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借鉴新冠肺炎疫情的经验教训,加强低收入和中等收入国家为应对未来全球卫生威胁做好准备。

Leveraging lessons from the COVID-19 pandemic to strengthen low-income and middle-income country preparedness for future global health threats.

机构信息

WHO, Nigeria Country Office, Abuja, Nigeria.

出版信息

Lancet Infect Dis. 2023 Aug;23(8):e310-e317. doi: 10.1016/S1473-3099(23)00279-7. Epub 2023 Jun 5.

DOI:10.1016/S1473-3099(23)00279-7
PMID:37290474
Abstract

Although the global COVID-19 pandemic response was quick to develop medical countermeasures, it failed to fully prevent morbidity and mortality in high-income countries and low-income and middle-income countries (LMICs). As new variants and post-COVID-19 condition continue to emerge and affect health systems and economies, the full human and economic cost is yet to be felt. We should now learn from these shortcomings and implement more inclusive and equitable frameworks to prevent and respond to outbreaks. This Series offers specific learnings from COVID-19 vaccination campaigns and non-pharmaceutical interventions, highlighting the need for resilient, inclusive, and equitable health systems. Taking action to rebuild trust and invest in resilient local manufacturing capacity, supply chains, regulatory frameworks, and placing LMIC voices at the centre of decision making will help to ensure preparedness for future threats. It is time to move beyond mere talk of learning and implementing lessons and instead take action towards a more resilient future.

摘要

虽然全球应对 COVID-19 大流行的速度很快地开发了医疗对策,但它未能完全预防高收入国家和低收入和中等收入国家(LMICs)的发病率和死亡率。随着新变体和 COVID-19 后状况继续出现并影响卫生系统和经济,全面的人力和经济成本尚未感受到。我们现在应该从这些缺点中吸取教训,并实施更具包容性和公平性的框架,以预防和应对疫情。本系列从 COVID-19 疫苗接种运动和非药物干预措施中提供了具体的经验教训,强调需要有弹性、包容性和公平的卫生系统。采取行动重建信任和投资于有弹性的本地制造能力、供应链、监管框架,并将 LMIC 的声音置于决策的中心,将有助于确保为未来的威胁做好准备。现在是时候不仅仅是谈论学习和实施经验教训,而是采取行动,走向更有弹性的未来。

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