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发展中国家在新发疾病应对中对文化习俗的排他性做法导致了不利后果。

Exclusivity of Cultural Practices Within Emerging Disease Outbreak Responses in Developing Nations Leads to Detrimental Outcomes.

机构信息

School of Arts and Sciences, University of Pennsylvania, Philadelphia, PA, United States.

出版信息

Front Public Health. 2021 Jul 6;9:686540. doi: 10.3389/fpubh.2021.686540. eCollection 2021.

DOI:10.3389/fpubh.2021.686540
PMID:34295872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8291361/
Abstract

A number of organizations provide aid and medical care to areas affected by emerging infectious disease outbreaks. This process oftentimes involves organizations traveling to developing areas and coordinating efforts on-site of the initial outbreak. Yet, the longevity and death toll of specific recent outbreaks and inability to effectively control them lead to unnecessary deaths and an unconstructive use of resources. While virtually all organizations justifiably point toward limited resources as an explanatory mechanism, this in itself does not excuse poor utilization of resources. Specifically, organizations systematically do not factor cultural practices into their disease responses. This is demonstrated in analyzing components of responses during 3 recent outbreaks occurring at different times and on different continents: Ebola in 2014 and 2019, and Zika in 2016. While systemic trends in these differential environments demonstrate the extent of the problem, fortunately, scientific innovations, collaboration with local individuals and leadership, and especially establishment of cross-cultural dialogue and response flexibility with the eventual development of effective behavioral change communication can help curb or mitigate this issue in the future.

摘要

许多组织向受新发传染病爆发影响的地区提供援助和医疗服务。这一过程通常涉及组织前往发展中地区,并在疫情爆发的现场进行协调。然而,最近一些特定疫情的持续时间和死亡人数以及无法有效控制这些疫情,导致了不必要的死亡和资源的浪费。虽然几乎所有组织都有理由将资源有限作为一种解释机制,但这本身并不能成为资源利用不当的借口。具体来说,组织在应对疾病时并没有将文化习俗作为一个系统的因素考虑进去。这在分析最近发生在不同时间和不同大陆的三次疫情的应对措施的组成部分时就可以看出来:2014 年和 2019 年的埃博拉疫情,以及 2016 年的寨卡疫情。虽然这些不同环境中的系统性趋势表明了问题的严重程度,但幸运的是,科学创新、与当地个人和领导层的合作,特别是建立跨文化对话和应对灵活性,并最终发展出有效的行为改变沟通,可以帮助遏制或减轻未来的这个问题。