Monkeypox public health research priorities for Africa: A DEENIP paradigm for strengthening global health security

Frankline Sevidzem Wirsiy, Jean-Claude Kindzeka Wirsiy
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Abstract

While clinically less severe than smallpox, monkeypox is a viral zoonosis with symptoms that are comparable to those of smallpox. The 2022 multi-country monkeypox outbreak which is an international public health emergency has raised challenging issues for research. For instance, even though monkeypox can be prevented, detected, and treated with the use of vaccines, medicines, and diagnostics, further studies are required to help establish the appropriate use of these medical products. There are further concerns regarding the length of illness and the reasons why some people get sicker than others. Priorities for monkeypox public health research in Africa are to raise awareness of studies that could be conducted whose conclusions, when they are made, will significantly improve global health security. We present 6 key Monkeypox Public Health research priorities for Africa from a DEENIP paradigm for strengthening global health security. The DEENIP priorities as an organizing framework are D= D: Diagnostic tools and surveillance, E =Epidemiological, clinical and immunological traits, E= Equitable, effective, and safety distribution of vaccines including therapeutics, N= New and innovative methods for assessing medical countermeasures, I=Improve equity and reduce stigma during public health emergency, P = Public health communication strategies.
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非洲猴痘公共卫生研究重点:加强全球卫生安全的DEENIP范例
猴痘是一种病毒性人畜共患病,虽然在临床上不如天花严重,但其症状与天花相当。2022年多国猴痘疫情是一次国际突发公共卫生事件,为研究提出了具有挑战性的问题。例如,尽管猴痘可以通过使用疫苗、药物和诊断来预防、检测和治疗,但仍需要进一步的研究来帮助确定这些医疗产品的适当使用。人们还进一步关注疾病的持续时间,以及为什么有些人比其他人病得更重。非洲猴痘公共卫生研究的重点是提高人们对可进行的研究的认识,这些研究的结论一旦得出,将大大改善全球卫生安全。我们从加强全球卫生安全的DEENIP范式提出了非洲猴痘公共卫生研究的6个重点。作为一个组织框架,DEENIP的优先事项是D= D:诊断工具和监测;E=流行病学、临床和免疫学特征;E=公平、有效和安全地分发疫苗,包括治疗药物;N=评估医疗对策的新方法和创新方法;I=在突发公共卫生事件中提高公平性并减少耻辱;P =公共卫生传播战略。
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