Emerging infectious diseases :: the example of the Indian Ocean chikungunya outbreak (2005-2006)

Emerging infectious diseases :: the example of the Indian Ocean chikungunya outbreak (2005-2006)
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DOI:
10.1016/s0001-4079(19)33100-0
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发表时间:
2007-01-01
影响因子:
0.3
通讯作者:
Setbon, Michel
Setbon, Michel
中科院分区:
医学4区
文献类型:
--
作者:
Flahault, Antoine;Aumont, Gilles;Setbon, Michel

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已知引发传染病出现或重新出现的因素包括全球化、人口增长、移民、国际贸易、城市化、森林破坏、气候变化、生物多样性丧失、贫困、饥荒和战争。流行病不仅导致灾难性的生命损失,而且还可能造成灾难性的经济、政治和社会后果。在没有准备的国家,疫情可能迅速危及工业、贸易或旅游业。登革热目前正在整个热带地区蔓延,而另一种虫媒病毒基孔肯雅热在2005年至2006年间感染了印度洋地区部分地区30%至75%的人口。基孔肯雅热目前正在印度蔓延,迄今已有100多万人感染。这种病毒性疾病可导致永久性残疾,最近在留尼汪岛和马约特岛报告了第一例死亡病例。所有国家都面临新出现或重新出现疾病的风险,但贫穷国家的后果要严重得多。微生物病原体和野生哺乳动物、鸟类和节肢动物不尊重人为边界。现在仍然有时间通过预防、预测、监测和研究,采取行动应对新出现和重新出现的传染病的威胁。
Factors known to trigger the emergence or re-emergence of infectious diseases include globalisation, population growth, migration, international trade, urbanisation, forest destruction, climate change, loss of biodiversity, poverty, famine and war. Epidemics not only lead to disastrous loss of human life but may also have catastrophic economic, political and social consequences. Outbreaks may rapidly jeopardize industry, trade or tourism in countries that are unprepared. Dengue is currently spreading throughout the tropics, while another arbovirus, chikungunya, infected 30 to 75 % of the population in some parts of the Indian Ocean region between 2005 and 2006. Chikungunya is now spreading through India, where more than a million people have so far been infected. This viral disease can cause lasting disability, and the first deaths were recently reported in La Reunion and Mayotte. All countries are at risk from emerging or re-emerging diseases, but the consequences are far worse in poor countries. Microbial pathogens and wild mammals, birds and arthropods do not respect man-made borders. There is still time to act against this threat of emerging and re-emerging infectious diseases, through prevention, anticipation, monitoring and research.