Is corona the disease
X mentions by WHO in 2018?
Dr KK Aggarwal
President CMAOO,
HCFI and Past national President IMA
On 6th September 2018, I wrote an editorial
blog about Disease X mentioned by WHO in its list of eight priority diseases.
Who said “Disease X represents the knowledge that a serious international
epidemic could be caused by a pathogen currently unknown to cause human
disease, and so the R&D Blueprint explicitly seeks to enable cross-cutting
R&D preparedness that is also relevant for an unknown “Disease X” as far as
possible,”.
“It is believed that
the next big global epidemic could be even deadlier than the presently known
diseases such as Ebola. Just as the pathogen is unknown, so is its probable
source. But it is presumed that it will most likely be a zoonotic disease,
with animals as the source of infection. And, modern travel and
transportation will only facilitate rapid spread of the infection so that it
becomes a global threat.
Mutations can change the existing viruses into genetically
new virus types. Then lab-mutated viruses or creation of new viruses in labs
can also be a likely source. We don’t know. These are only speculations.”
WHO Priority
Diseases: Disease X
06.09.2018: WHO has
added a new, yet unknown disease, calling it ‘Disease X’, in its list of eight
priority diseases, which pose a public health risk due to their epidemic
potential and for which there are no drugs or vaccine to treat them or prevent
them. And there is an urgent need for research into these diseases for better
diagnostic methods, improved vaccines and treatment.
“Disease X represents
the knowledge that a serious international epidemic could be caused by a
pathogen currently unknown to cause human disease, and so the R&D Blueprint
explicitly seeks to enable cross-cutting R&D preparedness that is also
relevant for an unknown “Disease X” as far as possible,” says the WHO.
It is believed that
the next big global epidemic could be even deadlier than the presently known
diseases such as Ebola. Just as the pathogen is unknown, so is its probable
source. But it is presumed that it will most likely be a zoonotic disease, with
animals as the source of infection. And, modern travel and transportation will
only facilitate rapid spread of the infection so that it becomes a global
threat. Mutations can change the existing viruses into genetically new virus
types. Then lab-mutated viruses or creation of new viruses in labs can also be
a likely source. We don’t know. These are only speculations.
Urbanization is a
public health risk. Newer townships are coming up rapidly or cities are being expanded.
The cost of urbanization is deforestation. This means that we are encroaching
further into an ecosystem that was previously undisturbed by humans. The
resulting closer contact of wild animals and humans allows unknown pathogens to
be introduced into the urban areas increasing the risk of potential zoonoses
and other diseases. Infectious diseases that were previously unknown or even
rare are emerging and re-emerging now.
The need of the hour
is to strengthen surveillance, public health care systems and research and
development. A robust surveillance system to notice early, something that is
unusual, not normal, is the basis of preparedness for an epidemic. Increasing
public access to good health care will help in early detection of an epidemic
and initiate measures to control it before it spreads further. Communication is
crucial for sharing information.
The WHO has sounded a
note of caution. It’s up to us to be better prepared… “Forewarned is
forearmed”.
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