Population Health in the Time of COVID-19: Confirmations and Revelations
Population Health in the Time of COVID-19: Confirmations and Revelations
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DOI：
10.1111/1468-0009.12474
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发表时间：
2020-08-18
影响因子：
6.6
通讯作者：
Diez Roux, Ana V.
中科院分区：
文献类型：
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作者：
Diez Roux, Ana V.
对于公共卫生来说，这是一个令人难以置信的时期：这是一个在媒体和社会上史无前例地讨论人口健康科学的时期，也是一个充满不确定性但也是一个以我们谁也不会在几个月前预测到的方式保护健康的戏剧性社会行动的时期。我们正在经历的这场大流行的许多方面都与SARS-CoV-2病毒的特定特征有关：它如何传播和感染个人，它引起什么症状，什么时候，它如何与其他疾病和情况相互作用，它引发什么样的免疫反应，以及这如何影响其临床表现以及感染后免疫的存在和持续时间。这些因素共同作用，在人群中导致了大流行的许多表现。从这个意义上说，我们正在经历的是一场独特的健康危机，是由于这种特定病毒在这个时候出现的。但更根本的是，这场大流行也生动而直接地说明了与人口健康以及我们作为一个社会如何采取行动(或没有采取行动)保护我们健康有关的一些非常基本的事实和挑战。在这篇文章中，我反思了其中的一些事实和挑战，并强调了对未来的一些启示。我还通过阐明(以通常是意想不到的方式)我们可以如何利用我们作为一个社会的力量来改变我们的生活方式，并创造促进健康和健康公平的制度和环境，来讨论大流行如何可能为人口健康带来意想不到的机会。
This has been an incredible period for public health: a time of unprecedented discussion of the science of population health in the media and in society, and a time of uncertainty but also of dramatic social action to protect health in ways that none of us would have predicted just a few months ago. Many aspects of the pandemic we are living through are linked to specific characteristics of the SARS-CoV-2 virus: how it is transmitted to and infects individuals, what symptoms it causes and when, how it interacts with other diseases and conditions, what sorts of immune responses it triggers, and how this affects both its clinical manifestations and the presence and duration of immunity after infection. These factors acting together drive many manifestations of the pandemic in the population. In this sense, what we are experiencing is a unique health crisis resulting from the emergence of this specific virus at this time. But more fundamentally, the pandemic is also illustrating vividly and with great immediacy some very basic facts and challenges related to population health and to how we as a society are acting (or are failing to act) to protect our health. In this essay, I reflect on some of these facts and challenges and highlight some implications for the future. I also discuss how the pandemic may be producing unanticipated opportunities for population health, by illuminating (in ways that were often unintended) how we can use our power as a society to change the way we live and to create systems and environments that promote health and health equity.