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The enigma of the 1889 Russian flu pandemic: A coronavirus? 1889年俄罗斯流感大流行之谜:冠状病毒?
IF 2.7 3区 医学 Q3 Medicine Pub Date : 2022-09-01 DOI: 10.1016/j.lpm.2022.104111
Patrick Berche

The “Russian flu”, which raged from 1889 to 1894, is considered as the first pandemic of the industrial era for which statistics have been collected. This planetary event started in Turkestan and hit the Russian Empire, before reaching all European countries, the United States of America, and the whole world. Contemporaries were surprised by its high contagiousness as evidenced by attack rates averaging 60% in urban populations, its rapid spread in successive waves circling the globe in a few months by rail and sea, and the tendency of the disease to relapse. Despite its low case-fatality rate (0.10%-0.28%), it is estimated to have caused one million deaths worldwide. On serological grounds, it is generally accepted that the causative agent of Russian influenza was Myxovirus influenzae, the virus identified for all influenza pandemics since the “Spanish flu” of 1918. In light of the Covid-19 pandemic, which has underscored the extraordinary epidemic potential of coronaviruses, this assumption has recently been questioned. Coronaviruses come from wild reservoirs (bats, rodents, birds, …). They induce respiratory symptoms mimicking influenza, possibly leading to respiratory distress with pneumonia. In addition to the Covid-19 pandemic, recent deadly and limited epidemics, such as SARS in 2002 and MERS in 2012, have occurred. Russian influenza presented as an influenza-like syndrome with clinical peculiarities (multivisceral and neurological involvement, skin rash, early iterative relapses), evoking some particularities of Covid-19. Four other coronaviruses circulating in the human population for decades (HCoV-229E, HCoV-NL63, HCoV-OC43, HCoV-HKU1) have been found to be responsible for 15 to 30% of seasonal colds. All of these viruses are of animal origin. Recently, phylogenetic studies have revealed the genetic proximity between a bovine coronavirus BCoV and the human virus HCoV-OC43, indicating that the latter emerged around 1890, at the time of the Russian flu, when an epizootic was raging among cattle throughout Europe. Could the current human virus be the attenuated remnant that appeared after the Russian flu in 1894? Was there a coronavirus pandemic before Covid-19 ?

从1889年到1894年肆虐的“俄罗斯流感”被认为是工业时代第一次有统计数据的大流行。这一行星事件始于土耳其斯坦,袭击了俄罗斯帝国,然后到达所有欧洲国家、美利坚合众国和全世界。当时的人们对它的高传染性感到惊讶,城市人口的平均发病率为60%,它在几个月内通过铁路和海上连续几波快速传播,并有复发的趋势。尽管病死率很低(0.10%-0.28%),但据估计在全世界已造成100万人死亡。从血清学角度来看,人们普遍认为俄罗斯流感的病原体是黏液病毒流感,自1918年“西班牙流感”以来,所有流感大流行都是这种病毒引起的。鉴于Covid-19大流行凸显了冠状病毒的非凡流行潜力,这一假设最近受到质疑。冠状病毒来自野生宿主(蝙蝠、啮齿动物、鸟类等)。它们会引起类似流感的呼吸道症状,可能导致肺炎的呼吸窘迫。除了Covid-19大流行之外,最近也发生了致命和有限的流行病,如2002年的SARS和2012年的中东呼吸综合征。俄罗斯流感表现为一种流感样综合征,具有临床特点(多内脏和神经系统受累、皮疹、早期反复复发),令人想起Covid-19的一些特点。在人群中传播了几十年的其他四种冠状病毒(HCoV-229E、HCoV-NL63、HCoV-OC43、HCoV-HKU1)已被发现是造成15%至30%季节性感冒的原因。所有这些病毒都来自动物。最近,系统发育研究揭示了牛冠状病毒BCoV与人类病毒HCoV-OC43之间的遗传接近性,表明后者出现在1890年左右,当时俄罗斯流感爆发,当时动物流行病在整个欧洲的牛中肆虐。现在的人类病毒可能是1894年俄罗斯流感后出现的减毒残余病毒吗?在Covid-19之前有冠状病毒大流行吗?
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引用次数: 15
Covid-19, an unfinished story Covid-19,一个未完成的故事
IF 2.7 3区 医学 Q3 Medicine Pub Date : 2022-09-01 DOI: 10.1016/j.lpm.2022.104131
Yves Buisson

