BMJ：太给力了！WHO惊人预测下一个全球流行病将会是它！

2018-05-16 Zoe 转化医学网

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医生/

近日，埃博拉病毒的再度席卷惹得人心惶惶，近日，WHO发布了一则重要消息，x病可能成为继埃博拉病毒之后，又一个肆虐全球的公共卫生疾病。该则消息近日发表在知名期刊《BMJ》上。

导读

近日，埃博拉病毒的再度席卷惹得人心惶惶，近日，WHO发布了一则重要消息，x病可能成为继埃博拉病毒之后，又一个肆虐全球的公共卫生疾病。该则消息近日发表在知名期刊《BMJ》上。

埃博拉的再度卷土重来使流感再度在人群中形成了头脑风暴。面对如此冥顽不灵的流感，我们能做的唯有积极应对。下一次全球流感大流行会是什么病？近日，WHO首次将“X病”列入其年度优先传染病名单。

与X病初相识

X病，顾名思义，它代表着一种未知的疾病，可能是一种新的病原体，抑或是一种再度出现的疾病。这种严重的国际流行病可能是由一种目前未知的病原体引起的。

主流媒体对此纷纷猜测，X病可能来自朝鲜或叙利亚的生物武器，也有许多专家认为它会是人畜共患病，其很有可能是病毒。

约翰霍普金斯大学健康安全中心资深学者Amesh Adalja则告诉英国医学杂志，X病很可能是一种具有“最大的流行病潜力”的呼吸道传播病毒，而这将使公共卫生措施非常难以干预。

埃博拉，X病均被列入今年的"黑名单"！

WHO早在2015年12月就发布了第一份重点疾病名单。今年“光荣”上榜的流行病有：克里米亚 - 刚果出血热，埃博拉病毒，马尔堡病毒病，拉沙热，中东呼吸道冠状病毒，严重急性呼吸系统综合症，尼帕和亨利帕维病，裂谷热，寨卡病和X病，然而这份名单并不详尽且无法预测什么会导致下一次大流行。

资金助力必不可少！

2月份，专家们在WHO会晤，确定哪些传染病可能会由于其流行和缺乏有效的防治手段而构成最大的公共卫生风险。在紧急情况下，应优先考虑改善对这些病原体的公共卫生响应。WHO估计，每种病原体大约需要11.7亿美元（约合9亿英镑—10亿英镑），但这需要新的资助模式。

面临疫情，我们时刻准备着！

2014年西非埃博拉疫情损伤惨重，数据显示，在全世界范围内至少有28 616例疑似病例和11 310例死亡病例，WHO因其贻误和管理不善而受到强烈谴责。

这项结果暴露了全球在应对重大疫情中的诸多问题，有关机构缺乏对于突发公共卫生事件的的充分应急预案。工作人员，设备和资金等方面匮乏，国家缺乏强大的监测系统，不能及时诊治，缺乏训练有素的医务工作者。所以说即时应对资源和领导力对于流行病来说至关重要。

有关方面表示：我们应该及时诊断传染病症状，积极向有关当局报告。同时，人们不应该对非在暴发期间的病例做出特异性诊断。负责人特别强调了广谱抗病毒药物的需求，埃博拉疫情促成了一些颇有前景的候选药物的上市。当然，加强自身机体免疫力也是不容缺少的一环。

给力！WHO全球战略和准备计划就绪！

WHO全球战略和准备计划是2014年西非埃博拉疫情促成的研发蓝图。它旨在快速追踪更广泛的诊断和广谱药物和疫苗的可用性，挽救生命，控制疫情暴发。该蓝图将建立10-12个区域实验室网络，从而收集优先疾病样本并建立协议，以便在暴发情况下快速评估新的诊断测试，促进创新发展。

研究者表示，我们需要对疾病有更加深入的理解，病原体是如何从动物身上传播到人体的？病原体如何受气候变化和城市化等因素的影响？建立全球共享数据，以更好地预测疾病暴发。但是，这是一个漫长的过程，我们并不知道距离下一次重大流行究竟还有多久。

总之，在重大疫情到来之前必须做到有备无患，这样才不至于在X病面前慌了手脚。

原始出处：Cousins S. WHO hedges its bets: the next global pandemic could be disease X. BMJ. 2018 May 10;361:k2015.

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2018-11-17 gaoxiaoe

#BMJ#

0 0
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2018-05-17 xugumin

#流行病#

36 0
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2018-05-17 明月清辉

谢谢分享.学习了

75 0
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2018-05-16 吴教授

学习了.希望做好先前工作

68 0
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2018-05-16 明月清辉

谢谢分享.学习了

68 0
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2018-05-16 龙胆草

学习谢谢分享

75 0
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2018-05-16 wzb521zf

一起学习学习

75 0
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2018-05-16 kafei

了解了谢谢

17 0
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2018-05-16 神功盖世

阅

17 0
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content=学了, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKcmgibQ4oCrK7Z6f4CvMcs4k7QUGCkhopcGxvxaBfVciadECSIwaRVttllIOEKumpEaRrq5PoOUxow/0, createdBy=e3bb2081203, createdName=哈哈869, createdTime=Wed May 16 06:09:26 CST 2018, time=2018-05-16, status=1, ipAttribution=)]
2018-05-16 哈哈869

学了

27 0