The University of Michigan, Simpson Memorial Institute, Room 205, 102 Observatory, Ann Arbor, MI 48109, USA.
Public Health. 2014 Feb;128(2):124-8. doi: 10.1016/j.puhe.2013.08.004. Epub 2014 Jan 7.
The tension between managing episodic, acute, and deadly pandemics and the arduous path to ameliorating the chronic maladies and social conditions that kill many more people, but in far less dramatic ways, has always shaped the agenda and work of the World Health Organization. Yet the historical record amply demonstrates how international efforts to control infectious disease, beginning in the mid-nineteenth century and extending to the present, have dominated global health policies, regulations, agendas and budgets: often at the expense of addressing more chronic health and environmental concerns. How these challenges have affected present circumstances and created demands for an entirely new conception and execution of 21st century global health efforts is the focus of this paper.
在管理偶发性、急性和致命性大流行病与改善那些以较为不显著的方式但却导致更多人死亡的慢性疾病和社会状况之间存在着紧张关系，这种紧张关系一直以来都在塑造着世界卫生组织的议程和工作。然而，历史记录充分表明，从 19 世纪中叶开始并延续至今的国际传染病控制努力如何主导了全球卫生政策、法规、议程和预算：这往往是以牺牲解决更慢性健康和环境问题为代价的。本文关注的是这些挑战如何影响当前形势并对 21 世纪全球卫生工作的全新构想和实施提出了要求。
