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Exploring anthrax risk and prevention: A One Health approach for assessment of human, animal, and environmental interactions 探索炭疽风险和预防:评估人类、动物和环境相互作用的同一健康方法
Pub Date : 2025-03-19 DOI: 10.1016/j.ijidoh.2025.100060
Hari Ram Choudhary , Anukampa Senapati , Matrujyoti Pattnaik , Amiya Ranjan Mohanta , Debaprasad Parai , Sandhya Rani Jena , Biren Kumar Padhy , Partha Sarathi Patra , Arun Kumar Padhi , Swati Pattnaik , Santosh Kumar Panigrahi , Kishore Chandra Behera , Susmita Kumari Sahu , Y Selvamani , Alex Joseph , Tanveer Rehman , Sanghamitra Pati , Debdutta Bhattacharya

Objectives

Anthrax is an infectious disease caused by Bacillus anthracis, a spore-forming bacterium that can infect both animals and humans. As a part of the One Health approach to eliminate human anthrax in an endemic district in Odisha, India. This baseline survey investigates knowledge, attitude, and practices (KAP) regarding anthrax and identifies risky behavior prior to intervention implementation.

Methods

A cross-sectional study was conducted with 3132 respondents (1560 from Koraput and 1572 from Sundargarh) by using a multistage random sampling method. Data were gathered through structured interviews focusing on socio-demographics, livestock ownership, and KAP related to anthrax prevention and management. Descriptive statistics and regression analysis were used to identify factors associated with anthrax knowledge.

Results

Significant knowledge gaps were identified, with only 12.14 % of respondents in Koraput and 7.96 % in Sundargarh aware of anthrax. Knowledge of symptoms, transmission, and prevention was low across both districts. Misconceptions regarding vaccination were prevalent, and risky practices, such as consuming potentially infected meat, were common. Regression analysis indicated that education and age are significant predictors of anthrax knowledge.

Conclusions

The study identifies critical knowledge gaps and risky practices related to anthrax in the Sundargarh and Koraput districts. Targeted educational campaigns and enhanced veterinary services are needed to mitigate anthrax risk and improve public health based on the One Health approach.
目的炭疽是一种由炭疽芽孢杆菌引起的传染病,炭疽芽孢杆菌是一种能感染动物和人的孢子形成细菌。作为在印度奥里萨邦一个流行区消除人类炭疽的“同一个健康”方法的一部分。这项基线调查调查了有关炭疽的知识、态度和实践(KAP),并确定了实施干预之前的危险行为。方法采用多阶段随机抽样方法,对3132名调查对象进行横断面调查,其中Koraput地区1560人,Sundargarh地区1572人。通过结构化访谈收集数据,重点关注与炭疽预防和管理相关的社会人口统计学、牲畜所有权和KAP。使用描述性统计和回归分析来确定与炭疽知识相关的因素。结果发现存在明显的知识差距,Koraput和Sundargarh分别只有12.14% %和7.96% %的受访者知道炭疽。这两个地区对症状、传播和预防的认识都很低。关于疫苗接种的误解普遍存在,而食用可能受感染的肉类等危险做法也很常见。回归分析显示,教育程度和年龄是炭疽知识的显著预测因子。该研究确定了Sundargarh和Koraput地区与炭疽有关的关键知识缺口和风险做法。需要开展有针对性的教育运动和加强兽医服务,以在“同一个健康”方针的基础上减轻炭疽风险并改善公共卫生。
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引用次数: 0
Deciphering the dynamics of Lassa fever outbreak in Edo State, Nigeria: A 3-year study of the epidemiologic patterns, severity profiles, and clinical management 解读尼日利亚埃多州拉沙热暴发动态:流行病学模式、严重程度概况和临床管理的3年研究
Pub Date : 2025-03-17 DOI: 10.1016/j.ijidoh.2025.100059
Simeon Cadmus , Emmanuel Awosanya , Paul M. Iziomo , Samuel Owoicho , Stephenson B. Ojeifo , Judah Moyin-Jesu , Olalekan Taiwo , Eniola Cadmus , Danny Akhere Asogun , Oyewale Tomori

Objectives

Nigeria has the highest prevalence of Lassa fever (LF) in West Africa, with Edo State being a high-burden area. This study describes the epidemiology and management of LF in Edo State.

