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巴西 2020 年 1 月至 3 月抗击新冠肺炎疫情的行动与反应。

Brazil's Actions and Reactions in the Fight Against COVID-19 from January to March 2020.

机构信息

Institute of Global Health, University of Geneva, 1211 Geneva, Switzerland.

Athena Institute, Faculty of Science, VU University Amsterdam, 1081 HV Amsterdam, The Netherlands.

出版信息

Int J Environ Res Public Health. 2021 Jan 11;18(2):555. doi: 10.3390/ijerph18020555.

DOI:10.3390/ijerph18020555
PMID:33440812
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7828043/
Abstract

The outbreak of the novel coronavirus SARS-CoV-2 and the disease it causes, COVID-19, which emerged in 2019, was identified by the World Health Organization as a public health emergency of international concern. Brazil actively responded to contain the virus. This case study aims to examine Brazil's response to COVID-19 by investigating the country's actions and reflecting upon the outcomes throughout January and March 2020. The data collection strategy included gathering data from the country's intergovernmental organization's official website, epidemiological bulletins, and news reports, guided by intersectoral and interdisciplinary themes. Although the highest incidence rates were in the most rich and populated region in Brazil, it was the poorest region that had the highest case fatality rate. Nevertheless, Brazil took several non-pharmaceutical measures to control and mitigate the spread of the virus. However, the strategy seems to have failed to consider regional and social inequalities. The actions of the health minister were undermined by a conflicting discourse between the minister and the president. The outbreak of COVID-19 added an extra burden on the country's healthcare system and the existing economic crises; exacerbated the inherent social, political, and economic challenges; and exposed the country's contradictions.

摘要

新型冠状病毒 SARS-CoV-2 的爆发及其导致的疾病 COVID-19 于 2019 年出现,世界卫生组织将其认定为国际关注的突发公共卫生事件。巴西积极应对以遏制该病毒。本案例研究通过调查该国在 2020 年 1 月和 3 月期间的行动,并反思其结果,旨在研究巴西对 COVID-19 的应对措施。数据收集策略包括从该国政府间组织的官方网站、流行病学公报和新闻报道中收集数据,这些数据由部门间和跨学科主题指导。尽管巴西发病率最高的地区是该国最富裕和人口最多的地区,但死亡率最高的却是最贫穷的地区。尽管如此,巴西还是采取了多项非药物措施来控制和减轻病毒的传播。然而,该战略似乎未能考虑到地区和社会不平等。卫生部长的行动受到部长和总统之间相互矛盾的言论的破坏。COVID-19 的爆发给该国的医疗保健系统和现有的经济危机增加了额外的负担;加剧了固有的社会、政治和经济挑战;并暴露了该国的矛盾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dd2/7828043/902253949e8c/ijerph-18-00555-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dd2/7828043/f31b146fe9a9/ijerph-18-00555-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dd2/7828043/56630304f014/ijerph-18-00555-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dd2/7828043/902253949e8c/ijerph-18-00555-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dd2/7828043/f31b146fe9a9/ijerph-18-00555-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dd2/7828043/56630304f014/ijerph-18-00555-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dd2/7828043/902253949e8c/ijerph-18-00555-g003.jpg

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Science during the pandemic.
Cad Saude Publica. 2020 Apr 6;36(4):e00055520. doi: 10.1590/0102-311X00055520.
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Driving forces for COVID-19 clinical trials using chloroquine: the need to choose the right research questions and outcomes.使用氯喹进行COVID-19临床试验的驱动因素:选择正确研究问题和结果的必要性。
COVID-19-related global health governance and population health priorities for health equity in G20 countries: a scoping review.
二十国集团国家应对 COVID-19 相关的全球卫生治理和人口健康重点,促进卫生公平:范围综述。
Int J Equity Health. 2023 Nov 3;22(1):232. doi: 10.1186/s12939-023-02045-8.
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Global Challenges to Public Health Care Systems during the COVID-19 Pandemic: A Review of Pandemic Measures and Problems.新冠疫情期间全球公共卫生保健系统面临的挑战:疫情应对措施与问题综述
J Pers Med. 2022 Aug 7;12(8):1295. doi: 10.3390/jpm12081295.
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Impact of the COVID-19 Pandemic on Human Papillomavirus Vaccination in Brazil.**标题**:COVID-19 大流行对巴西人乳头瘤病毒疫苗接种的影响 **摘要**:目的:描述巴西在 COVID-19 大流行期间人乳头瘤病毒疫苗接种的趋势,并评估其与大流行的公共卫生措施之间的关系。方法:这是一项回顾性队列研究,纳入了 2019 年至 2021 年巴西所有年龄组的人乳头瘤病毒疫苗接种数据。使用广义估计方程评估了疫苗接种覆盖率与大流行公共卫生措施之间的关系。结果:在研究期间,人乳头瘤病毒疫苗接种覆盖率从 2019 年的 62.4%下降至 2021 年的 50.7%。在 10-14 岁年龄组中,疫苗接种覆盖率下降了 34.3%,而在 15-19 岁年龄组中下降了 16.1%。在 2020 年 4 月至 2021 年 3 月期间,随着公共卫生措施的加强,疫苗接种覆盖率下降的速度更快。结论:COVID-19 大流行对巴西的人乳头瘤病毒疫苗接种产生了负面影响,需要采取措施加强疫苗接种计划,以确保疫苗的充分覆盖率。
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