世界杯埃博拉风险“极低”,但美国已做好准备,专家称


2026-06-15T10:06:35.238Z / 路透社

芝加哥6月15日电(路透社)——美国传染病专家表示,在上周开幕的2026年世界杯期间,感染埃博拉病毒的旅行者抵达美国的风险较低,但并非为零,若真发生此类情况,美国医院已做好应对准备。

情况并非一直如此。

通过路透社健康专栏简报,了解最新医学突破与医疗趋势。点击此处订阅。

在2014年西非埃博拉疫情期间,一名利比里亚男子托马斯·埃里克·邓肯因埃博拉症状抵达达拉斯一家医院,最初被拒收,之后才得以入院。

两名护士被感染但最终康复。

此次事件促使美国投入2.6亿美元用于埃博拉防范培训和应对能力建设,并建立了13个专门治疗中心——所有这些举措旨在帮助医院识别、隔离并安全护理疑似埃博拉患者。

“我们无法100%阻止感染,但我们无疑处于有史以来最充分的准备状态,”亚特兰大埃默里大学的严重传染病专家加文·哈里斯博士说道,该校所在的亚特兰大是美国11个世界杯主办城市之一。

本届世界杯为期39天,将在美国、墨西哥和加拿大举办104场比赛,届时将有650万球迷穿越北美。美国主办城市的公共卫生官员和医院已针对一系列传染病威胁展开筹备工作。

美国疾病控制与预防中心、泛美卫生组织以及世界卫生组织均表示,世界杯主办国面临的埃博拉风险较低,并指出麻疹、新冠和流感——这些在人群聚集时易于传播的疾病——才是最有可能出现的威胁。

但目前在刚果民主共和国暴发的埃博拉疫情仍令人担忧,该疫情已导致超过675人感染、135余人死亡。

“对于任何观看世界杯的人来说,埃博拉风险都极低。埃博拉并非通过空气传播,也不会通过日常接触传播——它需要直接接触患者的体液,”“为拯救生命而行动”组织首席执行官、美国疾控中心前主任汤姆·弗里登博士说道。

“但低风险不等于零风险,除非这场疫情在刚果(金)的源头被遏制,否则风险永远不会归零。”

汲取过往教训

美国始于2015年的埃博拉防范工作,是由埃默里大学、内布拉斯加大学医学中心以及纽约市的纽约健康+医院/贝尔维尤医院合作开展的——这些机构在迄今为止规模最大的西非埃博拉疫情期间收治过埃博拉患者。

“当时我们意识到,我们有责任培训其他医疗机构,使其能够识别可能接触过或感染埃博拉类疾病的潜在患者,”埃默里大学的哈里斯说道。

此后,已有数千名医护人员接受了埃博拉及其他严重病原体的识别与治疗培训。

为筹备世界杯,防范专家已在全国范围内开展培训演习,模拟赛事期间可能暴发的中东呼吸综合征疫情。

他们还为医生编制了指导手册,提高其对本国不常见疾病的认识,包括疟疾、登革热和基孔肯雅热等蚊媒传播疾病。

美国、墨西哥和加拿大已实施机场筛查措施,并发布旅行禁令,限制近期前往疫情受影响国家的非公民入境,美国还敦促欧洲采取类似限制措施。哈里斯表示,这些禁令可能会降低世界杯场馆出现埃博拉病例的几率。

为遵守美国的限制措施,刚果(金)国家足球队已于5月离开本国,在比利时进行训练,之后再前往美国。

哈里斯称,每个主办城市的国际足联、当地公共卫生官员和医院系统都已组建医疗委员会,根据将在该市举办比赛的球队、其本国流行的疾病、签证限制以及体育场后勤情况,开展埃博拉和其他传染病威胁评估。

部分地区已讨论为场馆提供针对特定疾病的治疗药物或防护装备,并正在使用包括废水监测、空气质量数据和电子病历在内的监测工具,以发现异常的疾病聚集性病例。

国际足联表示,医疗相关风险已被纳入赛事整体规划,并与主办城市密切协调管理,主办城市将派出医疗负责人监督和协调医疗服务工作。

国际足联称,其正在监测埃博拉疫情,并与刚果(金)以及三个主办国的体育和卫生当局保持联系。

填补空白

明尼苏达大学传染病专家迈克尔·奥斯特霍姆博士表示,针对美国境内大型集会的筹备工作并非新鲜事。

“多年来,州和地方卫生部门与疾控中心合作,一直走在监测入境人员的前沿,”他说道。

为助力疾病监测与协调工作,乔治敦大学已与30多家公共和私营部门实体合作,设立了一个独立的健康安全运营中心。

已有超过700名州和地方卫生当局人员报名加入该组织的每日报告工作,约60个联邦合作伙伴、国际足联和美国疾控中心也参与其中。

不过,弗里登和另外两名专家表示,美国疾控中心的人员裁减、美国退出世界卫生组织,以及州和地方卫生部门在应对数十年来最严重的美国麻疹疫情时承受的压力,都造成了负面影响。

“我最担心的是,裁员数千人的疾控中心是否有足够的能力、支持和授权,能够迅速采取行动——无论是在美国国内还是在刚果(金),”弗里登说道。

负责监管美国疾控中心的美国卫生与公众服务部未回应置评请求。

美国传染病学会首席执行官珍妮·马拉佐表示,美国卫生部长小罗伯特·F·肯尼迪削减公共卫生预算,导致政府机构人员大量流失。

“尽管如此,我们知道,留守的人员在许多情况下都在夜以继日地工作,努力保障我们的安全,”她在一场简报会上说道。

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Ebola risk for World Cup is ‘extremely low’, but US is ready, experts say

2026-06-15T10:06:35.238Z / Reuters

CHICAGO, June 15 (Reuters) – The risk that a traveler infected with Ebola could arrive in the United States during the 2026 World Cup tournament that kicked off last week is low but not zero, and if that happens, U.S. hospitals are ready to respond, U.S. infectious disease experts say.

