COVID 19とネパール。重要な公衆衛生対策の特定

COVID 19 and Nepal: Identification of Critical Public Health Measures.

• Harish Chandra Neupane
• Niki Shrestha
• Shital Adhikari
• Basanta Gauli

抄録

COVID-19パンデミックは前例のないペースで展開されています。この前例のない脅威は、堅牢な医療システムを持って脱出する機会を提供しています。ネパールは、迅速対応チームの結成、検査、隔離、隔離、接触者追跡、サーベイランス、COVID-19危機管理センターの設立、パンデミックに備えるための専用病院の指定など、いくつかの封じ込め対策を実施してきました。国の公衆衛生緊急管理メカニズムは、関連省庁の積極的な関与により、さらに強化される必要があります。私たちは、強力でリアルタイムな国の監視システムと医療従事者の能力構築を必要としています。

The COVID-19 pandemic is unfolding at an unprecedented pace. The unprecedented threat provides an opportunity to emerge with robust health systems. Nepal has implemented several containment measures such as Rapid Response Team formulation; testing; isolation; quarantine; contact tracing;surveillance, establishment of COVID-19 Crisis Management Centre and designation of dedicated hospitals to gear up for the pandemic. The national public health emergency management mechanisms need further strengthening with the proactive engagement of relevant ministries; we need a strong, real-time national surveillance system and capacity building of a critical mass of health care workers; there is a need to further assess infection prevention and control capacity; expand the network of virus diagnostic laboratories in the private sector with adequate surge capacity;implement participatory community engagement interventions and plan for a phased lockdown exit strategy enabling sustainable suppression of transmission at low-level and enabling in resuming some parts of economic and social life.