Methods

A desk analysis of LF cases from the Irrua Specialist Teaching Hospital (ISTH) records from January 2021 to November 2023 was conducted. The outcome variables were case outcome and severity, classified using the 2018 Nigeria Centre for Disease Control and Prevention LF guide. Bivariate and logistic regression analyses were conducted at α <0.05.

Results

Of the 10,432 suspected cases, 1296 (12.4 %) were confirmed, with 964 (74.4 %) occurring during the dry season. The median age was 26 (interquartile range 15–40) years, and 687 (53.0 %) were male. The location distribution pattern of the confirmed cases was clustered, with one-third (34.3 %) from Etsako West. Older age (adjusted odds ratio 2.2, 95 % confidence interval: 1.2–4.0) and more than five symptoms (adjusted odds ratio 9.5, 95 % confidence interval: 6.9–13.1) were associated with severe LF and increased odds of in-hospital death. Hospital presentation time was not associated with LF severity or outcomes. LF confirmation at ISTH was within 24 hours.

Conclusions

Older patients with more than five symptoms should be prioritized in LF management, and the ISTH-LF care algorithm is effective.
目的尼日利亚是西非拉沙热(LF)流行率最高的国家,而埃多州是高负担地区。本研究描述了江户州LF的流行病学和管理。方法对2021年1月至2023年11月伊鲁阿专科教学医院收治的LF病例进行桌面分析。结果变量为病例结果和严重程度,根据2018年尼日利亚疾病控制和预防中心LF指南进行分类。双变量和逻辑回归分析在α <;0.05。结果10432例疑似病例中,确诊1296例(12.4 %),其中964例(74.4 %)发生在旱季。年龄中位数为26岁(四分位间距15 ~ 40岁),男性687例(53.0 %)。确诊病例呈聚集性分布,三分之一(34.3% %)来自西越津市。年龄较大(校正优势比2.2,95 %可信区间:1.2-4.0)和超过五种症状(校正优势比9.5,95 %可信区间:6.9-13.1)与严重的LF和院内死亡的几率增加相关。住院就诊时间与LF严重程度或预后无关。ISTH在24 小时内确认LF。结论有5种以上症状的患者应优先进行LF治疗,ISTH-LF护理算法是有效的。
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引用次数: 0
An outbreak of canine coronavirus type 2 in captive snow leopards (Panthera uncia) demonstrates a possible role for felids as mixing vessels for alphacoronaviruses 在圈养雪豹(Panthera uncia)中爆发的犬冠状病毒2型暴发表明,猫科动物可能是冠状病毒的混合容器
Pub Date : 2025-03-04 DOI: 10.1016/j.ijidoh.2025.100057
Ximena A. Olarte-Castillo , Abigail B. Schlecht , Paul P. Calle , Gary R. Whittaker

Objectives

Alphacoronavirus-1 comprises a set of viruses that are highly recombinogenic, including feline coronavirus (FCoV) type 2 (FCoV-2), a recombinant genotype of FCoV type 1, and canine coronavirus type 2 (CCoV-2). To understand the origin of novel recombinant variants, it is crucial to identify hosts susceptible to multiple alphacoronaviruses. The receptor for FCoV-2 and CCoV-2 is aminopeptidase N (APN), with the APN of the domestic cat allowing entry of FCoV-2 and CCoV-2. However, natural infection with CCoV-2 has been reported exclusively in canids.

Methods

We investigated an outbreak of CCoV-2 in captive snow leopards (Panthera uncia). We assessed the genetic diversity of the APN of five wild Asian felid species to evaluate their susceptibility to CCoV-2 and FCoV-2.

Results

The whole genome of CCoV-2 was sequenced from the feces of the snow leopards. It is closely related to pathogenic variants reported in domestic dogs in the United States and Europe. The APN of the wild felids is highly similar to the APN of the domestic cat.

