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公共卫生政策和卫生保健工作者对 COVID-19 大流行的应对,泰国。

Public health policies and health-care workers' response to the COVID-19 pandemic, Thailand.

机构信息

Department of Disease Control, Ministry of Public Health, Bangkok, Thailand.

International Health Policy Programme, Ministry of Public Health, Tivanond Road, Nonthaburi 11000, Thailand.

出版信息

Bull World Health Organ. 2021 Apr 1;99(4):312-318. doi: 10.2471/BLT.20.275818. Epub 2021 Feb 1.

Abstract

Since January 2020, the coronavirus disease 2019 (COVID-19) pandemic has had a far-reaching impact on global morbidity and mortality. The effects of varying degrees of implementation of public health and social measures between countries is evident in terms of widely differing disease burdens and levels of disruption to public health systems. Despite Thailand being the first country outside China to report a positive case of COVID-19, the subsequent number of cases and deaths has been much lower than in many other countries. As of 7 January 2021, the number of confirmed COVID-19-positive cases in Thailand was 9636 (138 per million population) and the number of deaths was 67 (1 per million population). We describe the nature of the health workforce and function that facilitated the capacity to respond to this pandemic. We also describe the public health policies (laboratory testing, test-and-trace system and mandatory 14-day quarantine of cases) and social interventions (daily briefings, restriction of mobility and social gatherings, and wearing of face masks) that allowed the virus to be successfully contained. To enhance the capacity of health-care workers to respond to the pandemic, the government (i) mobilized staff to meet the required surge capacity; (ii) developed and implemented policies to protect occupational safety; and (iii) initiated packages to support morale and well-being. The results of the policies that we describe are evident in the data: of the 66 countries with more than 100 COVID-19-positive cases in health-care workers as at 8 May 2020, Thailand ranked 65th.

摘要

自 2020 年 1 月以来,2019 年冠状病毒病(COVID-19)大流行对全球发病率和死亡率产生了深远影响。各国公共卫生和社会措施实施程度不同,导致疾病负担和公共卫生系统中断程度存在显著差异。尽管泰国是中国以外第一个报告 COVID-19 确诊病例的国家,但随后的病例和死亡人数远低于许多其他国家。截至 2021 年 1 月 7 日,泰国确诊 COVID-19 阳性病例 9636 例(每百万人 138 例),死亡 67 例(每百万人 1 例)。我们描述了有助于应对这一大流行病的卫生人力的性质和功能。我们还描述了公共卫生政策(实验室检测、检测和追踪系统以及对病例进行强制性 14 天隔离)和社会干预措施(每日简报、限制流动性和社交聚会以及佩戴口罩),这些措施使病毒得以成功控制。为了增强卫生保健工作者应对大流行的能力,政府(i)动员工作人员以满足所需的激增能力;(ii)制定和实施保护职业安全的政策;以及(iii)启动支持士气和福利的一揽子计划。我们所描述的政策的结果在数据中显而易见:在截至 2020 年 5 月 8 日有 100 例以上卫生保健工作者 COVID-19 阳性病例的 66 个国家中,泰国排名第 65 位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/181b/8085624/846a67a32088/BLT.20.275818-F1.jpg

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