ABSTRACT

Covid-19 infections and related illness and death are rightly at the forefront of our minds. It is critical that we consider how to reduce infections, treat those who are ill and protect health systems. We must, however, also consider how the pandemic is affecting the families of those infected, and how interventions to prevent the spread of the virus come with large negative economic and social consequences. We must begin to identify the ways in which we can soften these blows and recover from the negative consequences over the medium and long-term. We highlight here the importance of moving away the tendency to search for interventions to improve one outcome at a time. It will be essential, particularly in highly resource constrained settings, to look for accelerators, interventions which improve multiple outcomes simultaneously. We discuss how this will be especially important for groups who are at particular risk at this time, including of long-term negative outcomes. These include very young children, adolescents and those who have limited capacity to benefit from narrow interventions given critical needs in multiple domains. Searching for accelerators requires that we take a step back and look to identify common causes of negative outcomes and consider how we might address them. For many countries, recovery from this epidemic will be highly constrained by the limited availability of financial resources. Wise investments will be especially important at this time.

摘要

Covid-19感染以及相关的疾病和死亡正确地摆在我们的脑海中。我们必须考虑如何减少感染，治疗病人和保护卫生系统，这一点至关重要。但是，我们还必须考虑大流行病如何影响受感染者的家庭，以及采取措施防止病毒传播会给经济和社会带来严重的负面影响。我们必须开始确定可以减轻这些打击并从中期和长期的负面影响中恢复过来的方法。在这里，我们强调了消除寻找干预措施以一次改善一项结果的趋势的重要性。寻找加速器，同时改善多个结果的干预措施至关重要，尤其是在资源紧张的环境中。我们讨论了这对于当前处于特殊风险中（包括长期负面结果）的人群而言如何特别重要。其中包括非常小的儿童，青少年以及由于多个领域的关键需求而无法从狭窄干预措施中受益的人。寻找加速器要求我们退后一步，寻找能够导致负面结果的常见原因，并考虑如何解决这些问题。对于许多国家来说，从这种流行病中恢复过来将受到财政资源有限的严重制约。明智的投资此时尤为重要。青少年和那些能力有限的人在狭窄的干预措施中受益，这是由于多个领域的迫切需求。寻找加速器要求我们退后一步，寻找能够导致负面结果的常见原因，并考虑如何解决这些问题。对于许多国家来说，从这种流行病中恢复过来将受到财政资源有限的严重制约。明智的投资此时尤为重要。青少年和那些能力有限的人在狭窄的干预措施中受益，这是由于多个领域的迫切需求。寻找加速器要求我们退后一步，寻找能够导致负面结果的常见原因，并考虑如何解决这些问题。对于许多国家来说，从这种流行病中恢复过来将受到财政资源有限的严重制约。明智的投资此时尤为重要。