Conclusions

This study provides the first genetic evidence of CCoV-2 infection in a felid and predicts that wild felids may be susceptible to FCoV-2 and CCoV-2. Therefore, felids may play a central role in the emergence of recombinant alphacoronavirus.
目的甲型冠状病毒-1由一系列高度重组的病毒组成,包括猫冠状病毒(FCoV) 2型(FCoV-2)、FCoV 1型的重组基因型和犬冠状病毒2型(CCoV-2)。为了了解新的重组变异的起源,鉴定对多种甲型冠状病毒敏感的宿主是至关重要的。FCoV-2和CCoV-2的受体是氨基肽酶N (APN),家猫的APN允许FCoV-2和CCoV-2进入。然而,CCoV-2的自然感染仅在犬科动物中报道。方法对一起圈养雪豹(Panthera uncia) CCoV-2疫情进行调查。本研究对亚洲5种野生野种APN的遗传多样性进行了评估,以评估它们对CCoV-2和FCoV-2的易感性。结果从雪豹粪便中获得了冠状病毒-2全基因组序列。它与在美国和欧洲家养狗中报道的致病性变异密切相关。野猫的APN与家猫的APN高度相似。结论本研究首次提供了野地感染CCoV-2的遗传证据,并预测野生野地可能对FCoV-2和CCoV-2易感。因此,猫科动物可能在重组甲型冠状病毒的出现中发挥核心作用。
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引用次数: 0
Reviewer Thank You List, 2024 审稿人致谢单,2024年
Pub Date : 2025-03-01 DOI: 10.1016/S2949-9151(25)00010-1
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引用次数: 0
Evidence of dengue virus exposure and associated risk factors in Rwanda 卢旺达登革热病毒暴露和相关危险因素的证据
Pub Date : 2025-03-01 DOI: 10.1016/j.ijidoh.2025.100056
Vincent Rusanganwa , Brenda Bainda , Yong-Dae Gwon , Maud Mutsaers , Aron Sasu , Eric Seruyange , Sanctus Musafiri , Olivia Wesula Lwande , Magnus Evander

Objectives

Dengue virus (DENV) is a global public health concern owing to its widespread distribution, significant morbidity, and potentially severe outcomes. Although not yet reported in Rwanda, this study aimed to explore the DENV seroprevalence in selected health facilities.

Methods

Serum samples from 2286 patients who visited 11 health facilities nationwide were investigated for DENV and Zika virus immunoglobulin G. Bivariate and multivariate logistic regression analyses were performed to determine the predictors.

Results

The DENV seroprevalence was 30.4 %, but Zika virus immunoglobulin G was not detected. Participants’ mean age was 40.5 ± 16.3 years; 62.2 % were females and 37.8 % were males. In total, 85.8 % were farmers, 4.7 % were office workers, and 3 % were vocational professionals. Farmers had a higher risk of past DENV infections than other professionals. No significant differences in past infections were observed between sexes or age groups.

