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新冠疫情期间三个亚洲中低收入国家的防控策略。

Containment strategy during the COVID-19 pandemic among three Asian low and middle-income countries.

机构信息

Department of Health Management, School of Health Management, Southern Medical University, Guangzhou, Guangdong, China.

Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.

出版信息

J Glob Health. 2022 May 21;12:05016. doi: 10.7189/jogh.12.05016.

DOI:10.7189/jogh.12.05016
PMID:35596570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9123341/
Abstract

BACKGROUND

COVID-19 has not been effectively controlled, seriously threatening people's health and socioeconomic development. This study aims to summarise the successful experiences and lessons in containment strategy learned from Asian Low- and Middle-Income Countries (LMICs) during the COVID-19 pandemic and analyse the effectiveness of their measures to provide lessons for LMICs in general.

METHODS

This is a retrospective study on the effectiveness of China, India, and Vietnam's containment strategies. The objective was to assess the effectiveness of measures taken for COVID-19 and provide lessons for wider LMICs in controlling and preventing the COVID-19 pandemic.

RESULTS

As of June 16, 2021, the Indian epidemic was in the declining part of the rebound stage, with a total of 21 521.900 cases per million and 276.740 deaths per million - both the highest among the three countries. Entering the normalised prevention and control stage, China stably remained at a total of 63. 615 cases per million and 3.211 deaths per million. Vietnam's number of new cases per million was very low in the first stage and almost stagnant except for cluster epidemics. In May 2021, the number of new cases per million started to rapidly increase, but the total of deaths per million was at the low level of 0.627.

CONCLUSIONS

A high attention to epidemics at early stages, strict border control measures, and synchronization of government and population on COVID-19 prevention and control opinions and behaviours play important roles in designing containment strategies. In addition, rapid close contact tracing and large-scale nucleic testing are good options for response to cluster epidemics.

摘要

背景

COVID-19 尚未得到有效控制,严重威胁着人们的健康和社会经济发展。本研究旨在总结亚洲中低收入国家(LMICs)在 COVID-19 大流行期间遏制战略的成功经验和教训,并分析其措施的有效性,为 LMICs 提供一般性的经验。

方法

这是一项关于中国、印度和越南遏制策略有效性的回顾性研究。目的是评估为 COVID-19 采取的措施的有效性,并为更广泛的 LMICs 控制和预防 COVID-19 大流行提供经验。

结果

截至 2021 年 6 月 16 日,印度疫情处于反弹阶段的下降期,每百万人 21521.900 例,每百万人 276.740 例死亡,均为三国中最高。进入常态化防控阶段后,中国每百万人的总病例数稳定在 63.615 例,死亡人数为 3.211 例。越南在第一阶段每百万人的新发病例数非常低,除了集群疫情外几乎停滞不前。2021 年 5 月,每百万人的新发病例数开始迅速增加,但每百万人的死亡总数处于 0.627 的低水平。

结论

在早期高度重视疫情、严格的边境管控措施以及政府和民众在 COVID-19 防控意见和行为上的同步,对遏制策略的设计起着重要作用。此外,快速的密切接触追踪和大规模的核酸检测是应对集群疫情的良好选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9512/9123341/5de69c98cd1a/jogh-12-05016-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9512/9123341/84ea1cac183b/jogh-12-05016-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9512/9123341/89e6f3a5f5bb/jogh-12-05016-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9512/9123341/999182041593/jogh-12-05016-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9512/9123341/5de69c98cd1a/jogh-12-05016-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9512/9123341/84ea1cac183b/jogh-12-05016-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9512/9123341/89e6f3a5f5bb/jogh-12-05016-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9512/9123341/999182041593/jogh-12-05016-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9512/9123341/5de69c98cd1a/jogh-12-05016-F4.jpg

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