COVID-19: An Urgent Call for Coordinated, Trusted Sources to Tell Everyone What They Need to Know and Do
COVID-19: An Urgent Call for Coordinated, Trusted Sources to Tell Everyone What They Need to Know and Do
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DOI：
10.1080/10810730.2020.1894015
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发表时间：
2020-10-02
影响因子：
4.4
通讯作者：
Parker, Ruth M.
中科院分区：
文献类型：
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作者：
Ratzan, Scott C.;Gostin, Lawrence O.;Parker, Ruth M.
2020年3月5日免责声明：编者按：本文最初于2020年3月5日发表在美国国家医学院观点上。这是2020年阅读量最大的第五篇NAM Perspective论文。我们在疫情爆发一年后全文转载了这篇文章，因为在我们经历COVID-19应对阶段并考虑为未来的健康挑战和流行病做准备时，许多想法仍然很突出。本文中表达的观点是作者的观点，而不一定是作者的组织，美国国家医学院（NAM）或美国国家科学院，工程院和医学院（美国国家科学院）。本文件旨在提供信息并激发讨论。它不是不结盟运动或国家科学院的报告。自1995年以来，全球社会经历了六次疫情，世界卫生组织（世卫组织）在2005年修订的《国际卫生条例》（IHR）中授权将其指定为国际关注的突发公共卫生事件（PHEIC）：H1N1流感，脊髓灰质炎，西非和刚果民主共和国的埃博拉病毒，寨卡病毒，现在又是一种新型冠状病毒，WHO正式命名为SARS-CoV-2。SARS-CoV-2是导致COVID-19疾病的病毒。另外两种新型冠状病毒严重急性呼吸综合征（SARS）和中东呼吸综合征（MERS）也在国际上传播。SARS发生在2005年《国际卫生条例》重大修订之前，因此没有被指定为PHEIC。国际卫生条例修订后，中东呼吸综合征在沙特半岛出现，但世卫组织从未正式将其定为PHEIC，尽管它在国际上传播，包括在韩国爆发的重大疫情。PHEIC不是一个用颜色或数字编码的警戒级别系统，但严格来说，这是一种技术性描述，旨在支持《国际卫生条例》196个缔约国之间的协调，在COVID-19的情况下，迄今为止证明很难实现的协调。
March 5, 2020 Disclaimer: Editor's note: This article was originally published in the National Academy of Medicine Perspectives on March 5, 2020. It was is the 5th most read NAM Perspective paper of 2020. We reprint this in its entirety one year into the pandemic as many of the ideas remain salient as we move through the phases of the COVID-19 response and consider preparations for future health challenges and epidemics. The views expressed in this paper are those of the authors and not necessarily of the authors’ organizations, the National Academy of Medicine (NAM), or the National Academies of Sciences, Engineering, and Medicine (the National Academies). This paper is intended to inform and stimulate discussion. It is not a report of the NAM or the National Academies. Since 1995, the global community has experienced six outbreaks that the World Health Organization (WHO), as authorized in a 2005 revision of the International Health Regulations (IHR), designated as a Public Health Emergency of International Concern (PHEIC): H1N1 Infl uenza, polio, Ebola in West Africa and in the Democratic Republic of Congo, Zika, and now a novel coronavirus, which WHO offi cially termed SARS-CoV-2. SARS-CoV-2 is the virus responsible for the disease state termed COVID-19. Two other novel coronaviruses, severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), also spread internationally. SARS occurred before the major IHR revision in 2005 and thus was not designated a PHEIC. MERS arose on the Saudi peninsula after the IHR revision, but WHO never offi cially designated it a PHEIC, even though it spread internationally, including a major outbreak in South Korea.PHEIC is not a color-or numeric-coded system of alert levels, but is strictly a technical description designed to support coordination among the 196 states that are parties to the IHR—coordination which has so far proven diffi cult to achieve in the case of COVID-19.