Conclusions

These findings indicate past DENV infections in Rwanda, highlighting the need for DENV surveillance and enhanced diagnostic capacity. Strengthening these efforts will help prevent infectious diseases, reduce unnecessary treatments, and mitigate the risk of antimicrobial resistance.
登革热病毒(DENV)由于其广泛分布、发病率高和潜在的严重后果而成为全球关注的公共卫生问题。虽然尚未在卢旺达报告,但本研究旨在探讨在选定的卫生设施中DENV的血清流行率。方法对全国11家卫生机构2286例患者的血清进行DENV和寨卡病毒免疫球蛋白g检测,采用双因素和多因素logistic回归分析确定预测因素。结果DENV血清阳性率为30.4 %,未检出寨卡病毒免疫球蛋白G。参与者平均年龄40.5 ± 16.3岁;女性占62.2 %,男性占37.8 %。农民占85.8% %,办公室职员占4.7% %,职业技术人员占3% %。农民过去感染DENV的风险高于其他专业人员。过去的感染在性别或年龄组之间没有显著差异。结论这些发现表明卢旺达过去存在DENV感染,突出了DENV监测和提高诊断能力的必要性。加强这些努力将有助于预防传染病,减少不必要的治疗,并减轻抗菌素耐药性的风险。
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引用次数: 0
Global expansion of Aedes mosquitoes and their role in the transboundary spread of emerging arboviral diseases: A comprehensive review 伊蚊的全球扩张及其在新发虫媒病毒性疾病跨界传播中的作用:综述
Pub Date : 2025-03-01 DOI: 10.1016/j.ijidoh.2025.100058
Ebrahim Abbasi
The global expansion of Aedes mosquitoes, particularly, Aedes aegypti and Aedes albopictus, has significantly contributed to the transboundary spread of arboviral diseases such as dengue, Zika, chikungunya, and yellow fever. This systematic review, conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, aimed to investigate the ecological, environmental, and socioeconomic factors driving the proliferation of Aedes mosquitoes and their role in arboviral disease transmission. Relevant studies were identified through comprehensive searches in PubMed, Scopus, Web of Science, and Embase, with a focus on the geographic distribution, behavioral characteristics, and transmission dynamics of Aedes species. This research has been registered in the International Prospective Register of Systematic Review (PROSPERO), with the code CRD42021231605. The results revealed that climate change, globalization, urbanization, and human mobility are key drivers of the global spread of Aedes mosquitoes. Rising temperatures and altered precipitation patterns have facilitated their expansion into temperate regions, whereas urbanization has created ideal breeding environments. In addition, globalization and international travel have accelerated the introduction of arboviruses into non-endemic areas. This review highlights that effective vector control necessitates climate-resilient strategies, stronger international collaboration, and innovative interventions, including Wolbachia-based and genetically modified mosquitoes. Addressing the complex challenges posed by Aedes-borne arboviruses is critical for mitigating their global health impact.
伊蚊,特别是埃及伊蚊和白纹伊蚊的全球扩张,极大地促进了登革热、寨卡病毒、基孔肯雅热和黄热病等虫媒病毒性疾病的跨界传播。本系统综述按照系统综述和荟萃分析指南的首选报告项目进行,旨在调查导致伊蚊繁殖的生态、环境和社会经济因素及其在虫媒病毒疾病传播中的作用。通过综合检索PubMed、Scopus、Web of Science和Embase等数据库,对伊蚊种群的地理分布、行为特征和传播动态等方面进行研究。本研究已在国际前瞻性系统评价注册(PROSPERO)中注册,代码为CRD42021231605。结果表明,气候变化、全球化、城市化和人类流动性是伊蚊全球传播的主要驱动因素。气温上升和降水模式的改变促进了它们向温带地区的扩张,而城市化则创造了理想的繁殖环境。此外,全球化和国际旅行加速了虫媒病毒传入非流行地区。这篇综述强调,有效的病媒控制需要具有气候适应性的战略、更强有力的国际合作和创新的干预措施,包括沃尔巴克氏体蚊子和转基因蚊子。应对伊蚊传播的虫媒病毒带来的复杂挑战对于减轻其对全球健康的影响至关重要。
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引用次数: 0
Preparedness for One Health Surveillance System: A qualitative in-depth exploration in Gujarat, India 一个卫生监测系统的准备:在印度古吉拉特邦进行质的深入探索
Pub Date : 2025-02-07 DOI: 10.1016/j.ijidoh.2025.100055
Sandul Yasobant , Ravina Tadvi , Deepak B. Saxena

Background

The One Health approach, emphasizing collaboration across human, animal, and environmental health sectors, is recognized as crucial for mitigating zoonotic disease risks. Despite existing human and animal health surveillance systems, operational integration and effective coordination remain challenges. However, the potential for enhancing integrated disease control efforts is promising. Establishing inter-sectoral collaboration is essential for generating early warning signals, conducting joint investigations, and mounting coordinated responses to outbreaks.

Objective

This study aimed to investigate sectoral collaborations within Gujarat's (Western Indian state) disease surveillance system, shedding light on the challenges and opportunities for enhancing integrated disease control efforts from the One Health perspective.

Methods

This qualitative study, conducted in Gujarat, India, from May 2023 to June 2024, employed in-depth interviews as the primary data collection method. The study focused on exploring the unique relationships between human and animal disease surveillance systems and their stakeholders’ with each other at both the state and district levels, providing a comprehensive understanding of the sectoral collaborations.

Result

The study identified huge opportunities to translate the surveillance system towards One Health Surveillance systems by strengthening intersectoral data sharing and reporting portals, as well as integration between health and animal sectors for early warning systems.

