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Vaccinia virus viability under different environmental conditions and different disinfectants treatment 不同环境条件和不同消毒剂处理下的疫苗病毒活力
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-01 DOI: 10.1016/j.bsheal.2023.12.005
Shan Mei , Liang Wei , Yu Xie , Fei Zhao , Yu Huang , Zhangling Fan , Yamei Hu , Liming Wang , Lingwa Wang , Ying Wang , Fengwen Xu , Fei Guo

Monkeypox (mpox) outbreak in 2022 has caused more than 91,000 cases, has spread to 115 countries, regions, and territories, and has thus attracted much attention. The stability of poxvirus particles in the environment is recognized as an important factor in determining their transmission. However, few studies have investigated the persistence of poxviruses on material surfaces under various environmental conditions, and their sensitivity to biocides. Here, we systematically measured the stability of vaccinia virus (VACV) under different environmental conditions and sensitivity to inactivation methods via plaque assay, quantitative real-time polymerase chain reaction (qPCR), and Gaussia luciferase (G-luciferase) reporter system. The results show that VACV is stable on the surface of stainless steel, glass, clothing, plastic, towel, A4 paper, and tissue and persists much longer at 4 °C and −20 °C, but is effectively inactivated by ultraviolet (UV) irradiation, heat treatment, and chemical reagents. Our study raises the awareness of long persistence of poxviruses in the environment and provides a simple solution to inactivate poxviruses using common disinfectants, which is expected to help the control and prevention of mpox virus and future poxvirus outbreaks.

2022 年爆发的猴痘疫情已造成 91,000 多例病例,波及 115 个国家、地区和领土,因而备受关注。痘病毒颗粒在环境中的稳定性被认为是决定其传播的重要因素。然而,很少有研究调查痘病毒在各种环境条件下在材料表面的持久性及其对杀菌剂的敏感性。在此,我们通过斑块检测法、定量实时聚合酶链反应(qPCR)和高斯荧光素酶(G-luciferase)报告系统,系统地测定了疫苗病毒(VACV)在不同环境条件下的稳定性以及对灭活方法的敏感性。结果表明,VACV 在不锈钢、玻璃、衣服、塑料、毛巾、A4 纸和纸巾表面都很稳定,在 4 ℃ 和 -20 ℃ 下的存活时间更长,但紫外线(UV)照射、热处理和化学试剂都能有效灭活。我们的研究提高了人们对痘病毒在环境中长期存活的认识,并提供了一种使用普通消毒剂灭活痘病毒的简单解决方案,有望帮助控制和预防痘病毒和未来痘病毒的爆发。
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引用次数: 0
Preparation and immunoprotective effects of a virus-like particle candidate vaccine of the dominant epidemic D3 genotype coxsackievirus A6 in China 中国优势流行病D3基因型柯萨奇病毒A6候选病毒样颗粒疫苗的制备及其免疫保护作用
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-01 DOI: 10.1016/j.bsheal.2023.11.001
Xiaoliang Li , Xizhu Xu , Jichen Li , Huanhuan Lu , Congcong Wang , Rui Wang , Jinbo Xiao , Ying Liu , Yang Song , Jingdong Song , Qiang Sun , Yong Zhang

