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Review of science and technology innovation policies in major innovative-oriented countries in response to the COVID-19 pandemic 主要创新型国家应对新冠肺炎大流行的科技创新政策回顾
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-01 DOI: 10.1016/j.bsheal.2022.12.001
Tao Yun

Since the coronavirus disease 2019 (COVID-19) pandemic, major innovative-oriented countries have adopted various science and technology innovation (STI) policies to address global public health challenges. Using data from the Organization for Economic Co-operation and Development STI Database, this study analyzed international STI policies in response to the COVID-19 pandemic. The findings revealed that the pandemic has dramatically stimulated the application of STI policies, and there are commonalities and differences in the STI policies of different countries. Meanwhile, COVID-19 has disrupted planning for allocating resources for STIs, leading to duplication and inefficiency. Based on the findings, this study recommends increasing research investment to address the long-term challenges of major infectious diseases, strengthening support for enterprises, promoting data sharing and openness, enhancing the internationalization of scientific research, strengthening scientific consultation and communication, and devoting more policy attention to vulnerable groups.

自2019冠状病毒病(新冠肺炎)大流行以来,主要创新型国家采取了各种科技创新政策,以应对全球公共卫生挑战。本研究利用经济合作与发展组织科技创新数据库的数据,分析了应对新冠肺炎大流行的国际科技创新政策。研究结果表明,疫情极大地刺激了科技创新政策的应用,不同国家的科技创新政策存在共性和差异。与此同时,新冠肺炎扰乱了为性传播感染分配资源的计划,导致重复和效率低下。基于研究结果,本研究建议增加研究投资以应对重大传染病的长期挑战,加强对企业的支持,促进数据共享和开放,加强科学研究的国际化,加强科学咨询和沟通,并在政策上更多地关注弱势群体。
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引用次数: 1
The prevalence and distribution of aminoglycoside resistance genes 氨基糖苷类耐药基因的流行与分布
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-01 DOI: 10.1016/j.bsheal.2023.01.001
Yuan Zhang , Ning Zhang , Mengyu Wang , Ming Luo , Yao Peng , Zhenpeng Li , Jialiang Xu , Meiling Ou , Biao Kan , Xu Li , Xin Lu

Choosing the appropriate antibiotics to treat bacterial infections has grown more challenging as a result of the emergence of antibiotic-resistant bacteria. Aminoglycosides, as broad-spectrum antibiotics, are increasingly being used clinically; however, for most effective employment of aminoglycosides, a comprehensive understanding of aminoglycoside resistance genes’ prevalence and dissemination is required. Therefore, to better understand the global resistance status of aminoglycoside antibiotics and the prevalence of antibiotic-resistance genes (ARGs) in various bacterial species, this systematic review gathered relevant data from multiple studies. Two primary resistance mechanisms—aminoglycoside enzymatic modification and 16S rRNA methylation—were assessed, and the prevalence of the corresponding ARGs was described. The coexistence of aminoglycoside ARGs with other ARGs was also demonstrated, as was the relationship between aminoglycoside ARGs and resistant phenotypes. The lack of effective therapeutic agents to combat resistant pathogens presents a real threat to public health. The combination of aminoglycosides with other antibiotics may provide a novel treatment strategy.

