ベネズエラの公衆衛生危機:地域的な緊急事態
Kathleen R Page1, Shannon Doocy2, Feliciano Reyna Ganteaume3
1Johns Hopkins School of Medicine, Baltimore, MD, USA.
Lancet (London, England)
|March 16, 2019
まとめ
ベネズエラの経済危機は医療制度を台無しにしており 乳幼児と妊産婦の死亡が増加し 麻疹,弁炎,マラリア,結核などの感染症が再発しています
科学分野:
- 公衆衛生
- 健康 経済
- 流行病学について
背景:
- ベネズエラの経済危機は医療インフラに深刻な影響を与えている.
- 医療従事者の移住とともに 医薬品,物資,公共サービスの不足が 医療サービスを 麻痺させています
- ベネズエラの保健省は2016年に重要な統計の公表を停止し,公衆衛生の監視を妨げました.
研究 の 目的:
- ベネズエラの公衆衛生危機に関する 入手可能な健康情報をまとめます
- 国際社会の関与戦略について議論する.
- 経済危機が公衆衛生指標に与える影響を定量化する.
主な方法:
- MEDLINE,PubMed,灰色の文献の検索が行われました.
- 関連記事,政府/非政府報告書,公共データベースからの参照が検討された.
- 2018年12月1日までに出版された英語とスペイン語の記事は含まれています.
主要な成果:
- 乳児死亡率は63% (2012年−2016年) 増加し,妊産婦死亡率は2倍以上になりました.
- 2016年以来,麻疹と白の流行は地域的に広がっています.
- ベネズエラは世界最大のマラリア発生率 (2016年−2017年) を記録し,2015年には結核の発生率が40年ぶりの高水準に達した.
- HIV患者は薬の不足のために治療を中断した (2017年−2018年).
結論:
- ベネズエラの経済危機は 医療制度を崩壊させ 病気や死亡率を増加させました
- 公共衛生サービスの衰退は 感染症の流行を助長し 国家や地域の健康を脅かしています
- 拡大する健康危機に対処するために,国際社会の緊急の関与が必要である.
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