应对传染病,特别是印度的传染病:采取多维方法的必要性

Yasmeena Hassan, Ishfaq Majeed Dar, Jahangir Mohi Uddin, Sadaf Saleem, Mohd Younis Rather, A. Waza
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摘要

长期以来,传染病一直是令人担忧的主要原因,因为它们经常导致大流行。毫无疑问,我们在一定程度上控制了感染,但最近爆发的 COVID-19 使我们沦为无能为力的旁观者,眼睁睁地看着人们死去。大多数与感染有关的死亡都是由呼吸道病毒性疾病造成的,包括肺结核。肿瘤病毒作为癌症的诱因,是一个需要关注的严重健康问题。新的有害形式的出现加剧了传染病问题。病原体的抗原谱在不断变化,这降低了疫苗的效力,或助长了抗药性的出现。在对现有的关于传染病的起源、传播、病理生理学、可用性以及药物疗效的科学知识进行全面分析后,显然有必要制定一项综合战略。有许多灰色地带需要关注。例如,我们需要了解新感染导致的疾病的生物学特性以及这些感染的起源,使一些宿主易受感染而另一些宿主具有抵抗力的过程和因素,人群中有利于某些感染的合并因素,以及常见癌症的潜在致癌病毒。我们只有少数几种抗菌药物或疫苗,而且由于细菌开发出了巧妙的中和防御系统,其中许多药物和疫苗每天都在失去效力。为了找到新的治疗目标,我们必须开展全面的研究工作。作为替代方案,我们必须反其道而行之,利用被动免疫策略或研究抗病毒药用植物产品、创造的化学类似物、益生菌及其衍生的细菌素,以显示出对病原菌的有效作用。这样就可以了解其作用机制。因此,当务之急是大家齐心协力,取长补短,以启动一项多层面战略,填补与传染病有关的所有知识空白。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tackling Infectious Diseases with Special Reference to India: Need for Multidimensional Approach
Infectious diseases have long been a major cause for concern since they frequently result in pandemics. Undoubtedly, we have some degree of infection control, but the recent COVID-19 outbreak has reduced us to powerless bystanders watching people perish. The majority of infection-related deaths are caused by respiratory viral diseases, including tuberculosis. The oncovirus as a cause of cancer is a severe health issue that demands attention. The emergence of new harmful forms worsens the problem of infectious diseases. The antigenic profile of pathogens is constantly shifting, which reduces the effectiveness of vaccines or encourages the emergence of medication resistance. The necessity for an all-inclusive strategy is apparent after undertaking a thorough analysis of the scientific knowledge now in existence regarding genesis, transmission, pathophysiology, and availability, as well as the efficacy of medications against infections. There are many grey regions that require attention. For instance, we need to comprehend the biology of the diseases that new infections cause as well as the origin of those infections, the processes and factors that make some hosts vulnerable while others are resistant, the comorbid factors in a population that favours certain infections, and the potential oncogenic viruses of common cancers. We only have a few antimicrobial medicines or vaccines, and many of them are losing their efficacy daily due to bacteria' development of clever neutralizing defences. To find novel therapeutic targets, we must launch a comprehensive research effort. As an alternative, we must go the other way by utilizing passive immunity strategies or researching antiviral medicinal plant products, created chemical analogues, probiotics, and their derived bacteriocins that will demonstrate effective effects against pathogenic bacteria. The action's mechanism can then be understood. As a result, it is imperative that everyone work together to complement one another's skills in order to launch a multifaceted strategy to fill in all the knowledge gaps related to infectious diseases.
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