Harvard Divinity School, Cambridge, MA, US.
Department of Environmental & Occupational Health, Milken Institute School of Public Health, George Washington University, DC, US.
Ann Glob Health. 2021 Sep 14;87(1):91. doi: 10.5334/aogh.3358. eCollection 2021.
COVID-19 has highlighted and exacerbated many global health inequities. Emerging evidence suggests that SARS-CoV-2 can spread through fecal aerosols, making sanitation a critical part of the COVID-19 mitigation strategy and providing an opportunity to reflect on current challenges and opportunities related to global sanitation at large. Global sanitation interventions continue to fall short of their target expectations, leading to millions of deaths and illnesses worldwide. Eurocentric approaches to sanitation fail to account for sociocultural determinants of sanitation behaviors and health, leading to low sanitation intervention uptake. Global public health needs to take a decolonial approach to our research and practice, and meaningfully involve local communities to progress towards global health equity.
COVID-19 突出并加剧了许多全球卫生不平等现象。新出现的证据表明，SARS-CoV-2 可以通过粪便气溶胶传播，这使得卫生成为 COVID-19 缓解策略的关键部分，并为反思与全球卫生相关的当前挑战和机遇提供了机会。全球卫生干预措施仍未达到预期目标，导致全球数百万人死亡和患病。以欧洲中心主义方法来处理卫生问题，无法解释卫生行为和健康的社会文化决定因素，导致卫生干预措施的接受程度较低。全球公共卫生需要对我们的研究和实践采取去殖民化的方法，并让当地社区有意义地参与进来，以实现全球卫生公平。
