Blanchet Karl, Rubenstein Leonard, Taithe Bertrand, Fast Larissa
Geneva Centre of Humanitarian Studies, Faculty of Medicine, University of Geneva, Genève, Switzerland.
Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Confl Health. 2023 Dec 6;17(1):56. doi: 10.1186/s13031-023-00555-4.
The scale of attacks on healthcare has become more visible and its impact greater in recent armed conflicts in Ukraine, Sudan and Myanmar. In these conflicts, combatants systematically target health facilities and ambulances. We need to ensure that attacks on healthcare do not become the new norm amongst governmental troops and non-State armed groups. There is limited evidence about why and how attacks on healthcare have become "normal" practice amongst many combatants, despite the likely tactical and strategic costs to themselves. We are convinced that the problem now needs to be tackled like any other public health issue by assessing: the scale of the problem; who is the most at risk; identifying risk factors; developing new interventions to prevent the risks or address the issue; and evaluating the effectiveness of these interventions.
在乌克兰、苏丹和缅甸最近发生的武装冲突中，对医疗保健的攻击规模变得更加明显，其影响也更大。在这些冲突中，战斗人员有系统地将医疗设施和救护车作为目标。我们需要确保对医疗保健的攻击不会成为政府部队和非国家武装团体中的新常态。关于为何以及如何对医疗保健的攻击在许多战斗人员中成为“常态”做法，证据有限，尽管这对他们自身可能存在战术和战略成本。我们坚信，现在需要像对待任何其他公共卫生问题一样来解决这个问题，即评估：问题的规模；谁是风险最大的群体；识别风险因素；制定新的干预措施以预防风险或解决问题；以及评估这些干预措施的有效性。
