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Qatar experience on One Health approach for middle-east respiratory syndrome coronavirus 2012–2017: A viewpoint

机译:卡塔尔关于中东呼吸综合征冠状病毒一种健康方法的经验2012-2017年:观点

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摘要

The emergence of the Middle East Respiratory Syndrome Corona Virus (MERS-CoV) in the Middle East in 2012 was associated with an overwhelming uncertainty about its epidemiological and clinical characteristics. Once dromedary camels (Camelus dromedarius) was found to be the natural reservoir of the virus, the public health systems across the Arabian Peninsula encountered an unprecedented pressure to control its transmission. This view point describes how the One Health approach was used in Qatar to manage the MERS-CoV outbreak during the period 2012–2017.One Health focuses on the association between the human, animals and environment sectors for total health and wellbeing of these three sectors. To manage the MERS outbreak in Qatar through a One Health approach, the Qatar National Outbreak Control Taskforce (OCT) was reactivated in November 2012. The animal health sector was invited to join the OCT. Later on, technical expertise was requested from the WHO, FAO, CDC, EMC, and PHE. Subsequently, a comprehensive One Health roadmap was delivered through leadership and coordination; surveillance and investigation; epidemiological studies and increase of local diagnostic capacity.The joint OCT, once trained had easy access to allocated resources and high risk areas to provide more evidence on the potential source of the virus and to investigate all reported cases within 24–48 h. Lack of sufficient technical guidance on veterinary surveillance and poor risk perception among the vulnerable population constituted major obstacles to maintain systematic One Health performance.
机译:2012年中东出现中东呼吸综合症冠状病毒(MERS-CoV),与其流行病学和临床特征的不确定性息息相关。一旦发现单峰骆驼(Camelus dromedarius)是病毒的天然库,阿拉伯半岛的公共卫生系统就面临着控制其传播的前所未有的压力。该观点描述了卡塔尔在2012-2017年期间如何使用“一人健康”方法来管理MERS-CoV暴发。“一人健康”侧重于人类,动物和环境部门之间的联系,以实现这三个部门的整体健康。为了通过“一种健康”方法管理卡塔尔的MERS爆发,卡塔尔国家爆发控制工作组(OCT)于2012年11月重新启动。动物卫生部门应邀加入了OCT。后来,世界卫生组织,粮农组织,疾病预防控制中心,EMC和PHE要求提供技术专长。随后,通过领导和协调制定了全面的“一个卫生”路线图;监视和调查;流行病学研究和当地诊断能力的提高。接受培训的联合OCT可以轻松访问已分配的资源和高风险区域,以提供更多有关病毒潜在来源的证据,并可以在24-48小时内调查所有报告的病例。在兽医监测方面缺乏足够的技术指导,易感人群的风险意识差,是维持有系统的“一个卫生”绩效的主要障碍。

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