Department of Internal Medicine, Jordan University, Amman, Jordan.
Global Health Development/Eastern Mediterranean Public Health Network, Amman, Jordan.
JMIR Public Health Surveill. 2020 Jul 7;6(3):e19332. doi: 10.2196/19332.
As of April 12, 2020, a total of 389 cases of coronavirus disease were confirmed in Jordan. To control this imminent threat, Jordan has enforced public health infection prevention and control measures, called for social distancing, seized all forms of inbound and outbound movement and international travel, and enacted the Defence Law that transferred the authority to the Minister of Defence to work and formulate orders according to the situation. In an effort to support the government in anticipating the requirements of the health system in the upcoming period, an in-depth reflection and examination of different scenarios of the disease spread were developed. This viewpoint suggests different strategies and measures for case detection and contact tracing, clinical management of cases, public health system functioning, and civil society organizations' contribution. It is necessary to accelerate containment of the disease to protect the economy and to maintain the continuity of some activities to mitigate the subsequent social, economic, and financial impacts. This requires finding a coping mechanism for a period that may be prolonged until laboratories develop a vaccine. Specifically, it is strongly recommended to promote community health awareness toward public health prevention and control measures, increase the efficiency and comprehensiveness of the epidemiological investigation and active and passive surveillance, and employ technology and digital health solutions to track cases and contacts. It is also recommended to increase and expand resources of intensive care units including respirators, increase the capacity and the number of trained health staff in the area of public health and epidemiology, ensure continued provision of essential public health programs, and mobilize the resources of nongovernmental sectors and donors to provide services for refugees and vulnerable populations.
截至 2020 年 4 月 12 日,约旦共确诊 389 例冠状病毒病病例。为控制这一迫在眉睫的威胁,约旦已实施公共卫生感染预防和控制措施,呼吁保持社交距离,禁止一切形式的出入境和国际旅行,并颁布了《国防法》,将权力移交给国防部长,根据情况开展工作和制定命令。为了支持政府预测未来卫生系统的需求,对疾病传播的不同情景进行了深入的反思和检查。本观点提出了不同的策略和措施,用于发现和追踪病例和接触者、对病例进行临床管理、公共卫生系统运作以及民间社会组织的贡献。必须加快遏制疾病的速度,以保护经济并保持一些活动的连续性,从而减轻随后的社会、经济和财政影响。这需要为可能持续到实验室开发出疫苗的一段时间找到应对机制。具体而言,强烈建议提高社区对公共卫生预防和控制措施的认识,提高流行病学调查和主动及被动监测的效率和全面性,并利用技术和数字健康解决方案来跟踪病例和接触者。还建议增加和扩大包括呼吸机在内的重症监护病房资源,增加公共卫生和流行病学领域的训练有素的卫生人员的能力和人数,确保继续提供基本公共卫生方案,并动员非政府部门和捐助者的资源为难民和弱势群体提供服务。