Rodrigues Matilde A, Silva Manuela V, Errett Nicole A, Davis Gayle, Lynch Zena, Dhesi Surindar, Hannelly Toni, Mitchell Graeme, Dyjack David, Ross Kirstin E
Department of Environmental Health, Health and Environment Research Centre, School of Health of the Polytechnic Institute of Porto, Porto, Portugal.
Algoritmi Centre, University of Minho, Guimarães, Portugal.
Saf Sci. 2021 Apr;136:105136. doi: 10.1016/j.ssci.2020.105136. Epub 2020 Dec 26.
The COVID-19 pandemic highlighted the relevance of public health professionals all over the world, in particular Environmental Health Practitioners (EHPs), who played a major role in the containment of the novel coronavirus, SARS-CoV-2. However, as in past disasters, their involvement was oriented towards urgent tasks, and did not fully utilize EHPs' competences and skills. Additionally, due to limited resources, during emergencies EHPs may temporarily transition away from their day-to-day role, potentially increasing other public health and safety risk factors without appropriate surveillance or intervention. To overcome this and prepare for possible future pandemics, it is important to identify and discuss the key roles of EHPs in different countries, providing a common framework for practices that can contribute to population safety and health. To this end, an international workgroup was established to discuss current environmental health practices and challenges across different countries during the pandemic. Findings from discussions concluded that, despite the observed differences across the countries, EHPs are one of the main public health emergency preparedness and response actors. However, since resources are still lagging significantly behind need, we argue that the role of these professionals during pandemics should be focused on practices that have higher impact to support population health and safety.
新冠疫情凸显了全球公共卫生专业人员的重要性,尤其是环境卫生从业者(EHPs),他们在遏制新型冠状病毒SARS-CoV-2方面发挥了重要作用。然而,与以往灾难一样,他们的参与主要集中在紧急任务上,并未充分利用环境卫生从业者的能力和技能。此外,由于资源有限,在紧急情况下,环境卫生从业者可能会暂时偏离其日常工作角色,在缺乏适当监测或干预的情况下,这可能会增加其他公共卫生和安全风险因素。为克服这一问题并为未来可能发生的疫情做好准备,识别和讨论环境卫生从业者在不同国家的关键作用非常重要,这能为有助于保障民众安全和健康的实践提供一个通用框架。为此,成立了一个国际工作组,以讨论疫情期间不同国家当前的环境卫生实践和挑战。讨论结果表明,尽管各国情况存在差异,但环境卫生从业者是公共卫生应急准备和响应的主要行动者之一。然而,由于资源仍远远落后于需求,我们认为这些专业人员在疫情期间的作用应集中在对保障民众健康和安全影响更大的实践上。