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重新思考 COVID-19 大流行:回归公共卫生。

Rethinking the COVID-19 Pandemic: Back to Public Health.

机构信息

World Health Organization, CH.

Ministry of Health, NZ.

出版信息

Ann Glob Health. 2020 Oct 8;86(1):133. doi: 10.5334/aogh.3084.

DOI:10.5334/aogh.3084
PMID:33102153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7546103/
Abstract

The COVID-19 pandemic has highlighted vast differences across countries in their responses to the emergency and their capacities to implement public health measures that could slow the progression of the disease. As public health systems are the first line of defense during pandemics, it has become clear that sustained investment in strengthening public health infrastructure is a major need in all countries, irrespective of income levels. Drawing on the successful experiences of Switzerland, Georgia, and New Zealand in dealing with COVID-19, we suggest prioritizing core public health capacities with links to the International Health Regulations, improving international cooperation, coordination, and multisectoral action, addressing health inequities by targeting vulnerable groups, and enhancing health literacy, including through sophisticated and sustained communication campaigns to build resilience. These measures will ensure that health systems and communities will be better prepared for the disruptions that future disease outbreaks will inevitably bring.

摘要

新冠疫情凸显出各国在应对紧急情况和实施可能减缓疾病传播的公共卫生措施方面存在巨大差异。由于公共卫生系统是大流行期间的第一道防线,因此很明显,所有国家都需要持续投资于加强公共卫生基础设施,无论收入水平如何。借鉴瑞士、格鲁吉亚和新西兰在应对新冠疫情方面的成功经验,我们建议优先考虑与《国际卫生条例》有联系的核心公共卫生能力,加强国际合作、协调和多部门行动,针对弱势群体解决卫生不公平问题,并通过复杂和持续的宣传活动提高卫生素养,以增强韧性。这些措施将确保卫生系统和社区为未来疾病爆发带来的破坏做好更好的准备。

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本文引用的文献

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Lancet Public Health. 2020 May;5(5):e249-e250. doi: 10.1016/S2468-2667(20)30086-4. Epub 2020 Apr 14.
2
Does comorbidity increase the risk of patients with COVID-19: evidence from meta-analysis.合并症会增加新冠肺炎患者的风险吗:来自荟萃分析的证据。
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Why inequality could spread COVID-19.为何不平等会传播新冠病毒。
Lancet Public Health. 2020 May;5(5):e240. doi: 10.1016/S2468-2667(20)30085-2. Epub 2020 Apr 2.
4
People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy.有疑似新冠病毒症状的人更易抑郁且健康相关生活质量较低:健康素养的潜在益处。
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Refugee and migrant health in the COVID-19 response.新冠疫情应对中的难民和移民健康问题。
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