人畜共患疾病的监测和应对策略:综述

Manjeet Sharan , Deepthi Vijay , Jay Prakash Yadav , Jasbir Singh Bedi , Pankaj Dhaka
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引用次数: 0

摘要

在所有新出现的传染病中,大约75%是人畜共患疾病,其来源通常可追溯到动物。人畜共患病的出现是由人为、遗传、生态、社会经济和气候因素之间复杂的相互作用驱动的。这种错综复杂的影响网络对预测和预防人畜共患疾病暴发构成了重大挑战。动物、人类和环境卫生部门之间的有效协调与合作对于积极应对重大人畜共患疾病至关重要。尽管在监测和诊断实践方面取得了进展,但人畜共患病的出现仍然是一个紧迫的全球问题。因此,作为全面疾病预防和控制战略的一部分,优先开展人畜共患疾病监测至关重要。此外,对现有监测系统的评估有助于深入了解所面临的挑战,这些挑战可以通过实施涉及相关利益攸关方的“同一个健康”原则来缓解。为启动多部门伙伴关系,必须确定各部门公平投入的监测系统的优先事项和核心主题。加强监测、促进数据共享、提高实验室检测能力以及促进人类和动物卫生部门的联合疫情应对,将建立必要的基础设施,以有效预防、预测、发现和应对新出现的卫生威胁,从而加强全球卫生安全。本综述通过概述从事人畜共患病监测的全球机构来评估现有的监测方法,并概述了设计综合监测网络所需的人-动物-环境界面的基本组成部分。此外,它还讨论了通过“同一个健康”方法执行有效的人畜共患疾病监测所需的关键步骤,同时强调了在建立这样一个强大的监测系统时遇到的主要挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surveillance and response strategies for zoonotic diseases: A comprehensive review

Out of all emerging infectious diseases, approximately 75% are of zoonotic origin, with their source often traced back to animals. The emergence of zoonoses is driven by a complex interplay between anthropogenic, genetic, ecological, socioeconomic, and climatic factors. This intricate web of influences poses significant challenges for the prediction and prevention of zoonotic outbreaks. Effective coordination and collaboration among the animal, human, and environmental health sectors are essential for proactively addressing major zoonotic diseases. Despite advancements in surveillance and diagnostic practices, the emergence of zoonoses continues to be a pressing global concern. Therefore, prioritizing zoonotic disease surveillance is of paramount importance as part of a comprehensive disease prevention and containment strategy. Furthermore, evaluating existing surveillance systems provides insights into the challenges faced, which can be mitigated through implementation of One Health principles involving relevant stakeholders. To initiate multisectoral partnerships, it is crucial to identify the priorities and core themes of surveillance systems with equitable inputs from various sectors. Strengthening surveillance, promoting data sharing, enhancing laboratory testing capabilities, and fostering joint outbreak responses in both the human and animal health sectors will establish the necessary infrastructure to effectively prevent, predict, detect, and respond to emerging health threats, thereby reinforcing global health security. This review assesses existing surveillance approaches by offering an overview of global agencies engaged in monitoring zoonoses and outlines the essential components required at the human–animal–environment interface for designing comprehensive surveillance networks. Additionally, it discusses the key steps necessary for executing effective zoonotic disease surveillance through a One Health approach, while highlighting the key challenges encountered in establishing such a robust surveillance system.

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