新型冠状病毒病原SARS-CoV-2的控制现状

Elaine Meade, M. Savage, M. Garvey
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引用次数: 1

摘要

COVID-19的病原——严重急性呼吸综合征冠状病毒2继续对全球公共卫生构成威胁。病毒通过咳嗽、打喷嚏和飞沫在人与人之间水平传播,也可能通过表面传播。疾病可发展到严重或危及生命,需要住院治疗和氧气治疗,并伴有急性呼吸窘迫综合征和多器官衰竭。虽然限制人员流动和经常性封锁等非治疗性控制措施已被证明对预防疾病传播至关重要,但此类行动对全球经济产生了重大影响,预计将出现全球衰退。为遏制流感大流行而实施的疾病预防措施在很大程度上依赖于有效的杀菌剂控制措施,美国环境保护署列出了合适的杀菌剂。对个人防护装备前所未有的需求导致供应短缺,并努力建立适当的消毒方法来重新利用个人防护装备材料。随着令人关注的变种在全球范围内出现,人们对当前疫苗接种规划的效力产生了关注,以防止每一种具有增加传播性的新毒株。本文综述了COVID-19的流行病学,强调了促进致病性的病毒毒力因素以及目前作为最佳预防措施的治疗性和非治疗性控制措施。
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Current Control Measures for SARS-CoV-2 the Aetiological Agent of COVID-19
Severe acute respiratory syndrome coronavirus 2, the aetiological agent of COVID-19 continues to be a threat to public health globally. Viral transmission is horizontal from person-to-person via cough, sneeze and droplets with surface spreading also possible. Disease can progress to severe or life-threatening requiring hospitalisation and oxygen therapy with acute respiratory distress syndrome and multiple organ failure often evident. While non-therapeutic controls measure such as restricting the movement of people and recurrent lockdowns have proven vital to preventing disease transmission, such action has had substantial impact on economies across the globe with a global recession to be expected. Disease prevention measures implemented to curtail the pandemic is heavily reliant on effective biocide control measures with the EPA listing suitable viricidal disinfectants for use. The unprecedented demand for PPE has led to supply shortages with efforts to establish suitable sterilisation methods for re-purposing PPE materials. As variants of concern emerge globally, concern has arisen relating to the efficacy of current vaccination programmes to protect against each new strain displaying increased transmissibility. This review discusses the epidemiology of COVID-19 highlighting viral virulence factors promoting pathogenicity and current control measures therapeutic and non-therapeutic in use as best practice preventative measures.
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