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针对医疗保健的暴力:冲突环境之外的公共卫生问题。

Violence Against Healthcare: A Public Health Issue beyond Conflict Settings.

机构信息

Medical Epidemiologist, Independent Consultant, Geneva, Switzerland.

Microbiology Department, Kingston Hospital NHS Foundation Trust, Kingston upon Thames, London, United Kingdom.

出版信息

Am J Trop Med Hyg. 2021 Nov 22;106(1):15-16. doi: 10.4269/ajtmh.21-0979.

DOI:10.4269/ajtmh.21-0979
PMID:34814110
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8733548/
Abstract

A 3-year analysis released in August 2021 by the WHO indicated that more than 700 healthcare workers and patients have died (2,000 injured) as a result of attacks against health facilities since 2017. The COVID-19 pandemic has made the risks even worse for doctors, nurses, and support staff, unfortunately. According to the latest figures from the International Committee of the Red Cross, 848 COVID-19-related violent incidents were recorded in 2020, and this is likely an underrepresentation of a much more widespread phenomenon. In response to rises in COVID-19-related attacks against healthcare, some countries have taken action. In Algeria, for instance, the penal code was amended to increase protection for healthcare workers against attacks and to punish individuals who damage health facilities. In the United Kingdom, the police, crime, sentencing, and courts bill proposed increased the maximum penalty from 12 months to 2 years in prison for anyone who assaults an emergency worker. Measures taken by countries represent a good practical way to counteract this crisis within COVID-19. However, we stress the importance of primary prevention with the use of communication: social media and other communication channels are fundamentally important to combat violence against health professionals, both to inform the population with quality data and to disseminate campaigns to prevent these acts.

摘要

2021 年 8 月,世界卫生组织发布了一项为期 3 年的分析报告,指出自 2017 年以来,已有超过 700 名医护人员和患者因袭击医疗设施而死亡(2000 人受伤)。不幸的是,COVID-19 大流行使医生、护士和支持人员面临的风险更加严重。根据国际红十字委员会的最新数据,2020 年记录了 848 起与 COVID-19 相关的暴力事件,这可能只是更广泛现象的一个低估。为了应对与 COVID-19 相关的袭击医疗保健的事件增加,一些国家已经采取了行动。例如,在阿尔及利亚,刑法典被修订,以增加对医护人员免受袭击的保护,并惩罚那些破坏医疗设施的人。在英国,拟议的警察、犯罪、量刑和法院法案将任何袭击急救人员的人的最高刑罚从 12 个月增加到 2 年监禁。各国采取的措施代表了应对 COVID-19 危机的一个良好的实际方法。然而,我们强调通过沟通进行初级预防的重要性:社交媒体和其他沟通渠道对于打击针对卫生专业人员的暴力行为至关重要,既可以用高质量的数据向公众提供信息,也可以传播预防这些行为的宣传活动。

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JAMA Netw Open. 2020 Mar 2;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976.
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