The UC Monograph Series
The first of these is A Brief Overview of the History of Human
Communicable Diseases and Potential Future Zoonotic Threats with Particular
Reference to Viruses and Tuberculosis by Angus Munro (Vice-President for
Research, Development and Policies at The University of Cambodia). It was
published on-line with open access by The University of Cambodia Press in
January 2017.
This extensive review covers:
- a basic introductory
background on the most relevant aspects of epidemiology;
- an overview of zoonotic diseases (‘spill-overs’),
together with a consideration of the archetypal of these, rabies;
- a survey of present understanding of recent hominin
evolution and the spread of humans out of Africa, to set the context for
immediately following sections;
- an analysis of the communicable disease burden
in ancestral humans (with particular reference to viruses and tubercular
bacteria), based on proposed components;
- evidence for epidemiological transitions subsequent to the time of the
out-of-Africa migration;
- the nature of the contagious diseases which have progressively emerged
during this time as a result of spill-overs which have become more-or-less
endemic to humans, including the appearance of ‘crowd’ diseases;
- the continuing threat of other such spill-overs
from a diversity of different groups of warm-blooded vertebrates;
- arising out of this is the fact that what have been largely ‘drip-overs’
into isolated communities in the past means that these may represent an
increasing threat today with the globalisation of society and the potential
for onward transmission to an ever-growing and increasingly interconnected
pool of susceptible individuals;
- that such threats are real is supported by
historical evidence – the continuing threat of new influenza A strains and
for the recent impact of outbreaks of the SARS and Ebola viruses, for
example;
- thus it has been proposed that there is the need for a global surveillance
system to detect potential future threats, based on the identification of
regional ‘hot spots’;
- this should be part of a campaign to make
people aware of such potential threats;
- however such a campaign needs to take into account the vagaries of human
nature and popular (mis-)perceptions and the
amplifying impact of ‘social’ media in order to be effective;
- the same applies for the vagaries of different
nations, as exemplified by not only the availability of adequate
infrastructure but also differences in attitude as reflected by that to
vaccines.
The present monograph is unique in the scope of its coverage, aspiring to cover a diversity of fields from the microbiological through to the need to consider economic and sociological factors in dealing with disease threats.
A copy of the whole monograph can be found here.
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