俄罗斯一家处理鼠疫细菌的研究机构实验室技术人员离奇死亡,引发了传染病专家的质疑。专家表示,该案件的相关情况反常,关键细节仍无定论。
The unexplained death of a lab technician at a Russian research institute handling plague bacteria has raised questions among infectious disease experts, who say the circumstances surrounding the case are unusual and key details remain unanswered.
据当地报道,西伯利亚伊尔库茨克地区约有200人被置于医学观察或隔离状态。其他报道称,死亡事件前曾发生一起涉及该细菌的实验室事故。CNBC无法独立核实这些报道。
According to local reports, some 200 people have been put under medical observation, or quarantined, in the Siberian area of Irkutsk. Other reports say an incident in the lab dealing with the bacteria preceded the fatality. CNBC has not been able to independently verify these reports.
尽管世界各地卫生当局称大规模爆发的风险似乎较低,但专家告诉CNBC,据报导的死亡情况难以与操作这种致命病原体时通常采取的严格防护措施相协调。
While health authorities around the world say the risk of a wider outbreak appears low, experts told CNBC that the reported circumstances of the death are difficult to reconcile with the stringent safeguards normally used when working with the deadly pathogen.
巴黎巴斯德研究院耶尔森菌研究部主任哈维尔·皮萨罗-塞达告诉CNBC,他对俄罗斯传出的这一消息感到“非常惊讶”,因为接触鼠疫的人员通常会采取严肃的防护措施,以防暴露风险。
Javier Pizarro-Cerda, head of the Yersinia Research Unit at the Institut Pasteur in Paris, told CNBC he was "very surprised" by the report coming out of Russia, since people working with plague normally take serious protective measures because of the dangers of exposure.
他说:“你要穿全身防护服,戴口罩,戴手套。所以即使打破了一根试管,通常你也应该受到保护。”俄罗斯也有鼠疫疫苗。然而,它不符合其他地方的预期标准,提供的保护力低且短暂,皮萨罗-塞达补充道。
"You work with a full body suit. You work with masks. You work with gloves. So even if you break a tube, normally you should be protected," he said. In Russia, there's also a vaccine for plague. However, it doesn't meet the standards expected elsewhere and offers low, transient protection, Pizarro-Cerda added.
一种致命疾病 鼠疫是一种通常致命且病情进展极快的疾病。若不治疗,肺鼠疫的致死率近100%,经治疗后致死率约为50%。
A fatal disease Plague is an often fatal disease with very rapid progression. The fatality rate of pneumonic plague is nearly 100% if left untreated, and about 50% if treated.
多位研究引起鼠疫的鼠疫耶尔森菌的专家告诉CNBC,对接触过患病人员的任何人进行隔离和监测是正常且明智的策略。
Several experts on the Yersinia pestis bacterium that causes plague told CNBC that isolation and monitoring of anyone who had been in contact with the diseased person is a normal and sensible strategy.
关于疑似肺鼠疫病例的起源,皮萨罗-塞达表示,鼠疫耶尔森菌自然存在于动物宿主中,尤其是啮齿类动物,但该员工极不可能在其他地方感染该疾病。
As for the origin of the suspected case of pneumonic plague, Yersinia pestis exists naturally in animal reservoirs, especially among rodents, but it is highly unlikely the employee would have contracted the disease elsewhere, according to Pizarro-Cerda.
皮萨罗-塞达说,此人必须去过一个非常特定的地方,在野外环境中接触过受污染的人或患病动物。
The person would have had to visit a very specific place, been in contact with contaminated people or a sick animal in a wild environment, said Pizarro-Cerda.
鼠疫耶尔森菌的宿主存在于除大洋洲以外的每个大陆,但这并不意味着在这些宿主存在的所有地方都会发生人类病例。
Reservoirs of Yersinia pestis exist on every continent except Oceania, however, that does not mean human cases occur everywhere those reservoirs exist.
俄罗斯联邦消费者权益保护和公益监督局(Rospotrebnadzor)表示,局势已受控,并已针对该病例采取措施。该机构还表示,“根据大量检测结果,未在患者样本中检出与患者职业活动相关的微生物。”世界卫生组织(WHO)在给CNBC的声明中表示,死亡原因仍未确认,据报道检测正在进行中。世卫组织补充道,患者的所有接触者据报均已确认并正在接受疾病监测,迄今无人出现疾病症状。
Russia's public health watchdog, Rospotrebnadzor, said the situation is under control and that measures have been implemented in response to the case. It also said that "based on the results of extensive testing, no microorganisms associated with the patient's professional activities were detected in the patient's sample." The World Health Organization (WHO) said in a statement to CNBC that the cause of death is still unconfirmed and testing is reportedly underway. All of the patient's contacts have reportedly been identified and are being monitored for illness, and none to date have shown symptoms of illness, the WHO added.
关键问题依然存在 如果没有怀疑接触鼠疫,不清楚为何该地区会有数十人被置于医学观察之下。
Key questions remain It's not clear why dozens of people would be put under medical observation in the region if there weren't suspicions of plague exposure.
