Haldane Victoria, Morales-Vazquez Mariana, Jamieson Margaret, Veillard Jeremy, Marchildon Gregory P, Allin Sara
Institute of Health Policy, Management, and Evaluation, University of Toronto, 155 College St., Toronto, ON M5T 3M6, Canada.
World Bank, Health, Nutrition and Population, Washington, DC, USA.
Health Policy Open. 2022 Dec;3:100081. doi: 10.1016/j.hpopen.2022.100081. Epub 2022 Nov 14.
A range of public health and social measures have been employed in response to the disproportionate impact of COVID-19 in Latin America and the Caribbean (LAC). Yet, pandemic responses have varied across the region, particularly during the first 6 months of the pandemic, with Uruguay effectively limiting transmission during this crucial phase. This review describes features of pandemic responses which may have contributed to Uruguay's early success relative to 10 other LAC countries - Argentina, Chile, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Panama, Paraguay, and Trinidad and Tobago. Uruguay differentiated its early response efforts from reviewed countries by foregoing strict border closures and restrictions on movement, and rapidly implementing a suite of economic and social measures. Our findings describe the importance of supporting adherence to public health interventions by ensuring that effective social and economic safety net measures are in place to permit compliance with public health measures.
为应对新冠疫情在拉丁美洲和加勒比地区(LAC)造成的不均衡影响,一系列公共卫生和社会措施已被采用。然而,该地区各国的疫情应对措施各不相同,尤其是在疫情的头6个月,乌拉圭在此关键阶段有效控制了病毒传播。本综述描述了疫情应对措施的特点,这些特点可能是乌拉圭相对于其他10个拉丁美洲和加勒比国家(阿根廷、智利、厄瓜多尔、萨尔瓦多、危地马拉、海地、洪都拉斯、巴拿马、巴拉圭和特立尼达和多巴哥)早期成功的原因。乌拉圭早期应对措施与其他被审查国家的不同之处在于,它没有采取严格的边境关闭和行动限制措施,而是迅速实施了一系列经济和社会措施。我们的研究结果表明,确保有效的社会和经济安全网措施到位,以促进民众遵守公共卫生措施,对于支持民众坚持公共卫生干预措施至关重要。