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输入 2019-nCov 感染的治理:中国经验有何借鉴?

The governance of imported 2019-nCov infections: What can be learned from China's experience?

机构信息

Global Health Institute/School of Public Health, Wuhan University, Wuhan, China.

School of Law, Henan University, Kaifeng, China.

出版信息

Glob Health Res Policy. 2022 Mar 9;7(1):8. doi: 10.1186/s41256-022-00243-5.

Abstract

Delta and Omicron variants of 2019-nCoV are still spreading globally, and many imported infections have been identified in China as well. In order to control the spread chain from imported to local, China has implemented the dynamic Covid-zero policy. In this article we summarized China's governance models and practices of fighting potential imported infections in two directions. One targets at international travelers, which can be outlined as four lines of defense: customs epidemic prevention, quarantine upon arrival, relevant laws and regulations, and community tracking. The other is against other vectors potentially carrying 2019-nCoV, which can be outlined by three lines of defense: customs epidemic prevention, disinfection and personal protection, and information management. However, there are still some challenges that are yet to be addressed, such as illegal immigration, accidental occupational exposure to 2019-nCoV, etc. China's experience indicates that no country can stay safe during the global pandemic as long as there are local outbreaks in other countries, and active prevention and control measures based on science and a complete set of laws and regulations are still necessary at current stage. What's more, accountable government commitment and leadership, strengthened health and social governance systems, and whole society participation are required. It is suggested that the global community continue to closely cooperate together and take active rather than passive actions to block the potential imported 2019-nCoV from causing local spreading.

摘要

Delta 和 Omicron 变异株仍在全球流行,中国也发现了多起输入性感染病例。为了控制从输入到本地的传播链,中国实施了动态清零政策。本文总结了中国在两个方向上针对潜在输入性感染的治理模式和实践。一方面针对国际旅行者,可概括为四道防线:海关防疫、入境检疫、相关法律法规和社区追踪。另一方面针对其他可能携带 2019-nCoV 的载体,可概括为三道防线:海关防疫、消毒和个人防护以及信息管理。然而,仍存在一些尚未解决的挑战,如非法移民、2019-nCoV 意外职业暴露等。中国的经验表明,只要其他国家存在本地疫情,就没有哪个国家能够在全球大流行期间保持安全,现阶段仍需要基于科学和一整套法律法规采取积极的防控措施。更重要的是,需要有负责的政府承诺和领导力,加强卫生和社会治理体系,以及全社会的参与。建议全球社会继续密切合作,采取积极而非消极的行动,阻止潜在的输入性 2019-nCoV 引起本地传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98b/8905805/3965cc057408/41256_2022_243_Fig1_HTML.jpg

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