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对中国动态清零政策的思考

Reflections on the dynamic zero-COVID policy in China.

作者信息

Ba Zaihua, Li Yuqi, Ma Jiao, Qin Yining, Tian Jinzhu, Meng Yixiang, Yi Jiarong, Zhang Yingze, Chen Fei

机构信息

Jining Medical University, 133 Hehua Rd, Jining 272067, China.

出版信息

Prev Med Rep. 2023 Nov 22;36:102466. doi: 10.1016/j.pmedr.2023.102466. eCollection 2023 Dec.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has posed a serious threat to global healthcare and economy. In order to curb its spread, China adopted the dynamic zero-COVID policy, aiming to diagnose and isolate cases and close contacts as soon as possible. However, there is a controversy about the impact of isolation measures on social order, including the economy, personal employment and public mental health. Therefore, this review discusses and analyzes in detail the advantages and challenges of implementing dynamic zero-COVID policy. Although this public health policy might cause a shock to the economy in the short term, China still achieved a continued healthy economic performance with stable unemployment and strong export growth. Moreover, the rates of infection and mortality in China were lower than those in the United States and the European Union. However, due to the high transmissibility and low pathogenicity of the Omicron variant and prolonged lockdown-induced psychological damage, people questioned the effectiveness and necessity of this policy. Now that China has adjusted its policy in a timely manner, but many problems still remain unsolved. Some practical suggestions in terms of mental health, vaccine development, drugs supply, and economic recovery are put forward at the end of our paper to minimize negative impacts and provide a reference for future efforts.

摘要

2019年冠状病毒病(COVID-19)大流行对全球医疗保健和经济构成了严重威胁。为遏制其传播,中国采取了动态清零政策,旨在尽快诊断和隔离病例及密切接触者。然而,隔离措施对社会秩序的影响存在争议,包括经济、个人就业和公众心理健康。因此,本综述详细讨论并分析了实施动态清零政策的优势和挑战。尽管这一公共卫生政策可能在短期内对经济造成冲击,但中国仍实现了经济持续健康发展,失业率稳定,出口增长强劲。此外,中国的感染率和死亡率低于美国和欧盟。然而,由于奥密克戎变异株的高传播性和低致病性以及长期封锁导致的心理创伤,人们对这一政策的有效性和必要性提出了质疑。尽管中国已及时调整政策,但许多问题仍未解决。本文结尾提出了一些在心理健康、疫苗研发、药品供应和经济复苏方面的实际建议,以尽量减少负面影响,并为未来的努力提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c679/10728318/b86399409230/gr1.jpg

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