当前位置: X-MOL 学术Lancet › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Health security capacities in the context of COVID-19 outbreak: an analysis of International Health Regulations annual report data from 182 countries.
The Lancet ( IF 98.4 ) Pub Date : 2020-03-18 , DOI: 10.1016/s0140-6736(20)30553-5
Nirmal Kandel 1 , Stella Chungong 1 , Abbas Omaar 1 , Jun Xing 1
Affiliation  

Background

Public health measures to prevent, detect, and respond to events are essential to control public health risks, including infectious disease outbreaks, as highlighted in the International Health Regulations (IHR). In light of the outbreak of 2019 novel coronavirus disease (COVID-19), we aimed to review existing health security capacities against public health risks and events.

Methods

We used 18 indicators from the IHR State Party Annual Reporting (SPAR) tool and associated data from national SPAR reports to develop five indices: (1) prevent, (2) detect, (3) respond, (4) enabling function, and (5) operational readiness. We used SPAR 2018 data for all of the indicators and categorised countries into five levels across the indices, in which level 1 indicated the lowest level of national capacity and level 5 the highest. We also analysed data at the regional level (using the six geographical WHO regions).

Findings

Of 182 countries, 52 (28%) had prevent capacities at levels 1 or 2, and 60 (33%) had response capacities at levels 1 or 2. 81 (45%) countries had prevent capacities and 78 (43%) had response capacities at levels 4 or 5, indicating that these countries were operationally ready. 138 (76%) countries scored more highly in the detect index than in the other indices. 44 (24%) countries did not have an effective enabling function for public health risks and events, including infectious disease outbreaks (7 [4%] at level 1 and 37 [20%] at level 2). 102 (56%) countries had level 4 or level 5 enabling function capacities in place. 32 (18%) countries had low readiness (2 [1%] at level 1 and 30 [17%] at level 2), and 104 (57%) countries were operationally ready to prevent, detect, and control an outbreak of a novel infectious disease (66 [36%] at level 4 and 38 [21%] at level 5).

Interpretation

Countries vary widely in terms of their capacity to prevent, detect, and respond to outbreaks. Half of all countries analysed have strong operational readiness capacities in place, which suggests that an effective response to potential health emergencies could be enabled, including to COVID-19. Findings from local risk assessments are needed to fully understand national readiness capacities in relation to COVID-19. Capacity building and collaboration between countries are needed to strengthen global readiness for outbreak control.

Funding

None.


中文翻译:

COVID-19 爆发背景下的卫生安全能力:对来自 182 个国家的国际卫生条例年度报告数据的分析。

背景

正如《国际卫生条例》(IHR) 所强调的那样,预防、检测和应对事件的公共卫生措施对于控制公共卫生风险(包括传染病暴发)至关重要。鉴于 2019 年新型冠状病毒病 (COVID-19) 的爆发,我们旨在审查现有的卫生安全能力以应对公共卫生风险和事件。

方法

我们使用 IHR 缔约国年度报告 (SPAR) 工具中的 18 个指标和国家 SPAR 报告中的相关数据来制定五个指数:(1) 预防,(2) 检测,(3) 响应,(4) 促成功能,以及 ( 5) 运行准备。我们对所有指标都使用了 SPAR 2018 数据,并将国家分为五个级别,其中级别 1 表示国家能力水平最低,级别 5 表示国家能力水平最高。我们还分析了区域层面的数据(使用世卫组织的六个地理区域)。

发现

在 182 个国家中,52 个(28%)具有 1 级或 2 级的预防能力,60 个(33%)具有 1 级或 2 级的响应能力。81 个(45%)国家具有预防能力,78 个(43%)具有响应能力4 或 5 级的能力,表明这些国家已做好行动准备。138 (76%) 个国家在检测指数中的得分高于其他指数。44 个 (24%) 国家没有针对公共卫生风险和事件的有效支持功能,包括传染病暴发(7 个 [4%] 处于 1 级,37 个 [20%] 处于 2 级)。102 个(56%)国家具备 4 级或 5 级支持功能能力。32 个(18%)国家的准备程度较低(2 个 [1%] 为 1 级,30 个 [17%] 为 2 级),104 个(57%)国家已准备好预防、检测、

解释

各国在预防、检测和应对疫情的能力方面差异很大。在接受分析的所有国家中,有一半拥有强大的业务准备能力,这表明可以有效应对潜在的突发卫生事件,包括应对 COVID-19。需要地方风险评估的结果才能充分了解与 COVID-19 相关的国家准备能力。需要各国之间进行能力建设和合作,以加强全球对疫情控制的准备。

资金

没有任何。
更新日期:2020-03-27
down
wechat
bug