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Challenges of Global Public Health Emergencies: Development of a Health-Crisis Management Framework

机译:全球公共卫生紧急情况的挑战:发展健康危机管理框架

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摘要

Modern day health care providers have traditionally only focused on meeting the response phase requirements of disasters. The emergence of complex global public health crises such as climate change and extremes, biodiversity loss, emergencies of scarcity, rapid unsustainable urbanization, migrant and refugee surges, domestic and international terrorism, cyber-security, the civilianization of war and conflict, and the global rise of resistant antibiotics has resulted in an unprecedented rise in direct and indirect mortality and morbidity. These crises are beyond the current decision-making and operational capabilities of traditional disaster management and its providers most of who are community level practitioners representing every discipline. The 1930s "disaster cycle" concept describes a phase-related approach to meeting the strategic, operational, research, educational, and training components required of disasters; and, presents an opportunity for the structured development of a Health Crisis Management Framework to oversee the phase-related strategic and operational requirements for prevention, preparedness, response, recovery and rehabilitation challenges of major global public health crises. Whereas this approach mimics the manner in which practitioners at every level of society identify with in their daily practices, this approach deserves the support of every clinician, researcher, academic, and ancillary health care provider. Interestingly, this was also the intent of the original 1930 disaster cycle concept.
机译:现代日医疗保健提供者传统上仅侧重于满足灾害的响应阶段要求。复杂的全球公共卫生危机的出现,如气候变化和极端,生物多样性损失,稀缺的紧急情况,不可持续的城市化,移民和难民飙升,国内和国际恐怖主义,网络安全,战争和冲突的公民,以及全球性抗性抗生素的兴起导致了前所未有的直接和间接死亡率和发病率升高。这些危机超出了传统灾害管理的当前决策和运营能力,以及其大多数人是社区级从业者代表每个学科的人。 20世纪30年代“灾难周期”概念描述了符合灾害所需的战略,运营,研究,教育和培训组件的相似相关的方法;并且,为健康危机管理框架的结构化发展提供了一个机会,以监督主要全球公共卫生危机的预防,准备,响应,恢复和康复挑战的相对相关的战略和运营要求。然而,这种方法模仿了从业人员在每日社会中确定的那种方式,这种方法应该支持每个临床医生,研究员,学术和辅助保健提供者的支持。有趣的是,这也是原始1930灾难循环概念的意图。

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