拉丁美洲的疫情准备和应对优先事项:一个区域的德尔菲共识
César Arturo Méndez Lizárraga1, Ruben Armas-González2, Steev Loyola3
1Institute for Global Health Sciences, University of California San Francisco, Mission Hall, Box 1224 550 16th Street, Third Floor, San Francisco, CA, 94158, USA; Facultad de Medicina, Universidad Autónoma de Baja California, Humberto Torres Sanginés s/n, Centro Cívico; C.P. 21000. Mexicali, Mexico.
Public health
|April 27, 2025
概括
拉丁美洲的公共卫生专业人员优先考虑动物传染病监测,感染控制和监测系统,以准备未来的流行病. 这些发现对于加强区域卫生安全和改进疫情应对策略至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球卫生安全 全球卫生安全
背景情况:
- 拉丁美洲经历了不成比例的高COVID-19死亡率 (25%的全球死亡),尽管全球人口比例较小 (<8%).
- 关于国际流行病准备建议是否与拉丁美洲的区域公共卫生优先事项保持一致的数据有限.
研究的目的:
- 确定和优先考虑拉丁美洲未来疫情准备和应对的关键领域.
- 通过了解该地区公共卫生专业人员的观点,为政策和资源分配提供信息.
主要方法:
- 为了在参与者之间达成共识,采用了经过修改的Delphi技术.
- 参与者在七个领域中对主题进行了排名,使用4点的利克特等级,分为三轮.
- 共识被定义为75%的参与者将一个主题评为非常重要的.
主要成果:
- 有115名公共卫生专业人员参与,其中大多数人参与了COVID-19应对工作,并具有重要的经验 (37.3-50.0%>16年).
- 确定的主要优先事项包括:动物性传染病病原体监测系统 (27.4分),强大的感染预防和控制计划 (22.8分),以及基于指标和事件的监测和报告系统 (22.1分).
结论:
- 确定优先级对于有效的未来流行病准备和改善健康结果至关重要.
- 加强区域合作,增强国家能力,并进行国家一级分析是拉丁美洲未来的流行病规划的建议.
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