相互联系的全球卫生安全:BMC Medicine在tends CUGH 2016

BMC Medicine最近参加了Consortium of Universities for Global Health (CUGH) 2016在旧金山会议。在这里,我们总结了有关互连世界中全球健康主题的讨论的亮点和新挑战。

The first thought one has of San Francisco is the beautiful Golden Gate Bridge, described as “possibly the most beautiful, certainly the most photographed, bridge in the world”.

旧金山还想到了一个技术和创新的枢纽,是许多行业领导者和大学的所在地。因此,这是今年的设置很合适Consortium of Universities for Global Health (CUGH)conference, whose theme was ‘Bridging to a sustainable future in global health’.

This is particularly timely after the recent transitionfrom the Millennium Development Goals to the Sustainable Development goals,,,,and relevant due to the current Zika crisis and the unfinished agenda of global health inequities, such as nutrition and smoking.

Planetary Health

对全球健康的重要性越来越重要,这是行星健康的问题 - 人类的健康取决于周围环境,并且任何保护和改善人类健康的措施也应考虑到地球的健康。

In a panel session,Samuel S. Myersgave an excellent presentation on the complex nature of planetary health, discussing the current ecological paradox that we are facing.

尽管同时出现了生态退化,但这种悖论是我们在公共卫生方面取得的相对成功。悖论可以通过当前一代抵押子孙后代的健康来解释,这种情况是不可持续的。

But how can we resolve this situation? The panel made a strong argument for a more cohesive trans-disciplinary nature of planetary health that would be an alliance of research, education and policy.

Collaboration in global health technology

CUGH 2016海报
林·李

The need for better collaboration among different fields was a central argument of the conference.

在全球卫生技术的挤满会议中,是生物工程,MHealth,Big Data和Precision Medicine专家的小组成员讨论了他们在这个快速发展的领域中认为是改变游戏规则的经验,尤其是在资源有限的环境中。

Carlos Bustamante就个人基因组信息的挑战和机遇做出了出色的演讲,讨论了精密医学项目launched in 2015, and the ways in which this could be used to generate new drugs and targets, as well as better understanding genetic predisposition to disease.

He cautioned that participants, whose data is used in these initiatives, should be as diverse as possible, in terms of ethnicity and socioeconomic status, or else there is the possibility that new technologies will increase the risk of health inequities due to under-representation from certain sectors of society.

当然,对这些技术的负担能力和可持续性提出了担忧。

例如,为了满足健康需求,为许多低收入国家(LMIC)提供了许多低收入国家(LMIC)。但是,缺乏维护和试剂通常会在短时间后使这些技术无用。

该小组强调,LMIC应该有更多机会创新这些技术,以便它们能够更好地维护它们。这需要卫生工作者和工程师之间的合作努力,以激发LMIC中创新中心的基础。

互连性:全球卫生安全的风险?

Planetary health also underscores the importance of our interconnected world, with the real risk of global pandemics and the issues that can arise if the ecological balance is upset.

当前的寨卡病毒危机以及最近的埃博拉危机可能证明了由于互连性而导致全球健康的脆弱性。

会议中的一些会议解决了这些问题。Jason Cone来自SansFrontières(MSF)的Médecins概述了全球卫生安全的孔,从而导致对流浪者的敏感性。

Zika research station
Zika research station
林·李

He highlighted that LMICs are particularly vulnerable to pandemics due to lack of adequate public health infrastructure, and also lack of innovation in research and development.

例如,由于该创新技术或干预的高价模型,可能无法阻止或抑制大流行的创新通常无法访问。他强调,疾病暴发只会在大流行并威胁到高收入国家时会造成变化。

One such example is寨卡病毒,这与已感染的孕妇的胎儿异常有关。

Jonathan Patz寨卡病毒疫情与厄尔尼诺现象引起的登革热爆发和高温有关,这是有力的,这是行星健康的有力依据。

寨卡病毒感染的诊断仍然是一个问题。帕特里克·卡库尔(Patrick Kachur)概述了由于交叉反应性问题而导致的诊断挑战。

Uncertainties also remain regarding the consequences of Zika infection other than microcephaly.凯西·斯波andEva Harrisdiscussed their work on forthcoming longitudinal cohorts to establish other potential complications of the disease.

In these fast moving fields, it will be interesting to see if new technologies and better collaboration can aide in increasing global health security and improved planetary health. Overall, the conference stimulated debate in these areas, pushing for innovative strategies to deal with these and forthcoming health challenges.


BMC Medicinewill be launching a new article collection in late 2016,药物和健康的未来,与Journal of Pharmaceutical Policy and Practice(乔普)。This collection will cover recent advances in drug and diagnostics development, precision medicine, medicines use, policy and access, which have both broad interest and high clinical and public health relevance due to their impact on the future of health.

If you have any research you would like us to consider for inclusion in our药物和健康的未来收集,请通过电子邮件发送电子邮件bmcmedicineeditorial@biomedcentral.com

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