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引用次数: 0

摘要

文章介绍了对 2009 年和 2011 年世卫组织网站上大流行病描述调整前后的历史和流行病学事件进行评估的研究结果。分析涵盖了与流行病和大流行病问题有关的出版物、世卫组织文件和世卫组织网站。对大流行病的描述大多集中在 "病例和死亡人数巨大 "上。自 2009 年 5 月起,世卫组织发布了新的大流行病描述,重点关注疾病流行情况。2011 年又恢复到最初的描述,但没有任何评论。从 2009 年世卫组织文件的角度来看,2009 年 6 月宣布猪流感大流行似乎是合理的。然而,考虑到以往大流行病的历史、常识以及宣布病例数和死亡率均较低的疾病为大流行病的后果,此举为时过早。由于阻碍大流行病发展的主要因素是传染病治疗的有效性,为了最大限度地减少新的大流行病的可能性,有必要提高特殊医学教育的质量,研究并根据现代条件调整过去使用的所有有效药物和方法。
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[The definition of pandemic: causes and consequences of its adjustment in 2009 and 2011].

The article considers results of the study evaluating historical and epidemiological events that preceded and accompanied adjustment of the pandemic description on the WHO website in 2009 and 2011. The analysis covered publications related to epidemics and pandemics issues, the WHO documents, the WHO website. The descriptions of pandemic mostly focused on "enormous numbers of cases and deaths". Since May 2009, new description of pandemic was published, focusing on disease prevalence. In 2011 it reverted to initial one with no comments. From perspective of the WHO document of 2009, declaration of swine flu pandemic in June 2009 seemed justified. However, considering previous pandemic history, common sense and consequences of declaring pandemic of disease with low both number of cases and mortality, it was premature move. Since primary factor hindering development of pandemic is effectiveness of infectious disease treatment, to minimize likelihood of new pandemic it is necessary to improve special medical education quality and to study and to adapt to modern conditions all effective medications and methods used in the past.

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