人类mopox:全球趋势,分子流行病学和接种疫苗的选择
Lorenzo Subissi1, Paola Stefanelli2, Giovanni Rezza3
1Health Emergencies Programme, World Health Organization, Geneva, Switzerland.
Pathogens and global health
|September 16, 2023
概括
容易感染天花病毒的人口已经增长,导致全球病毒 (MPV) 检测增加. 小天花疫苗显示高交叉保护mopox,提供一个关键的控制策略,如果公平分配.
科学领域:
- 病毒学 病毒学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 根除天花已经增加了对天花病毒敏感的人口.
- 越来越多地检测到动物性脊髓炎病毒,特别是病毒 (MPV).
- 自2022年以来,MPV现在在全球新的国家引起了本地传播.
研究的目的:
- 分析目前的MPV疫情,包括其遗传分类 (分类IIb) 和潜在的表型变化.
- 评估现有的天花疫苗对mpox的有效性.
- 突出天花疫苗在控制当前的麻疹疫情方面的潜力.
主要方法:
- 基因组测序以识别MPV类和突变.
- 对针对mopox的天花疫苗的疫苗有效性数据的审查.
- 对流行病学趋势和传播模式的分析.
主要成果:
- 目前的MPV疫情是由II类,被指定为IIb类,具有显著突变的II类内的独特血统引起的.
- 小天花疫苗显示出对mopox的高交叉保护.
- 类IIb中的突变可能或可能没有改变病毒表型,需要进一步调查.
结论:
- 小天花疫苗是控制mopox.mpox从人到人传播的宝贵工具.
- 公平和及时的疫苗供应对于有效的疫情控制至关重要.
- 必须避免从过去的疫苗不平等中吸取教训,以确保全球卫生安全.
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