Disability-inclusive COVID-19 response: What it is, why it is important and what we can learn from the United Kingdom's response.
Disability-inclusive COVID-19 response: What it is, why it is important and what we can learn from the United Kingdom's response.
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DOI：
10.12688/wellcomeopenres.15833.1
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发表时间：
2020-01-01
影响因子：
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通讯作者：
Shakespeare, Tom
中科院分区：
文献类型：
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作者：
Kuper, Hannah;Banks, Lena Morgon;Shakespeare, Tom
在紧急情况下，残疾人往往被抛在后面，这是当前COVID-19大流行的一个风险。这是一个重要问题，因为全球约有10亿残疾人。这一数字包括三分之一的60岁以上的人，他们是受COVID-19影响风险最大的群体。英国的COVID-19疫情凸显了残疾人士可能面临的额外困难。遵守预防措施，如社交距离，可能是具有挑战性的，特别是对于那些依赖照顾者的人。残疾人如果感染病毒，也可能面临更大的发病和死亡风险，但有可能被排除在护理之外。许多残疾人有持续的医疗保健需求，这些需求在大流行期间仍然需要得到支持。此外，人们可能因这一大流行病而成为新的残疾人，因此需要适当的护理。已经出现了应对这些挑战的良好实践范例，例如为医疗保健专业人员提供的治疗痴呆症患者的指导，但这些需要进一步扩大并适应其他环境。总之，无论是在英国还是随着疫情在全球范围内的蔓延，显然都需要一个包容残疾人的COVID-19应对措施。这一应对措施将需要在数据收集中纳入残疾措施，与残疾人协商，并根据这一群体的情况调整应对措施。
All too often, disabled people are left behind in emergencies, and this is a risk in the ongoing COVID-19 pandemic. This is an important issue, as globally there are approximately one billion people with disabilities. This number includes one in three people aged over 60, who are the group at greatest risk from COVID-19. The COVID-19 pandemic in the UK has highlighted additional difficulties that disabled people may face. Complying with preventative measures, like social distancing, can be challenging, particular for people who rely on carers. Disabled people may also be at greater risk of morbidity and mortality if they contract the virus, yet in danger of being de-prioritised for care. Many people with disabilities have ongoing healthcare needs, and these need to still be supported during the pandemic. Furthermore, people may become newly disabled as a result of the pandemic, and therefore require appropriate care. Good practice examples have emerged for meeting these challenges, such as guidance for healthcare professionals on treating people with dementia, but these need to be scaled up further and adapted for other settings. In conclusion, it is clear that a disability-inclusive COVID-19 response is needed, both in the UK and as the pandemic unfolds globally. This response will require inclusion of disability measures within data collection, consulting with disabled people, and tailoring responses to be appropriate for this group.