复杂紧急情况中的传染病:影响和挑战
Máire A Connolly1, Michelle Gayer, Michael J Ryan
1World Health Organization, Geneva, Switzerland. connollyma@who.int
Lancet (London, England)
|November 30, 2004
概括
传染病和营养不良在紧急情况下导致大多数死亡. 有效的干预措施已经存在,但需要系统地实施和更好地协调,以改善公共卫生结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 紧急医疗 紧急医疗
背景情况:
- 传染病,通常由营养不良加剧,是复杂的紧急情况中死亡的主要原因.
- 协同作用的因素增加疾病传播,导致腹,呼吸道感染,疟疾和麻疹的高发病率.
研究的目的:
- 突出在复杂的紧急情况中进行有效干预的关键需求.
- 确定在危机期间提供卫生服务的挑战.
- 倡导系统地实施和改善公共卫生战略的协调.
主要方法:
- 在紧急情况下对传染病控制现有文献的审查.
- 分析影响疾病传播和干预措施的因素.
- 综合关于基本公共卫生组成部分的证据.
主要成果:
- 有效的干预措施,包括住所,饮用水,卫生设施,病例管理,免疫和监测.
- 这些干预措施的实施经常受到卫生工作者短缺,基础设施受损,不安全以及协调不良等因素的阻碍.
- 虽然在营地设置中取得了进展,但大规模的紧急情况带来了更大的挑战.
结论:
- 系统和协调地实施可用的干预措施对于减少复杂紧急情况中的过度发病率和死亡率至关重要.
- 政府,联合国机构和非政府组织之间加强协调至关重要.
- 需要进一步的研究来调整干预措施,并开发新的诊断,疫苗和治疗方法.
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