自発的な集団隔離は,先住民のCOVID-19に対する最善の対応策ですか? ボリビアのアマゾンの事例とプロトコル
Hillard S Kaplan1, Benjamin C Trumble2, Jonathan Stieglitz3
1Economic Science Institute, Chapman University, Orange, CA, USA; Tsimane Health and Life History Project, San Borja, Bolivia.
Lancet (London, England)
|May 19, 2020
まとめ
先住民族のコミュニティは,高いCOVID-19リスクに直面していますが,回復力があります. ボリビアの計画では 集団的な隔離と接触追跡が 壊滅的な影響を軽減し 他の脆弱な集団に 模範を示しています
科学分野:
- 公衆衛生
- 人類学
- 流行病学について
背景:
- 全世界の先住民族は,COVID-19の合併症と死亡率に対して高い脆弱性を示しています.
- これらのコミュニティのレジリエントな特徴は 効果的な予防戦略に活用できます
- ボリビアには,先住民族のコミュニティに対する特定のCOVID-19のガイドラインがない.
研究 の 目的:
- 原住民のコミュニティに合わせた COVID-19 予防と封じ込め戦略を策定し,実施する.
- ボリビアのアマゾンのチマネ族の脆弱性に対処し 回復力を高める
- COVID-19の影響を緩和するための再現可能なモデルを作成する.
主な方法:
- 人類学者,医師,部族指導者,地方の役人などによる共同開発です.
- 教育,アウトリーチ,準備,封じ込め,患者管理,隔離を含む多段階の計画の実施.
- 志願的な集団的隔離と ツィマネコミュニティ内の接触者追跡に焦点を当てます
主要な成果:
- コミュニティを中心とした包括的なCOVID-19予防・封じ込め計画が成功裏に策定され,実施されました.
- この計画では 伝統的知識と 集団隔離と 接触者追跡のための公衆衛生対策を統合しました
- 最初の段階は教育と準備に重点を置いた後 封じ込めと管理戦略が続きました
結論:
- 開発された多段階計画では,先住民族のコミュニティにおけるCOVID-19の破壊的な影響を軽減するための実用的なアプローチを提供しています.
- この戦略の適応機能は,世界各地の様々な状況に適用できます.
- コミュニティの協力は,脆弱な集団に対する効果的な公衆衛生の介入に不可欠です.
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