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2023年需关注的十大公共卫生挑战:将重点从全球大流行转移开来。

Top 10 public health challenges to track in 2023: Shifting focus beyond a global pandemic.

作者信息

Lucero-Prisno Don Eliseo, Shomuyiwa Deborah Oluwaseun, Kouwenhoven M B N, Dorji Thinley, Odey Goodness Ogeyi, Miranda Adriana Viola, Ogunkola Isaac Olushola, Adebisi Yusuff Adebayo, Huang Junjie, Xu Lin, Obnial Joseph Christian, Huda Aminath, Thepanondh Sarawut, Dayrit Manuel Millar, Evardone Salvador B, Lamawansa M D, Solomon Ethiopia Samrawit, Aziato Lydia, Adongo Philip Baba, Samai Mohamed Hindolo, Garcia Fernando B, Villaruz Joselito F, Karunathilake Indika Mahesh, Li Hao, Azanza Patrick Alain, Findlay Ian, Wong Martin C S

机构信息

Department of Global Health and Development London School of Hygiene and Tropical Medicine London UK.

Faculty of Management and Development Studies University of the Philippines Open University Los Baños Laguna Philippines.

出版信息

Public Health Chall. 2023 May 2;2(2):e86. doi: 10.1002/puh2.86. eCollection 2023 Jun.

Abstract

The year 2022 saw COVID-19 as the primary public health concern, with vaccine rollout and mandates at the forefront. Other viral infectious diseases, such as Monkeypox and Ebola, emerged as public health concerns. Climate change and political conflicts significantly impacted global health, increasing the demand for humanitarian assistance and protection. In 2023, it remains crucial to identify global and public health priority areas to coordinate and implement effective solutions. Through discussions with public health practitioners and researchers, we have identified key priority areas for 2023, namely, health systems, the mental health crisis, substance abuse, infectious diseases, malnutrition and food insecurity, sexual and reproductive health challenges, environmental pollution, the climate crisis, cancer, and diabetes. These priority areas highlight shared concerns that should be addressed to facilitate proactive and innovative health interventions and practices. To achieve universal healthcare targets for 2030, prioritization, financial investment, international cooperation, and collaboration in addressing these global health challenges are crucial. This requires coordination among public health decision-makers, the private health sector, and opinion leaders to implement country-specific healthcare financing and food security measures. Research, scientific knowledge, and technical capacities must be leveraged to produce sustainable interventions that effectively reduce health disparities and improve health system responsiveness to prevent these challenges from progressing to public health emergencies.

摘要

2022年,新冠疫情是主要的公共卫生问题,疫苗推广和强制接种处于前沿。其他病毒性传染病,如猴痘和埃博拉,也成为公共卫生问题。气候变化和政治冲突对全球健康产生了重大影响,增加了对人道主义援助和保护的需求。2023年,确定全球和公共卫生优先领域以协调和实施有效解决方案仍然至关重要。通过与公共卫生从业者和研究人员的讨论,我们确定了2023年的关键优先领域,即卫生系统、心理健康危机、药物滥用、传染病、营养不良和粮食不安全、性与生殖健康挑战、环境污染、气候危机、癌症和糖尿病。这些优先领域突出了应加以解决的共同关切,以促进积极主动和创新的卫生干预措施及实践。为实现2030年全民医疗保健目标,在应对这些全球卫生挑战时进行优先排序、财政投资、国际合作与协作至关重要。这需要公共卫生决策者、私营卫生部门和意见领袖之间进行协调,以实施针对具体国家的医疗保健融资和粮食安全措施。必须利用研究、科学知识和技术能力来制定可持续的干预措施,有效减少健康差距,提高卫生系统的应对能力,以防止这些挑战演变成公共卫生紧急情况。

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