Gully Paul R
The University of British Columbia School of Population and Public Health, Vancouver, British Columbia, Canada.
Healthc Manage Forum. 2020 Jul;33(4):164-169. doi: 10.1177/0840470420901532. Epub 2020 Feb 5.
Pandemics of influenza, cholera, and plague are part of global history. Regional epidemics and pandemics of infectious diseases, primarily influenza A, continue to cause significant morbidity and mortality while remaining unpredictable in nature. Sudden-onset disasters such as earthquakes and floods occur with little warning. The consequences of climate change and environmental degradation can only be expected to increase the incidence of some infectious diseases and weather-related crises, adding to the unpredictability of such events. Health leaders, both in public health and healthcare, need to understand the international context and how coordination and response across or within jurisdictions will improve the likelihood of successful management of challenges. Public health emergencies respect no borders or political structures. The ability of institutions to adapt quickly can make a difference in health outcomes and a community's trust in those institutions.
流感、霍乱和鼠疫的大流行是全球历史的一部分。区域性传染病流行和大流行，主要是甲型流感，继续造成重大发病和死亡，同时其本质上仍然不可预测。地震和洪水等突发灾难几乎没有预警就会发生。气候变化和环境退化的后果只会增加一些传染病和与天气相关危机的发生率，从而增加此类事件的不可预测性。公共卫生和医疗保健领域的卫生领导人需要了解国际背景，以及跨辖区或辖区内的协调与应对如何提高成功应对挑战的可能性。突发公共卫生事件不受国界或政治结构的限制。机构迅速适应的能力会对健康结果以及社区对这些机构的信任产生影响。
