Department of Medicine and Centre for Infectious Diseases, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.
Department of Epidemiology and International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Clin Infect Dis. 2021 Jan 27;72(2):327-331. doi: 10.1093/cid/ciaa695.
The arrival of coronavirus disease 2019 (COVID-19) on the African continent resulted in a range of lockdown measures that curtailed the spread of the infection but caused economic hardship. African countries now face difficult choices regarding easing of lockdowns and sustaining effective public health control measures and surveillance. Pandemic control will require efficient community screening, testing, and contact tracing; behavioral change interventions; adequate resources; and well-supported, community-based teams of trained, protected personnel. We discuss COVID-19 control approaches in selected African countries and the need for shared, affordable, innovative methods to overcome challenges and minimize mortality. This crisis presents a unique opportunity to align COVID-19 services with those already in place for human immunodeficiency virus, tuberculosis, malaria, and non communicable diseases through mobilization of Africa's interprofessional healthcare workforce. By addressing the challenges, the detrimental effect of the COVID-19 pandemic on African citizens can be minimized.
2019 年冠状病毒病（COVID-19）在非洲大陆的爆发导致了一系列封锁措施的实施，这些措施虽然遏制了感染的传播，但也造成了经济困难。非洲国家现在面临着放松封锁和维持有效公共卫生控制措施和监测的艰难选择。大流行控制将需要有效的社区筛查、检测和接触者追踪；行为改变干预措施；充足的资源；以及得到良好支持、以社区为基础、由经过培训和受保护的人员组成的团队。我们讨论了选定非洲国家的 COVID-19 控制方法，以及需要通过动员非洲的多专业医疗保健劳动力，采用共享、负担得起、创新的方法来克服挑战和最大限度地降低死亡率。这场危机为通过调动非洲的多专业医疗保健劳动力，将 COVID-19 服务与已经存在的艾滋病毒、结核病、疟疾和非传染性疾病服务相结合提供了独特的机会。通过应对这些挑战，可以最大限度地减少 COVID-19 大流行对非洲公民的不利影响。
