Castell-Florit Serrate Pastor, Más-Bermejo Pedro
MEDICC Rev. 2016 Oct;18(4):48. doi: 10.37757/MR2016.V18.N4.10.
The Adelaide Statement on Health in All Policies (2010), lays out equity-based principles designed to guide policymakers on incorporating health and well-being components into the development, implementation and evaluation of policy and practice while moving towards shared governance at all levels-local, regional, national and international. Special emphasis is placed on cross-sector coordination to achieve policy goals, while improving health and well-being for all.[1] In Cuba's case, experience in disaster preparedness, particularly for hurricanes, has shown good cross-sector coordination.[2] Zika serves as another recent example. First identified in Uganda in 1947, Zika, an emerging disease with outbreaks in Africa, Asia, the Pacific and the Americas and linked to neurological disorders in newborns, was declared a global health emergency by WHO on February 1, 2016.[3] In response, Cuba further stepped up measures for surveillance, prevention and control it had already announced in December 2015. Building on decades of experience fighting dengue, intensified efforts to stamp out Aedes aegypti and albopictus, the mosquitoes that transmit Zika (as well as dengue, chikungunya and yellow fever), and issued a national 11-point Zika Action Plan to prevent, detect and respond to these arboviral infections.
《阿德莱德健康融入所有政策声明》（2010年）提出了基于公平的原则，旨在指导政策制定者将健康和福祉要素纳入政策与实践的制定、实施和评估过程，同时朝着地方、区域、国家和国际各级的共同治理迈进。特别强调跨部门协调以实现政策目标，同时改善所有人的健康和福祉。[1] 就古巴而言，其在灾害防范方面的经验，尤其是针对飓风的防范经验，展现出了良好的跨部门协调。[2] 寨卡病毒疫情是近期的另一个例子。寨卡病毒于1947年在乌干达首次被发现，是一种在非洲、亚洲、太平洋地区和美洲均有爆发且与新生儿神经紊乱有关的新兴疾病，2016年2月1日世界卫生组织宣布其为全球卫生紧急事件。[3] 对此，古巴进一步加强了其在2015年12月就已宣布的监测、预防和控制措施。基于数十年抗击登革热的经验，加大力度消灭传播寨卡病毒（以及登革热、基孔肯雅热和黄热病）的埃及伊蚊和白纹伊蚊，并发布了一项11点的国家寨卡行动计划，以预防、检测和应对这些虫媒病毒感染。
