Department of Community Health and Prevention, Drexel University Dornsife School of Public Health, 3215 Market St, Philadelphia, PA, 19104, USA.
Global Health. 2020 Dec 17;16(1):118. doi: 10.1186/s12992-020-00648-2.
Since 2016 Venezuela has seen a collapse in its economy and public health infrastructure resulting in a humanitarian crisis and massive outward migration. With the emergence of the novel coronavirus SARS-CoV-2 at the end of 2019, the public health emergency within its borders and in neighboring countries has become more severe and as increasing numbers of Venezuelans migrants return home or get stuck along migratory routes, new risks are emerging in the region.
Despite clear state obligations to respect, protect and fulfil the rights to health and related economic, social, civil and political rights of its population, in Venezuela, co-occurring malaria and COVID-19 epidemics are propelled by a lack of public investment in health, weak governance, and violations of human rights, especially for certain underserved populations like indigenous groups. COVID-19 has put increased pressure on Venezuelan and regional actors and healthcare systems, as well as international public health agencies, to deal with a domestic and regional public health emergency.
International aid and cooperation for Venezuela to deal with the re-emergence of malaria and the COVID-19 spread, including lifting US-enforced economic sanctions that limit Venezuela's capacity to deal with this crisis, is critical to protecting rights and health in the country and region.
自 2016 年以来,委内瑞拉的经济和公共卫生基础设施崩溃,导致人道主义危机和大规模向外移民。随着 2019 年底新型冠状病毒 SARS-CoV-2 的出现,其境内和邻国的公共卫生紧急情况变得更加严重,随着越来越多的委内瑞拉移民回国或在移民路线上受阻,该地区出现了新的风险。
尽管委内瑞拉明确有义务尊重、保护和履行其人民的健康权以及相关的经济、社会、公民和政治权利,但在委内瑞拉,疟疾和 COVID-19 同时流行是由于缺乏公共卫生投资、治理薄弱以及侵犯人权造成的,特别是对某些服务不足的人群,如土著群体。COVID-19 给委内瑞拉和区域行为体以及医疗保健系统,以及国际公共卫生机构带来了更大的压力,要求它们应对国内和区域公共卫生紧急情况。
为了应对疟疾的再次出现和 COVID-19 的传播,国际社会需要向委内瑞拉提供援助与合作,包括解除美国实施的限制委内瑞拉应对这一危机能力的经济制裁,这对保护该国和该地区的权利和健康至关重要。