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与伊曼努尔·康德一同进入当前疫情的第二波

[With Immanuel Kant into the second wave of the current pandemic].

作者信息

Weigl Josef

机构信息

Gesundheitsamt Plön, Schleswig-Holstein, Hamburger Str. 17/18, 24306 Plön, Deutschland.

出版信息

Pravent Gesundh. 2020;15(3):209-217. doi: 10.1007/s11553-020-00783-z. Epub 2020 Apr 8.

Abstract

BACKGROUND

The efficacy of the most serious limitation of free movement of the German citizens since the end of the World War II and the Oil Crisis 1973 as intended countermeasure against the first wave of the pandemic is currently expected. The planning in regard to further action for the coming weeks and months has to take place now.

METHODS

With the help of the principles of the German philosopher Kant, the thinking and planning is framed.

RESULTS

The modelling by the researchers of the Imperial College, London, make an oversized second wave in autumn/winter 2020 most likely, if the current countermeasures are kept in place for too long. A timely relaxation of the measures is warranted to allow a staggered attack by the virus onto the population (German: "Durchseuchung") before the next influenza season 2020/2021 without overburdening the health care infrastructure especially the respiratory care bed capacity. The tempting perspective of a vaccine available before the second wave in autumn, should not lead to any delay in the intermittent relaxation of the countermeasures. A pre-licensure marginally tested vaccine would only be eligible for people with an anyway high risk in regard to SARS-CoV‑2.

CONCLUSIONS

Further, more detailed and from each other independent models on the basis of data from Germany are urgently needed. Upon these a heterogeneous trans-hierarchical committee would need to discuss and make decisions in regard to differentiated relaxations of measures given the high remaining uncertainties.

摘要

背景

自第二次世界大战结束和1973年石油危机以来德国公民行动自由受到最严重限制的效果,目前被视作针对第一波疫情的应对措施。现在必须对未来几周和几个月的进一步行动进行规划。

方法

借助德国哲学家康德的原则进行思考和规划。

结果

伦敦帝国理工学院研究人员的模型显示,如果目前的应对措施持续时间过长,2020年秋冬极有可能出现规模过大的第二波疫情。有必要及时放松措施,以便在2020/2021年下一个流感季节之前,让病毒对人群进行阶段性侵袭(德语:“Durchseuchung”),同时又不会使医疗基础设施尤其是呼吸护理床位容量负担过重。秋季第二波疫情之前有疫苗可用这一诱人前景,不应导致应对措施间歇性放松出现任何延迟。一种尚未获得许可且仅经过少量测试的疫苗,仅适用于感染SARS-CoV-2风险本来就高的人群。

结论

迫切需要基于德国数据建立更多更详细且相互独立的模型。鉴于仍存在高度不确定性,一个异质的跨层级委员会需要据此讨论并就措施的差异化放松做出决策。

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