Wave the Yellow Flag: Why We Should Prioritize Routine Human Immunodeficiency Virus and Sexually Transmitted Infection Care Now.

Wave the Yellow Flag: Why We Should Prioritize Routine Human Immunodeficiency Virus and Sexually Transmitted Infection Care Now.
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DOI:
10.1093/infdis/jiab052
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发表时间:
2021-03-29
期刊:
The Journal of infectious diseases
影响因子:
--
通讯作者:
Clement ME
Clement ME
中科院分区:
其他
文献类型:
--
作者:
Eaton EF;Clement ME

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为了抗击严重急性呼吸综合征冠状病毒2(SARS-CoV-2),许多机构和国家依赖于一项古老的公共卫生措施:检疫。将受感染的个人或群体隔离以防止传播的做法可以追溯到圣经时代[1]。隔离一词源于意大利语中的“隔离”一词,意为40天。在此期间,入境船只在进入一个新区域之前会自行分离。这一过程防止了在船员离开带有地方性腺鼠疫的港口城市时引入传染性感染,如黑死病[2]。几个世纪以来,船只使用黑色或黄色旗帜分别表示因黑死病或黄热病而需要隔离。随着时间的推移,这一含义发生了变化;今天,一面普通的黄色旗帜表示“我的船是健康的,我请求例行操作”[3]。在威尼斯船只悬挂原始黑色旗帜700年后,检疫仍然是最成功的公共卫生措施之一。随着SARS-CoV-2疫情的到来,许多不必要的企业关门歇业,以保护客户免受冠状病毒疾病2019年的影响(新冠肺炎)。当时,病毒的细节尚不清楚,包括最有效的途径(如接触、飞沫)和感染传播的环境。然而,新冠肺炎迅速在全球范围内传播,导致了可怕的疾病、住院和死亡。为了保护患者和工作人员,一些艾滋病毒和性健康诊所限制业务运作或实际上只提供服务[4,5]。本质上,他们选择了人口级别的隔离--通过选择这个迟钝但强大的工具,有效地挥舞着黑色旗帜[4,5]。
To fight the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), many agencies and nations have relied on an ancient public health measure: quarantine. The practice of separating individuals or groups exposed to an infection to prevent transmission dates back to Biblical times [1]. Derived from the word “quaranta,” Italian for 40, quarantine was a 40-day period during which incoming ships separated themselves before entering a new region. This process prevented the introduction of a contagious infection, such as Black Death, in the event the crew had departed from a port city with endemic bubonic plague [2]. For centuries, ships used a black or yellow flag to indicate a need to quarantine due to Black Death or yellow fever, respectively. Over time, the meaning evolved; today, a plain yellow flag communicates that “my vessel is healthy, and I request routine operations”[3].Seven hundred years after Venetian ships flew primitive black flags, quarantine remains one of the most successful public health measures. Following the arrival of SARS-CoV-2, many nonessential businesses closed their doors to protect their clients from coronavirus disease 2019 (COVID-19). At that time, details of the virus were unknown, including the most effective routes (eg, contact, droplets) and settings for infection transmission. Yet, COVID-19 was quickly spreading across the globe leaving horrific rates of illness, hospitalizations, and death in its wake. To protect patients and staff, some HIV and sexual health clinics limited business operations or provided services only virtually [4, 5]. In essence, they opted for a population-level quarantine—effectively waving the black flag by selecting this blunt yet powerful tool [4, 5].
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