The Covid-19 pandemic appeared in China in December 2019 as a cluster of transmissible pneumonia caused by a new betacoronavirus. On March 11, 2020, the World Health Organization (WHO) declared it a pandemic. Covid-19 is a mild infection in 80% of cases, serious in 15% and critical in 5%. Symptomatic forms include a first phase of flu-like viral invasion, and at times a second phase, dysimmune and inflammatory, with acute respiratory distress syndrome, multiorgan failure and thromboembolic complications. Degree of severity is related to age and comorbidities.

SARS-CoV-2 is the third highly pathogenic Betacoronavirus to cross the species barrier. Its genome, an RNA of 29,903 nucleotides, shows strong homogeneity with bat coronaviruses from southern China, but the conditions for its passage in humans have yet to be elucidated. Mutations can give rise to variants of concern (VOC) that are more transmissible and able to evade the host's immune response. Several VOCs have succeeded and replaced one another: Alpha in October 2020, Beta and Gamma in December 2020, Delta in spring 2021 and Omicron in November 2021. The Covid-19 pandemic has evolved in five waves of unequal amplitude and severity, with geographical disparities. Worldwide, it has caused 395,000,000 confirmed cases including 5,700,000 deaths.

Epidemiological surveillance applies several indicators (incidence rate, test positivity rate, effective R and occupancy rate of intensive care beds) supplemented by genomic monitoring to detect variants by sequencing.

Non-pharmacological measures, particularly face mask wearing, have been effective in preventing the transmission of SARS-CoV-2. Few currently available drugs have proven useful, with the exception of dexamethazone for patients requiring oxygen therapy. Development of SARS-CoV-2 vaccines began early on many platforms. Innovation was brought about by the Pfizer-BioNTech and Moderna messenger RNA vaccines, which claim protective efficacy of 95% and 94.1% respectively, far higher than the 70% minimum set by the WHO.

Governments have hesitated between two strategies, mitigation and suppression. The second has been favored in critical periods such as April 2020, when 2.5 billion people throughout the world were confined. Vaccination campaigns got underway at the end of December 2020 and progressed without reaching sufficient herd immunity, leading some nations to consider compulsory vaccination or to require a vaccine or health pass, in order for persons to access different activities.

Will the pandemic stop with Omicron and become endemic? This part of the Covid-19 story remains to be told.

2019年12月,新冠肺炎大流行以新型冠状病毒引起的聚集性传染性肺炎出现在中国。2020年3月11日,世界卫生组织(世卫组织)宣布其为大流行。80%的病例为轻度感染,15%为重症感染,5%为危重感染。症状形式包括第一阶段流感样病毒入侵,有时第二阶段免疫功能障碍和炎症,伴有急性呼吸窘迫综合征、多器官衰竭和血栓栓塞并发症。严重程度与年龄和合并症有关。SARS-CoV-2是第三种跨越物种屏障的高致病性乙型冠状病毒。它的基因组RNA有29903个核苷酸,与来自中国南方的蝙蝠冠状病毒具有很强的同质性,但其在人类中的传播条件尚未阐明。突变可引起关注变异(VOC),这种变异更具传染性,能够逃避宿主的免疫反应。一些VOCs已经成功地取代了彼此:Alpha在2020年10月,Beta和Gamma在2020年12月,Delta在2021年春季,Omicron在2021年11月。Covid-19大流行已演变成五波振幅和严重程度不等的大流行,存在地域差异。在世界范围内,它已造成3.95亿确诊病例,其中570万人死亡。流行病学监测采用几种指标(发病率、检测阳性率、有效R和重症监护床位占用率),辅以基因组监测,通过测序检测变异。非药物措施,特别是戴口罩,在防止SARS-CoV-2传播方面是有效的。除了需要氧疗的患者使用地塞米松外,目前可用的药物很少被证明是有用的。在许多平台上,SARS-CoV-2疫苗的开发很早就开始了。辉瑞- biontech和Moderna信使RNA疫苗带来了创新,它们分别声称保护效力为95%和94.1%,远远高于世界卫生组织规定的70%的最低限度。各国政府在缓解和抑制两种战略之间犹豫不决。第二种方法在关键时期受到青睐,比如2020年4月,当时全球有25亿人被隔离。疫苗接种运动于2020年12月底开始,但进展没有达到足够的群体免疫力,导致一些国家考虑强制接种疫苗或要求接种疫苗或健康通行证,以便人们参加不同的活动。大流行是否会随着欧米克隆而停止并成为地方病?Covid-19故事的这一部分仍有待讲述。
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引用次数: 7
Yellow fever: A brief history of a tropical Virosis 黄热病:一种热带病毒病简史
IF 2.7 3区 医学 Q3 Medicine Pub Date : 2022-09-01 DOI: 10.1016/j.lpm.2022.104132
Francois Rodhain

