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The COVID-19 Lockdown Trap, How do we get out?

机译:Covid-19锁定陷阱,我们如何出去?

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More than a third of the world population is currently under some form of partial or total lockdown to limit morbidity and mortality due to covid-19. Whereas these measures are working, they are exerting an unprecedented negative socio-economic impact on the general wellbeing, and thus may not be sustained for long. Alternative control measures that limit the spread of the virus and yet facilitate socioeconomic progression and wellbeing are urgent. In this article, we make suggestions based on the disease transmission characteristics, the World Health Organization recommendation, and current practices across the globe. The suggestions focus on the prevention of transmission and acquisition by; (1) ensuring all put on some form of protective barriers to prevent further spread and acquisition while in public or risky spaces, (2) proactively preventing contamination of surfaces at individual and group/community level, (3) disinfecting frequently all surfaces prone to contamination in public and private spaces (4) ensuring that all gathering, work, schools and other public places have COVID-19 prevention protocols in place and are followed, (5) developing an efficient surveillance system that ensures early detection and isolation of COVID-19 cases, (6) strengthening health facilities at all levels of the healthcare system to ably screen, test, isolate, and manage COVID-19 before complications set in, (7) Stepping up health education and awareness at population level on prevention measures for COVID-19 using all possible platforms, (8) Designing special prevention measures for congested neighborhoods and slum dwellings, care homes, and other institutionalized dwellings to prevent a surge in infection and catastrophes, and finally (9) strengthening national, regional and global collaboration to prevent cross-border transmission. A combination of several of the measures above should help ease lockdown and moreover sustain the gains in the absence of the vaccine – thus, ease the consequences of strict social distancing, travel bans and lockdown across settings.
机译:世界上超过三分之一的人口目前在某种形式的部分或总锁上,以限制由于Covid-19引起的发病率和死亡率。虽然这些措施正在努力,但他们对一般福祉施加了前所未有的负面社会经济影响,因此可能不会长期持续。限制病毒传播,但促进社会经济进展和福祉的替代控制措施是紧迫的。在本文中,我们根据全球疾病传输特征,世界卫生组织推荐和当前做法提出了建议。建议重点是预防传输和收购; (1)确保所有人都在某种形式的保护障碍,以防止在公共或风险空间中进一步蔓延和收购,(2)积极地防止个人和群体/社区水平的表面污染,(3)频繁消毒所有表面易于消毒公共和私人空间中的污染(4)确保所有收集,工作,学校和其他公共场所都有Covid-19预防协议,并进行(5)开发一个有效的监测系统,可确保早期发现和隔离Covid- 19例,(6)加强医疗保健系统各级的卫生设施,以便在并发症预防健康教育和人口水平上提高健康教育和认识之前筛选,测试,隔离和管理Covid-19 Covid-19使用所有可能的平台,(8)为拥挤的社区和贫民窟住宅,护理家庭和其他制度化住所设计专用预防措施,以防止感染和灾难激增,最后(9)加强国家,区域和全球合作,以防止跨境传播。上述几种措施的组合应该有助于缓解锁定,而且在没有疫苗的情况下维持收益 - 因此,缓解了严格的社会疏散,旅行禁令和跨越锁定的后果。

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