Tabish Syed Amin
Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India.
J Public Health Res. 2020 Jun 4;9(1):1786. doi: 10.4081/jphr.2020.1786.
World is living on the edge. The human cost of COVID pandemic could be extraordinary. We find ourselves in a time of great economic, social, and medical uncertainty. The pandemic demands action on many fronts, from prevention to testing to treatment. We need to create simple, cheap, more accessible testing for SARS-CoV-2. A faster way has to be developed to identify antibodies that neutralize the virus. More than 100 vaccines for the SARS-CoV-2 are at various stages of development. Some six groups have already begun injecting formulations into volunteers in safety trials; others have started testing in animals. The biggest challenge is to determine which vaccine is ideal. Reason and science have to guide us. There is urgent need to critically appraise evidence in deciding how to treat patients. We need a drug or combination of drugs that work. Remdesivir has generated hope. It may prove to be a magic bullet. Countries like Taiwan, Vietnam, Singapore, Hong Kong, South Korea, New Zealand have done exceptionally well to contain the spread of COVID-19. It is widely believed that during the pandemic treatment suffers. Patients with diseases like cancer, diabetes, renal failure, CAD and pregnant women need special attention. As the pandemic pushes up levels of hunger among the global poor, governments must prevent devastating nutrition and health consequences for children missing out on school meals amid school closures. Nations will have endemic SARS-CoV-2 infection for the foreseeable future. A structured and well-coordinated approach is critical for tackling this global crisis.
世界正处于危机边缘。新冠疫情造成的人员伤亡可能极为惨重。我们发现自己身处一个经济、社会和医疗状况充满巨大不确定性的时代。这场疫情需要在从预防到检测再到治疗的诸多方面采取行动。我们需要开发出简单、廉价且更易获取的新冠病毒检测方法。必须找到一种更快的方法来识别能够中和该病毒的抗体。超过100种针对新冠病毒的疫苗正处于不同的研发阶段。约有六个团队已开始在安全试验中向志愿者注射疫苗制剂;其他团队则已开始在动物身上进行试验。最大的挑战在于确定哪种疫苗是理想之选。理性和科学必须指引我们。在决定如何治疗患者时,迫切需要审慎评估证据。我们需要一种有效的药物或药物组合。瑞德西韦带来了希望。它可能会成为特效药。台湾地区、越南、新加坡、中国香港、韩国、新西兰等国家和地区在遏制新冠疫情传播方面做得格外出色。人们普遍认为,疫情期间治疗会受到影响。患有癌症、糖尿病、肾衰竭、冠心病等疾病的患者以及孕妇需要特别关注。由于疫情加剧了全球贫困人口的饥饿程度,各国政府必须防止因学校停课导致儿童无法获得校餐而造成严重的营养和健康后果。在可预见的未来,各国都将出现新冠病毒地方性感染的情况。采取结构化且协调良好的方法对于应对这一全球危机至关重要。