International Center for Diarrheal Disease Research, Dhaka, Bangladesh.
International Center for Diarrheal Disease Research, Dhaka, Bangladesh; Menzies Health Institute Queensland, Gold Coast, Australia.
Int J Infect Dis. 2020 Dec;101:98-101. doi: 10.1016/j.ijid.2020.09.009. Epub 2020 Sep 9.
Low- and middle-income countries (LMICs) face many challenges in controlling COVID-19. Healthcare resources are limited and so are ICU beds. RT-PCR testing is conducted on a limited scale and treatment options are few. There is no vaccine. Therefore, what low-cost solutions remain for the prevention, diagnosis, and treatment of SARS-CoV-2? How should these essential health services be delivered in order to reach the most vulnerable in our societies? In this editorial we discuss several important strategies for controlling COVID-19 including: vaccination, molecular and serological diagnostics, hygiene and WaSH interventions, and low-cost therapeutics. We also discuss the delivery of such services in order to reach the most in need. The proposed integrated control strategy requires immediate action and political will in order to reduce the widening health inequalities caused by the pandemic.
中低收入国家（LMICs）在控制 COVID-19 方面面临许多挑战。医疗保健资源有限，重症监护病床也有限。RT-PCR 检测规模有限，治疗选择也很少。没有疫苗。那么，用于预防、诊断和治疗 SARS-CoV-2 的低成本解决方案还有哪些？为了帮助我们社会中最脆弱的人群，应该如何提供这些基本的卫生服务？在这篇社论中，我们讨论了控制 COVID-19 的几种重要策略，包括：疫苗接种、分子和血清学诊断、卫生和水环境卫生干预以及低成本疗法。我们还讨论了提供这些服务的方式，以帮助最需要的人。为了减少大流行造成的日益扩大的健康不平等，所提出的综合控制策略需要立即采取行动和政治意愿。
