Early policy actions and emergency response to the COVID-19 pandemic in Mongolia: experiences and challenges
Early policy actions and emergency response to the COVID-19 pandemic in Mongolia: experiences and challenges
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DOI：
10.1016/s2214-109x(20)30295-3
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发表时间：
2020-09-01
影响因子：
34.3
通讯作者：
Manaseki-Holland, Semira
中科院分区：
文献类型：
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作者：
Erkhembayar, Ryenchindorj;Dickinson, Emma;Manaseki-Holland, Semira
国家主导的遏制新型冠状病毒COVID-19传播的控制措施多种多样。COVID-19疫情于2019年12月起源于中国武汉，于2020年3月11日被世卫组织宣布为大流行。鉴于疫情的严重性，加上蒙古国与中国拥有最长的共同边界，蒙古国政府于二零二零年一月根据二零一七年《灾害保护法》启动国家紧急状态委员会。因此，采取了各种公共卫生措施，导致第一例COVID-19确诊病例推迟到2020年3月10日，并且在2020年7月6日之前没有重症监护入院或死亡。这些措施包括促进普遍的个人保护和预防，如使用口罩和洗手，限制国际旅行，暂停从幼儿园到大学的所有培训和教育活动，以及禁止庆祝全国新年假期等重大公共集会。在采取这些措施的同时，还采取了积极的感染监测和自我隔离建议。蒙古的情况表明，只要有强有力的预防系统，就可以在低收入或中等收入国家对流行病作出有效的反应。我们在此审视蒙古国预防COVID-19的早期疫情政策的应急准备经验、有效性和挑战，以及任何意外后果。
Country-led control measures to contain the spread of the novel coronavirus, COVID-19, have been diverse. Originating in Wuhan, China, in December, 2019, the COVID-19 outbreak was declared a pandemic by WHO on March 11, 2020. In recognition of the severity of the outbreak, and having the longest shared border with China, the Government of Mongolia activated the State Emergency Committee in January, 2020, on the basis of the 2017 Disaster Protection Law. As a result, various public health measures have been taken that led to delaying the first confirmed case of COVID-19 until March 10, 2020, and with no intensive care admissions or deaths until July 6, 2020. These measures included promoting universal personal protection and preventions, such as the use of face masks and handwashing, restricting international travel, suspending all training and educational activities from kindergartens to universities, and banning major public gatherings such as the celebration of the national New Year holiday. These measures have been accompanied by active infection surveillance and self-isolation recommendations. The Mongolian case shows that with robust preventive systems, an effective response to a pandemic can be mounted in a low-income or middle-income country. We hereby examine the emergency preparedness experience, effectiveness, and challenges of the early outbreak policies on COVID-19 prevention in Mongolia, as well as any unintended consequences.