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2023年公共卫生年度词汇——冲突。

Public Health Word of the Year 2023 - Conflict.

作者信息

Lucero-Prisno Don Eliseo, Ogaya Jerico B, Shomuyiwa Deborah O, Adebisi Yusuff Adebayo, Kouwenhoven M B N, Ogunkola Isaac Olushola, Goodness Odey, Jimoh Nafisat Dasola, Ahmed Mohamed Mustaf, Dorji Thinley

机构信息

London School of Hygiene and Tropical Medicine London UK.

Department of Medical Technology Institute of Health Sciences and Nursing Far Eastern University Manila Philippines.

出版信息

Public Health Chall. 2024 Jul 17;3(3):e220. doi: 10.1002/puh2.220. eCollection 2024 Sep.

Abstract

The term "conflict" resonated throughout 2023, echoing prolonged civil wars and heightened global tensions in geopolitical disputes, escalating ongoing rifts among global communities, and exacerbating the humanitarian crisis. This article explores the complex relationship between conflicts and public health, providing a thorough analysis of their dynamics and current prevalence. It aims to illuminate the diverse challenges posed and delineate a holistic path forward to mitigate violent conflicts and ameliorate health disparities, particularly among affected low- and middle-income countries, by advancing an equitable and resilient healthcare system. The expanded perspective of "conflict" reveals far-reaching consequences that extend beyond borders, significantly straining public health capacity. The world is in dire need of reinvigorating healthcare systems and de-escalating such violent conflicts due to the relentless exhaustion of resources and the increasing demand for medical emergencies that current responses inadequately address. The damage to vital healthcare facilities in conflict zones severely hampers the provision of necessary and timely medical care, affecting a wide range of health services, including treatment for chronic illnesses, maternal and child care, and mental health support. Additionally, the continuous displacement of people in these areas increases their susceptibility to infectious diseases, raising the possibility of new outbreaks and worsening long-standing public health challenges. Therefore, prioritizing public health in diplomatic efforts is essential for resolving conflicts and aiding recovery, through building a strong public health strategic approach for a more stable and peaceful global community.

摘要

“冲突”一词在2023年贯穿始终,这反映在长期的内战以及地缘政治争端中加剧的全球紧张局势上,全球社会之间持续的裂痕不断扩大,人道主义危机也日益恶化。本文探讨了冲突与公共卫生之间的复杂关系,对它们的动态变化和当前的普遍情况进行了全面分析。其目的是阐明所带来的各种挑战,并勾勒出一条全面的前进道路,以通过推进公平且有韧性的医疗保健系统来减轻暴力冲突并改善健康差距,特别是在受影响的低收入和中等收入国家。对“冲突”的更广泛视角揭示了其超出国界的深远后果,给公共卫生能力带来了巨大压力。由于资源的不断耗尽以及对医疗紧急情况的需求不断增加,而当前的应对措施又无法充分满足这些需求,世界迫切需要振兴医疗保健系统并缓和此类暴力冲突。冲突地区重要医疗设施的受损严重阻碍了必要且及时的医疗服务提供,影响了广泛的卫生服务,包括慢性病治疗、母婴护理以及心理健康支持。此外,这些地区人口的持续流离失所增加了他们感染传染病的易感性,增加了新疫情爆发的可能性,并加剧了长期存在的公共卫生挑战。因此在外交努力中优先考虑公共卫生对于解决冲突和促进恢复至关重要,要通过为更稳定和平的全球社会构建强有力的公共卫生战略方针来实现。

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