Research and Reviews : A Journal of Immunology Review Article
Disease X: Unveiling the Unknown Pathogen and Enhancing Global Preparedness
Abstract
“The concept of “Disease X” was introduced to drive the creation and refinement of versatile technologies such as vaccines, therapeutic drugs, and diagnostic tests, which could be swiftly adapted and utilized in response to future infectious disease outbreaks with epidemic or pandemic potential. The aim was to establish a proactive approach to emerging health threats by developing platform technologies capable of addressing a broad spectrum of potential pathogens. The COVID-19 pandemic sparked significant discussion on whether it could be classified as an example of Disease X. Particularly, Shi Zhengli, a prominent Chinese virologist, proposed that the initial Disease X might emerge from a coronavirus. This hypothesis is grounded in the observation that a vast array of viruses circulating within wildlife populations poses a substantial risk. These wildlife reservoirs are considered prime sources of future infectious diseases due to their ability to spill over into other species, including humans. Such zoonotic transmissions could lead to the emergence of novel infections against which human populations lack preexisting immunity, thereby posing serious global health threats.
Keywords
References (10)
- Jebril N. World Health Organization Declared a Pandemic Public Health Menace: A Systematic Review of the Coronavirus Disease 2019 (COVID-19), up to 26th March 2020. SSRN. Available from: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3566298
- Jiang S, Shi ZL. The First Disease X is Caused by a Highly Transmissible Acute Respiratory Syndrome Coronavirus. Virologica Sinica. 2020;35(3):263-265. doi:10.1007/s12250-020-00206-5
- Leung GM, Nicoll A. Reflections on Pandemic (H1N1) 2009 and the International Response. PLoS Medicine. 2010;7(10):e1000346. doi:10.1371/journal.pmed.1000346
- MacIntyre R. The risk of selective investment in downstream pandemic planning. Global Biosecurity. 2019;1(2):85. doi:10.31646/gbio.36
- MacIntyre CR, Heslop D. Public health, health systems and palliation planning for COVID-19 on an exponential timeline. Med J Aust. 2020;212(9):387-9. Available from: https://www.mja.com.au/system/files/2020-04/Preprint%20MacIntyre%201%20April.pdf
- Gates B. Responding to Covid-19 — A Once-in-a-Century Pandemic? New England Journal of Medicine. 2020;382(18):1677-1679. doi:10.1056/nejmp2003762
- Morens DM, Fauci AS. Emerging Infectious Diseases: A 50-Year Perspective. J Infect Dis. 2013;207(3) Available from: https://doi.org/10.1093/infdis/jit053
- Munster VJ, Feldmann F, Williamson BN, et al. Respiratory Disease Caused by Novel Coronavirus in a Nonhuman Primate Model. Science. 2020;368(6494):1012-5. Available from: https://doi.org/10.1126/science.abb6542
- Research and Development Blueprint: Prioritization of Diseases. World Health Organization. Available from: https://www.who.int/blueprint/priority-diseases/en/
- Markel H, Lipman HB, Navarro JA, Sloan A, Michalsen JR, Stern AM, et al. Nonpharmaceutical Interventions Implemented by US Cities During the 1918-1919 Influenza Pandemic. JAMA. 2007;298(6):644. doi:10.1001/jama.298.6.644