Johns Hopkins Center for Health Security, Baltimore, Maryland, USA.
Clin Infect Dis. 2020 Dec 3;71(9):2516-2520. doi: 10.1093/cid/ciaa486.
Epidemic readiness and response command the disproportionate attention of health security decision makers, planners, and practitioners, overshadowing recovery. How patients and their families, health organizations, community sectors, and entire societies recuperate from major outbreaks requires more systematic study and better translation into policy and guidance. To help remedy this neglected aspect of health emergency management, we offer a working definition for epidemic recovery and a preliminary model of postepidemic recovery. Guiding this framework's development are insights gleaned from the more mature study of postdisaster reconstruction and rehabilitation as well as recognition that postoutbreak recovery-which involves infectious disease, a biological hazard-presents challenges and opportunities distinct from events involving geological or meteorological hazards. Future work includes developing a consensus around characteristics of successful epidemic recovery, applying these metrics to support preincident planning for postepidemic recovery, and using such a scheme to track and inform actual recovery from an epidemic.
疫情准备和应对措施引起了卫生安全决策者、规划者和从业者的高度关注，使疫情后的恢复工作相形见绌。患者及其家属、卫生组织、社区部门和整个社会如何从重大疫情中恢复过来，需要更系统的研究和更好地转化为政策和指导。为了帮助弥补卫生应急管理中这一被忽视的方面，我们提出了一个疫情后恢复的工作定义和一个初步的疫情后恢复模型。指导这一框架发展的是从更成熟的灾后重建和恢复研究中获得的见解，以及认识到涉及传染病这一生物危害的疫情后恢复与涉及地质或气象灾害的事件有明显不同的挑战和机遇。未来的工作包括就成功的疫情后恢复的特点达成共识，应用这些指标来支持疫情后恢复的事前规划，并利用这样的方案来跟踪和报告疫情后的实际恢复情况。
