基于从刚果民主共和国埃博拉病毒病疫情中吸取的经验教训,提出的国家层面应对 COVID-19 的建议。

Recommendations for the COVID-19 Response at the National Level Based on Lessons Learned from the Ebola Virus Disease Outbreak in the Democratic Republic of the Congo.

机构信息

1Ebola Response Team, Health, Nutrition and Population, Global Practice, World Bank Group, Washington, District of Columbia.

2Center for Humanitarian Health, Johns Hopkins School of Public Health, Baltimore, Maryland.

出版信息

Am J Trop Med Hyg. 2020 Jul;103(1):12-17. doi: 10.4269/ajtmh.20-0256. Epub 2020 May 19.

Abstract

The tenth outbreak of Ebola virus disease (EVD) in North Kivu, the Democratic Republic of the Congo (DRC), was declared 8 days after the end of the ninth EVD outbreak, in the Equateur Province on August 1, 2018. With a total of 3,461 confirmed and probable cases, the North Kivu outbreak was the second largest outbreak after that in West Africa in 2014-2016, and the largest observed in the DRC. This outbreak was difficult to control because of multiple challenges, including armed conflict, population displacement, movement of contacts, community mistrust, and high population density. It took more than 21 months to control the outbreak, with critical innovations and systems put into place. We describe systems that were put into place during the EVD response in the DRC that can be leveraged for the response to the current COVID-19 global pandemic.

摘要

第十次埃博拉病毒病(EVD)疫情于 2018 年 8 月 1 日在赤道省爆发,此时距离第九次 EVD 疫情在刚果民主共和国(DRC)北基伍省结束刚好 8 天。此次疫情共报告了 3461 例确诊和疑似病例,是 2014-2016 年西非疫情之后第二大疫情,也是 DRC 历史上最大的一次疫情。由于武装冲突、人口流离失所、接触者流动、社区不信任和人口密度高等多种挑战,疫情难以控制。经过 21 个多月的努力,才最终控制了疫情,同时采取了一些关键的创新措施和建立了相关系统。我们在文中描述了在刚果民主共和国的 EVD 应对措施中实施的系统,这些系统可以为当前 COVID-19 全球大流行的应对提供借鉴。

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