Yellow fever is a zoonotic arbovirosis, the agent of which is transmitted by mosquitoes. In humans, this virus can cause hemorrhagic hepato-nephritis, while mild or inapparent infections are common.

The catastrophic epidemics that occurred, mainly in the 18th and the 19th centuries, in Latin America and the United States as well as in the port cities of West Africa and Europe, had considerable demographic, socio-economic and political repercussions.

The viral nature of the infectious agent and its transmission by the Aedes aegypti mosquito, previously suspected by Beauperthuy, were demonstrated by Carlos Finlay in 1881 and confirmed by the American Commission led by Walter Reed in Havana in 1900 and by the French Commission led by Emile Marchoux in Rio de Janeiro in 1901-1905. The control of Ae. aegypti could then be implemented effectively.

It was only in 1927 that the yellow fever virus was isolated in Africa, its continent of origin, by French researchers from the Pasteur Institute in Dakar and by the American and English teams of the Rockefeller Foundation. Soon after, epidemiologists realized that there were forest cycles of the virus, involving monkeys and vectors other than Ae. aegypti, and consequently recognized the existence of a wild reservoir of the virus.

Once the virus was isolated, work on vaccine development could begin. This research was carried out by the Institut Pasteur in Dakar and by the Rockefeller Foundation. The two teams succeeded in obtaining two live vaccines conferring excellent and long-lasting protection: the neurotropic "Dakar" vaccine (1934) and the "Rockefeller" 17D vaccine (1937), which was better tolerated.

From then on, the fight against of yellow fever involved entomological control and vaccine protection, and it was a huge success until the 1960s. Unfortunately, the control programs were gradually reduced, and in some countries terminated. This resulted in the return of Ae. aegypti in urban areas and in insufficient vaccination coverage. Risks of epidemics reappeared, in Latin America as well as Africa.

In the early 21st century, epidemiologists are worried about these resurgences, especially since we still have no indisputable explanation for the absence of the disease on the Asian continent. Obviously, yellow fever is not a disease of the past.

