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对全球卫生未来领导力的投资减少已经开始:我们对此能做些什么?

Disinvesting in the future leadership of global health has already begun: What can we do about it?

作者信息

Bandara Shashika, Fieldhouse Jane K, Alwis Inosha, Abascal Miguel Lucía, Christian Canice, Evaborhene Nelson

机构信息

Department of Global and Public Health, School of Population and Global Health, McGill University, Montreal, Québec, Canada.

Grand Challenges, University of California Davis, Davis, California, United States of America.

出版信息

PLOS Glob Public Health. 2025 Oct 29;5(10):e0005310. doi: 10.1371/journal.pgph.0005310. eCollection 2025.

DOI:10.1371/journal.pgph.0005310
PMID:41160591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12571303/
Abstract

Following the abrupt and significant funding cuts by the U.S. and increasing retreat by high-income countries from development aid for health, global health as a field requires reimagining and urgent solution building by all parties involved. In this essay, we aim to draw attention to an important and urgent challenge that deeply affects our collective future: the destruction of global health training opportunities and the weakening of future global health leadership. If we do not approach this challenge with a sense of urgency, global health research and training face irreversible shifts, weakening global preparedness to face future pandemics, address climate crisis, and achieve global goals such as universal health coverage or health for all. We outline existing best practices that we can build on and pathways to build better approaches in global health training.

摘要

在美国突然大幅削减资金以及高收入国家从卫生发展援助中日益退缩之后,全球卫生作为一个领域需要所有相关方重新构想并紧急构建解决方案。在本文中,我们旨在提请人们关注一个深刻影响我们共同未来的重要且紧迫的挑战:全球卫生培训机会的破坏以及未来全球卫生领导力的削弱。如果我们不紧迫地应对这一挑战,全球卫生研究与培训将面临不可逆转的转变,削弱全球应对未来大流行、应对气候危机以及实现全民健康覆盖或全民健康等全球目标的准备能力。我们概述了现有的可借鉴的最佳实践以及在全球卫生培训中构建更好方法的途径。

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本文引用的文献

1
'A funeral for our careers': Trump's science cuts spill onto Canadian turf.“我们职业生涯的一场葬礼”:特朗普的科学经费削减波及到了加拿大领域。
Nature. 2025 May 28. doi: 10.1038/d41586-025-01439-8.
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Exclusive: NIH grant rejections have more than doubled amid Trump chaos.
Nature. 2025 May 19. doi: 10.1038/d41586-025-01539-5.
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The Global North is increasingly unsafe for global health meetings.
Lancet. 2025 May 17;405(10491):1728-1730. doi: 10.1016/S0140-6736(25)00757-3. Epub 2025 May 2.
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Exclusive: NIH to end billions of dollars in foreign research grants.独家报道:美国国立卫生研究院将终止数十亿美元的外国研究资助。
Nature. 2025 Apr 30. doi: 10.1038/d41586-025-01361-z.
5
Establishing the value of regional cooperation and a critical role for regional organisations in managing future health emergencies.确立区域合作的价值以及区域组织在应对未来卫生突发事件中发挥关键作用。
Lancet Glob Health. 2025 Mar;13(3):e585-e592. doi: 10.1016/S2214-109X(24)00500-X.
6
Can we unplug global health education from The Matrix?我们能否将全球健康教育从“母体”中抽离出来?
PLOS Glob Public Health. 2025 Feb 25;5(2):e0004307. doi: 10.1371/journal.pgph.0004307. eCollection 2025.
7
'Devastating' cuts to NIH grants by Trump's team put on hold by US judge.特朗普团队对美国国立卫生研究院拨款的“毁灭性”削减被美国法官搁置。
Nature. 2025 Feb 10. doi: 10.1038/d41586-025-00436-1.
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A world less safe and secure.一个更不安全的世界。
Science. 2025 Feb 7;387(6734):559. doi: 10.1126/science.adw1554. Epub 2025 Jan 22.
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Shifting power in global health will require leadership by the Global South and allyship by the Global North.全球卫生领域的权力转移将需要南方国家发挥领导力,北方国家提供盟友支持。
Lancet. 2024 Oct 24. doi: 10.1016/S0140-6736(24)02323-7.
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Global health and the elite capture of decolonization: On reformism and the possibilities of alternate paths.全球健康与非殖民化的精英掌控:论改良主义与其他路径的可能性
PLOS Glob Public Health. 2023 Jun 29;3(6):e0002103. doi: 10.1371/journal.pgph.0002103. eCollection 2023.