratory viruses
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DOI:
10.1016/s1473-3099(14)70840-0
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发表时间:
2014-10-01
影响因子:
56.3
通讯作者:
Memish, Ziad A.
Memish, Ziad A.
中科院分区:
医学1区
文献类型:
--
作者:
Al-Tawfiq, Jaffar A.;Zumla, Alimuddin;Memish, Ziad A.

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在过去15年中,出现了几种具有流行潜力的新型病毒性呼吸道传染病,威胁着全球卫生安全。2003年,世卫组织发布了一种未知的新发疾病的全球警报,后来被命名为严重急性呼吸系统综合症(SARS)。由新型冠状病毒(SARS-CoV)引起的疾病在全球迅速蔓延,在30多个国家造成8000多例病例和800人死亡,并造成重大经济影响。从那时起,我们目睹了其他几种病毒性呼吸道病原体的出现,包括流感病毒(禽流感H5N1、H7N9和H10N8;变种流感A H3N2病毒)、人类腺病毒-14和中东呼吸综合征冠状病毒(MERS-CoV)。为此,开发了各种监测系统来监测呼吸道感染的出现。这些系统包括基于综合征识别的系统、基于网络的系统、从卫生设施(如急诊科和家庭医生)收集卫生数据的系统以及依赖患者自我报告的系统。需要更有效的国家、区域和国际监测系统,以便能够迅速查明新出现的呼吸道流行病、具有流行潜力的疾病、其特定的微生物病因、来源、获取方式和传播动态。
Several new viral respiratory tract infectious diseases with epidemic potential that threaten global health security have emerged in the past 15 years. In 2003, WHO issued a worldwide alert for an unknown emerging illness, later named severe acute respiratory syndrome (SARS). The disease caused by a novel coronavirus (SARS-CoV) rapidly spread worldwide, causing more than 8000 cases and 800 deaths in more than 30 countries with a substantial economic impact. Since then, we have witnessed the emergence of several other viral respiratory pathogens including influenza viruses (avian influenza H5N1, H7N9, and H10N8; variant influenza A H3N2 virus), human adenovirus-14, and Middle East respiratory syndrome coronavirus (MERS-CoV). In response, various surveillance systems have been developed to monitor the emergence of respiratory-tract infections. These include systems based on identification of syndromes, web-based systems, systems that gather health data from health facilities (such as emergency departments and family doctors), and systems that rely on self-reporting by patients. More effective national, regional, and international surveillance systems are required to enable rapid identification of emerging respiratory epidemics, diseases with epidemic potential, their specific microbial cause, origin, mode of acquisition, and transmission dynamics.