Conflict, war and the resultant displacement of populations increase risk for infectious disease transmission. Forced migration, loss of safe shelter, loss of livelihood and interrupted access to clean water, electricity and healthcare all lead to increases in epidemic risk. Refugees and displaced people are uniquely vulnerable to COVID-19. The chaos of war and its aftermath override the population health education messages to wear a mask, socially distance and wash hands frequently. Risk of COVID-19 transmission is heightened for people living in densely populated community spaces and overcrowded shelters, particularly for those with inadequate access to clean running water, soap and appropriate sanitation and hygiene facilities. Such circumstances make it challenging to physically distance and maintain proper hand hygiene. Overwhelmed healthcare systems and fragile capacities for social services further contributes to group-specific vulnerabilities of refugees and displaced people. World Health Organization (WHO) and the United Nations High Commissioner for Refugees (UNHCR) have recognised the disproportionate impact of the pandemic on these communities and the need to protect them.1 2 We, the Public Health Working Group for Armenia, echo the call previously made by Kluge et al 3 for an inclusive approach in guiding the global response to the COVID-19 pandemic, emphasising the principle of leaving no one behind. We are particularly concerned about the postconflict setting in the Nagorno-Karabakh Region and the recently displaced Armenian population who have relocated to the Republic of Armenia. In November 2020, the governments of Azerbaijan, Russia and Armenia signed a ceasefire agreement which brought an end to a 6-week long war between Azerbaijan and Armenia over the disputed Nagorno-Karabakh region, an enclave historically populated by indigenous ethnic Armenians (online supplemental file 1). A recent re-escalation of the decades-long conflict, despite the United Nations Secretary General’s call for a global ceasefire during the pandemic4 …

中文翻译：

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纳戈尔诺-卡拉巴赫战争凸显了流离失所者对 COVID-19 的脆弱性

冲突、战争以及由此造成的人口流离失所增加了传染病传播的风险。被迫迁移、失去安全住所、失去生计以及清洁水、电力和医疗保健的中断都会导致流行病风险增加。难民和流离失所者特别容易受到 COVID-19 的影响。战争及其后果的混乱压倒了人们的健康教育信息，即戴口罩、保持社交距离和勤洗手。对于居住在人口稠密的社区空间和过度拥挤的庇护所的人们，尤其是那些无法充分获得干净的自来水、肥皂和适当的环境卫生和个人卫生设施的人们来说，COVID-19 传播的风险会更高。在这种情况下，保持身体距离和保持适当的手部卫生变得困难。不堪重负的医疗保健系统和脆弱的社会服务能力进一步加剧了难民和流离失所者特定群体的脆弱性。世界卫生组织 (WHO) 和联合国难民事务高级专员 (UNHCR) 已认识到这一流行病对这些社区造成的不成比例的影响以及保护他们的必要性。1 2 我们亚美尼亚公共卫生工作组响应这一呼吁Kluge 等人先前提出了 3 旨在指导全球应对 COVID-19 大流行的包容性方法，强调不让任何人掉队的原则。我们特别关注纳戈尔诺-卡拉巴赫地区的冲突后局势以及最近搬迁到亚美尼亚共和国的流离失所的亚美尼亚人。2020 年 11 月，阿塞拜疆、俄罗斯和亚美尼亚政府签署停火协议，结束了阿塞拜疆和亚美尼亚之间围绕有争议的纳戈尔诺-卡拉巴赫地区长达 6 周的战争，该地区历史上居住着土著亚美尼亚人（在线补充）文件 1). 尽管联合国秘书长呼吁在疫情期间全球停火，但长达数十年的冲突最近再次升级4……