黄热病是一种人畜共患虫媒病毒病,其病原体由蚊子传播。在人类中,这种病毒可引起出血性肝肾炎,而轻微或不明显的感染是常见的。主要在18世纪和19世纪在拉丁美洲和美国以及西非和欧洲的港口城市发生的灾难性流行病,在人口、社会经济和政治方面产生了相当大的影响。传染媒介的病毒性质及其由埃及伊蚊传播,先前被Beauperthuy怀疑,由Carlos Finlay于1881年证明,1900年由Walter Reed领导的美国委员会在哈瓦那证实,1901-1905年由Emile Marchoux领导的法国委员会在里约热内卢证实。控制伊蚊。这样埃及伊蚊就可以得到有效的实施。直到1927年,达喀尔巴斯德研究所的法国研究人员和洛克菲勒基金会的英美研究小组才在其发源地非洲分离出黄热病病毒。不久之后,流行病学家意识到该病毒存在森林循环,涉及猴子和伊蚊以外的媒介。埃及伊蚊,从而认识到该病毒存在一个野生宿主。一旦病毒被分离出来,疫苗开发工作就可以开始了。这项研究是由达喀尔的巴斯德研究所和洛克菲勒基金会进行的。这两个小组成功地获得了两种具有优良和持久保护作用的活疫苗:促神经的"达喀尔"疫苗(1934年)和耐受性较好的"洛克菲勒" 17D疫苗(1937年)。从那时起,与黄热病的斗争涉及昆虫控制和疫苗保护,直到20世纪60年代,它都取得了巨大的成功。不幸的是,控制方案逐渐减少,并在一些国家终止。这导致了Ae的回归。城市地区的埃及伊蚊和疫苗接种覆盖率不足。流行病的危险在拉丁美洲和非洲重新出现。在21世纪初,流行病学家对这些死灰复燃感到担忧,特别是因为我们仍然没有对亚洲大陆上没有这种疾病的无可争议的解释。显然,黄热病不是一种过去的疾病。
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引用次数: 3
The Spanish flu 西班牙流感
IF 2.7 3区 医学 Q3 Medicine Pub Date : 2022-09-01 DOI: 10.1016/j.lpm.2022.104127
Patrick Berche

The Spanish flu occurred at the end of the First world war, in disastrous epidemiological conditions on populations exhausted by four years of war. At that time, there were no vaccines, no antibiotics, no oxygen and no resuscitation. It was even thought that the infectious agent was a bacterium. Humanity was poorly equipped to fight against a pandemic that caused 50–100 million deaths. The first palpable signs of the outbreak were the rapidly spreading multiple epidemics among young recruits in the American military training camps in March 1918. The flu then spread to the civilian populations and circled the globe twice, sparing no country, even the most remote islands, in tropical as well as polar climates, evolving in successive waves up until April 1919. The first was mild (lethality 0.21%), the second was lethal (lethality 2–4%), and during the third wave, lethality declined (1%), after which the flu became seasonal, with low lethality (0.1%). Between 20 and 40 years of age, patients often died within a few days of pneumonia, with respiratory distress leading to cyanosis, frequently associated with bacterial superinfection. The influenza virus, Myxovirus influenzae, was first discovered in 1931 by Richard Shope in pigs, and then in 1933 by Wilson Smith, Patrick Laidlaw and Christopher Andrews in humans during a seasonal influenza epidemic in London. In 1943, it was first observed under the electron microscope. Hemagglutinin and neuraminidase, the two main virulence factors, were discovered in the 1940s by George Hirst and Alfred Gottschalk. An RNA virus composed of 13,500 nucleotides in eight segments, it was initially sequenced in the 1980s, when Jeffrey Taubenberger determined the complete nucleotide sequence of the 1918 virus from lung tissue samples from patients who died of influenza. The 1918 H1N1 virus was found to have originated in birds. In 2005, it was successfully resuscitated in cell culture. It is 40,000 times more virulent in primates than the seasonal H1N1 virus. The lethality of the second wave could have been due to mutations in the hemagglutinin H1 gene, which would have resulted in a stronger affinity for α,2–6 galactose sialic acids, the virus' receptors on human epithelial cells. That said, the origin of the Spanish flu virus remains controversial. It probably emerged and circulated in the population before March 1918 in America, although European origin has also been evoked. The high mortality in the 20–40 age group remains an enigma. Some experts point to reduced immune response in patients previously exposed to related viral hemagglutinins during the 1889 pandemic. In any event, even though it concerns a markedly different virus, the history of the Spanish flu sheds light on the difficulties of management during today's pandemic.