It wasn’t always so.

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During the 2014 West African Ebola outbreak, ​a Liberian man, Thomas Eric Duncan, arrived in a Dallas hospital with Ebola symptoms and was turned away before being admitted.

Two nurses were infected but survived.

That led to $260 million in U.S. funding for ​Ebola preparedness training and response capabilities and 13 specialized treatment centers – all intended to help hospitals identify, isolate and safely care for suspected Ebola patients.

“We’re not going to be able to prevent 100% of infections, but we certainly are the most prepared that we have ever been,” said Dr. Gavin Harris, an expert in serious communicable diseases at Emory University in Atlanta, one of 11 U.S. World Cup host cities.

Public health officials and hospitals in the U.S. host cities have been preparing for a range of infectious disease threats as 6.5 million fans travel across North ​America during the 39-day event featuring 104 matches in the United States, Mexico and Canada.

The U.S. Centers for Disease Control and Prevention, the Pan American Health Organization and the World Health Organization have all described the risk ​of Ebola to World Cup host countries as low, citing measles, COVID-19 and influenza – which spread when large crowds gather – as the most likely threats.

But the Ebola outbreak in the ​Democratic Republic of Congo that has infected more than 675 people and killed more than 135 remains a concern.

“The risk of Ebola to anyone at the World Cup is extremely low. Ebola isn’t airborne and doesn’t spread through casual contact — ​it requires direct contact with the body fluids of someone who is ill,” said Dr. Tom Frieden, chief executive of Resolve to Save Lives and former director of the CDC.

“But low isn’t zero, and it won’t be zero until the outbreak ​is stopped at its source in DRC.”

LEARNING FROM THE PAST

U.S. Ebola preparedness efforts that began in 2015 were born out of a collaboration between Emory University, the University of Nebraska Medical Center and NYC Health + Hospitals/Bellevue in New York City – facilities that cared for Ebola patients during the West African Ebola outbreak, the largest to date.

“There was a recognition that we had a duty to train other facilities to recognize potential patients who might be exposed or sick with something like Ebola,” Emory’s Harris said.

Thousands of healthcare workers have since been trained to ​recognize and treat patients with Ebola and other serious pathogens.

For the World Cup, preparedness experts have conducted nationwide training exercises simulating a potential MERS outbreak at the games.

They have also compiled guidance for physicians, raising awareness of illnesses not typical of ​their home cities, including mosquito-borne conditions such as malaria, dengue and chikungunya.

The United States, Mexico and Canada have instituted airport screening and travel bans restricting entry of non-citizens with recent travel to countries affected by the outbreak, and the U.S. has urged Europe to impose similar ​restrictions. Harris said ⁠those bans are likely to decrease the chances of Ebola at World Cup venues.

In order to comply with U.S. restrictions, the DRC national soccer team left the country in May and trained in Belgium ahead of travel to the United States.

In each host city, FIFA, local public health officials and hospital systems have formed medical committees that have been conducting Ebola and other infectious disease threat assessments based on the teams that will play in their cities, diseases prevalent within their home countries, visa restrictions and stadium logistics, Harris said.

Some areas have discussed supplying disease-specific treatments or protective gear to the venues and are using surveillance tools, including wastewater monitoring, air quality data and electronic medical records, to detect unusual illness clusters.

FIFA said medical-related risks ​are assessed as part of overall tournament planning and managed ​in close coordination with the host cities, which provide ⁠medical leaders that oversee and coordinate services.

It said it is monitoring the Ebola outbreak and is in contact with sporting and health authorities in the DRC and the three host countries.

FILLING IN THE GAPS

Dr. Michael Osterholm, an infectious disease expert at the University of Minnesota, said planning for mass gatherings in the U.S. is not new.

“State and local health departments working ​in conjunction with CDC have for many years been at the forefront of individuals coming into this country,” he said.

To help with disease monitoring and coordination, Georgetown University ​has set up an independent Health Security ⁠Operations Center in collaboration with more than 30 public and private sector entities.

More than 700 state and local health authorities have signed up for the group’s daily reports, as have some 60 federal partners, FIFA and the CDC.

Still, staff cuts at the CDC, the U.S. departure from WHO, and strain on state and local health departments that have been battling the biggest U.S. measles outbreak in decades have taken a toll, Frieden and two other experts said.

“My biggest concern is whether a CDC that’s lost thousands of staff ⁠has the capacity, ​support, and mandate to move fast enough — both here and in DRC,” Frieden said.

The U.S. Department of Health and Human Services, which oversees the ​CDC, did not respond to a request for comment.

Jeanne Marrazzo, chief executive of the Infectious Diseases Society of America, said health secretary Robert F. Kennedy Jr.’s cuts to public health have led to an exodus from government agencies.

“Nonetheless, we know the people who are still there are working around the ​clock in many cases to try to keep us safe,” she said in a briefing.

Reporting by Julie Steenhuysen; Additional reporting by Siddhi Mahatole and Rohith Nair in Bengaluru and Julien Pretot in New York; Editing by Caroline Humer and Rosalba O’Brien

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