Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA.
Bloomberg School of Public Health, Johns Hopkins University, 615 North Wolfe Street, no. 5041, Baltimore, MD 21205, USA.
Science. 2014 Sep 12;345(6202):1290-2. doi: 10.1126/science.1254164.
Given the growing scale and complexity of responses to humanitarian crises, it is important to develop a stronger evidence base for health interventions in such contexts. Humanitarian crises present unique challenges to rigorous and effective research, but there are substantial opportunities for scientific advance. Studies need to focus where the translation of evidence from noncrisis scenarios is not viable and on ethical ways of determining what happens in the absence of an intervention. Robust methodologies suited to crisis settings have to be developed and used to assess interventions with potential for delivery at scale. Strengthening research capacity in the low- to middle-income countries that are vulnerable to crises is also crucial.
鉴于人道主义危机应对工作的规模和复杂性不断扩大，为在这种情况下开展卫生干预措施提供更有力的循证依据非常重要。人道主义危机给严格有效的研究带来了独特的挑战，但也为科学进步提供了巨大的机会。研究需要集中在从非危机情况下进行证据转化不可行的地方，并关注在没有干预的情况下确定实际情况的伦理方法。必须开发和使用适合危机环境的稳健方法学来评估具有大规模推广潜力的干预措施。加强易受危机影响的中低收入国家的研究能力也至关重要。
