Face Masks for All and All for Face Masks in the COVID-19 Pandemic: Community Level Production to Face the Global Shortage and Shorten the Epidemic
Face Masks for All and All for Face Masks in the COVID-19 Pandemic: Community Level Production to Face the Global Shortage and Shorten the Epidemic
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DOI：
10.1017/dmp.2020.207
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发表时间：
2021-02-01
影响因子：
2.7
通讯作者：
Formenti, Beatrice
中科院分区：
文献类型：
--
作者：
Missoni, Eduardo;Armocida, Benedetta;Formenti, Beatrice
当前的2019冠状病毒病（COVID-19）大流行导致全球医用口罩短缺，使大多数暴露在外的卫生人员得不到适当的防护。自疫情爆发以来，世界卫生组织（WHO）已多次修改关于一般使用口罩的建议。直到最近，世卫组织还建议限制有症状的人使用口罩，并建议不要使用不标准的解决方案。此外，各国之间和各国内部的建议也各不相同，导致公众困惑和个人主动性。人们普遍认为，如果遵循社区生产方式，普遍适当使用口罩可能有助于遏制疫情，并减轻国家采购负担。特别是在中低收入国家，由于国家工业生产或进口能力稀缺，使用社区层面生产的口罩可能成为唯一可行的选择。为此，需要制定专门的指南。当前的知识和经验要求对全球和国家指南进行进一步和更新的审查，以提供明确和一致的标准，以确保面部防护的最广泛可用性和适当使用，同时考虑到社会经济弱势群体的人群。
The current coronavirus disease 2019 (COVID-19) pandemic caused a global shortage of medical masks, leaving most exposed health personnel without appropriate protection.Since the beginning of the outbreak, the World Health Organization WHO) has revised several times the recommendations on general use of facemasks. Until recently, WHO recommended to limit the use of facemasks to symptomatic people and advised against off-standard solutions. Moreover, recommendations differ among and within countries, causing public confusion and individual initiative.There is wide consensus that universal appropriate use of masks may contribute both to contain the epidemic and to reduce the burden on national procurement, if a community production approach is followed. Especially in low-middle income countries, due to the scarce capacity of national industrial production or import, the use of masks produced at community level may become the only viable option. For the purpose ad hoc guidelines will be needed.Current knowledge and experience call for further and updated review of global and national guidelines to provide clear and consistent criteria to ensure the widest availability and appropriate use of facial protection, bearing in mind populations in socio-economic disadvantaged settings.