Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries.
Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries.
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DOI：
10.1017/s0950268821001734
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发表时间：
2021-07-23
影响因子：
4.2
通讯作者：
Heymann SJ
中科院分区：
文献类型：
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作者：
Brewer TF;Zhang M;Gordon D;Chung RY;Dejene N;Fonta CL;Grieve T;Halleröd B;Harris R;Lanau A;Leibbrandt M;Mekonen Y;Muguni B;Najera H;Nandy S;Heymann SJ
非药物性公共卫生干预措施（NPI）的可行性尚不清楚，如物理距离或在家隔离，以防止严重急性呼吸系统综合征冠状病毒2（SARS-CoV-2）在低资源国家的传播。来自54个非洲国家的家庭调查数据被用来调查SARS-CoV-2 NPI在低资源环境中的可行性。在54个国家中，约有7.18亿人生活在家中有106人的家庭中（风险家庭的中位数百分比为56%（95%置信区间（CI）为51%至60%））。大约有2.83亿人生活在一个房间里有103人睡觉的家庭中（风险家庭的中位数百分比为15%（95% CI，13%至19%））。估计有8.9亿非洲人缺乏现场用水（71%（95% CI，62%至80%）），而7亿人缺乏家庭肥皂/洗涤设施（56%（95% CI，42%至73%））。家中没有冰箱的人的中位数百分比为79%（95% CI，67%至88%），而45%（95% CI，39%至52%）与其他家庭共用厕所设施。资源匮乏环境中的个人在实施NPI以减轻SARS-CoV-2传播方面存在重大障碍。这些人群迫切需要优先接种2019年冠状病毒病疫苗，以预防疾病并遏制全球大流行。
The feasibility of non-pharmacological public health interventions (NPIs) such as physical distancing or isolation at home to prevent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission in low-resource countries is unknown. Household survey data from 54 African countries were used to investigate the feasibility of SARS-CoV-2 NPIs in low-resource settings. Across the 54 countries, approximately 718 million people lived in households with ⩾6 individuals at home (median percentage of at-risk households 56% (95% confidence interval (CI), 51% to 60%)). Approximately 283 million people lived in households where ⩾3 people slept in a single room (median percentage of at-risk households 15% (95% CI, 13% to 19%)). An estimated 890 million Africans lack on-site water (71% (95% CI, 62% to 80%)), while 700 million people lacked in-home soap/washing facilities (56% (95% CI, 42% to 73%)). The median percentage of people without a refrigerator in the home was 79% (95% CI, 67% to 88%), while 45% (95% CI, 39% to 52%) shared toilet facilities with other households. Individuals in low-resource settings have substantial obstacles to implementing NPIs for mitigating SARS-CoV-2 transmission. These populations urgently need to be prioritised for coronavirus disease 2019 vaccination to prevent disease and to contain the global pandemic.