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An Age of Emerging and Reemerging Pandemic Threats
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作者 Syed Amin Tabish Syed Nabil 《Health》 CAS 2022年第10期1021-1037,共17页
Today, we are confronted with an unprecedented crisis this world has never experienced before. Infectious diseases remain among the leading causes of death and disability worldwide. Epidemics of new and old infectious... Today, we are confronted with an unprecedented crisis this world has never experienced before. Infectious diseases remain among the leading causes of death and disability worldwide. Epidemics of new and old infectious diseases periodically emerge, greatly magnifying the global burden of infections. Humans are constantly exposed to a huge diversity of viruses, though those of others mammals are of greatest importance. Persistence of SARS-CoV-2 as an endemic virus may be fueled by pockets of susceptible individuals and waning immunity after infection or vaccination, changes in the virus through antigenic drift that diminish protection and re-entries from zoonotic reservoirs. Moreover, these viruses are very genetically diverse and new genotypes, strains and species evolve rapidly. The emergence of new human viruses is a long-standing and ongoing biological process. We must anticipate the emergence and/or discovery of more new human viruses in the coming years and decades. The spillover of viruses from animals to humans is the major source of pandemic risk. Life threatening situations demand extraordinary response and more stringent measures to contain the pandemic. The first line of defence against emerging viruses is effective surveillance. Rapid detection and identification of emerging pathogen leading to the rapid introduction of preventive measures can prove highly effective in combating outbreaks of novel diseases. A coordinated, global surveillance network is essential if we are to ensure rapid detection of novel viruses. Improving the situation will require both political will and considerable investment in infrastructure, human capacity and new tools. To ensure global preparedness, newer vaccines, diagnostics and antiviral agents are being developed. Infectious diseases can be prevented at a variety of points, depending on the infectious cycle for the particular disease. Disease prevention, health promotion, strengthening public health systems, translational research, focus on drug discovery, tailored therapies by personalized precision medicine, developing newer effective and affordable vaccines are crucial to prevent and control emerging pandemics. The need of the day is to prioritize diagnostic tests and strengthen laboratory response network. Effective communication is an indispensable tool. In a world of 7.8 billion people, countries have to be in a state of emergency preparedness to tackle emerging infectious diseases. There is a need to stop pandemics before they start. 展开更多
关键词 EID PANDEMIC CORONAVIRUSES MONKEYPOX New Langya Virus Henipavirises
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