自愿集体隔离是土著居民对COVID-19的最佳应对措施吗? 一个来自玻利维亚亚马逊的案例研究和方案
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
概括
原住民社区面临高COVID-19风险,但具有性. 玻利维亚计划使用集体隔离和接触追踪来缓解破坏性影响, 为其他弱势群体提供榜样.
科学领域:
- 公共卫生
- 人类学
- 流行病学
背景情况:
- 全球土著人口对COVID-19并发症和死亡率的脆弱性增加.
- 可以利用这些社区的抗灾能力来实施有效的预防策略.
- 玻利维亚缺乏针对土著社区的具体COVID-19指南.
研究的目的:
- 为土著社区制定和实施量身定制的COVID-19预防和制战略.
- 解决玻利维亚亚亚马逊地区的特种弱点,并利用其性.
- 创建一个可复制的模型,以减轻全球同类人口的COVID-19影响.
主要方法:
- 合作发展涉及人类学家,医生,部落领袖和地方官员.
- 实施多阶段计划,包括教育,宣传,准备,制,患者管理和隔离.
- 专注于志愿集体隔离和西曼社区的接触追踪.
主要成果:
- 一个全面的,以社区为中心的COVID-19预防和制计划成功制定和实施.
- 该计划将传统知识与自愿集体隔离和接触者追踪的公共卫生措施相结合.
- 最初的阶段集中在教育和准备,随后是制和管理策略.
结论:
- 开发的多阶段计划提供了一种可行的方法来缓解COVID-19对土著社区的破坏性影响.
- 这一战略的可适应性可以应用于全球不同的当地情况.
- 社区的合作对于对弱势群体进行有效的公共卫生干预至关重要.
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