传染病在印度的持续挑战
T Jacob John1, Lalit Dandona, Vinod P Sharma
1Department of Clinical Microbiology, Christian Medical College, Vellore, Tamil Nadu, India.
Lancet (London, England)
|January 14, 2011
概括
印度面临着巨大的传染病负担,目前的垂直计划证明不足. 迫切需要一种新的综合公共卫生方法,以有效控制疾病并改善全国各地的医疗保健质量.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 卫生政策分析 卫生政策分析
背景情况:
- 印度面临着广泛的传染病,中央和州政府共同承担着重要的行政责任.
- 中央卫生部监督疾病控制,但缺乏专门的公共卫生部门,依靠垂直,单一疾病的计划.
研究的目的:
- 评估印度目前传染病控制战略的有效性.
- 识别监测和响应系统中的漏洞.
- 为综合性疾病管理提出修订后的卫生政策.
主要方法:
- 分析印度现有的传染病控制计划.
- 审查卫生系统结构和行政责任.
- 疾病监测和疫情应对机制的评估.
主要成果:
- 纵向计划显示混合成功; 艾滋病毒和麻风控制在轨,但结核病,疟疾和内脏莱什曼病控制面临挑战.
- 不充分的载体制导致登革热, Chikungunya 和伤寒的反复爆发.
- 缺乏系统控制便传播的病原体和动物病.
- 传染病监测和应对系统存在重大差距.
结论:
- 目前的垂直单一疾病控制模式对印度来说是低效和不可持续的.
- 为了公平和优质的医疗保健,卫生系统的全面审查和重新设计是必不可少的.
- 建议建立一个共享的,功能性的公共卫生基础设施,拥有专业的领导和训练有素的人员,以实现综合性疾病管理.
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