由于耐抗生素细菌的出现,选择适当的抗生素治疗细菌感染变得更加具有挑战性。氨基糖苷类抗生素作为广谱抗生素在临床上的应用越来越广泛;然而,为了最有效地利用氨基糖苷,需要全面了解氨基糖苷耐药基因的流行和传播。因此,为了更好地了解氨基糖苷类抗生素的全球耐药状况以及各种细菌中抗生素耐药基因(ARGs)的流行情况,本系统综述收集了多项研究的相关数据。评估了两种主要的耐药机制——氨基糖苷酶修饰和16S rRNA甲基化,并描述了相应ARGs的流行情况。氨基糖苷类ARGs与其他ARGs共存,以及氨基糖苷类ARGs与耐药表型之间的关系。缺乏对抗耐药病原体的有效治疗剂对公共卫生构成了真正的威胁。氨基糖苷类与其他抗生素联合使用可能提供一种新的治疗策略。
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引用次数: 4
Temporal dynamics of SARS-CoV-2 genome mutations that occurred in vivo on an aircraft 飞机上体内发生的SARS-CoV-2基因组突变的时间动态
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-01 DOI: 10.1016/j.bsheal.2022.10.004
Yaqing He , Shengyuan Dang , Wentai Ma , Long Chen , Renli Zhang , Shujiang Mei , Xinyi Wei , Qiuying Lv , Bo Peng , Ying Sun , Dongfeng Kong , Jiancheng Chen , Shimin Li , Xiujuan Tang , Qingju Lu , Can Zhu , Zhigao Chen , Jia Wan , Xuan Zou , Mingkun Li , Jianwei Wang

We analyzed variations in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) genome during a flight-related cluster outbreak of coronavirus disease 2019 (COVID-19) in Shenzhen, China, to explore the characteristics of SARS-CoV-2 transmission and intra-host single nucleotide variations (iSNVs) in a confined space. Thirty-three patients with COVID-19 were sampled, and 14 were resampled 3–31 days later. All 47 nasopharyngeal swabs were deep-sequenced. iSNVs and similarities in the consensus genome sequence were analyzed. Three SARS-CoV-2 variants of concern, Delta (n = 31), Beta (n = 1), and C.1.2 (n = 1), were detected among the 33 patients. The viral genome sequences from 30 Delta-positive patients had similar SNVs; 14 of these patients provided two successive samples. Overall, the 47 sequenced genomes contained 164 iSNVs. Of the 14 paired (successive) samples, the second samples (T2) contained more iSNVs (median: 3; 95% confidence interval [95% CI]: 2.77–10.22) than did the first samples (T1; median: 2; 95% CI: 1.63–3.74; Wilcoxon test, P = 0.021). 38 iSNVs were detected in T1 samples, and only seven were also detectable in T2 samples. Notably, T2 samples from two of the 14 paired samples had additional mutations than the T1 samples. The iSNVs of the SARS-CoV-2 genome exhibited rapid dynamic changes during a flight-related cluster outbreak event. Intra-host diversity increased gradually with time, and new site mutations occurred in vivo without a population transmission bottleneck. Therefore, we could not determine the generational relationship from the mutation site changes alone.

我们分析了中国深圳2019冠状病毒病(新冠肺炎)飞行相关集群爆发期间严重急性呼吸综合征冠状病毒2(SARS-CoV-2)基因组的变异,以探索密闭空间中SARS-CoV-2传播和宿主内单核苷酸变异(iSNVs)的特征。对33名新冠肺炎患者进行了采样,并在3–31天后对14名患者进行了重新采样。所有47个鼻咽拭子都进行了深度测序。iSNVs和一致基因组序列的相似性进行了分析。在33名患者中检测到三种严重急性呼吸系统综合征冠状病毒2变异毒株,即德尔塔(n=31)、贝塔(n=1)和C.1.2(n=1。来自30名德尔塔阳性患者的病毒基因组序列具有相似的SNV;其中14名患者提供了两个连续的样本。总的来说,47个测序的基因组包含164个iSNV。在14个配对(连续)样本中,第二个样本(T2)含有比第一个样本更多的iSNV(中位数:3;95%置信区间[95%CI]:2.77–10.22)(T1;中位数:2;95%CI:1.63–3.74;Wilcoxon检验,P=0.021)。T1样本中检测到38个iSNV,T2样本中只有7个也检测到。值得注意的是,来自14个配对样本中的两个的T2样本比T1样本具有额外的突变。严重急性呼吸系统综合征冠状病毒2型基因组的iSNV在与飞行相关的集群爆发事件中表现出快速的动态变化。宿主内多样性随着时间的推移逐渐增加,新的位点突变在体内发生,没有群体传播瓶颈。因此,我们不能仅从突变位点的变化来确定世代关系。
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引用次数: 1
Immunologically effective biomaterials-enhanced vaccines against infection of pathogenic microorganisms 抗病原微生物感染的免疫有效生物材料增强疫苗
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-01 DOI: 10.1016/j.bsheal.2022.11.002
Qi Wei , Shixian Liu , Xu Huang , Hua Xin , Jianxun Ding