Conclusion

By enhancing coordination, investing in resources, and fostering partnerships, the state can build robust mechanisms for timely identification and response to emerging health threats, ultimately safeguarding the well-being of its population from One Health perspective.
“同一个健康”方针强调人类、动物和环境卫生部门之间的合作,被认为对减轻人畜共患疾病风险至关重要。尽管现有人类和动物卫生监测系统,但业务整合和有效协调仍然是挑战。然而,加强综合疾病控制工作的潜力是有希望的。建立部门间协作对于产生早期预警信号、开展联合调查和加强对疫情的协调应对至关重要。本研究旨在调查古吉拉特邦(西印度邦)疾病监测系统内的部门合作,揭示从“一个健康”的角度加强综合疾病控制工作的挑战和机遇。方法本定性研究于2023年5月至2024年6月在印度古吉拉特邦进行,采用深度访谈作为主要数据收集方法。该研究的重点是在州和地区两级探索人类和动物疾病监测系统及其利益攸关方之间的独特关系,从而全面了解部门合作。结果研究发现,通过加强部门间数据共享和报告门户,以及卫生和动物部门之间的早期预警系统整合,将监测系统转变为一个卫生监测系统存在巨大机遇。结论通过加强协调、投资资源和促进伙伴关系,国家可以建立健全的机制,及时识别和应对新出现的健康威胁,最终从“同一个健康”的角度保障其人民的福祉。
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引用次数: 0
Epidemiology of human contacts of equine Hendra virus infection in northern New South Wales, Australia, 2006–2023 2006-2023年澳大利亚新南威尔士州北部马亨德拉病毒感染人类接触者的流行病学
Pub Date : 2025-02-05 DOI: 10.1016/j.ijidoh.2025.100054
Keeley Allen , Genevieve K. O’Neill , Robin Auld , Joanne Taylor , David N. Durrheim

Objectives

Hendra virus is an important zoonotic pathogen in Australia, with widespread presence in flying fox reservoirs and serious health consequences for horses and humans. This study describes the epidemiology of all human contacts of confirmed Hendra virus cases in New South Wales (NSW) to inform future public health responses.

Methods

A cross-sectional study was conducted of all known human contacts in three Local Health Districts in NSW from 2006 to 2023, representing all equine Hendra virus events in NSW to date. Data was extracted from the NSW Notifiable Conditions Information Management System.

Results

A total of 26 equine Hendra events occurred, with 134 human contacts. NSW equine Hendra virus events and associated human contacts predominantly occurred in winter and spring, in part, driven by seasonal variation in flying fox ecology. Human contacts most often reported being owners of the horse or owner’s family members, including the majority (n = 15 of 18, 83 %) of higher-risk contacts. Higher-risk contacts often did not use personal protective equipment (n = 15 of 18, 83 %). No human contacts developed Hendra virus infection during the study period.

