Phin Nick
Faculty of Health and Social Care, University of Chester Parkgate Road, Chester CH1 4BJ, UK, Email:
J R Coll Physicians Edinb. 2021 Jun;51(S1):S34-S39. doi: 10.4997/JRCPE.2021.239.
Over its first year Public Health Scotland (PHS) played a key role in the national vaccination programme by providing professional leadership and expertise. We expedited the reporting of all aspects of the pandemic, and accelerated rapid evidence reviews. We contributed to rigorous research showing that: vaccination reduced hospitalisation by 90%, and the transmission of COVID-19 within households by 55%; hence vaccination works. Lessons for the future included strengthening whole genome sequencing to manage COVID-19 and to prepare for future pathogens. COVID-19 also stimulated the redesign of many health and social care services: by exploiting digital media; by implementing evidence on reducing barriers to service delivery; and by greater integration - of projects rather than organisations - enabling groups who had not worked together to address common issues. PHS and partners soon recognised the need to mitigate the adverse impact of the pandemic on existing inequalities. So we aim to 'build back fairer' as the pandemic recedes, by pursuing PHS's four priorities: poverty; children and young people; place and community; and mental health and well-being.
在第一年里，苏格兰公共卫生署（PHS）通过提供专业领导力和专业知识，在国家疫苗接种计划中发挥了关键作用。我们加快了疫情各方面情况的报告，并加速了快速证据审查。我们参与了严谨的研究，结果表明：接种疫苗可使住院率降低90%，家庭内部新冠病毒传播率降低55%；因此，接种疫苗是有效的。未来的经验教训包括加强全基因组测序，以应对新冠疫情并为未来的病原体做好准备。新冠疫情还促使许多卫生和社会护理服务进行重新设计：通过利用数字媒体；通过运用减少服务提供障碍的证据；以及通过更大程度的整合——项目层面而非组织层面的整合——使此前未合作过的群体能够共同解决共同问题。PHS及其合作伙伴很快认识到有必要减轻疫情对现有不平等现象的不利影响。因此，随着疫情的消退，我们旨在通过推进PHS的四个优先事项来“更公平地重建”：贫困问题；儿童和年轻人；地点与社区；以及心理健康与福祉。
