新冠疫情的异质性：我们能从中吸取什么教训？
Heterogeneity of the COVID-19 epidemic: what can we learn from it?
作者信息
Chen Qiuli, Assefa Yibeltal, Wang Peter, Li Guifen
机构信息
Department of Research and Development, Zhejiang Zhongwei Medical Research Center Hangzhou 310018, Zhejiang, China.
School of Public Health, The University of Queensland Brisbane, Australia.
出版信息
Am J Transl Res. 2022 Oct 15;14(10):6846-6855. eCollection 2022.
OBJECTIVES
The goal of this article is to evaluate and explain the heterogeneity of the Coronavirus disease 2019 (COVID-19) epidemic in Australia, to offer advice for stopping the current outbreak and preparing for a suitable response to epidemics in the future.
METHODS
We conducted a review to analyze the epidemic and explain its variable manifestation across states in Australia. Most COVID-19 cases and deaths were in the states of Victoria and New South Wales due to differences in the governance of the epidemic and public health responses (quarantine and contact tracing) among states.
RESULTS
Countries could learn from Australia's overall successful response not only through good governance, effective community participation, adequate public health, adequate health system capacity and multisectoral actions but also from the heterogeneity of the epidemic among states.
CONCLUSIONS
A successful response to epidemics in countries with a decentralized administration requires multilevel governance with alignment and harmonization of the response.
目标
本文旨在评估并解释2019年冠状病毒病（COVID-19）在澳大利亚流行情况的异质性，为遏制当前疫情以及为未来妥善应对疫情提供建议。
方法
我们进行了一项综述，以分析疫情并解释其在澳大利亚各州的不同表现。由于各州在疫情治理和公共卫生应对措施（检疫和接触者追踪）上存在差异，大多数COVID-19病例和死亡病例集中在维多利亚州和新南威尔士州。
结果
各国不仅可以通过良好治理、有效的社区参与、充足的公共卫生资源、足够的卫生系统能力和多部门行动，还可以从各州疫情的异质性中学习澳大利亚总体上成功的应对经验。
结论
在实行分权管理的国家，成功应对疫情需要多层次治理，使应对措施保持一致并相互协调。
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