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关闭学校:1918-19 年美国流感大流行的教训。

Closing the schools: lessons from the 1918-19 U.S. influenza pandemic.

机构信息

History of Medicine at University of Michigan Medical School in Ann Arbor, USA.

出版信息

Health Aff (Millwood). 2009 Nov-Dec;28(6):w1066-78. doi: 10.1377/hlthaff.28.6.w1066. Epub 2009 Sep 28.

Abstract

When the novel strain of A/H1N1 influenza first appeared in spring 2009, closing schools was initially a common and often challenging strategy implemented in many communities. Arguments for and against closing schools are likely to arise anew if influenza spikes in the fall of 2009. Policymakers and community officials considering this and other nonpharmaceutical responses can learn from the experiences of ninety-one years ago, during the 1918-19 influenza pandemic that killed thousands of Americans. Analysis of the school closure policies of forty-three U.S. cities during that pandemic shows that smooth implementation was associated with clear lines of authority among agencies and with transparent communication between health officials and the public.

摘要

当新型 A/H1N1 流感于 2009 年春季首次出现时,关闭学校最初是许多社区普遍采用的策略,而且常常颇具挑战性。如果 2009 年秋季流感再次爆发,那么关于关闭学校的利弊可能会再次出现争议。如果考虑采取这种以及其他非药物应对措施,决策者和社区官员可以从前 91 年前的 1918-19 年流感大流行中吸取经验教训,那场大流行导致数千名美国人死亡。对该大流行期间 43 个美国城市的学校关闭政策进行分析后表明,机构之间明确的权力划分以及卫生官员与公众之间透明的沟通有助于实现政策的顺利实施。

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