西班牙流感发生在第一次世界大战结束时,在因四年战争而疲惫不堪的人口中造成了灾难性的流行病。当时,没有疫苗,没有抗生素,没有氧气,也没有复苏。甚至有人认为传染源是一种细菌。人类在抗击造成5000万至1亿人死亡的大流行病方面装备不足。爆发的第一个明显迹象是1918年3月在美国军事训练营的年轻新兵中迅速蔓延的多种流行病。随后,流感向平民人群传播,两次环绕全球,没有一个国家幸免,即使是最偏远的岛屿,在热带和极地气候下,直到1919年4月,一波接一波地演变。第一次是轻微的(致死率0.21%),第二次是致命的(致死率2-4%),在第三波期间,致死率下降(1%),之后流感成为季节性流感,致死率低(0.1%)。在20至40岁之间,患者通常在肺炎后几天内死亡,呼吸窘迫导致发绀,通常与细菌重复感染有关。1931年,理查德·肖普首先在猪身上发现了流感黏液病毒,1933年,在伦敦季节性流感流行期间,威尔逊·史密斯、帕特里克·莱德劳和克里斯托弗·安德鲁斯在人类身上发现了流感黏液病毒。1943年,人们首次在电子显微镜下观察到它。血凝素和神经氨酸酶是20世纪40年代由乔治·赫斯特和阿尔弗雷德·戈特沙尔克发现的两种主要毒力因子。这是一种由8段13500个核苷酸组成的RNA病毒,最初是在20世纪80年代测序的,当时杰弗里·陶本伯格(Jeffrey Taubenberger)从死于流感的患者的肺组织样本中确定了1918年病毒的完整核苷酸序列。1918年H1N1病毒被发现起源于禽类。2005年,它在细胞培养中成功复苏。它对灵长类动物的毒性是季节性H1N1病毒的4万倍。第二波的致命性可能是由于血凝素H1基因的突变,这可能导致病毒对人类上皮细胞上的α, 2-6半乳糖唾液酸具有更强的亲和力。尽管如此,西班牙流感病毒的起源仍然存在争议。它可能在1918年3月之前在美国出现并在人群中传播,尽管欧洲的起源也被唤起。20-40岁年龄组的高死亡率仍然是个谜。一些专家指出,1889年流感大流行期间,先前接触过相关病毒血凝素的患者免疫反应降低。无论如何,尽管它涉及的是一种明显不同的病毒,但西班牙流感的历史揭示了在今天的大流行期间管理的困难。
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引用次数: 7
History of prevention, diagnosis, treatment and rehabilitation of pulmonary sequelae of tuberculosis 肺结核肺后遗症的预防、诊断、治疗及康复史
IF 2.7 3区 医学 Q3 Medicine Pub Date : 2022-09-01 DOI: 10.1016/j.lpm.2022.104112
Giovanni Battista Migliori , Jose’ Caminero Luna , Xhevat Kurhasani , Martin van den Boom , Dina Visca , Lia D'Ambrosio , Rosella Centis , Simon Tiberi

Tuberculosis (TB), known as the White Plague’ is of great significance to humanity for the magnitude of morbidity and mortality it has generated over centuries from the very start of human civilization. In this Review, we will describe the history of prevention (vaccination and management of TB infection), diagnosis, treatment and pulmonary rehabilitation of post-treatment sequelae. The article leads the reader through the main discoveries which paved the way to the modern approach to TB prevention and care. The history of Bacille Calmette-Guérin (BCG) vaccine and of the diagnosis and treatment of TB infection are presented, together with that of diagnosis and treatment of TB disease. Pivotal was in 1882 the discovery by Robert Koch of the aetiological agent of TB, and his pioneering work in culturing the bacillus and developing tuberculin. Also of enormous importance was, in 1895, the discovery of the X-rays by Wilhelm Conrad Röntgen, discovery which paved the way to the development of the modern imaging technologies.

To complement this, the more recent history of rehabilitation of post-treatment sequelae is summarized, given the importance this issue has on patients’ wellbeing and Quality of Life.

被称为“白色鼠疫”的结核病对人类具有重大意义,因为从人类文明开始的几个世纪以来,它就造成了巨大的发病率和死亡率。在这篇综述中,我们将描述结核病的预防史(疫苗接种和结核病感染的管理)、诊断、治疗和治疗后后遗症的肺部康复。这篇文章引导读者了解为结核病预防和治疗的现代方法铺平道路的主要发现。本文介绍了卡介苗的历史、结核病感染的诊断和治疗以及结核病的诊断和治疗。关键是1882年罗伯特·科赫发现了结核病的病原,他在培养芽孢杆菌和开发结核菌素方面做了开创性的工作。同样非常重要的是,在1895年,威廉·康拉德发现了x射线Röntgen,这一发现为现代成像技术的发展铺平了道路。为了补充这一点,鉴于这一问题对患者的健康和生活质量的重要性,总结了治疗后后遗症的近期康复史。
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引用次数: 9
History of measles 麻疹病史
IF 2.7 3区 医学 Q3 Medicine Pub Date : 2022-09-01 DOI: 10.1016/j.lpm.2022.104149
Patrick Berche

