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Cracks in the System: The Effects of the Coronavirus Pandemic on Public Health Systems
The American Review of Public Administration ( IF 4.929 ) Pub Date : 2020-07-16 , DOI: 10.1177/0275074020941667 Kate Tulenko 1 , Dominique Vervoort 2
The American Review of Public Administration ( IF 4.929 ) Pub Date : 2020-07-16 , DOI: 10.1177/0275074020941667 Kate Tulenko 1 , Dominique Vervoort 2
Affiliation
The novel coronavirus disease 2019 (COVID-19) pandemic has rapidly wrought havoc on the world, exposing the gaps in public health systems of countries that were previously considered most prepared for infectious disease outbreaks. Notably, despite being ranked highest on the Global Health Security Index, the United States has been severely hit with nearly two million confirmed cases and one hundred thousand deaths by the end of May 2020. In addition to the public health fragmentation from the federal to the state level and lagging regulations, early reports highlight substantial socioeconomic disparities and health system barriers contributing to the spread and impact of the pandemic in the United States. In this review, we explore the impact of COVID-19 on public health systems by assessing systems through the lens of the Centers for Disease Control and Prevention’s Ten Essential Public Health Services. Building on prepandemic and COVID-19 observations and lessons, we propose recommendations moving forward to prepare for future waves and other disease outbreaks.
中文翻译:
系统裂缝:冠状病毒大流行对公共卫生系统的影响
2019 年新型冠状病毒病 (COVID-19) 大流行迅速对世界造成了严重破坏,暴露了以前被认为对传染病爆发准备最充分的国家的公共卫生系统存在差距。值得注意的是,尽管在全球健康安全指数中排名最高,但到 2020 年 5 月底,美国已遭受近 200 万确诊病例和 10 万人死亡的严重打击。州级和滞后的法规,早期报告强调了导致大流行在美国蔓延和影响的巨大社会经济差异和卫生系统障碍。在这次审查中,我们通过从疾病控制和预防中心的十项基本公共卫生服务的角度评估系统来探索 COVID-19 对公共卫生系统的影响。在大流行前和 COVID-19 观察和教训的基础上,我们提出建议,为未来的波浪和其他疾病爆发做好准备。
更新日期:2020-07-16
中文翻译:
系统裂缝:冠状病毒大流行对公共卫生系统的影响
2019 年新型冠状病毒病 (COVID-19) 大流行迅速对世界造成了严重破坏,暴露了以前被认为对传染病爆发准备最充分的国家的公共卫生系统存在差距。值得注意的是,尽管在全球健康安全指数中排名最高,但到 2020 年 5 月底,美国已遭受近 200 万确诊病例和 10 万人死亡的严重打击。州级和滞后的法规,早期报告强调了导致大流行在美国蔓延和影响的巨大社会经济差异和卫生系统障碍。在这次审查中,我们通过从疾病控制和预防中心的十项基本公共卫生服务的角度评估系统来探索 COVID-19 对公共卫生系统的影响。在大流行前和 COVID-19 观察和教训的基础上,我们提出建议,为未来的波浪和其他疾病爆发做好准备。