Infectious diseases are severe public health events that threaten global health. Prophylactic vaccines have been considered as the most effective strategy to train the immune system to recognize and clear pathogenic infections. However, the existing vaccines against infectious diseases have several limitations, such as difficulties in mass manufacturing and storage, weak immunogenicity, and low efficiency of available adjuvants. Biomaterials, especially functional polymers, are expected to break through these bottlenecks based on the advantages of biocompatibility, degradability, controlled synthesis, easy modification, precise targeting, and immune modulation, which are excellent carriers and adjuvants of vaccines. This review mainly summarizes the application of immunologically effective polymers-enhanced vaccines against viruses- and bacteria-related infectious diseases and predicted their potential improvements.

传染病是威胁全球健康的严重公共卫生事件。预防性疫苗被认为是训练免疫系统识别和清除致病性感染的最有效策略。然而,现有的传染病疫苗存在大量生产和储存困难、免疫原性弱、可用佐剂效率低等局限性。生物材料,特别是功能聚合物,具有生物相容性、可降解性、合成可控、易修饰、精准靶向、免疫调节等优点,是疫苗的优良载体和佐剂,有望突破这些瓶颈。本文主要综述了免疫有效的聚合物增强疫苗在病毒和细菌相关传染病中的应用,并对其未来的发展前景进行了展望。
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引用次数: 3
Editorial note to previously published articles 对以前发表的文章的编辑说明
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.1016/j.bsheal.2023.10.004
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引用次数: 0
Internet of things (IoT) imbedded point-of-care SARS-CoV-2 testing in the pandemic and post-pandemic era 在大流行和大流行后时代,物联网(IoT)嵌入式SARS-CoV-2即时检测
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 DOI: 10.1016/j.bsheal.2022.09.005
Zhaoxi Wang , Simin Liu

The outbreaks of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant in China have revealed a high rate of asymptomatic cases, making isolation and quarantine measures exceedingly difficult. Public health surveillance and intervention measures will require rapid and accurate testing preferably on-site using point-of-care tests (POCTs) technology for SARS-CoV-2 variants. However, delayed and/or inaccurate surveillance data is a major obstacle blocking the large-scale implementation of POCTs in curbing spread of infectious pathogens and reducing mortality during an outbreak. To determine levels of community transmission and timely strategies accordingly, highly sensitive and specific POCT embedded with the internet of things (IoT) technology could enable on-site screening and real-time data collection. A new Rapid Amplification with Sensitivity And Portability point-of-care test (RASAP-POCT) system based on thermal convection PCR is the first IoT-based isothermal nucleic acid amplification POCT, which can provide test results within 20–30 min using saliva and/or nasopharyngeal swab samples without nucleic acid extraction. With the IoT-imbedded feature, the RASAP-POCT system can be integrated easily and smoothly with China’s existing mobile-phone-based contact tracing system, which has previously proved to be highly effective in maintaining the dynamic zero-COVID policy. Current regulatory guidelines and rules should be modified to accelerate the adoption of new technologies under an emergency use authorization (EUA).

