COVID-19 pandemic in resource-poor countries: challenges, experiences and opportunities in Ghana

COVID-19 pandemic in resource-poor countries: challenges, experiences and opportunities in Ghana
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DOI:
10.3855/jidc.12909
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发表时间:
2020-08-01
影响因子:
1.9
通讯作者:
Godman, Brian
Godman, Brian
中科院分区:
医学4区
文献类型:
--
作者:
Afriyie, Daniel Kwame;Asare, George Awuku;Godman, Brian

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引起COVID-19的新型冠状病毒SARS-CoV-2在世界范围内可见。在发展中国家,足够的卫生设施和工作人员数量是一个令人关切的问题。加纳于2020年3月12日记录了首批2例COVID-19病例。2020年3月30日,实施了为期14天的部分封锁,随后与其他措施一起延长。到2020年4月19日最初的封锁结束时,估计已追踪了8.6万人,进行了68591次检测。在68,591次检测中,有1,042例(1.5%)阳性病例,9例死亡,99例康复,加纳在每百万人进行检测的非洲国家中排名第一。加纳有效的跟踪和追踪系统,以及封锁和其他措施,帮助限制了死亡率,截至2020年6月23日,记录的死亡人数只有85人。来自加纳大学三个机构的科学家也成功地对15例确诊病例的COVID-19基因组进行了测序,加纳食品和药物管理局还通过快速认证洗手液和当地生产360万件标准化个人防护装备,帮助解决了短缺问题。还开发了当地制造的机械呼吸机原型,以满足当地重症监护病房的需要。大多数人还通过改变饮食习惯和服用补充剂来增强免疫系统。虽然初步结果令人鼓舞,但需要进一步研究以了解COVID-19在加纳的动态并提供额外指导。
The novel coronavirus, SARS-CoV-2, which causes COVID-19, is seen world-wide. In developing countries, adequate health facilities and staff numbers are a concern. Ghana recorded its first 2 cases of COVID-19 on 12 March 2020. On 30 March 2020, a partial lockdown for 14 days was imposed and later extended along with other measures. By the end of the initial lockdown, 19 April 2020, an estimated 86,000 people had been traced and 68,591 tests performed. Of the 68,591 tests, there were 1,042 (1.5%) positive cases, 9 deaths, and 99 recoveries, with Ghana ranked number one among African countries in administering tests per million people. Ghana's effective track and trace system, as well as lockdown and other measures, have helped limit mortality with only 85 recorded deaths by 23 June 2020. Scientists from three facilities of the University of Ghana have also successfully sequenced the genomes of COVID-19 from 15 confirmed cases, and the Food and Drugs Authority in Ghana have also helped address shortages by fast-tracking certification of hand sanitizers and local production of 3.6 million standardized personal protective equipment. There has also been the development of prototypes of locally-manufactured mechanical ventilators to meet local need at intensive care units. Most people have also resorted to changing diets and the use of supplements to boost their immune system. Although initial results are encouraging, further research is needed to understand the dynamics of COVID-19 in Ghana and provide additional guidance.