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Published on: November 10, 2023
[The emergence of old and new epidemics as a consequence of human actions]
1Robert Koch-Institut, Berlin. kurthr@rki.de
Abstract:
In the era of antibiotics and vaccines and prior to the appearance of AIDS, well-known infectious diseases received decreasing clinical attention. Occasionally, the opinion was also expressed that new types of infectious diseases could no longer be expected. However, a more detailed analysis of the state of infectious diseases yields quite a different picture. A variety of new infectious diseases has clinically been defined over the last few decades. New viruses, bacteria, and parasites with pathogenic potential for humans have been detected and well-known microorganisms have spread beyond their original geographic areas. Infectious agents, in particular viruses, permanently alter their genomes and may thus gain new clinical relevance. This article demonstrates that primarily the behavior of man influenced the nature and distribution of infectious diseases in the past and will affect the spread of infectious diseases in the future.
Insights
Despite advances in medicine, new infectious diseases continue to emerge and spread globally. Human behavior significantly influences the emergence and spread of these evolving infectious diseases.
Area of Science:
- Emerging infectious diseases
- Microbiology
- Epidemiology
Context:
- Historically, well-known infectious diseases received less attention due to antibiotics and vaccines.
- A perception existed that novel infectious diseases were unlikely to emerge.
- Recent decades reveal a different reality with numerous newly defined infectious diseases.
Purpose:
- To analyze the current state of infectious diseases.
- To highlight the emergence of new pathogens and the geographic spread of existing ones.
- To examine the role of human behavior in infectious disease dynamics.
Summary:
- New viruses, bacteria, and parasites with human pathogenic potential have been identified.
- Established microorganisms are expanding beyond their native geographic ranges.
- Infectious agents, especially viruses, undergo genomic alterations, potentially increasing their clinical significance.
Impact:
- Human behavior has historically shaped the nature and distribution of infectious diseases.
- Future trends in infectious disease spread will be significantly influenced by human activities.
- Understanding these dynamics is crucial for public health preparedness and response.
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