Coxsackievirus A6 of the D3a genotype (CVA6 D3a) is a primary pathogen causingmainland of China's hand, foot, and mouth disease (HFMD). Viral-like particle (VLP) vaccines represent a potential candidate vaccine to prevent HFMD. This study collected Anti-CVA6 D3a VLPs serum from BALB/c female mice immunized using CVA6 D3a VLPs. The neutralizing antibody levels were compared against the representative 14-JX2018 (D3a) and N4-YN2015 (D3b) strains between the antisera of different immune pathways. The immunoprotective effect of anti-CVA6 D3a VLPs against these strains was monitored using pathological sections and immunohistochemical results of lung and skeletal muscle tissues in seven-day-old Institute of Cancer Research (ICR) mice. Immunological protection against different branches of viruses was evaluated in 7-day-old (serum passive immune protection) and 14-day-old (VLPs active immune protection) neonatal ICR mice models. Serum-neutralizing antibody levels were positively correlated with the number of immunizations and higher against 14-JX2018 than against N4-YN2015. Furthermore, these levels were significantly higher with abdominal injection than intramuscular injection. The immunized serum of 7-day-old ICR mice inoculated three times was 100 % protected against CVA6 D3a 14-JX2018 (lethal titer: 106.25 TCID50) and CVA6 D3b N4-YN2015 (lethal titer: 105.25TCID50) fatal attacks, respectively. For ICR mice that have completed two active immunizations for 14 days, both CVA6 D3a 14-JX2015 (challenge titer: 108.25 TCID50) and CVA6 D3b N4-YN2015 (challenge titer: 107.25 TCID50) were used for the challenge, and the mice were able to survive. Overall, the CVA6 D3a VLPs prepared in this study are a potential vaccine candidate for CVA6, as it has the optimal protective effect against both CVA6 D3a and D3b evolutionary branches viruses.

D3a 基因型柯萨奇病毒 A6(CVA6 D3a)是引起中国大陆手足口病(HFMD)的主要病原体。病毒样颗粒(VLP)疫苗是预防手足口病的潜在候选疫苗。本研究采集了使用 CVA6 D3a VLPs 免疫的 BALB/c 雌性小鼠的抗 CVA6 D3a VLPs 血清。比较了不同免疫途径的抗血清对具有代表性的 14-JX2018 株(D3a)和 N4-YN2015 株(D3b)的中和抗体水平。利用癌症研究所(ICR)七天龄小鼠肺部和骨骼肌组织的病理切片和免疫组化结果,监测了抗CVA6 D3a VLP对这些毒株的免疫保护作用。在 7 天大(血清被动免疫保护)和 14 天大(VLPs 主动免疫保护)的新生 ICR 小鼠模型中评估了对不同病毒分支的免疫保护。血清中和抗体水平与免疫次数呈正相关,且针对 14-JX2018 的抗体水平高于针对 N4-YN2015 的抗体水平。此外,腹腔注射的抗体水平明显高于肌肉注射。接种三次的 7 日龄 ICR 小鼠的免疫血清对 CVA6 D3a 14-JX2018 (致死滴度:106.25TCID50)和 CVA6 D3b N4-YN2015 (致死滴度:105.25TCID50)致命攻击的保护率分别为 100%。对于 14 天内完成两次主动免疫的 ICR 小鼠,使用 CVA6 D3a 14-JX2015 (挑战滴度:108.25 TCID50)和 CVA6 D3b N4-YN2015 (挑战滴度:107.25 TCID50)进行挑战,小鼠均能存活。总之,本研究制备的CVA6 D3a VLPs对CVA6 D3a和D3b进化分支病毒都有最佳的保护效果,是一种潜在的CVA6候选疫苗。
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引用次数: 0
Progressing our knowledge of enterovirus: Epidemiology, diagnosis, prevention, control, and beyond 增进我们对肠道病毒的了解:流行病学、诊断、预防、控制及其他
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-01 DOI: 10.1016/j.bsheal.2024.01.001
Jing Lu , Zexin Tao , Yong Zhang
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引用次数: 0
Screening and identifying natural products with SARS-CoV-2 infection inhibitory activity from medicinal fungi 从药用真菌中筛选和鉴定具有 SARS-CoV-2 感染抑制活性的天然产物
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-01 DOI: 10.1016/j.bsheal.2023.12.006
Shuang Zhao , Amelia Siqi Huang , Weibo Zhang , Lili Ren , Hexiang Wang , Jianbin Wang , Xinyang Shao , Guanbo Wang

