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中低收入国家的 COVID-19 应对措施:不要忽视手机通讯的作用。

COVID-19 response in low- and middle-income countries: Don't overlook the role of mobile phone communication.

机构信息

Department of Paediatric Infectious Diseases and Immunology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, The Netherlands; Department of Paediatrics and Child Health, Stellenbosch University, Faculty of Medicine and Health Sciences, Cape Town, South Africa.

Section of Paediatric Infectious Diseases, Laboratory of Medical Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands.

出版信息

Int J Infect Dis. 2020 Oct;99:334-337. doi: 10.1016/j.ijid.2020.07.069. Epub 2020 Aug 4.

Abstract

Estimates of health capacities in the context of the coronavirus disease 2019 (COVID-19) pandemic indicate that most low- and middle-income countries (LMICs) are not operationally ready to manage this health emergency. Motivated by worldwide successes in other infectious disease epidemics and our experience in Sub-Saharan Africa, we support mobile phone communication to improve data collection and reporting, communication between healthcare workers, public health institutions, and patients, and the implementation of disease tracking and subsequent risk-stratified isolation measures. Programmatic action is needed for centrally coordinated reporting and communication systems facilitating mobile phones in crisis management plans for addressing the COVID-19 pandemic in LMICs. We summarize examples of worldwide mobile phone technology initiatives that have enhanced patient care and public health outcomes in previous epidemics and the current COVID-19 pandemic. In addition, we provide an overview of baseline conditions, including transparency about privacy guarantees, necessary for the successful use of mobile phones in assisting in the fight against COVID-19 spread.

摘要

在 2019 冠状病毒病(COVID-19)大流行的背景下,对卫生能力的评估表明,大多数中低收入国家(LMICs)在管理这一卫生紧急情况方面还没有做好运作准备。受其他传染病大流行中全球成功经验以及我们在撒哈拉以南非洲地区经验的启发,我们支持利用手机通信来改善数据收集和报告、医护人员之间、公共卫生机构与患者之间的沟通,并实施疾病跟踪和随后的风险分层隔离措施。需要采取方案行动,以建立中央协调的报告和通信系统,为解决中低收入国家的 COVID-19 大流行问题,在危机管理计划中促进手机的使用。我们总结了在以前的传染病和当前的 COVID-19 大流行中,增强了患者护理和公共卫生效果的全球手机技术举措的例子。此外,我们还概述了基线条件,包括有关隐私保障的透明度,这些是成功利用手机协助抗击 COVID-19 传播所必需的。

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