Institute for Global Health, University College London, London, UK.
Department of Health Policy, London School of Economics, London, UK.
Glob Public Health. 2022 Apr;17(4):601-613. doi: 10.1080/17441692.2022.2029927. Epub 2022 Jan 31.
Since the declaration of COVID-19 as a pandemic in March 2020, significant research and attention has focused on countries' abilities and interests in enacting response measures to the spread of the coronavirus including lockdowns, travel restrictions, and vaccination programmes to contain infections, hospitalisations, and deaths. As the pandemic has continued, much discussion has also centred on the ability of islands to control borders, enact public health measures, and keep the virus out or controlled, owing in part to presumed islandness characteristics of isolation and remoteness. Drawing from ongoing empirical examples of island experiences in the context of COVID-19, this article examines to what extent islandness impacts health concerns and health responses within aspects of global health security and health systems. In considering how islands around the world have been implementing health security measures regarding COVID-19, linkages or suggested linkages among islands, global health security, and pandemics indicate the lack of exceptionality of islands and archipelagos. That is, how islandness or lack thereof is managed ends up being far more important for global health security outcomes than islandness itself.
自 2020 年 3 月宣布 COVID-19 为大流行以来，人们高度关注各国在实施应对冠状病毒传播的措施方面的能力和利益，包括封锁、旅行限制和疫苗接种计划，以控制感染、住院和死亡。随着大流行的持续，人们也更多地讨论了岛屿控制边界、实施公共卫生措施以及防止或控制病毒进入的能力，部分原因是假定岛屿具有隔离和偏远的特征。本文借鉴 COVID-19 背景下正在进行的岛屿经验实证案例，探讨了岛屿特征在多大程度上影响了全球卫生安全和卫生系统方面的健康问题和应对措施。在考虑世界上各个岛屿如何针对 COVID-19 实施卫生安全措施时，岛屿之间、全球卫生安全和大流行之间的联系或建议联系表明，岛屿和群岛并非例外。也就是说，岛屿的管理方式对于全球卫生安全结果远比岛屿本身更为重要。
