No one can deny that the last 12 months have not been easy. The COVID-19 pandemic has brought chaos in the UK to the National Health Service (NHS), devastation to people’s lives and a change to our way of life that we would never have thought possible. As I write, more than 120 million people worldwide have tested positive for the virus and more than 2.6 million have sadly died.1 The positive news is that a number of vaccines are now licensed, and vaccination programmes are rolling out across the globe with G7 countries agreeing to distribute their surplus to low-income countries.2 The four countries of the UK have striven to keep sexual and reproductive health (SRH) services in primary care and the community open, but business is not ‘as usual’. Telemedicine and telephone triage/consultations have become the norm. It is no surprise that much less long-acting reversible contraception (LARC) is being fitted and removed in general practice and SRH services as we have struggled with staff sickness, redeployment and strict COVID-19 restrictions. UK prescribing data for 2020 show a 35% drop in the number of implants and a 27% decrease in intrauterine contraceptive devices (IUDs) fitted. Data from 2020 suggest that approximately 121 000 implants were fitted in primary care and 85 000 in community/secondary care compared with 170 000 and 148 000 in 2019. The fitting of copper IUDs …

中文翻译：

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在 COVID-19 期间维持英国的性健康和生殖健康服务

没有人可以否认，过去 12 个月并不容易。COVID-19 大流行在英国给国家卫生服务 (NHS) 带来了混乱，给人们的生活带来了破坏，并改变了我们从未想过的生活方式。在我撰写本文时，全球有超过 1.2 亿人的病毒检测呈阳性，超过 260 万人不幸死亡。1 好消息是，许多疫苗现已获得许可，疫苗接种计划正在全球范围内与 G7 一起推出国家同意将其盈余分配给低收入国家。2 英国的四个国家一直努力保持初级保健和社区中的性与生殖健康 (SRH) 服务开放，但业务并不“像往常一样”。远程医疗和电话分类/咨询已成为常态。毫不奇怪，由于我们一直在努力应对员工生病、重新部署和严格的 COVID-19 限制，因此在一般实践和 SRH 服务中安装和移除的长效可逆避孕药 (LARC) 的数量要少得多。英国 2020 年的处方数据显示植入物数量下降了 35%，安装的宫内节育器 (IUD) 数量下降了 27%。2020 年的数据表明，初级保健中安装了大约 121 000 个植入物，社区/二级保健中安装了 85 000 个植入物，而 2019 年为 170 000 和 148 000 个。铜宫内节育器的安装…… 英国 2020 年的处方数据显示植入物数量下降了 35%，安装的宫内节育器 (IUD) 数量下降了 27%。2020 年的数据表明，初级保健中安装了大约 121 000 个植入物，社区/二级保健中安装了 85 000 个植入物，而 2019 年为 170 000 和 148 000 个。铜宫内节育器的安装…… 英国 2020 年的处方数据显示植入物数量下降了 35%，安装的宫内节育器 (IUD) 数量下降了 27%。2020 年的数据表明，初级保健中安装了大约 121 000 个植入物，社区/二级保健中安装了 85 000 个植入物，而 2019 年为 170 000 和 148 000 个。铜宫内节育器的安装……