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COVID-19 大流行后时期登革热媒介传染病的预防和控制:美洲区域的挑战和机遇。

Prevention and control of Aedes transmitted infections in the post-pandemic scenario of COVID-19: challenges and opportunities for the region of the Americas.

机构信息

National Institute of Public Health, Cuernavaca, Mexico.

Universidad Autónoma de Yucatan, Yucatan, Mexico.

出版信息

Mem Inst Oswaldo Cruz. 2020;115:e200284. doi: 10.1590/0074-02760200284. Epub 2020 Aug 5.

Abstract

The coronavirus disease of 2019 (COVID-19) pandemic challenges public health systems around the world. Tropical countries will face complex epidemiological scenarios involving the simultaneous transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with viruses transmitted by Aedes aegypti. The occurrence of arboviral diseases with COVID-19 in the Latin America and the Caribbean (LAC) region presents challenges and opportunities for strengthening health services, surveillance and control programs. Financing of training, equipment and reconversion of hospital spaces will have a negative effect on already the limited resource directed to the health sector. The strengthening of the diagnostic infrastructure reappears as an opportunity for the national reference laboratories. Sharing of epidemiological information for the modeling of epidemiological scenarios allows collaboration between health, academic and scientific institutions. The fear of contagion by COVID-19 is constraining people with arboviral diseases to search for care which can lead to an increase in serious cases and could disrupt the operation of vector-control programs due to the reluctance of residents to open their doors to health personnel. Promoting intense community participation along with the incorporation of long lasting innovations in vector control offers new opportunities for control. The COVID-19 pandemic offers challenges and opportunities that must provoke positive behavioral changes and encourage more permanent self-care actions.

摘要

2019 年冠状病毒病(COVID-19)大流行挑战着世界各地的公共卫生系统。热带国家将面临复杂的流行病学情况,涉及严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)与埃及伊蚊传播的病毒的同时传播。在拉丁美洲和加勒比(LAC)地区,出现伴有 COVID-19 的虫媒病毒病为加强卫生服务、监测和控制规划带来了挑战和机遇。培训、设备融资和医院空间的改建将对已经有限的卫生部门资源产生负面影响。诊断基础设施的加强再次成为国家参考实验室的机会。共享流行病学信息以对流行病学情景进行建模,使得卫生、学术和科研机构之间能够开展合作。对 COVID-19 感染的恐惧使患有虫媒病毒病的人不敢寻求治疗,这可能导致严重病例增加,并由于居民不愿让卫生人员进入家门,从而扰乱病媒控制计划的实施。促进社区的积极参与以及在病媒控制中采用持久的创新措施,为控制提供了新的机会。COVID-19 大流行带来了挑战和机遇,必须引发积极的行为改变,并鼓励采取更持久的自我保健措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd9a/7405801/ea66567a286f/1678-8060-mioc-115-e200284-gf.jpg

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