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在2010年霍乱流行期间,海地北部的过度死亡率

Macceau Medozile^1,2, Gina S Lovasi², Sergios-Orestis Kolokotronis^3,4,5

¹Department of Environmental and Occupational Health Sciences, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, New York, United States of America.

PLoS neglected tropical diseases

|December 6, 2023

概括

在疫情爆发期间获得医疗保健的障碍增加了死亡率. 在海地在海地

科学领域:

流行病学流行病学
公共卫生公共卫生
传染病的爆发传染病的爆发

背景情况:

传染病爆发带来了重大的公共卫生挑战.
获得医疗保健的障碍可能会在流行病期间加剧死亡率.
2010年在海地爆发的霍乱疫情造成了大量的生命损失.

研究的目的:

量化与在海地北部部门2010-2012年霍乱爆发期间不寻求护理相关的过度死亡率.
检查霍乱流行期间医疗保健利用率和死亡率之间的关联.

主要方法:

来自海地北部无国界医生组织 (Médecins Sans Frontières) 的基于社区的回顾性调查数据.
后勤回归分析以评估医疗保健利用率和死亡率.
研究的重点是特定的公社:Borgne,Pilate,Plaisance和Port-Margot.

主要成果:

不寻求护理的人面临5倍高的病例死亡率 (26%) 与寻求护理的人相比 (5%).
关键障碍包括旅行距离,错误的症状归因,以及缺乏关于在哪里寻求护理的信息.
根据获得医疗保健的结果,观察到显著的差异.

结论:

解决交通和信息差距对于改善疫情期间获得医疗保健的机会至关重要.
针对这些障碍的干预措施可以减少公共卫生紧急情况期间的死亡率.
加强医疗保健的利用对于在流行病情况下减轻可预防的死亡至关重要.

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