The coronavirus disease of 2019 (COVID-19), a global pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can result in severe health complications. In addition to physical preventative measures, pharmaceutical intervention is also crucial. Numerous natural products from medicinal fungi have shown promise as potential antiviral drugs and may serve as a source of effective components with antiviral activity against SARS-CoV-2 and other coronaviruses. In this study, we developed a workflow that integrates viral infection inhibition assays at both cellular and molecular levels, as well as molecular separation and characterization, to screen and identify natural products with antiviral activity. Using this workflow, we screened 167 extracts extracted from 36 medicinal fungi using optimized extraction methods. We assessed the antiviral effects of these extracts by measuring their ability to inhibit SARS-CoV-2 infection and receptor binding domain - human angiotensin-converting enzyme 2 (RBD-hACE2) binding in vitro. Following charge- and size-based characterization of the active compounds through filtration and chromatographic fractionation, mass spectrometry characterization of the fractionated compounds revealed that the active components are polysaccharides and determined their monosaccharide residue composition. Our findings provide new insights into the antiviral potential of natural products and their screening strategies and may contribute to the development of effective antiviral therapeutics against COVID-19 and other diseases.

2019 年冠状病毒病(COVID-19)是由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的全球性流行病,可导致严重的健康并发症。除了物理预防措施,药物干预也至关重要。从药用真菌中提取的大量天然产物有望成为潜在的抗病毒药物,并可作为对 SARS-CoV-2 和其他冠状病毒具有抗病毒活性的有效成分的来源。在这项研究中,我们开发了一套工作流程,该流程整合了细胞和分子水平的病毒感染抑制试验以及分子分离和表征,用于筛选和鉴定具有抗病毒活性的天然产物。利用这一工作流程,我们采用优化的提取方法筛选了从 36 种药用真菌中提取的 167 种提取物。我们通过测量这些提取物在体外抑制 SARS-CoV-2 感染和受体结合域-人血管紧张素转换酶 2(RBD-hACE2)结合的能力,评估了它们的抗病毒作用。在通过过滤和色谱分馏对活性化合物进行电荷和大小表征后,对分馏化合物进行质谱表征,发现活性成分是多糖,并确定了它们的单糖残基组成。我们的研究结果为天然产物的抗病毒潜力及其筛选策略提供了新的见解,可能有助于开发针对 COVID-19 和其他疾病的有效抗病毒疗法。
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引用次数: 0
Erratum to “HLA-E-restricted Hantaan virus-specific CD8+ T cell responses enhance the control of infection in hemorrhagic fever with renal syndrome” [Biosaf. Health 5 (2023) 289–299] 对《HLA-E限制性汉坦病毒特异性CD8+T细胞应答可增强出血热伴肾综合征的感染控制》的勘误 [Biosaf. Health 5 (2023) 289-299]
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-01 DOI: 10.1016/j.bsheal.2023.11.002
Kang Tang , Yusi Zhang , Xinyu Li , Chunmei Zhang , Xiaozhou Jia , Haifeng Hu , Lihua Chen , Ran Zhuang , Yun Zhang , Boquan Jin , Ying Ma
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引用次数: 0
Launch of the transdisciplinary health science journal hLife 跨学科健康科学杂志《hLife》创刊
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-01 DOI: 10.1016/j.bsheal.2023.12.001
Qun Yan , Kieran Gary Thow
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引用次数: 0
Antimicrobial resistance containment in Africa: Moving beyond surveillance 在非洲遏制抗菌药耐药性:超越监测
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-01 DOI: 10.1016/j.bsheal.2023.12.003
Zikora Kizito Glory Anyaegbunam , Ifeanyi Elibe Mba , Yandev Doowuese , Ngozi J. Anyaegbunam , Toluwalase Mba , Fetuata Aminat Aina , Vincent Nnamdigadi Chigor , Emeka Innocent Nweze , Emmanuel A. Eze

