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公共卫生事务:为何拉丁美洲在应对大流行方面举步维艰?

Public health matters: why is Latin America struggling in addressing the pandemic?

机构信息

Head of Academic Unit, Health Policy and Population Research Center (CIPPS), Universidad Nacional Autónoma de México, CDMX, Ciudad Universitaria, Edificio CIPPS- Piso 2, 04510, Ciudad de México, Mexico.

出版信息

J Public Health Policy. 2021 Mar;42(1):27-40. doi: 10.1057/s41271-020-00269-4. Epub 2021 Jan 28.

DOI:10.1057/s41271-020-00269-4
PMID:33510400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7841039/
Abstract

This article examines how Argentina, Brazil, Chile, Colombia, Mexico, and Peru addressed the COVID-19 pandemic and the effectiveness of these policy responses from the date each country declared a sanitary emergency, between middle and late March 2020 to the most recent available measurement on 23 September 2020. To analyze how governments responded to the COVID-19 pandemic in these six Latin American countries, we use an index of government response, created by the University of Oxford. To explore the effects of these governmental mitigation policies on reducing social mobility, we use Google mobility reports. We also analyze how these policies may have influenced COVID-19 mortality rates. Overall, the results showed that both timelier and more stringent implementation of the public policies analyzed to address the COVID-19 pandemic seem to be associated with higher mobility reductions and lower mortality rates. We draw five policy lessons from the way each country implemented these mitigation policies. KEY MESSAGE: Timelier and more stringent implementation of these public policies may contribute to a higher mobility reduction in several public spaces and to lower mortality rates. The effectiveness of the closure and containment policies in each Latin American country seem to depend on the degree of compliance of their respective populations and to their socioeconomic living conditions. Economic and social policies of income support and debt relief provided by governments allowed people to comply with closure and containment policies. Health systems should maintain high levels of policy stringency together with effective surveillance through testing policy and contact tracing.

摘要

本文研究了阿根廷、巴西、智利、哥伦比亚、墨西哥和秘鲁在应对 COVID-19 大流行方面的情况,以及这些政策应对措施在各国宣布卫生紧急状态之日(2020 年 3 月中旬至下旬)至 2020 年 9 月 23 日最新可获得的测量数据之间的有效性。为了分析这些拉丁美洲六国政府如何应对 COVID-19 大流行,我们使用了牛津大学创建的政府应对指数。为了探索这些政府缓解政策对降低社会流动性的影响,我们使用了谷歌移动报告。我们还分析了这些政策如何影响 COVID-19 死亡率。总体而言,结果表明,及时且严格实施分析的公共政策似乎与更高的流动性降低和更低的死亡率有关。我们从每个国家实施这些缓解政策的方式中汲取了五条政策经验。关键信息:及时且严格地实施这些公共政策可能有助于在多个公共场所降低更高的流动性,并降低死亡率。在每个拉丁美洲国家,关闭和遏制政策的有效性似乎取决于其各自人口的遵守程度及其社会经济生活条件。政府提供的收入支持和债务减免经济和社会政策使人们能够遵守关闭和遏制政策。卫生系统应保持高度的政策严格性,并通过检测政策和接触者追踪进行有效的监测。