Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Department of Paediatrics, Örebro University Hospital, Örebro, Sweden.
Acta Paediatr. 2023 Jan;112(1):19-33. doi: 10.1111/apa.16535. Epub 2022 Sep 15.
Sweden initially chose a different disease prevention and control path during the pandemic than many other European countries. In June 2020, the Swedish Government established a National Commission to examine the management of COVID-19 in Sweden. This paper summarises, and discusses, its findings.
Three reports published by the Commission were analysed. The first focused on the care of older people during the pandemic. The second examined disease and infection transmission and control and health care and public health. The third updated the first two reports and also covered economic aspects, crisis management and public communication.
By 25 February 2022, when the final report was published, 15 800 individuals, 1.5 per 1000 Swedish inhabitants, had died after COVID-19. The death rates were high in spring 2020, but overall excess mortality in 2020-2021 was +0.79%, which was lower than in many other European countries. The Commission suggested that the voluntary measures that were adopted were appropriate and maintained Swedes' personal freedom during the pandemic. However, more extensive and earlier measures should have been taken, especially during the first wave.
The Swedish COVID-19 Commission felt that earlier and more extensive pandemic action should have been taken, particularly during the first wave.
瑞典在大流行期间选择了与许多其他欧洲国家不同的疾病预防和控制路径。2020 年 6 月，瑞典政府成立了一个国家委员会，以审查瑞典对 COVID-19 的管理。本文总结并讨论了其调查结果。
对该委员会发表的三份报告进行了分析。第一份报告侧重于大流行期间老年人的护理。第二份报告检查了疾病和感染的传播和控制以及医疗保健和公共卫生。第三份报告更新了前两份报告，并涵盖了经济方面、危机管理和公共沟通。
截至 2022 年 2 月 25 日，即最后一份报告发布之时，已有 15800 人在 COVID-19 后死亡，死亡率为每 1000 名瑞典居民中有 1.5 人。2020 年春季死亡率很高，但 2020-2021 年的总超额死亡率为+0.79%，低于许多其他欧洲国家。该委员会认为，所采取的自愿措施是适当的，并在大流行期间维护了瑞典人的个人自由。然而，应该更早、更广泛地采取措施，尤其是在第一波期间。
瑞典 COVID-19 委员会认为，应该更早、更广泛地采取大流行行动，特别是在第一波期间。
