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新加坡的 COVID-19 疫情应对能否成为非洲资源匮乏的医疗保健环境的成功模式框架?

Singapore COVID-19 Pandemic Response as a Successful Model Framework for Low-Resource Health Care Settings in Africa?

机构信息

Pharmacogenomics and Drug Metabolism Research Group, Division of Human Genetics, Department of Pathology, Institute of Infectious Diseases and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

出版信息

OMICS. 2020 Aug;24(8):470-478. doi: 10.1089/omi.2020.0077. Epub 2020 Jun 16.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus continues to spread and evolve across the planet. The crosscutting impacts of the virus, individual country responses to the virus, and the state of preparedness of local public health systems greatly vary across the world. The ostensibly late arrival of the virus in Africa has allowed learning, innovation, and adaptation of methods that have been successful in the early-hit countries. This article analyzes how Singapore has responded to the COVID-19 pandemic and proposes that adaptations of the Singapore pandemic response model would bode well for Africa's response to the COVID-19 pandemic in ways that also take into account regional differences in health care infrastructures, socioeconomic resilience, poverty, and the vast population diversity in the African continent. As the pandemic evolves, the lessons learned in Asia, in particular, and the emerging new experiences in African countries should inform, ideally in real time, how best to steer the world populations into safety, including those in low-resource health care settings. Finally, we note that the current COVID-19 pandemic is also a test for our collective ability to scale and surge public health in response to future and likely equally challenging zoonosis infections that jump from animals to humans, not to mention climate change-related planetary health calamities in the 21st century. Hence, what we learn effectively from the current COVID-19 pandemic shall have broad, enduring, and intergenerational relevance for the future of planetary heath and society.

摘要

由严重急性呼吸系统综合症冠状病毒 2 型(SARS-CoV-2)病毒引起的 2019 年冠状病毒病(COVID-19)大流行继续在全球范围内传播和演变。病毒的交叉影响、个别国家对病毒的反应以及当地公共卫生系统的准备状态在世界范围内差异很大。该病毒表面上在非洲的迟来,使得那些在早期受影响国家成功的方法得以学习、创新和适应。本文分析了新加坡对 COVID-19 大流行的反应,并提出,对新加坡大流行应对模式的调整将有利于非洲应对 COVID-19 大流行,同时考虑到非洲大陆医疗保健基础设施、社会经济复原力、贫困和人口多样性方面的区域差异。随着大流行的演变,亚洲,特别是非洲国家的新经验教训,应该及时告知,如何最好地引导世界人口安全,包括那些资源匮乏的卫生保健环境中的人口。最后,我们注意到,当前的 COVID-19 大流行也是对我们集体能力的考验,需要大规模应对未来可能同样具有挑战性的人畜共患病感染,更不用说 21 世纪与气候变化相关的地球健康灾难了。因此,我们从当前的 COVID-19 大流行中有效吸取的经验教训,将对未来的地球健康和社会具有广泛、持久和代际相关性。

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