Reemerging infectious diseases

Visualization of narrower problems
Re-emerging communicable disease
Emerging diseases

Emerging infectious diseases have been defined as "infections that have newly existed in a population or have existed but are rapidly increasing in incidence or geographic range". Many are zoonoses, diseases shared with other animals. Globalization of trade, growth of cities and intensification of agriculture are all giving animals new opportunities to spread their pathogens to people. Modern human mobility increases opportunities for the transfer of pathogens, notably between widely separated habitats. The spread of these diseases is notoriously hard to track; mad cow disease, for instance, has such a long incubation period that it may be many years before its existence can be confirmed or denied.


Recent years have seen several episodes of disease emergence, such as multi-drug resistant tuberculosis, acute coccal infections, the rodent-borne pneumonic hantavirus in the United States, food- and water-borne outbreaks of [Salmonella] infections, cholera and illnesses caused by the [Escherichia coli] O157. Half a billion people per year develop malaria, and 1 to 2 million die of it, so the disease is re-emerging. The HIV, Ebola and Hanta viruses are examples of diseases that were once apparently confined to Africa and have travelled around the world.

In the first half of the 1990s, a number of communicable diseases re-emerged in the European Region, mainly in the "newley independent states" (NIS) of the former Soviet Union. Although communicable diseases accounted for only 1.3% of all deaths in the region in this period, the mortality rates were four times higher in the NIS than in the rest of Europe. About half the communicable disease mortality in this period was caused by tuberculosis. Insufficient access to safe drinking-water, poor food hygiene, inadequate housing and contamination of indoor air with microorganisms contribute to the disease burden.


Over last 10 years there has been an increasing awareness of the wider evolutionary process with which the human species is engaged. Microbial and viral predators present a constant threat to individual survival as well as to the success of the population at large. Following decades of general complacency in the antibiotic era, a turning point has been reached, spurred by the emergence of the human immunodeficiency virus (HIV) - one of the simplest of viral constructs - which still evades cure or proper understanding.

(D) Detailed problems