Conclusions

Higher-risk human contacts often occurred with limited or no use of personal protective equipment, often in the context of stress and grief for the ill or dead horse, and contrary to biosecurity advice. This study highlights the importance of a One Health approach to understand Hendra virus spillover infection risks in horses and humans and design appropriate, effective prevention measures that address these human behaviors.
目的亨德拉病毒是澳大利亚重要的人畜共患病原体,广泛存在于狐蝠宿主中,对马和人的健康造成严重影响。本研究描述了新南威尔士州(NSW)确诊亨德拉病毒病例的所有人类接触者的流行病学,为未来的公共卫生应对提供信息。方法对2006年至2023年新南威尔士州三个地方卫生区的所有已知人类接触者进行了横断面研究,代表了新南威尔士州迄今为止所有马亨德拉病毒事件。数据来自新南威尔士州应通报条件信息管理系统。结果共发生马亨德拉病例26例,与人接触134例。新南威尔士州马亨德拉病毒事件和相关的人类接触主要发生在冬季和春季,部分原因是由于狐蝠生态的季节性变化。人类接触者通常报告为马的主人或主人的家庭成员,包括大多数(n = 15 / 18,83 %)高风险接触者。高危接触者通常不使用个人防护装备(n = 15 / 18,83 %)。在研究期间,没有人类接触者感染亨德拉病毒。结论在个人防护装备使用有限或不使用的情况下,经常发生高风险的人际接触,通常是在对病马或死马感到压力和悲伤的情况下,与生物安全建议相反。这项研究强调了“同一个健康”方法在了解马和人类中亨德拉病毒外溢感染风险和设计适当、有效的预防措施以解决这些人类行为方面的重要性。
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引用次数: 0
Acute bartonellosis caused by Bartonella quintana in a sheep farmer – An unidentified mode of transmission for ‘trench fever’ 一名养羊农民由金塔纳巴尔通体引起的急性巴尔通体病——一种尚未确定的“沟热”传播模式
Pub Date : 2025-01-22 DOI: 10.1016/j.ijidoh.2025.100053
R. O’Regan , D.M. McGee , J.L. Lambert
Human bartonellosis is an emerging public health concern and remains underreported in the current medical literature. Bartonella species are ubiquitous bacteria implicated in numerous human disease processes globally. We report the case of an immunocompetent Irish agricultural worker who presented with acute bartonellosis following sheep handling. Similar to other case reports [1], this article describes a case of ‘trench fever’ in a human host by an unknown mode of transmission. We describe how diagnosis was made using clinical history taking, serology and histopathology findings.
人类巴尔通体病是一个新兴的公共卫生问题,在目前的医学文献中仍未得到充分报道。巴尔通体是一种普遍存在的细菌,与全球许多人类疾病过程有关。我们报告的情况下,免疫能力爱尔兰农业工人谁提出了急性巴尔通体病后处理羊。与b[1]的其他病例报告类似,本文描述了一个通过未知传播方式在人类宿主中发生的“堑壕热”病例。我们描述了如何使用临床病史,血清学和组织病理学结果进行诊断。
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引用次数: 0
High prevalence and non-suppression of HIV/AIDS in the East and Central African region heightens risk of severe outcomes for Clade I monkeypox virus infection, and may be a driver for subsequent adaptation 在东非和中非地区,艾滋病毒/艾滋病的高流行率和未得到抑制增加了I支猴痘病毒感染严重后果的风险,并可能成为随后适应的驱动因素
Pub Date : 2024-12-02 DOI: 10.1016/j.ijidoh.2024.100050
Henry Kyobe Bosa , Winters Muttamba , Barnabas Bakamutumaho , Edson Rwagasore , John Runumu , Mudarshiru Bbuye , Wilber Sabiiti , Abdul Nyanzi , Jacqueline Weyer , Joel Francis , Ntuli A. Kapologwe , Patrick Katoto , Bruce Kirenga , Misaki Wayengera
In September 2023, a re-emergence of mpox was noted in the province of South Kivu, in DR Congo. So far, active transmission has been reported in 23 of the 26 provinces. Despite localisation within DRC, there are emerging concerns about possibility of cross-border transmission. In this perspective, we highlight the threat posed to HIV positive patients, particularly those with unsuppressed viral loads. We make several prepositions as part of the preparedness and response plans in the countries in the East and Central Africa region. The six prepositions include: 1) operationalize the Joint Africa Task Force for mpox consistent with Kinshasa declaration on mpox, 2) increased surveillance, 3) deployment of point of care diagnostics, 4) targeted reactive vaccination and enhanced antiretroviral therapy of HIV positive patients in areas of active transmission, 5) community engagement, 6) foster capacity building of national rapid response teams in East and Central Africa in mpox care and management through collaboration with DRC counterparts.
2023年9月,刚果民主共和国南基伍省注意到麻疹再次出现。到目前为止,在26个省中的23个省报告了活跃传播。尽管在刚果民主共和国境内存在本地化,但人们对跨境传播的可能性日益感到担忧。从这个角度来看,我们强调对HIV阳性患者构成的威胁,特别是那些未抑制病毒载量的患者。作为东非和中非区域各国防范和应对计划的一部分,我们提出了几个介词。这六个介词包括:1)根据金沙萨关于mpox的宣言建立非洲联合mpox工作队,2)加强监测,3)部署护理点诊断,4)在活跃传播地区有针对性的反应性疫苗接种和加强对艾滋病毒阳性患者的抗逆转录病毒治疗,5)社区参与,6)通过与刚果民主共和国同行合作,促进东非和中非国家快速反应小组在mpox护理和管理方面的能力建设。
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