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非传染性疾病与全球卫生安全:在人道主义危机中加大行动力度以实现可持续复苏

Noncommunicable Diseases and Global Health Security: Scaling up Action in Humanitarian Crises for Sustainable Recovery.

作者信息

Collins Téa E, Karapici Amanda, Berlina Daria

机构信息

World Health Organization, Avenue Appia 20, 1211 Geneva, Switzerland.

出版信息

Ann Glob Health. 2025 Jun 6;91(1):27. doi: 10.5334/aogh.4788. eCollection 2025.

Abstract

Emergencies significantly disrupt health systems and hinder regular and timely access to service delivery. Humanitarian assistance during crises tends to prioritize populations' immediate needs, such as injuries and infectious diseases, rather than noncommunicable diseases (NCDs), which require continuous lifelong care across different specialties and levels of healthcare systems. However, neglecting NCDs in emergency settings can have long-term negative consequences for affected populations, including increased morbidity, unnecessary preventable deaths, and straining already stressed healthcare systems even more. The purpose of this paper is threefold. First, it argues for high-level commitments to integrate NCDs into the Global Health Security Agenda (GHSA) for more effective action toward sustainable recovery. Second, it advocates for a well-coordinated integrated health systems response that holistically tackles NCDs in humanitarian emergencies, focusing on the importance of strengthening pre-crisis infrastructure, quality NCD surveillance data, health workforce, and overall health system readiness. Finally, the paper explores the challenges for effective NCD management, emphasizing the need for multisectoral collaboration, partnerships, and resource mobilization to enhance preparedness, response, and recovery efforts.

摘要

紧急情况严重扰乱卫生系统,阻碍人们定期、及时获得医疗服务。危机期间的人道主义援助往往优先满足民众的紧迫需求,如受伤和传染病,而非非传染性疾病,后者需要在不同专业领域和医疗系统层面提供持续的终身护理。然而,在紧急情况下忽视非传染性疾病会给受影响人群带来长期负面影响,包括发病率上升、不必要的可预防死亡,以及使本就不堪重负的医疗系统更加紧张。本文目的有三。其一,主张做出高层承诺,将非传染性疾病纳入全球卫生安全议程(GHSA),以便采取更有效行动实现可持续复苏。其二,倡导协调一致的综合卫生系统应对措施,在人道主义紧急情况中全面应对非传染性疾病,强调加强危机前基础设施、高质量非传染性疾病监测数据、卫生人力以及整体卫生系统准备状态的重要性。其三,本文探讨有效管理非传染性疾病面临的挑战,强调需要开展多部门协作、建立伙伴关系并筹集资源,以加强防范、应对和恢复工作。

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