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灾害与 COVID-19 并发时卫生部门应对措施的系统评价

A systematic review of health sector responses to the coincidence of disasters and COVID-19.

机构信息

Safety Promotion and Injury Prevention Research Center, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

BMC Public Health. 2021 Apr 13;21(1):709. doi: 10.1186/s12889-021-10806-9.

DOI:10.1186/s12889-021-10806-9
PMID:33845802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8041476/
Abstract

BACKGROUND

In December 2019, the Chinese city of Wuhan reported a novel pneumonia caused by COVID-19. While the COVID-19 pandemic has been increasingly affecting the world, the occurrence of disasters resulted in complex emergencies. The present review is aimed to identify the literature focused on health system response to coincidence of COVID-19 and disasters as well as describing their finding, implications and lessons-learned.

METHODS

This study was conducted and reported based on PRISMA guideline. The databases of Web of Sciences, PubMed, Scopus, Google Scholar and World Health Organization Library were searched. The inclusion criteria were all forms of published articles which investigated the coincidence of disasters and COVID-19 pandemic. Using the title and abstract screening, the selections of studies were performed by two researchers. Once, the relevant papers were finalized, the analysis was done in two parts of descriptive analysis and implications for health systems.

RESULTS

Out of 1245 studies generated by initial search, a number of 13 articles was selected for final analysis. Earthquake was the most frequent disaster which its coincidence with COVID-19 was studied by researchers (31%). The implications of researchers for healthcare system were explained in three sections of climatic events, earthquakes and all hazard approach in relation to COVID-19.

CONCLUSION

Extracting the lessons learned from the regions affected by disasters at the time of COVID-19 pandemic can be helpful for healthcare professionals and policy-makers to improve their preparedness and response during disasters and a serious pandemic such as COVID-19. Further research is needed to identify the factors which strengthen the preparedness of health system for the dual risk of natural hazards and pandemics.

摘要

背景

2019 年 12 月,中国武汉市报告了一种由 COVID-19 引起的新型肺炎。虽然 COVID-19 大流行越来越多地影响着世界,但灾害的发生导致了复杂的紧急情况。本综述旨在确定针对 COVID-19 与灾害同时发生的卫生系统应对措施的文献,并描述其发现、影响和经验教训。

方法

本研究按照 PRISMA 指南进行和报告。检索了 Web of Sciences、PubMed、Scopus、Google Scholar 和世界卫生组织图书馆的数据库。纳入标准是所有形式的已发表文章,这些文章调查了灾害和 COVID-19 大流行的同时发生。通过标题和摘要筛选,由两名研究人员进行研究选择。一旦确定了相关论文,就分两部分进行分析,即描述性分析和对卫生系统的影响。

结果

通过初步搜索生成的 1245 项研究中,有 13 项研究被选入最终分析。地震是最常见的灾害,研究人员研究了其与 COVID-19 的同时发生(31%)。研究人员对医疗保健系统的影响在与 COVID-19 相关的气候事件、地震和全灾害方法三个部分进行了解释。

结论

从 COVID-19 大流行期间受灾地区吸取经验教训,可帮助医疗保健专业人员和决策者在灾害和 COVID-19 等严重大流行期间改善其准备和应对能力。需要进一步研究以确定加强卫生系统应对自然灾害和大流行双重风险的准备的因素。

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