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Strengthening Health Systems and Improving the Capacity of Pediatric Care Centers to Respond to Epidemics, Such as COVID-19 in Resource-Limited Settings.
Journal of Tropical Pediatrics ( IF 1.8 ) Pub Date : 2020-06-03 , DOI: 10.1093/tropej/fmaa028
Elizabeth Montgomery Collins 1 , Pui-Ying Iroh Tam 2, 3, 4 , Indi Trehan 5 , Peter Cartledge 6 , Anuradha Bose 7 , Miguel Lanaspa 8 , Paul Kidd 9 , Quique Bassat 8, 10, 11, 12, 13
Affiliation  

The coronavirus disease-2019 (COVID-19) pandemic has highlighted in dramatic fashion the weaknesses of health systems worldwide in responding to emerging pandemics [1]. Although many governments, nongovernment organizations (NGOs) and multinational organizations like the World Health Organization (WHO) have prioritized the strengthening of health systems, and developed pandemic preparedness plans, the world’s uneven (and often belated) response to the COVID-19 pandemic suggests that many of these plans were insufficient and that the global health community will need to improve resource allocation, information-sharing and government coordination in order to minimize the impact of future outbreaks [2]. We are particularly concerned that existing preparedness plans do not adequately address the special needs of children; the relatively low hospitalization and death rates of children in the COVID-19 pandemic may result in the continuation of those needs being overlooked [3]. Additionally, the needs of children in low-resource settings, which differ in many ways from those of wealthier settings, may be even further at stake. As health systems begin to reassess their preparedness plans, this pandemic gives the world the opportunity to put safety measures in place to protect children now, and in turn to prepare for future outbreaks that will, sooner or later, affect children to a greater degree than this pandemic has thus far.

中文翻译:

加强卫生系统并提高儿科护理中心应对流行病的能力,例如在资源有限的环境中应对COVID-19。

2019年冠状病毒病(COVID-19)大流行以惊人的方式凸显了全球卫生系统在应对新兴大流行病方面的弱点[1]。尽管许多政府,非政府组织(NGOs)和世界卫生组织(WHO)等跨国组织已将加强卫生系统列为优先事项,并制定了大流行的防范计划,但世界对COVID-19大流行的反应不平衡(且常常是迟来的)表明这些计划中有许多是不够的,全球卫生界将需要改善资源分配,信息共享和政府协调,以最大程度地减少未来疫情的影响[2]。我们特别关切的是,现有的备灾计划不能充分满足儿童的特殊需求;在COVID-19大流行中,儿童的相对较低的住院率和死亡率可能导致继续忽视这些需求[3]。此外,资源匮乏地区儿童的需求与富裕地区儿童的需求在许多方面有所不同,这甚至可能会受到进一步威胁。随着卫生系统开始重新评估其防备计划,这种流行病给全世界提供了机会,现在就可以采取安全措施保护儿童,并反过来为将来的爆发做好准备,这种爆发迟早会对儿童造成更大的影响。迄今为止,这种大流行。与富裕人群在许多方面存在差异的情况,可能会进一步受到威胁。随着卫生系统开始重新评估其防备计划,这种流行病给全世界提供了机会,现在就可以采取安全措施保护儿童,并反过来为将来的爆发做好准备,这种爆发迟早会对儿童造成更大的影响。迄今为止,这种大流行。与富裕人群在许多方面存在差异的情况,可能会进一步受到威胁。随着卫生系统开始重新评估其防备计划,这种流行病给全世界提供了机会,现在就可以采取安全措施保护儿童,并反过来为将来的爆发做好准备,这种爆发迟早会对儿童造成更大的影响。迄今为止,这种大流行。
更新日期:2020-07-28
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