Holst Jens
Fachbereich Pflege und Gesundheit, Hochschule Fulda, Fulda.
Gesundheitswesen. 2020 Nov;82(11):829-835. doi: 10.1055/a-1276-0847. Epub 2020 Nov 13.
The COVID 19 crisis offers unique opportunities and poses special challenges for practical and theoretical public health. Management of the pandemic was initially dominated by virologists, supported by epidemiologists who did not always exercise the necessary scientific rigour. Expertise in interdisciplinary health sciences and complex considerations from a broader public health perspective, however, did not have noticeable impact on the COVID 19 debate and even less on the strategies for containing the pandemic. Public health is universal and more than health security or health protection. As an explicitly political discipline, public health takes a far-reaching socio-political approach and must not be reduced to biomedical aspects. Medical and biotechnological solutions alone will not meet the challenges of the corona crisis. The analysis of the political, economic, social and ecological determinants that led to the crisis is indispensable for the sustainable management of the pandemic. In order to improve population health and reduce the risk of future outbreaks of dangerous infections, a comprehensive policy is needed that also addresses hegemonies and power relations.
新冠疫情危机为公共卫生的实践和理论带来了独特机遇，也构成了特殊挑战。疫情初期，病毒学家主导疫情管理，流行病学家提供支持，但后者并非总能秉持必要的科学严谨性。然而，跨学科健康科学方面的专业知识以及更广泛公共卫生视角下的复杂考量，对新冠疫情的讨论并未产生显著影响，对疫情防控策略的影响更是微乎其微。公共卫生具有普遍性，远不止于卫生安全或卫生防护。作为一门明确的政治学科，公共卫生采取影响深远的社会政治方法，绝不能简化为生物医学层面。仅靠医学和生物技术解决方案无法应对新冠危机带来的挑战。分析导致危机的政治、经济、社会和生态决定因素对于疫情的可持续管理不可或缺。为改善民众健康并降低未来危险感染爆发的风险，需要一项全面政策，该政策还应解决霸权和权力关系问题。
