Microbiology and Infectious Disease, Canberra Hospital, Canberra, Australian Capital Territory, Australia.
Medical School, Australian National University, Canberra, Australian Capital Territory, Australia.
Intern Med J. 2021 May;51(5):647-653. doi: 10.1111/imj.15287. Epub 2021 May 6.
The coronavirus, named SARS-CoV-2, is the cause of COVID-19. This virus spreads readily from person to person and predominantly to and from the respiratory route and through droplets. There are many different interventions that can be and are used to decrease successfully the risk and spread of COVID-19. Most of the principles underpinning these interventions relate to isolation and social distancing. These will need to be continued, at least in part, until safe and very effective vaccines become widely available and are delivered extensively and successfully globally. This new norm is isolation, plus social and physical distancing, and this new norm will likely be with us for some time to come. It will also be with us in any future pandemics, whether caused by bacteria or viruses, but especially when the causative pathogen spreads predominantly through the respiratory route. However, lockdowns and restrictions also cause many adverse but unintended economic, social and health consequences. Therefore, what is put into place needs to be proportionate to levels of risk of disease as well as spread, and which will vary in different localities and with time.
这种被命名为 SARS-CoV-2 的冠状病毒是 COVID-19 的病原体。该病毒易于在人与人之间传播,主要通过呼吸道飞沫传播。有许多不同的干预措施可以用来成功降低 COVID-19 的风险和传播。这些干预措施的大多数基本原则都与隔离和社会距离有关。这些措施至少在部分情况下需要继续实施,直到安全且非常有效的疫苗广泛可用并在全球范围内得到广泛和成功的推广。这种新的常态是隔离,加上社会和身体上的距离,这种新的常态可能会在未来一段时间内伴随着我们。在未来的任何大流行中,无论是由细菌还是病毒引起的,这种常态都将伴随着我们,但尤其是当病原体主要通过呼吸道传播时。然而,封锁和限制也会对经济、社会和健康造成许多不良的意外后果。因此,所采取的措施需要与疾病和传播的风险水平相称,并根据不同地区和时间的变化而有所不同。