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对新冠疫情的伦理应对——来自斯里兰卡的经验教训

Ethical Responses to the COVID-19 Pandemic-Lessons from Sri Lanka.

作者信息

Hettiarachchi Dineshani, Noordeen Nafeesa, Gamakaranage Chanpika, Somarathne E A Rumesh Buddhika D, Jayasinghe Saroj

机构信息

Department of Anatomy, University of Colombo, Colombo, Sri Lanka.

Human Genetics Unit, University of Colombo, Colombo, Sri Lanka.

出版信息

Asian Bioeth Rev. 2020 Nov 3;13(2):225-233. doi: 10.1007/s41649-020-00153-z. eCollection 2021 Jun.

Abstract

The COVID-19 pandemic has undoubtedly become an era-defining challenge for the entire world. It has implications not only in the public health sector but also in the global economy and political landscape. The prevention strategy that has been followed in Sri Lanka is unique. Early action taken by the government and the ministry of health, being one of pre-emptive quarantining and isolation of suspected contacts even before they developed symptoms, was vital to contain the spread of the disease. During the early phase, a nationwide lockdown in the form of a curfew was imposed which helped mitigate the spread of the virus. However, due to several lapses, there was a threat of community transmission; this was swiftly brought under control through ongoing government interventions. Thus, strict social/physical distancing measures enforced by the government, together with an increase in testing capacity, prevented widespread community transmission. Strictly containing the outbreaks as and when they were identified made it easier to bring the spread under control through contact tracing. In this article, we give an account of the strategy taken by Sri Lanka to mitigate the pandemic and comment on the lessons learned concerning the ethical responses to the COVID-19 crisis.

摘要

新冠疫情无疑已成为整个世界一个具有时代标志性的挑战。它不仅对公共卫生领域有影响,对全球经济和政治格局也有影响。斯里兰卡所采取的防控策略独具特色。政府和卫生部早期采取的行动,即在疑似接触者出现症状之前就对其进行先发制人的隔离检疫,对遏制疾病传播至关重要。在早期阶段,实施了宵禁形式的全国性封锁,这有助于减缓病毒传播。然而,由于一些失误,存在社区传播的威胁;通过政府持续的干预措施,这种威胁迅速得到了控制。因此,政府实施的严格社会/物理距离措施,以及检测能力的提高,防止了病毒在社区的广泛传播。一旦发现疫情就严格加以控制,使得通过接触者追踪更容易控制疫情传播。在本文中,我们阐述了斯里兰卡为缓解疫情所采取的策略,并对在应对新冠危机的伦理反应方面所吸取的经验教训进行评论。

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