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从 COVID-19 时代汲取教训:重新发现隔离、以往的大流行病、医院和国家医疗体系的起源,以及医学伦理。

Learning from the past in the COVID-19 era: rediscovery of quarantine, previous pandemics, origin of hospitals and national healthcare systems, and ethics in medicine.

机构信息

Department of Cardiology, University College Dublin, Dublin, Ireland

Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy.

出版信息

Postgrad Med J. 2020 Oct;96(1140):633-638. doi: 10.1136/postgradmedj-2020-138370. Epub 2020 Sep 9.

Abstract

After the dramatic coronavirus outbreak at the end of 2019 in Wuhan, Hubei province, China, on 11 March 2020, a pandemic was declared by the WHO. Most countries worldwide imposed a quarantine or lockdown to their citizens, in an attempt to prevent uncontrolled infection from spreading. Historically, quarantine is the 40-day period of forced isolation to prevent the spread of an infectious disease. In this educational paper, a historical overview from the sacred temples of ancient Greece-the cradle of medicine-to modern hospitals, along with the conceive of healthcare systems, is provided. A few foods for thought as to the conflict between ethics in medicine and shortage of personnel and financial resources in the coronavirus disease 2019 era are offered as well.

摘要

2019 年底中国湖北省武汉市爆发新冠肺炎疫情后,世界卫生组织于 2020 年 3 月 11 日宣布全球大流行。为了防止感染失控蔓延,世界上大多数国家都对本国公民实施了隔离或封锁。从历史上看,隔离是指为期 40 天的强制隔离,以防止传染病传播。在这篇教育论文中,提供了从古希腊的神圣庙宇(医学的摇篮)到现代医院的历史概述,以及医疗保健系统的概念。还就 2019 年冠状病毒疾病时代医学伦理与人员和财力短缺之间的冲突提出了几点思考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45a2/10016927/52ad137558a5/postgradmedj-96-633-f1.jpg

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