[Emerging infectious diseases: complex, unpredictable processes].
In the light of a double approach, at first empirical, later theoretical and comparative, illustrated by the example of the Buruli ulcer and its mycobacterial agent Mycobacterium ulcerans on which I focused my research activity these last ten years by studying determinants and factors of emerging infectious or parasitic diseases, the complexity of events explaining emerging diseases will be presented. The cascade of events occurring at various levels of spatiotemporal scales and organization of life, which lead to the numerous observed emergences, nowadays requires better taking into account the interactions between host(s), pathogen(s) and the environment by including the behavior of both individuals and the population. In numerous research studies on emerging infectious diseases, microbial hazard is described rather than infectious disease risk, the latter resulting from the confrontation between an association of threatening phenomena, or hazards, and a susceptible population. Beyond, the theme of emerging infectious diseases and its links with global environmental and societal changes leads to reconsider some well-established knowledge in infectiology and parasitology.
Jean-François
JF
Guégan
D054312:Buruli Ulcer / Q000453:epidemiology / Q000382:microbiology; D057231:Climate Change; D021821:Communicable Diseases, Emerging / Q000175:diagnosis* / Q000453:epidemiology* / Q000209:etiology* / Q000635:transmission; D004197:Disease Reservoirs / Q000382:microbiology / Q000706:statistics & numerical data; D006801:Humans; D019911:Mycobacterium ulcerans / Q000502:physiology; D015995:Prevalence; D011379:Prognosis; D012621:Seasons