世界的准备有多好? 通过"一个健康"的方法确定全球卫生安全现有评估框架的弱点
Tieble Traore1, Sarah Shanks2, Najmul Haider3
1WHO Emergency Preparedness and Response Cluster, WHO Regional Office for Africa, Dakar Hub, Dakar, Senegal.
Lancet (London, England)
|January 22, 2023
概括
目前的公共卫生紧急情况评估不足. 整合人类,动物和生态系统福祉的"一个健康"方法对于全面的准备和应对策略至关重要.
科学领域:
- 公共卫生
- 生态学
- 动物医学
背景情况:
- COVID-19 疫情凸显了当前公共卫生应急准备和应对框架的局限性.
- 现有的评估往往忽视了健康的复杂社会,经济,政治,监管和生态决定因素.
- 需要更全面的框架来解决相互关联的健康威胁.
研究的目的:
- 分析现有的公共卫生紧急情况评估框架.
- 使用"一个健康"的方法提出改进建议.
- 倡导卫生安全评估的范围更广.
主要方法:
- 分析当前的卫生安全评估框架,包括国际卫生法规的联合外部评估.
- 应用"一个健康"框架,评估现有工具并提出新的方法.
- 在卫生紧急情况评估中考虑社会,经济,政治,监管和生态因素.
主要成果:
- 现有的框架范围不够,无法充分纳入复杂的系统.
- 一个健康的方法为分析和改进评估工具提供了有价值的镜头.
- 有效的健康安全评估需要显著提高雄心.
结论:
- 卫生安全评估框架必须采用一个健康视角,考虑人类,动物和生态系统的健康.
- 评估需要考虑人为因素,社会政治环境和利益相关者的观点.
- 未来的框架应优先考虑能力建设,并根据所有卫生系统的附加值,权衡和共同利益评估干预措施.
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