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全球流动、旅行和移民健康:对儿童和家庭的临床和公共卫生影响。

Global mobility, travel and migration health: clinical and public health implications for children and families.

机构信息

Division of General Paediatrics, Department of Pediatrics, University of Washington, Seattle, WA, USA.

Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, USA.

出版信息

Paediatr Int Child Health. 2021 Feb;41(1):3-11. doi: 10.1080/20469047.2021.1876821. Epub 2021 Mar 26.

Abstract

Exponential growth of the world's population combined with increased travel has dramatically increased the spread of infectious diseases. Although there has been significant focus on migration, the major contributors to the transmission of communicable diseases are travel and tourism not migration. Given that children represent up to 10% of international travellers, it is critical to the health of all age groups to ensure that tailored guidance for children is considered in public health policy and guidelines, and pandemic responses. To further support pandemic preparedness, public health systems need to strengthen ties with communities and health systems. In addition, travel and migration issues need to be included as core competencies in medical education. Ensuring that clinicians who care for children have knowledge of travel and migration health will foster a better health outcome in an increasingly mobile population at risk of emerging infectious diseases. CDC: Centers for Disease Control and Prevention; DGMQ: CDC Division of Global Migration and Quarantine; EID: emerging infectious diseases; EU: European Union; VFR: visiting friends and relatives; IOM: United Nations International Organization for Migration; LPR: lawful permanent resident; US: United States of America; WHO: World Health Organization.

摘要

世界人口的指数级增长加上旅行的增加,极大地促进了传染病的传播。尽管人们对移民问题给予了高度关注,但传染病传播的主要因素是旅行和旅游业,而不是移民。鉴于儿童占国际旅行者的 10%,因此,在制定公共卫生政策和指南以及大流行病应对措施时,必须确保为儿童量身定制的指导方针,这对所有年龄段的健康都至关重要。为了进一步支持大流行病的防范工作,公共卫生系统需要加强与社区和卫生系统的联系。此外,旅行和移民问题需要作为医学教育的核心能力。确保照顾儿童的临床医生了解旅行和移民健康问题,将促进在不断增加的、面临新出现传染病风险的流动人口中实现更好的健康结果。CDC:疾病预防控制中心;DGMQ:疾病预防控制中心全球移徙与检疫司;EID:新发传染病;欧盟:欧洲联盟;VFR:探亲访友;IOM:联合国国际移民组织;LPR:合法永久居民;美国:美利坚合众国;世卫组织:世界卫生组织。

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