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高级卫生官员:非洲“前所未有”的埃博拉疫情可能会蔓延至英国Africa’s ‘unprecedented’ Ebola outbreak could reach UK, says top health official

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一张地图显示了正在经历埃博拉疫情活跃爆发的国家,该地图位于尼日利亚阿布贾尼日利亚疾病控制与预防中心总部。 摄影:Sodiq Adelakun/路透社A map showing countries affected by active Ebola outbreaks at the headquarters of the Nigeria Centre for Disease Control and Prevention in Abuja. Photograph: Sodiq Adelakun/Reuters

非洲一名顶级卫生官员表示,“前所未有”的埃博拉疫情蔓延意味着它可能波及英国和其他国家。

The “unprecedented” spread of the Ebola outbreak means it could reach the UK and other countries, according to one of Africa’s top health officials.

随着当前疫情的确诊病例达到1万起、近5000人死亡,非洲疾病预防控制中心(非洲疾控中心)主任让·卡塞亚(Jean Kaseya)博士将此次疫情比作新冠大流行——新冠疫情最初在中国爆发,随后蔓延至世界各地,夺走了数百万人的生命,并摧毁了卫生系统和经济。

As the current outbreak reached 10,000 cases, with almost 5,000 deaths, Dr Jean Kaseya, director general of the Africa Centres for Disease Control and Prevention (CDC), compared the outbreak to the Covid pandemic, which first took hold in China before spreading to countries across the world, claiming millions of lives, and ravaging health systems and economies.

他说:“我们希望所有国家都知道,如果不采取适当措施,他们就不安全。”

“We want all countries to know that they are not safe if they don’t take appropriate measures,” he said.

“不仅是非洲地区,所有大洲的每个国家现在都必须提高防范水平和治疗能力。”

“Each country, not only in the African region, but all continents, must now increase the preparedness level and the possibility for treatment.

他说:“这是首次有三个非洲地区受到[埃博拉]影响。此次疫情的地理蔓延范围是前所未有的。”

“It is the first time three African regions have been affected [by Ebola]. The geographic extension of this outbreak is unprecedented,” he said.

卡塞亚表示,世界各国领导人应该意识到,尽管这场卫生危机目前的主要冲击落在非洲,但局势可能会改变。他说:“我们不应该忘记,在新冠疫情初期,许多国家曾表示受影响的风险为零,但几个月后,它们却成了热点地区。我们不想看到英国和其他国家成为热点地区。”自识别出埃博拉病毒以来,这是刚果民主共和国发生的第17次疫情,由本迪布焦(Bundibugyo)病毒引起,已成为该国历史上规模最大、最致命的疫情。

Kaseya said leaders around the world should realise that although the brunt of the health crisis is affecting Africa at the moment, the situation could change. “We shouldn’t forget that at the beginning of Covid, many countries said there was zero risk of being affected, but a few months later, they became the hotspot,” he said. “We don’t want to see the UK and other countries become the hotspot.”This outbreak, the 17th in the Democratic Republic of the Congo since Ebola was identified, was caused by the Bundibugyo virus and has become the largest and deadliest in the country’s history.

非洲疾控中心总干事让·卡塞亚。 摄影:Ken Cedeno/路透社Jean Kaseya, director general of the Africa CDC. Photograph: Ken Cedeno/Reuters

埃博拉是一种高度传染性、严重且往往致命的疾病。它通过直接接触感染者的血液、呕吐物等体液,或死者遗体(例如在葬礼筹备期间)传播。

Ebola is a highly contagious, severe, and often fatal illness. It is spread through direct contact with body fluids such as the blood or vomit of infected people, or dead bodies, such as during funeral preparations.

5月15日,刚果(金)卫生部宣布伊图里省爆发疫情,不过测序结果显示疫情始于2月。目前,疫情已蔓延至东非的肯尼亚和乌干达;而在上周,在西非,尼日利亚首都阿布贾确诊了一起病例,一名从乌干达抵达的女性病毒检测呈阳性。

On 15 May, DR Congo’s health ministry declared an outbreak in Ituri province, though sequencing shows it had begun in February. It has now spread to Kenya and Uganda in east Africa, while last week, in west Africa, Nigeria confirmed a case in the capital, Abuja, after a woman who arrived from Uganda tested positive for the virus.

