[欧洲的新传染病;气候变化,全球化和人类行为的影响]
A Bram Goorhuis1,2, Quirijn de Mast3, Joppe W Hovius1
1Amsterdam UMC, locatie AMC, divisie Interne Geneeskunde, afd. Infectieziekten, Amsterdam.
Nederlands tijdschrift voor geneeskunde
|June 8, 2023
概括
气候变化和全球化正在增加传染病的风险. 临床医生必须意识到疾病模式的变化,并更新疫苗接种指南,以应对传播脑炎等新出现的威胁.
科学领域:
- 环境健康 环境健康
- 传染病 流行病学 流行病学
背景情况:
- 气候变化是载体传播和水传播传染病的出现和传播的重要驱动因素.
- 全球化和人类行为变化促进了新型传染病原体进入新地理区域的引入.
- 新出现的传染病由于其致病性而带来临床挑战,即使绝对风险仍然很低.
研究的目的:
- 突出气候变化和全球化对传染病流行病学的影响.
- 强调需要加强对新出现的传染病的临床意识.
- 建议对疫苗可预防的新兴疾病更新疫苗接种策略的必要性.
主要方法:
- 审查有关气候变化,全球化和传染病出现的当前文献.
- 对载体传播和水传播感染的流行病学趋势和风险因素的分析.
- 评估新兴病原体带来的临床挑战.
主要成果:
- 气候变化对传染病出现的直接和间接贡献显而易见.
- 全球化和行为变化正在为不同地区引入新的疾病.
- 一些新兴感染的致病性存在重大临床困难.
- 对不断变化的疾病流行病学的认识对于早期检测至关重要.
结论:
- 临床医生需要对不断变化的传染病流行病学有更高的认识.
- 针对新出现的疾病的疫苗接种指导方针,包括传染性脑炎和螺杆炎,可能需要修订.
- 积极适应公共卫生战略对于管理气候变化和全球化相关风险至关重要.
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