Impact of pre-COVID-19 epidemic preparedness on the trajectory of the pandemic in African countries.
Impact of pre-COVID-19 epidemic preparedness on the trajectory of the pandemic in African countries.
复制标题
DOI：
10.4102/ajlm.v11i1.1571
复制
发表时间：
2022
影响因子：
1.1
通讯作者：
Moyo S
中科院分区：
文献类型：
--
作者：
Maruta T;Moyo S
世界卫生组织（世卫组织）于2020年3月宣布2019年新型冠状病毒病（COVID-19）为大流行，它教会了我们防范流行病的重要性。我们分析了撒哈拉以南非洲国家在COVID-19前的防范情况，以及这可能如何影响COVID-19病例的发展轨迹。世卫组织联合外部评估（JEE）工具和全球卫生安全（GHS）指数用于确定世卫组织非洲区域各国的流行病防范情况。在2020年2月至2020年9月期间，在每个国家报告首例病例后的头120天内，评估了covid -19前的准备工作与每百万人报告的病例数之间的关系。42个国家在19项JEE核心能力方面的总体表现为40%，在6项GHS指数指标方面的总体表现为32%。在第1天，在JEE立法、政策和财政（p = 0.03）、入境口岸（p = 0.001）以及国际卫生法规协调、沟通和宣传（p = 0.03）类别中被评为“有准备”的国家中，每百万人口的平均病例数显著较高。在第90天，在国家实验室系统（p = 0.05）和实时监测（p = 0.04）中被评为“有准备”的JEE类别的国家每百万人口的病例数在统计上显著减少。这一分析强调了建设非洲大流行病防范能力的重要性。根据世卫组织JEE工具和全球统一制度指数衡量，世卫组织非洲区域没有为COVID-19大流行做好充分准备。
The novel coronavirus disease 2019 (COVID-19), declared a pandemic by the World Health Organization (WHO) in March 2020, has taught us about the importance of epidemic preparedness. We analysed the pre-COVID-19 preparedness of sub-Saharan African countries and how this may have influenced the trajectory of COVID-19 cases. The WHO Joint External Evaluation (JEE) tool and the Global Health Security (GHS) Index were used to determine the epidemic preparedness of countries in the WHO African Region. The relationship between pre-COVID-19 preparedness and the reported number of cases per million people was evaluated over the first 120 days of the first reported case in each country, between February 2020 and September 2020. The overall performance of the 42 countries was 40% in the 19 JEE core capacities and 32% in the six GHS Index indicators. At Day 1, the mean number of cases per million population was significantly higher among countries rated as ‘prepared’ in the JEE legislation, policy and finance (p = 0.03), ports of entry (p = 0.001), and international health regulation coordination, communication and advocacy (p = 0.03) categories. At Day 90, countries rated as ‘prepared’ in the national laboratory systems (p = 0.05) and real-time surveillance (p = 0.04) JEE categories had statistically significantly fewer cases per million population. This analysis highlights the importance of building capacity for pandemic preparedness in Africa. The WHO African Region was not adequately prepared for the COVID-19 pandemic as measured by the WHO JEE tool and the GHS Index.
登录
查看更多内容
影响因子：
30.5
作者：
Rohan, Hana;McKay, Gillian
通讯作者：
McKay, Gillian
影响因子：
10.8
作者：
Talisuna, Ambrose Otau;Okiro, Emelda Aluoch;Fall, Ibrahima Soce
通讯作者：
Fall, Ibrahima Soce
影响因子：
1.1
作者：
Ndihokubwayo, Jean-Bosco;Maruta, Talkmore;Abrol, Angelii P.
通讯作者：
Abrol, Angelii P.
影响因子：
1.1
作者：
Yao, Katy;Maruta, Talkmore;Nkengasong, John N.
通讯作者：
Nkengasong, John N.
影响因子：
168.9
作者：
Gilbert, Marius;Pullano, Giulia;Colizza, Vittoria
通讯作者：
Colizza, Vittoria