Worldwide, infections caused by drug-resistant pathogens constitute a significant challenge threatening therapeutic efforts. According to the World Health Organization (WHO), antimicrobial resistance (AMR) ranks among the top 10 global public health threats. Organisms with a high rate of multiple host adaptivity, significant genetic diversity (multiple lineages), high virulence factors, and genetic exchange have been isolated from various sources (humans, animals, and the environment) even without exposure to prior antibiotics. Till now, the source of AMR and how resistant clones are selected in the environment remain largely elusive, and potential anthropogenic transmission has been reported in different studies. Various drug-resistant pathogens, lineages, resistant clones, outbreak clusters, plasmid replicates, and genes that play a critical role in resistance dissemination have been identified. Maintenance of certain multidrug-resistant (MDR) determinants has also been shown to enhance or support the propagation of MDR. So far, significant advances have been made in understanding the burden of AMR. However, overcoming AMR requires a holistic approach, as there is no single approach with sufficient precision to curb the threat. While strengthening AMR surveillance efforts is essential, as we have shown, there is also a need to intensify efforts to strengthen therapeutic interventions, especially in priority regions such as Africa. Herein, we discussed the burden of AMR and the dissemination of AMR in humans, animals, and the environment (non-medical drivers). We further delved into the big questions on Africa and discussed how therapeutic interventions involving vaccines and other viable biomaterials could be pivotal in reducing the burden of AMR to the barest minimum.

在全球范围内,耐药性病原体引起的感染是威胁治疗工作的重大挑战。据世界卫生组织(WHO)称,抗菌药耐药性(AMR)是全球十大公共卫生威胁之一。从各种来源(人类、动物和环境)分离出了具有高度多宿主适应性、显著遗传多样性(多系)、高毒力因子和基因交换的生物体,即使之前没有接触过抗生素。迄今为止,AMR 的来源以及耐药克隆是如何在环境中被筛选出来的,在很大程度上仍是未知数,不同的研究也报道了潜在的人为传播。各种耐药病原体、菌系、耐药克隆、疫情集群、质粒复制以及在耐药性传播中发挥关键作用的基因已被确认。某些耐多药(MDR)决定因子的维持也被证明会增强或支持 MDR 的传播。迄今为止,在了解 AMR 的负担方面已经取得了重大进展。然而,克服 AMR 需要采取综合方法,因为没有一种方法能够足够精确地遏制这一威胁。正如我们所表明的那样,加强 AMR 监测工作至关重要,同时还需要加大力度加强治疗干预,尤其是在非洲等重点地区。在此,我们讨论了 AMR 的负担以及 AMR 在人类、动物和环境中的传播(非医疗驱动因素)。我们进一步深入探讨了有关非洲的重大问题,并讨论了涉及疫苗和其他可行生物材料的治疗干预措施如何能够在最大程度上减轻 AMR 负担方面发挥关键作用。
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引用次数: 0
Efficacy of SARS-CoV-2 detection from used surgical masks compared with standard detection method 从使用过的外科口罩中检测 SARS-COV-2 的效果与标准检测方法的比较
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-01 DOI: 10.1016/j.bsheal.2023.12.004
Uraporn Phumisantiphong , Anan Manomaipiboon , Yuttana Apichatbutr , Kittisak Pholtawornkulchai , Chunlanee Sangketchon , Busaba Supawattanabodee , Thananda Trakarnvanich

The real-time reverse transcription-polymerase chain reaction (RT-PCR) test is the gold standard for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection. Proper specimen collection and obtaining a sufficient specimen are the most essential steps for laboratory diagnosis. The nasopharyngeal (NP) swab is recommended as the reference collection method. However, NP swab collection is invasive and uncomfortable for patients and poses some risk to healthcare workers. This study aimed to compare the efficacy of SARS-CoV-2 RNA detection from surgical masks with the NP swab method using RT-PCR testing. Of 269 patients, RT-PCR RNA from NP swabs was detected among 82 patients (30.5%) and was undetected among 187 patients (69.5%). All patients were tested for SARS-CoV-2 RNA from surgical masks. SARS-CoV-2 RNA was detected in 25/82 (30.5%) surgical mask filters, while undetected among 57 (69.5%). For the surgical mask with an average use time of 7.05 h, the sensitivity was 30.5%, the specificity was 100.0%, with positive predictive value of 100.0% and negative predictive value of 76.2%. Therefore, surgical masks could be an alternative non-invasive specimen source for SARS-CoV-2 RT-PCR testing. The results of our study suggest that the test could be employed after wearing surgical masks for at least 8-12 h, with increased sensitivity when used for more than 12 h.

