Equitable Pandemic Preparedness and Rapid Response: Lessons from COVID-19 for Pandemic Health Equity
Equitable Pandemic Preparedness and Rapid Response: Lessons from COVID-19 for Pandemic Health Equity
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DOI：
10.1215/03616878-8641469
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发表时间：
2020-12-01
影响因子：
4.2
通讯作者：
Wilkins, Consuelo H.
中科院分区：
文献类型：
--
作者：
Alberti, Philip M.;Lantz, Paula M.;Wilkins, Consuelo H.
新型冠状病毒大流行凸显了美国社会根深蒂固的健康、社会、种族、政治和经济不平等，因为由该病毒引起的疾病的严重发病率和死亡率在黑人和其他种族/族裔少数群体、无家可归者和被监禁人群以及一般低收入社区中似乎要高得多。现实情况是，美国没有能力在任何类型的健康结果（包括传染病大流行）的预防和控制工作中实现健康公平。在本文中，作者提出了一个重要问题：当当前新一波大流行出现或出现另一波新的大流行时，美国如何做好更好的准备并确保迅速做出反应，以减少而不是加剧社会和健康不平等？作者主张建立一个以有意义的社区参与为基础的大流行病防备健康公平框架，在认识到社会和健康不平等的根本原因的同时，明确关注上游和中游的防备以及下游的快速反应工作，将社会和健康公平放在首位。
The novel coronavirus pandemic has set in high relief the entrenched health, social, racial, political, and economic inequities within American society as the incidence of severe morbidity and mortality from the disease caused by the virus appears to be much greater in black and other racial/ethnic minority populations, within homeless and incarcerated populations, and in lower-income communities in general. The reality is that the United States is ill equipped to realize health equity in prevention and control efforts for any type of health outcome, including an infectious disease pandemic. In this article, the authors address an important question: When new waves of the current pandemic emerge, or another novel pandemic emerges, how can the United States be better prepared and also ensure a rapid response that reduces rather than exacerbates social and health inequities? The authors argue for a health equity framework to pandemic preparedness that is grounded in meaningfulcommunity engagement and that, while recognizing the fundamental causes of social and health inequity, has a clear focus on upstream and midstream preparedness and downstream rapid response efforts that put social and health equity at the forefront.