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1、DepartmentofInfectiousDiseasesThirdhospital,SunYet-senUniversityPro.fGaozhiliangGENERALPRICIPLESOFINFECTIOUSDISEASES1SINGNIFECANCEANDIMPORTANCE2HistoryreviewIn14thcentury,PlagueinEuropean,20millionpeopledeath;In17~18thcentury,smallboxinEuropean,150millionpeopledeath;In1
2、918,fluintheworldwide,40millionpeopledeath。3In1905,NobelgainerofphysiologyandmedicineawardRobertKoch(Germany)Kochdiscoveredtubculosisbacilii4In1945,NobelgainerofphysiologyandmedicineawardAlexanderFleming(Scotland)In1928年,FlemingDiscorveredPenicillinIntoantibioticsera5WH
3、Oreports:Among52millionofdeathintheworldwideannually,17million(32%)ofdeathfrominfectiousdiseasesandparasiteIndevelopingcountry,ahalfofdeathbyinfectiousdiseases;About15millionofdeathbyinfectiousdiseasesperhourintheworldwide,mostoccurredindevelopingcountry。6PatternofInfec
4、tioninDevelopedCountriesIn20thcentury,fallintheincidenceofcommunicablediseasesindevelopedcountriesduetofactorssuchas:Immunizationantimicrobialchemotherapyimprovednutritionandbettersanitationandhousing.7Re-emergenceofoldinfectiousdisease◆(Tuberculosis)◆(Viralhepatitis)◆(
5、Sexuallytransmitteddiseases)◆others:cholera、charcoal8Re-emergenceofoldinfectiousdisease2milliondeathofTBintheworldwideannually7~8millioninfectedbyTBintheworldwideannuallyMarch24,forWorldTBDay9EmerginginfectiousdiseasesWHOinformationnear30years,about30kindsofinfectiousdi
6、seasesdiscoveredintheworldwide“Emerginginfectiousdiseases”10Emerginginfectiousdiseases40millionofHIV/AIDScasesworldwideHIVinfectionrates:11cases/minute16000persons/perday6millionpersons/annually。95%indevelopingcountryMaximalnation:Africa,infectionrateabout10%Dec.1forWor
7、ldAIDSDay11EmerginginfectiousdiseasesSARS(SARS—CoV)From2002.11.16to2003.7,SARSspreaded6continent,32countries,casesof8437,deathof916Inchina,casesof5327,deathof349SARS:mostseriousemerginginfectiousdiseasesin21century12EmerginginfectiousdiseasesAvianinfluenzaH5N1virusH1N1V
8、IRUS13AntibioticsAntibiotics,withinthelast60years,ResultedinthecureofmanypreviouslylethalinfectionsOnlyseveral