Disease X: A hidden but inevitable creeping danger

What is Disease X?

According to the World Health Organization (WHO), “Disease X represents the knowledge that a serious international epidemic could be caused by a pathogen currently unknown to cause human disease.

According to a UK health expert, Disease X could lead to another pandemic more lethal than Covid-19 and could claim at least 50 million lives.

In a list of diseases that the WHO considers high priority in terms of research and development, Disease X occupies a spot among diseases such as Ebola, Zika, and coronavirus disease 2019 (COVID-19).

Disease X is supposed to be caused by a “pathogen X.” Such a pathogen is expected to be a zoonosis, most likely an RNA virus, emerging from an area where the right mix of risk factors highly promotes the risk for sustained transmission.

KEY MESSAGES

Emerging pathogens continue to pose a serious threat to global health. More lives can be saved if medical countermeasures are deployed in time.

Disease X will result from Pathogen X: a pathogen that is previously unknown to cause human disease but possesses epidemic or pandemic potential.

Pathogen X could be any pathogen including but not limited to viruses, bacteria, fungi, parasites, or prions.

Disease X virus has the potential to result in 20 times more fatalities than Covid-19.

Pandemic emergence is assumed to be likely to occur because of the following risk factors: human activities near wildlife, creation of animal source foods with little monitoring of employees and a poorly understood supply chain, insect and tick vectors, extreme population density, and constrained surveillance and laboratory capacity.

The advent of a catastrophic outbreak involving Disease X is likely to result from the zoonotic transmission of a highly virulent RNA virus from an area where a convergence of risk factors and population dynamics will result in sustained person-to-person transmission.

WHO listed priority diseases

WHO has listed several priority diseases with epidemic potential for which there are no, or insufficient, medical countermeasures.

Doctors Liked to Read More

The urgency to bolster research and development efforts becomes paramount in the face of this unpredictable and potentially catastrophic future disease.

Researchers must be encouraged to trial new technologies and approaches to vaccine design, potentially leading to more effective and efficient vaccines in the future.

The creation and distribution of vaccines will be crucial in combating Disease X. UK experts are working on developing prototype vaccines to tackle 'Disease X'.

Vaccines will always be needed to control infectious diseases, but therapeutics offer an extra layer of protection.

Another strategic opportunity to accelerate development of effective therapeutics across modalities is through development of broad and narrow spectrum therapeutics against priority pathogen families.

World urgently need to invest in state-of-the-art systems for international surveillance of prospective virus threats.

The world must unite in its efforts to bolster pandemic preparedness, ensuring that the collective response is swift, comprehensive, and grounded in science.

To prevent the onset of the next pandemic, we need to:

Invest in Surveillance: Develop robust global surveillance systems to detect emerging threats early.

Promote One Health: Recognize the interconnection of human, animal, and environmental health to identify and mitigate risks.

Responsible Antibiotic Use: Implement antimicrobial stewardship to combat drug-resistant pathogens.

Strengthen Healthcare Systems: Build capacity in healthcare systems for both pandemic response and routine healthcare needs.

Global Cooperation: Foster international collaboration in information sharing, resource allocation, and research efforts.

Preparedness Plans: Develop comprehensive pandemic preparedness plans, including stockpiling essential supplies and rapid response teams.

Read In Details


https://www.who.int/activities/prioritizing-diseases-for-research-and-development-in-emergency-contexts
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8367867/
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30123-7/fulltext
https://www.dailymail.co.uk/health/article-12380855/What-Disease-X-UK-scientists-working-vaccine-prevent-new-pandemic-unknown-disease.html

This is for informational purposes only. You should consult your clinical textbook for advising your patients.