Espinal Marcos A, Alonso Monica, Sereno Leandro, Escalada Rainier, Saboya Martha, Ropero Alba M, Bascolo Ernesto, Perez Freddy, Vigilato Marco, Soares Agnes, Luciani Silvana, Vicari Andrea, Castellanos Luis G, Ghidinelli Massimo, Barbosa Jarbas
Department of Communicable Diseases and Environmental Determinants of Health, Pan American Health Organization, Washington DC, USA.
Department of Family, Health Promotion and Life Course, Pan American Health Organization, Washington DC, USA.
Lancet Reg Health Am. 2022 Sep;13:100313. doi: 10.1016/j.lana.2022.100313. Epub 2022 Jul 14.
The COVID-19 pandemic has disrupted implementation of health interventions and set back priority programs aiming to control and eliminate communicable diseases. At the same time, the pandemic has opened up opportunities to expedite innovations in health service delivery to increase effectiveness and position health on the development and political agendas of leaders and policy makers. In this context, we present an integrated, sustainable approach to accelerate elimination of more than 35 communicable diseases and related conditions in the region of the Americas. The Elimination Initiative promotes a life-course, person-centred approach based on four dimensions - preventing new infections, ending mortality and morbidity, and preventing disability - and four critical lines of action including strengthening health systems integration and service delivery, strengthening health surveillance and information systems, addressing environmental and social determinants of health, and furthering governance, stewardship, and finance. We present key actions and operational considerations according to each line of action that countries can take advantage of to further advance disease elimination in the region.
新冠疫情扰乱了卫生干预措施的实施，并使旨在控制和消除传染病的重点项目受挫。与此同时，疫情也带来了机遇，可加速卫生服务提供方面的创新，以提高效率，并将卫生问题纳入领导人及政策制定者的发展和政治议程。在此背景下，我们提出一种综合、可持续的方法，以加速在美洲区域消除35种以上的传染病及相关病症。消除倡议促进采用基于四个维度——预防新感染、终结死亡和发病情况、预防残疾——的全生命周期、以人为本的方法，以及包括加强卫生系统整合和服务提供、加强卫生监测和信息系统、应对健康的环境和社会决定因素、推进治理、管理和融资在内的四条关键行动路线。我们根据各国可利用的每条行动路线，提出关键行动和业务考量，以进一步推动该区域的疾病消除工作。
