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非洲应对冠状病毒病(COVID-19)大流行所面临的挑战——非洲侨民视角。

Challenges Associated With the Response to the Coronavirus Disease (COVID-19) Pandemic in Africa-An African Diaspora Perspective.

机构信息

School of Social Sciences, Western Sydney University, Penrith, New South Wales, Australia.

Translational Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.

出版信息

Risk Anal. 2021 May;41(5):831-836. doi: 10.1111/risa.13596. Epub 2020 Sep 18.

Abstract

The 2014-2016 Ebola outbreak in West Africa extracted huge health, social, and economic costs. How can lessons learnt during the 2014-2016 Ebola outbreak in West Africa help to mitigate the likelihood of a long-term devastating effect of the coronavirus disease (COVID-19) outbreak on the African continent? Despite COVID-19 spreading quickly across the globe after being first reported in Wuhan, China on December 31, 2019, African countries remained relatively unaffected until the second week of March 2020. The majority of Africa countries have been at low to moderate risk. However, they have experienced many sociocultural, economic, political, and structural challenges. These have included laboratory capacity and logistical challenges; ill-equipped public health systems; land border permeability, and delayed preparedness to transnational threats; and abject economic deprivation, lack of basic infrastructure, and associated sociocultural implications. There needs to be a strong country-level leadership to coordinate and own all aspects of the responses to the COVID-19 pandemic in a collaborative, transparent, and accountable way. Strategic and sustained response plans to fight the pandemic should incorporate culturally competent strategies that harness different cultural practices and strengthen cultural security. They should also promote and strengthen the implementation of the International Health Regulations.

摘要

2014-2016 年西非埃博拉疫情造成了巨大的健康、社会和经济损失。从 2014-2016 年西非埃博拉疫情中吸取的教训如何帮助减轻冠状病毒病(COVID-19)疫情对非洲大陆的长期破坏性影响?尽管 COVID-19 于 2019 年 12 月 31 日在中国武汉首次报告后迅速在全球范围内传播,但非洲国家直到 2020 年 3 月第二周才受到相对影响。大多数非洲国家的风险处于低到中度水平。然而,它们经历了许多社会文化、经济、政治和结构挑战。这些挑战包括实验室能力和后勤挑战;装备不足的公共卫生系统;陆地边界的渗透性以及对跨国威胁的准备延迟;以及赤贫、缺乏基本基础设施和相关社会文化影响。需要在国家一级有强有力的领导,以协作、透明和负责的方式协调和主导应对 COVID-19 大流行的所有方面。抗击大流行的战略和持续应对计划应纳入具有文化能力的战略,利用不同的文化习俗并加强文化安全。它们还应促进和加强《国际卫生条例》的实施。

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