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与 COVID-19 共存并为未来的大流行做准备:重温 HIV 大流行的教训。

Living with COVID-19 and preparing for future pandemics: revisiting lessons from the HIV pandemic.

机构信息

School of Medicine, University of California San Francisco, San Francisco, CA, USA.

Berkeley, CA, USA.

出版信息

Lancet HIV. 2023 Jan;10(1):e62-e68. doi: 10.1016/S2352-3018(22)00301-0. Epub 2022 Nov 10.

Abstract

In April, 2020, just months into the COVID-19 pandemic, an international group of public health researchers published three lessons learned from the HIV pandemic for the response to COVID-19, which were to: anticipate health inequalities, create an enabling environment to support behavioural change, and engage a multidisciplinary effort. We revisit these lessons in light of more than 2 years' experience with the COVID-19 pandemic. With specific examples, we detail how inequalities have played out within and between countries, highlight factors that support or impede the creation of enabling environments, and note ongoing issues with the scarcity of integrated science and health system approaches. We argue that to better apply lessons learned as the COVID-19 pandemic matures and other infectious disease outbreaks emerge, it will be imperative to create dialogue among polarised perspectives, identify shared priorities, and draw on multidisciplinary evidence.

摘要

2020 年 4 月,也就是 COVID-19 大流行的几个月后,一组国际公共卫生研究人员发表了从 HIV 大流行中吸取的应对 COVID-19 的三条经验教训,即:预测健康不平等、创造有利于支持行为改变的环境,以及开展多学科努力。我们根据 COVID-19 大流行超过 2 年的经验重新审视这些经验教训。我们通过具体的例子详细说明了不平等现象在国家内部和国家之间的表现方式,强调了支持或阻碍有利环境创造的因素,并指出了在综合科学和卫生系统方法稀缺方面持续存在的问题。我们认为,为了在 COVID-19 大流行成熟和其他传染病爆发时更好地应用吸取的经验教训,将两极化观点之间建立对话、确定共同优先事项以及利用多学科证据将是至关重要的。

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