Measles is a highly contagious viral disease transmitted by aerosols through human-to-human contact. It is often considered as a benign disease, although mortality remains high in developing countries (>5%). Frequent complications (diarrhea, otitis, pneumonia, encephalitis) can be observed. The disease mainly affects young children from 5 to 6 months of age with a mortality peak in the first three years of life. The Persian physician Rhazes gave the first clinical description of the disease in the 10th century, clearly differentiating it from smallpox. Measles spread worldwide from the Renaissance. Its epidemiology was remarkably studied in 1846 by a Danish physician, Peter Panum, during an epidemic in the Faroe Islands. The viral nature of this disease was demonstrated in 1911 and the virus was identified in 1954 by Thomas Peebles and John Enders. It is a morbillivirus (family Paramyxoviridae), also responsible for rinderpest (ovine, bovine), distemper (canine, feline), and epidemic diseases of dolphins, porpoises and seals. The current measles virus appeared recently from the rinderpest virus around the 6th century BCE. It has adapted perfectly to the human species, becoming strictly human, without animal reservoirs. A live attenuated vaccine was developed in 1958 by Enders' team after numerous passages in cell cultures. The vaccine was licensed in the United States in 1963 and is used on a large scale by the WHO throughout the world. This highly effective and well-tolerated vaccine has greatly reduced the number of measles cases and saved millions of lives. Measles remains a major public health concern, causing over 100,000 deaths per year worldwide. Today, the most affected continents remain Africa, South America and Asia.

麻疹是一种高度传染性的病毒性疾病,通过气溶胶通过人与人之间的接触传播。它通常被认为是一种良性疾病,尽管在发展中国家死亡率仍然很高(5%)。可观察到常见的并发症(腹泻、中耳炎、肺炎、脑炎)。该病主要影响5至6个月大的幼儿,在生命的头三年死亡率最高。波斯医生Rhazes在10世纪首次对该病进行了临床描述,明确地将其与天花区分开来。麻疹从文艺复兴开始在世界范围内传播。1846年,丹麦医生彼得·帕努姆在法罗群岛流行期间,对其流行病学进行了引人注目的研究。1911年证实了这种疾病的病毒性质,1954年托马斯·皮布尔斯和约翰·恩德斯发现了这种病毒。它是一种麻疹病毒(副粘病毒科),也导致牛瘟(羊、牛)、犬瘟热(犬、猫)以及海豚、鼠海豚和海豹的流行病。目前的麻疹病毒最近出现于公元前6世纪左右的牛瘟病毒。它已经完美地适应了人类,成为严格意义上的人类,没有动物宿主。恩德斯的团队在细胞培养中进行了多次传代后,于1958年研制出一种减毒活疫苗。该疫苗于1963年在美国获得许可,并被世界卫生组织在世界范围内大规模使用。这种高效且耐受性良好的疫苗大大减少了麻疹病例的数量,挽救了数百万人的生命。麻疹仍然是一个主要的公共卫生问题,每年在全世界造成10万多人死亡。今天,受影响最严重的大陆仍然是非洲、南美洲和亚洲。
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引用次数: 4
A brief history of malaria 疟疾的简史
IF 2.7 3区 医学 Q3 Medicine Pub Date : 2022-09-01 DOI: 10.1016/j.lpm.2022.104130
François Nosten , Dominique Richard-Lenoble , Martin Danis

For millions of years, invertebrates and malaria parasites have coexisted and to date, malaria remains the most important human parasitic disease. This co-evolution had profound impacts on the movements of early hominids and on the genome of modern humans. Over the past two centuries, progress has been made with the discovery of the parasite, its transmission, and medicines, paving the way to the control of the disease and its elimination in some countries. However, the Plasmodium parasite is a formidable foe capable of developing resistance to drugs, and the mosquito vector has adapted to insecticides, foiling all attempts to eradicate the disease. Over recent years the economic and social costs of malaria have been recognized and more funds have been mobilized than ever before, however further efforts are needed. National programs, international institutions and researchers will need to do better if the preventable deaths of hundreds of thousands of mostly African children are to be averted.