实时反转录聚合酶链反应(RT-PCR)检验是检测严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)的黄金标准。正确采集标本和获得足够的标本是实验室诊断的最基本步骤。推荐使用鼻咽(NP)拭子作为参考采集方法。然而,鼻咽拭子采集是一种侵入性方法,患者会感到不舒服,而且对医护人员也有一定风险。本研究旨在比较使用 RT-PCR 测试法从外科口罩和 NP 拭子中检测 SARS-CoV-2 RNA 的效果。在 269 名患者中,82 名患者(30.5%)从 NP 拭子中检测到 RT-PCR RNA,187 名患者(69.5%)未检测到。对所有患者的手术口罩进行了 SARS-CoV-2 RNA 检测。在每 82 个手术口罩过滤器中,有 25 个(30.5%)检测到 SARS-CoV-2 RNA,有 57 个(69.5%)未检测到 SARS-CoV-2 RNA。平均使用时间为 7.05 小时的手术口罩的灵敏度为 30.5%,特异性为 100.0%,阳性预测值为 100.0%,阴性预测值为 76.2%。因此,外科口罩可以作为 SARS-CoV-2 RT-PCR 检测的另一种无创样本来源。我们的研究结果表明,佩戴外科口罩至少 8-12 小时后即可进行检测,超过 12 小时后检测灵敏度会提高。
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引用次数: 0
More common RNAemia in the early stage of severe SARS-CoV-2 BF.7.14 infections in pediatric patients 在儿科严重 SARS-CoV-2 BF.7.14 感染的早期阶段,RNA 血症更为常见
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-01 DOI: 10.1016/j.bsheal.2023.12.002
Yu Sun , Runan Zhu , Yang Pan , Ri De , Shuang Liu , Liping Jia , Bing Lv , Xiaoyun Li , Dongmei Chen , Yao Yao , Dong Qu , Daitao Zhang , Linqing Zhao

The risk factors of severe infections in children during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in Beijing remain elusive. SARS-CoV-2-positive children admitted to the intensive care unit (ICU) with collected plasma specimens were enrolled and screened for common pathogens using capillary electrophoresis-based multiplex PCR from December 12, 2022, to January 24, 2023. The SARS-CoV-2 sub-variants were identified using next-generation sequencing. Plasma was positive for two (positive; P), one (suspicious; S), or no (negative; N) SARS-CoV-2 genes were classified as plasmatic RNA-positive (RNAemia; P + S) or without RNAemia (N). Clinical and laboratory data of the enrolled cases were then collected and analyzed. The 34 enrolled children included 26 males and 24 younger than three years. All were negative for other respiratory pathogens. BF.7.14 (18/29) was the predominant subvariant. Viral loads in respiratory specimens, hours from symptom onset to the first respiratory specimen collection (time-variable), with comorbidities and BF.7.14 and BA.5.2 distributions were significantly different in P vs. N and RNAemia vs. without RNAemia group. Among most cases, the T lymphocyte ratios decreased, while the cytokine level and the B lymphocyte ratio increased. The time variables were 2.22 ± 2.05 and 4.00 ± 2.49 days in BF.7.14 and BA.5.2 infections, respectively. In conclusion, SARS-CoV-2 was more likely to cause severe infections among males aged ≤ 3 years old with comorbidities during the SARS-CoV-2 outbreak in Beijing, while RNAemia is more common in children at the early stage of severe BF.7.14 infections, and most had high cytokine levels and B-cell activation.