法国是迄今为止唯一一个确诊埃博拉病例的非非洲国家,该病例为6月一名从刚果(金)返回的医生。

France is the only non-African country to have confirmed a case of Ebola so far – a doctor who had returned from DR Congo – in June.

本迪布焦病毒尚无获批的治疗方法,不过疫苗试验正在进行中。卡塞亚表示,结果应在3到6个月内得出。

The Bundibugyo virus has no approved treatment, though vaccine trials are under way. The results should be available in three to six months, said Kaseya.

2023年10月12日,旅客在位于肯尼亚-乌干达边境的布西亚洗手站洗手,卫生官员在此筛查埃博拉症状。 摄影:Bright Emoja/法新社/盖蒂图片社Travellers at a handwashing station in Busia on the Kenya-Uganda border, where health officials screen for Ebola symptoms, 12 October. Photograph: Bright Emoja/AFP/Getty Images

在总共1万0091起病例中,1万0060起发生在刚果(金),并有4887人死亡。乌干达有2人死亡,肯尼亚有2人死亡。

Of the total 10,091 cases, 10,060 have occurred in DR Congo, with 4,887 deaths. Two people have died in Uganda, and two in Kenya.

由于防护装备不足以及医护人员工资拖欠导致罢工,应对危机的努力受到了阻碍。刚果(金)的冲突以及受影响地区对官员的不信任、虚假信息和全球援助削减,使局势更加复杂。

The response to the crisis has been hampered by inadequate protective equipment and unpaid health worker wages, leading to strikes. Conflict in DR Congo as well as mistrust towards officials in affected areas, misinformation and global aid cuts have further complicated the situation.

卡塞亚将于周三召集非洲卫生部长会议,敦促加强跨境合作。他希望各国政府在出入境口岸对来自受影响地区的人员实施筛查和检测。

Kaseya will convene a meeting of African health ministers on Wednesday to urge greater cross-border cooperation. He wants governments to introduce screening and testing for people coming from affected regions at points of entry and exit.

“给部长们的主要信息是,他们必须明白自己可能会受到影响,我们不希望他们对可能发生的事情感到意外,”他说。在11月与非洲国家元首的会议上,卡塞亚将呼吁在冲突地区建立“和平走廊”。他说:“目前,我们在伊图里有同事想要去支援民众,但由于安全局势恶化,他们无法前往。我必须对领导人们说,这次疫情不是为了叛军,不是为了正规军,而是为了每一个人。埃博拉可以影响每一个人……我们需要团结起来,就如何相互保护达成某种协议。”卡塞亚呼吁全球共同努力为应对工作提供资金。他说,各国政府已承诺提供30亿美元(合23亿英镑),但仍有超过20亿美元尚未到位。他说,非洲国家已出资1.2亿美元,其余资金本应来自包括美国、英国和欧盟在内的国际捐助者。

“The main message to ministers is that they have to understand they could be affected, and we don’t want them to be surprised by what could happen,” he said. At a meeting in November with African heads of state, Kaseya will call for a “corridor of peace” in conflict areas. “Currently, we have colleagues in Ituri who want to go and support the population, but they cannot because of insecurity,” he said. “I have to say to leaders, this outbreak is not for rebels, it’s not for the official army, it’s for everyone. Ebola can affect everyone … We need to come together to have a kind of agreement on how to protect each other.”Kaseya called for a global effort to fund the response. He said governments had pledged $3bn (£2.3bn), but that more than $2bn was still outstanding. African countries had committed $120m, he said, while the rest is meant to come from international donors including the US, the UK and the EU.

2023年10月22日,红十字会工作人员在肯尼亚首都内罗毕模拟撤离埃博拉受害者遗体。 摄影:Tony Karumba/法新社/盖蒂图片社Red Cross staff simulate evacuating the remains of an Ebola victim in the Kenyan capital, Nairobi, 22 October. Photograph: Tony Karumba/AFP/Getty Images

他说:“我们现在就需要这笔资金。我们必须明白,如果不现在向非洲国家提供资金,[最终将花费更多],因为疫情将继续蔓延。如果有其他国家受到影响,我们谈论的就是数万亿美元,因为这将需要大量支持来阻止这场疫情。”

“We need this money now,” he said. “We must understand that failure to provide funding now to African countries [will result in more being spent] because the outbreak will continue to move. If we have other countries affected we’ll be talking about trillions of dollars because it will require a lot of support to stop this outbreak.”

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