数百万年来,无脊椎动物和疟疾寄生虫一直共存,迄今为止,疟疾仍然是最重要的人类寄生虫病。这种共同进化对早期原始人的活动和现代人的基因组产生了深远的影响。在过去的两个世纪里,随着寄生虫的发现、其传播和药物的使用,已经取得了进展,为在一些国家控制和消除这种疾病铺平了道路。然而,疟原虫是一个强大的敌人,能够对药物产生抗药性,蚊子载体已经适应了杀虫剂,挫败了所有根除这种疾病的尝试。近年来,人们认识到疟疾的经济和社会代价,并比以往调动了更多的资金,但还需要进一步努力。国家项目、国际机构和研究人员需要做得更好,才能避免成千上万的可预防的死亡,其中大多数是非洲儿童。
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引用次数: 6
History of the plague of 1720-1722, in Marseille 1720-1722年马赛瘟疫的历史
IF 2.7 3区 医学 Q3 Medicine Pub Date : 2022-09-01 DOI: 10.1016/j.lpm.2022.104138
Michel Signoli

The plague epidemic of 1720-1722 had a profound effect on the history of the city of Marseille. A subject of numerous scientific studies and a source of inspiration for novels, one of the last great European epidemics is well-documented. In this article, we have sought to draw on the numerous documents left by the administrative services of the time or by the writings of survivors recounting their vision of the situation. We have completed this historical approach by referring to the study of mass graves of plague victims and will show how the simultaneous reading of two types of archives (historical and biological) can provide better anthropological knowledge of epidemic phenomena. The perspectives of interdisciplinary approaches to past infectious diseases are numerous, notably with the contributions of paleomicrobiology and genomics, and are particularly relevant today's health context.

1720-1722年的瘟疫对马赛市的历史产生了深远的影响。作为众多科学研究的主题和小说的灵感来源,欧洲最后一次伟大的流行病之一有充分的记录。在这篇文章中,我们试图利用当时的行政部门留下的大量文件或幸存者叙述他们对局势的看法的著作。我们通过对鼠疫受害者万人坑的研究完成了这种历史方法,并将展示同时阅读两种类型的档案(历史和生物)如何能够提供更好的流行病现象的人类学知识。对过去传染病的跨学科方法的观点很多,特别是古微生物学和基因组学的贡献,并且与今天的健康背景特别相关。
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引用次数: 3
Life and death of smallpox 天花的生死
IF 2.7 3区 医学 Q3 Medicine Pub Date : 2022-09-01 DOI: 10.1016/j.lpm.2022.104117
Patrick Berche

Smallpox is an ancient scourge known since the Antiquity. It is caused by a highly contagious airborne poxvirus. This strictly human disease exists in two forms: variola major (Asian smallpox) with mortality of 20–45%, and an attenuated form called variola minor or alatrim with mortality of 1–2%, which only recently appeared in Europe and America towards the end of the 19th century. The first smallpox pandemic was the "Antonine plague", which swept through the Roman Empire in the 2nd century AD, after which smallpox became endemic in the Old World, causing seasonal and regional epidemics in Europe, affecting mostly young children until the 19th century. The discovery of the New World in 1492 and the opening of the African slave trade favored in 1518 the contamination by smallpox of the native Amerindian populations, who were massively decimated during the following centuries. In the absence of any effective treatment, preventive methods were developed from the 18th century. First, variolation was used, a dangerous procedure that consists in inoculating intradermally a small quantity of virus from convalescent patients. In the early 19th century, Edward Jenner popularized the practice of inoculating cowpox, a mild cow disease. This procedure proved to be very effective and relatively safe, leading to the decline of smallpox during the 19th century. In the 20th century, a ten-year WHO vaccination campaign led to the total eradication of smallpox in 1977. During that century, smallpox caused an estimated 300–500 million deaths worldwide. Using molecular approach, it has been discovered that the smallpox virus emerged 3000–4000 years ago in East Africa and is closely related to the taterapox virus from African gerbils and to the camelpox virus, which causes variola in camelids. Today, smallpox virus strains are stored in freezers at the CDC in Atlanta and at the Vector Center in Koltsovo, Siberia. That is why smallpox remains a potential threat to the highly susceptible human species, as a result of an accident or malicious use of the virus as a biological weapon.