在北京爆发的严重急性呼吸系统综合征冠状病毒2型(SARS-CoV-2)疫情中,儿童严重感染的风险因素仍然不明。从2022年12月12日至2023年1月24日,研究人员对重症监护室(ICU)收治的SARS-CoV-2阳性儿童进行了登记,并采集了血浆标本,使用基于毛细管电泳的多重PCR技术对常见病原体进行了筛查。使用新一代测序技术确定了 SARS-CoV-2 亚变异体。血浆中两个(阳性;P)、一个(可疑;S)或无(阴性;N)SARS-CoV-2 基因阳性者被分为血浆 RNA 阳性(RNA 血症;P + S)或无 RNA 血症(N)。随后收集并分析了入选病例的临床和实验室数据。34 名入选儿童中有 26 名男性,24 名小于 3 岁。所有儿童的其他呼吸道病原体检测结果均为阴性。BF.7.14(18/29)是主要的亚变异体。呼吸道标本中的病毒量、从症状出现到首次采集呼吸道标本的时间(时间变量)、合并症、BF.7.14 和 BA.5.2 的分布在 P 组与 N 组、RNAemia 组与无 RNAemia 组中有显著差异。在大多数病例中,T淋巴细胞比率下降,而细胞因子水平和B淋巴细胞比率上升。在 BF.7.14 和 BA.5.2 感染病例中,时间变量分别为 2.22 ± 2.05 天和 4.00 ± 2.49 天。总之,在北京 SARS-CoV-2 爆发期间,SARS-CoV-2 更有可能在有合并症的 3 岁以下男性中引起严重感染,而在 BF.7.14 严重感染的早期阶段,RNAemia 在儿童中更为常见,且大多数儿童的细胞因子水平和 B 细胞活化程度较高。
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引用次数: 0
Pharmaceutical effluent evokes superbugs in the environment: A call to action 制药废水唤起环境中的超级细菌行动呼吁
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01 DOI: 10.1016/j.bsheal.2023.10.005
Rehab A. Rayan

Antimicrobial resistance (AMR) is a growing global threat, especially in low- and middle-income countries (LMICs), causing prolonged illnesses, heightened antimicrobial use, increased healthcare expenses, and avoidable deaths. If not tackled, AMR could force 24 million people into severe poverty by 2030 and hinder progress on Sustainable Development Goals (SDGs). AMR spreads through interconnected ecosystems, with humans, animals, and the environment serving as reservoirs. Pharmaceutical wastewater, loaded with antibiotics and resistance genes, poses a significant environmental risk, mainly due to inadequate treatment and irresponsible disposal. The pharmaceutical industry is a notable contributor to environmental antibiotic pollution, with varying effluent management practices. Contaminated pharmaceutical wastewater discharge harms water sources and ecosystems. Urgent collaborative efforts are needed across policymakers, regulators, manufacturers, researchers, civil society, and communities, adopting a One Health approach to curb AMR's spread. Developing global standards for pharmaceutical effluent antibiotic residues, effective treatment methods, and improved diagnostics are vital in addressing AMR's environmental impact while safeguarding public health and the environment. National action plans should encompass comprehensive strategies to combat AMR. Preserving antibiotic efficacy and ensuring sustainable production require a united front from all stakeholders.

抗菌药物耐药性(AMR)是一个日益严重的全球性威胁,尤其是在中低收入国家(LMICs),它导致病程延长、抗菌药物使用增加、医疗费用增加以及可避免的死亡。如果不加以解决,到 2030 年,AMR 可能会迫使 2400 万人陷入严重贫困,并阻碍可持续发展目标 (SDG) 的实现。AMR 通过相互关联的生态系统传播,人类、动物和环境都是传播源。制药废水中含有抗生素和抗药性基因,主要由于处理不当和不负责任的处置方式,对环境造成了严重危害。制药业是造成环境抗生素污染的重要因素,其污水管理方法各不相同。受污染的制药废水排放会危害水源和生态系统。迫切需要政策制定者、监管者、制造商、研究人员、民间社会和社区通力合作,采用 "一个健康 "方法遏制 AMR 的扩散。制定制药废水抗生素残留的全球标准、有效的处理方法和改进的诊断方法,对于在保护公众健康和环境的同时解决 AMR 对环境的影响至关重要。国家行动计划应包括抗击 AMR 的综合战略。保护抗生素的有效性和确保可持续生产需要所有利益相关者联合起来。
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引用次数: 0
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