中国爆发的严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)染色体变异无症状病例率高,隔离检疫工作非常困难。公共卫生监测和干预措施将需要对SARS-CoV-2变体进行快速和准确的检测,最好是使用即时检测技术进行现场检测。然而,延迟和/或不准确的监测数据是阻碍大规模实施poct以遏制传染性病原体传播和降低疫情期间死亡率的主要障碍。为了确定社区传播水平和相应的及时策略,嵌入物联网(IoT)技术的高灵敏度和特异性POCT可以实现现场筛查和实时数据收集。基于热对流PCR的新型快速扩增(RASAP-POCT)系统是首个基于物联网的等温核酸扩增POCT系统,无需核酸提取,只需唾液和/或鼻咽拭子样品,即可在20-30分钟内提供检测结果。凭借嵌入物联网的特点,RASAP-POCT系统可以轻松、顺畅地与中国现有的基于手机的接触者追踪系统集成,该系统此前已被证明在维护动态零冠政策方面非常有效。应修改现行的监管准则和规则,以加快在紧急使用授权下采用新技术。
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引用次数: 0
Access and benefit-sharing of the pathogenic microorganisms such as SARS-CoV-2 SARS-CoV-2等病原微生物的获取和惠益分享
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 DOI: 10.1016/j.bsheal.2022.05.003
Yalin Zhai , Geng Hong , Mengnan Jiang , Qiang Wei

With the outbreak of coronavirus disease 2019 (COVID-19), it is essential to share pathogens and their data information safely, transparently, and timely. At the same time, it is also worth exploring how to share the benefits of using the provided pathogenic microorganisms fairly and equitably. There are some mechanisms for the management and sharing of pathogenic microbial resources in the world, such as the World Health Organization (WHO), the United States, the Europe, and China. This paper studies these mechanisms and puts forward “PICC” principles, including public welfare principle, interests principle, classified principle, and category principle, to strengthen cooperation, improve efficiency, and maintain biosafety.

随着2019冠状病毒病(COVID-19)的爆发,安全、透明、及时地共享病原体及其数据信息至关重要。同时,如何公平、公正地分享所提供的病原微生物的效益也是值得探讨的问题。病原微生物资源的管理和共享在世界上有一些机制,如世界卫生组织(WHO)、美国、欧洲和中国。本文对这些机制进行了研究,提出了“PICC”原则,包括公益原则、利益原则、分类原则和类别原则,以加强合作,提高效率,维护生物安全。
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引用次数: 0
Integrating research infrastructures into infectious diseases surveillance operations: Focus on biobanks 将研究基础设施纳入传染病监测行动:重点放在生物库上
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 DOI: 10.1016/j.bsheal.2022.10.001
Plebeian B. Medina , Jennifer Kealy , Zisis Kozlakidis

Technological advances in the first two decades of the 21st century have profoundly impacted medical research in many ways, with large population cohorts, biological sample collections and datasets through biobanks becoming valued global resources to guide biomedical research, drug development, and medical practice. However, in order for biobanks to maximize their impact and scientific reach of their resources, they would need to act within a complex network of infrastructures and activities. Therefore, different ways have emerged in which biobanks, including those for infectious diseases, can emerge as (part of) infrastructures, integrate within existing ones, or become an independent, yet an interoperable component of the existing infrastructural landscape. However, there has been a limited understanding and study of such mechanisms to date. This perspective aims to address this knowledge gap and illustrates these three high-level ways in which such infrastructures could integrate their activities and identifies the necessary key pre-conditions for doing so, while drawing from specific examples.