天花是一种自古以来就为人所知的古老祸害。它是由空气传播的高度传染性痘病毒引起的。这种严格意义上的人类疾病存在两种形式:大天花(亚洲天花),死亡率为20-45%,以及一种被称为小天花或小天花的减毒形式,死亡率为1-2%,直到19世纪末才在欧洲和美洲出现。第一次天花大流行是公元2世纪席卷罗马帝国的“安东尼瘟疫”,此后天花成为旧世界的地方病,在欧洲引起季节性和区域性流行病,直到19世纪主要影响幼儿。1492年新大陆的发现和非洲奴隶贸易的开放使得1518年美洲印第安人感染了天花,在接下来的几个世纪里,美洲印第安人大量死亡。在没有任何有效治疗的情况下,人们从18世纪开始开发了预防方法。首先,使用了免疫接种,这是一种危险的程序,它包括从恢复期患者身上接种少量病毒。19世纪初,爱德华·詹纳推广了牛痘疫苗接种的做法,牛痘是一种轻微的牛病。这种方法被证明是非常有效和相对安全的,导致了19世纪天花的减少。20世纪,世卫组织开展了为期十年的疫苗接种运动,于1977年彻底消灭了天花。在那个世纪,天花在全世界造成了大约3 - 5亿人死亡。利用分子方法,已经发现天花病毒在3000-4000年前出现在东非,与非洲沙鼠的天花病毒和引起骆驼天花的骆驼痘病毒密切相关。今天,天花病毒株被储存在亚特兰大疾病预防控制中心和西伯利亚科尔佐沃病媒中心的冰柜里。这就是为什么天花仍然是对高度易感的人类物种的潜在威胁,这是由于事故或恶意将该病毒用作生物武器造成的。
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引用次数: 8
HIV / AIDS as a model for emerging infectious disease: Origin, dating and circumstances of an emblematic epidemiological success 艾滋病毒/艾滋病作为新发传染病的典范:具有象征意义的流行病学成功的起源、时间和情况
IF 2.7 3区 医学 Q3 Medicine Pub Date : 2022-09-01 DOI: 10.1016/j.lpm.2022.104128
Francis Barin

In June 1981, the Centers for Disease Control (CDC) "Morbidity and Mortality Weekly Report" described the first cases of what was to be known as the Acquired Immunodeficiency Syndrome (AIDS). Two years later, the agent responsible for the disease, the human immunodeficiency virus (HIV), was identified. Since then, according to the World Health Organization an estimated 40 million people have died from the disease. Where does this virus come from, and why such an emergence in the late 20th century? These are the questions that it is now possible to answer in large part thanks to the numerous studies published over a little more than three decades. As with other emerging infectious diseases, initial cross-species transmission from an animal reservoir and subsequent favorable sociological factors associated with the evolution of human societies have led to the spread of a dramatic disease, for which no vaccine is presently available.

1981年6月,疾病控制中心(CDC)《发病率和死亡率周报》描述了后来被称为获得性免疫缺陷综合症(艾滋病)的第一批病例。两年后,导致这种疾病的病原体——人类免疫缺陷病毒(HIV)被确定。据世界卫生组织估计,自那时以来,已有4000万人死于这种疾病。这种病毒来自哪里,为什么在20世纪末出现?这些问题现在有可能得到回答,这在很大程度上要归功于30多年来发表的大量研究。与其他新出现的传染病一样,最初来自动物宿主的跨物种传播以及随后与人类社会进化相关的有利社会因素导致了这种严重疾病的传播,目前尚无疫苗可用。
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引用次数: 3
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