据皮萨罗-塞达介绍,鼠疫检测简单快捷。“如果进行尸检,应该非常容易,因为如果是肺鼠疫,患者的肺部应该充满了细菌,”他说。考虑到死亡发生在10月2日,如果当时进行了检测,如果存在鼠疫,当局早就能找到证据了。
According to Pizarro-Cerda, testing for plague is straightforward and quick. "If you perform an autopsy, it should be extremely easy because if it's pulmonary plague, then the lungs of the person should be filled with the bacteria," he said. Given that the death occurred on October 2, if testing had been done, authorities would have already been able to find evidence of plague if it existed.
俄罗斯卫生部和俄罗斯联邦消费者权益保护和公益监督局未回应CNBC的进一步置评请求。
The Russian Health Ministry and Russia's public health watchdog Rospotrebnadzor didn't respond to CNBC's request for further information.
欧洲疾病预防与控制中心发言人表示,他们知道俄罗斯东部出现了疑似鼠疫的不明原因肺炎病例,但警告说,“这种怀疑尚未得到证实。”“案件发生在西伯利亚伊尔库茨克,靠近俄罗斯与蒙古边境。伊尔库茨克和欧盟/欧洲经济区之间的旅行很少,特别是目前由于俄罗斯对乌克兰的战争,”他们补充道。
A European Centre for Disease Prevention and Control spokesperson said they were aware of the case of pneumonia of unknown origin in eastern Russia that is suspected to be the plague, but cautioned that "that suspicion is not yet confirmed." "The case is in Irkutsk, Siberia, close to the Russian border with Mongolia. There is little travel between Irkutsk and the EU/EEA, particularly at present due to Russia's war against Ukraine," they added.
根据目前可用的信息,目前还没有关于新增病例或持续人际传播的报告。
Based on currently available information, there are no reports of additional cases or sustained human-to-human transmission.
与更广泛已知的瘟疫(影响淋巴系统并与14世纪的黑死病有关)相反,肺鼠疫可以在人与人之间传播。虽然它的传染性比流感或Covid-19低,但从疾病爆发的角度来看,它仍然更令人担忧。
As opposed to the more widely known form of plague, which affects the lymphatic system and is associated with the Black Death in the 14th century, pneumonic plague can spread from person to person. While less transmissible than, for example, the flu or Covid-19, it's still more of a concern from a disease outbreak perspective.
“瘟疫在世界许多地区仍然流行,包括美国西部地区,[but]伦敦卫生与热带医学院教授布伦丹·雷恩(Brendan Wren)告诉CNBC,人们不应该太担心,因为鼠疫耶尔森菌在人与人之间的传播通常很差。
"Plague is still endemic in many parts of the world, including western parts of the U.S., [but] there shouldn't be too much concern as the transmission of Yersinia pestis between humans is generally poor," Brendan Wren, professor at the London School of Hygiene & Tropical Medicine, told CNBC.
即便如此,雷丁大学细胞微生物学副教授西蒙·克拉克告诉CNBC,“任何病例都令人震惊,尤其是在这种情况下”。
Even so, "any case is alarming, especially under these circumstances," Simon Clarke, associate professor in Cellular Microbiology at the University of Reading, told CNBC.
现在要让科学家正确评估情况,需要的是“对这个人正在做什么、为什么、他们死于什么、他们做了什么、在哪里做了什么,以便尝试在[他们的]联系人周围建立防火墙,”他说。
What's needed now to allow scientists to properly assess the situation is "transparency about what this person was working on and why, and what they have died of, and what they've done, where they've done it, in order to try and put a firewall around [their] contacts," he said.
美国国务院表示,他们正在与疾病控制与预防中心密切关注局势,但强调许多细节仍未得到证实。一位发言人告诉CNBC:“我们鼓励俄罗斯当局迅速、公开地分享准确的信息。”
The U.S. State Department said they are closely monitoring the situation with the Centers for Disease Control and Prevention but highlighted that many details remain unconfirmed. "We encourage Russian authorities to share accurate information quickly and openly," a spokesperson told CNBC.
唐纳德·特朗普总统周一告诉记者,美国将尽一切努力帮助俄罗斯。
President Donald Trump told reporters on Monday the U.S. would do what it could to help Russia.
宏观咨询首席执行官克里斯·威弗(Chris Weafer)表示,过去五到六周,莫斯科和华盛顿之间的工作关系似乎有所改善,不同级别官员之间进行了大量互动。
The working relationship between Moscow and Washington over the past five to six weeks appears to have improved, and there has been a lot of interaction between officials at different levels, according to Macro Advisory CEO Chris Weafer.
威弗周二告诉CNBC的“Squawk Box Europe”:“从这个意义上说,特朗普主动提出提供帮助的部分原因是为了确保这不会成为另一个导致人员死亡和破坏全球经济的重大全球事件,这并不令我感到惊讶。”
"In that sense, it doesn't surprise me that Trump would have made this offer to help partly to make sure this does not become another major global event that kills people and disrupts global economy," Weafer told CNBC's "Squawk Box Europe" on Tuesday.
“但同时,这也反映了这样一个事实:华盛顿和莫斯科之间目前就一些问题正在进行良好的、持续的、似乎相当持续的对话,当然,其中尤其是关于乌克兰-俄罗斯冲突的。"
"But also, it just reflects the fact that there is this good, ongoing, and what appears to be fairly constant dialog between Washington and Moscow right now on a number of issues, not least of which, of course, is about the Ukraine-Russia conflict."