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关于 COVID-19 公共卫生应对措施的辩论:重点保护与持续抑制

A Debate on Public Health Responses to COVID-19: Focused Protection versus Sustained Suppression.

作者信息

Song Joon Young, Peck Kyong Ran

机构信息

Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

Division of Infectious Diseases, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

J Korean Med Sci. 2020 Dec 21;35(49):e433. doi: 10.3346/jkms.2020.35.e433.

Abstract

With the coronavirus disease 2019 (COVID-19) pandemic persisting for a long time, there have been debates about the public health response strategies. We conducted a survey of adult infectious disease specialists on public health responses to COVID-19. Most responded that regulations on multi-use facilities should be maintained or strengthened, but schools should not be closed, except in cases where an outbreak occurs within the school. A slightly higher percentage of experts supported focused protection rather than sustained suppression. While the focused protection strategy might suffice in low-level epidemic situations, social distancing should be reinforced by shifting to a strategy closer to sustained suppression in the eventuality of rapid spread of outbreaks.

摘要

随着2019冠状病毒病(COVID-19)大流行长期持续,关于公共卫生应对策略一直存在争论。我们对成年传染病专家进行了一项关于COVID-19公共卫生应对措施的调查。大多数受访者表示,应维持或加强对多用途设施的规定,但学校不应关闭,除非学校内发生疫情。支持重点保护而非持续抑制的专家比例略高。虽然重点保护策略在低水平疫情情况下可能足够,但在疫情迅速传播的情况下,应转向更接近持续抑制的策略,以加强社会距离措施。

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