21世纪头二十年的技术进步在许多方面深刻影响了医学研究,通过生物银行收集的大量人口、生物样本和数据集成为指导生物医学研究、药物开发和医疗实践的宝贵全球资源。然而,为了使生物银行最大限度地发挥其影响和其资源的科学覆盖范围,它们需要在一个复杂的基础设施和活动网络中行动。因此,出现了不同的方式,生物库,包括传染病生物库,可以作为基础设施(一部分)出现,与现有基础设施整合,或成为现有基础设施景观的一个独立但可互操作的组成部分。然而,迄今为止,对这种机制的理解和研究有限。这一观点旨在解决这一知识差距,并说明这些基础设施可以整合其活动的三种高级方法,并确定这样做的必要关键先决条件,同时借鉴具体的例子。
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引用次数: 0
Biological characteristics, biosafety prevention and control strategies for the 2022 multi-country outbreak of monkeypox 2022年猴痘多国暴发的生物学特征及生物安全防控策略
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 DOI: 10.1016/j.bsheal.2022.11.001
Chudan Liang , Jun Qian , Linna Liu

Monkeypox is a zoonotic disease caused by the monkeypox virus (MPXV), which is a potential biological warfare agent of bioterrorism and poses the greatest threat to the world’s public biosafety and health after variola virus (VARV). While the coronavirus disease 2019 (COVID-19) pandemic has not ended yet, monkeypox is spreading menacingly. The first case of monkeypox in a nonendemic country was confirmed on May 6th, 2022, while the first imported case from Asia was found on June 21st. There were more than 16 thousand reported cases as of July 23rd, the day the World Health Organization (WHO) declared the global monkeypox outbreak a public health emergency of international concern (PHEIC) at the same level as smallpox and COVID-19; while there were more than 53 thousand cases as of September 1st. Therefore, we will propose relevant biosafety prevention and control strategies after analyzing the etiology of the 2022 multi-country monkeypox outbreak from the biological feature, transmissibility, epidemic, and variability of MPXV.

猴痘是由猴痘病毒(MPXV)引起的人畜共患疾病,是一种潜在的生物恐怖主义生物战剂,是继天花病毒(VARV)之后对世界公共生物安全和健康构成最大威胁的病毒。虽然2019冠状病毒病(COVID-19)大流行尚未结束,但猴痘正在威胁性地传播。非流行国家的首例猴痘病例于2022年5月6日得到确认,而从亚洲输入的首例猴痘病例于6月21日被发现。截至7月23日,即世界卫生组织宣布全球猴痘疫情与天花和COVID-19同级为国际关注的突发公共卫生事件(PHEIC)的当天,已报告病例超过1.6万例;而截至9月1日,已有5.3万多例病例。因此,我们将从MPXV的生物学特征、传播性、流行性和变异性等方面分析2022年猴痘多国暴发的病因,提出相关的生物安全防控策略。
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引用次数: 5
Genome editing and human rights: Implications of the UNGPs 基因组编辑与人权:ungp的影响
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 DOI: 10.1016/j.bsheal.2022.10.002
Leifan Wang , Xiaohui Liang , Weiwen Zhang

How to address the impact of genome editing on human rights is a global challenge. The World Health Organization (WHO) recently developed a governance framework for human genome editing to provide global recommendations for establishing appropriate governance mechanisms for human genome editing. This article suggests that a human rights-respecting approach should be explicitly recognized in the framework and other relevant endeavors. Such recognition has significant implications not only on clarifying the duty of States but also on the responsibility of non-State actors, particularly biotech enterprises, to orient this technology towards respect for human rights. To implement this approach, the United Nations Guiding Principles on Business and Human Rights (UNGPs) provide helpful guidance for States, biotech enterprises, and other stakeholders to raise awareness and enhance responsible practices in the field.

如何应对基因组编辑对人权的影响是一项全球性挑战。世界卫生组织(世卫组织)最近制定了人类基因组编辑治理框架,为建立适当的人类基因组编辑治理机制提供全球建议。本文建议在框架和其他相关努力中明确承认尊重人权的方法。这种承认不仅对澄清国家的义务,而且对澄清非国家行为者,特别是生物技术企业使这种技术面向尊重人权的责任具有重大影响。为落实这一方针,《联合国工商业与人权指导原则》为各国、生物技术企业和其他利益攸关方提供了有益的指导,以提高认识并加强该领域的负责任做法。
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引用次数: 1
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