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拉丁美洲的新冠疫情:当下概况与未来之路

COVID-19 in Latin America: A Snapshot in Time and the Road Ahead.

作者信息

LaRotta Jorge, Escobar Omar, Ávila-Aguero María L, Torres Juan Pablo, Sini de Almeida Rodrigo, Morales Graciela Del Carmen, Srivastava Amit

机构信息

Vaccines Medical and Scientific Affairs, Pfizer SAS, AV Suba 95-66, Bogotá, Colombia.

Pediatric Infectious Diseases, Hospital Nacional de Niños, San José, Costa Rica.

出版信息

Infect Dis Ther. 2023 Feb;12(2):389-410. doi: 10.1007/s40121-022-00748-z. Epub 2023 Jan 12.

Abstract

Since its initial detection in Brazil in February 2020, SARS-CoV-2 and the associated COVID-19 pandemic have continued to devastate Latin America. Specific comorbidities, as well as sociodemographic and lifestyle factors that may be more prevalent in underserved areas, have been identified as risk factors for COVID-19 infection or associated adverse outcomes. Dynamics of infections and deaths in Latin America have varied by country and temporally, as has SARS-CoV-2 variant prevalence; however, more recently, the Delta and subsequent Omicron variants have become ubiquitous. Successful pandemic responses have involved robust infection mitigation measures, testing, and smart deployment of healthcare resourcing. While in some Latin American countries up to 90% of the population is fully vaccinated (i.e., 2 doses) against COVID-19, other countries have failed to reach the World Health Organization's 70% target. Continued focus on comprehensive surveillance, strategies to maximize vaccine availability and uptake, and mitigation of collateral damage on other aspects of public health and social services are critical for managing the COVID-19 pandemic. This review summarizes the COVID-19 experience in Latin America, including epidemiology and vaccination. Key learnings and future considerations for the ongoing pandemic response are also discussed.

摘要

自2020年2月在巴西首次检测到严重急性呼吸综合征冠状病毒2(SARS-CoV-2)以来,该病毒及相关的冠状病毒病(COVID-19)大流行继续给拉丁美洲带来巨大破坏。特定的合并症以及在服务不足地区可能更为普遍的社会人口学和生活方式因素,已被确定为COVID-19感染或相关不良后果的风险因素。拉丁美洲的感染和死亡动态因国家和时间而异,SARS-CoV-2变体的流行情况也是如此;然而,最近,德尔塔变体及随后的奥密克戎变体已变得无处不在。成功应对大流行涉及强有力的感染缓解措施、检测以及合理配置医疗资源。虽然在一些拉丁美洲国家,高达90%的人口已完成针对COVID-19的全程接种(即接种2剂),但其他国家未能达到世界卫生组织设定的70%的目标。持续关注全面监测、最大限度提高疫苗可及性和接种率的策略,以及减轻对公共卫生和社会服务其他方面的附带损害,对于应对COVID-19大流行至关重要。本综述总结了拉丁美洲的COVID-19情况,包括流行病学和疫苗接种情况。还讨论了正在进行的大流行应对的关键经验教训和未来考虑因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25a8/9925642/99b414e09350/40121_2022_748_Fig1_HTML.jpg

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