Mesh : Humans Communicable Diseases / epidemiology Armed Conflicts Disease Outbreaks / prevention & control Health Policy Communicable Disease Control / methods Telemedicine / ethics

来  源:   DOI:10.1097/MD.0000000000038834   PDF(Pubmed)

Abstract:
Epidemic outbreaks of infectious diseases in conflict zones are complex threats to public health and humanitarian activities that require creativity approaches of reducing their damage. This narrative review focuses on the technology intersection with infectious disease response in conflict zones, and complexity of healthcare infrastructure, population displacement, and security risks. This narrative review explores how conflict-related destruction is harmful towards healthcare systems and the impediments to disease surveillance and response activities. In this regards, the review also considered the contributions of technological innovations, such as the improvement of epidemiological surveillance, mobile health (mHealth) technologies, genomic sequencing, and surveillance technologies, in strengthening infectious disease management in conflict settings. Ethical issues related to data privacy, security and fairness are also covered. By advisement on policy that focuses on investment in surveillance systems, diagnostic capacity, capacity building, collaboration, and even ethical governance, stakeholders can leverage technology to enhance the response to infectious disease in conflict settings and, thus, protect the global health security. This review is full of information for researchers, policymakers, and practitioners who are dealing with the issues of infectious disease outbreaks in conflicts worn areas.
摘要:
冲突地区传染病的流行是对公共卫生和人道主义活动的复杂威胁,需要创造性的方法来减少其损害。这篇叙述性综述侧重于冲突地区传染病反应的技术交集,以及医疗基础设施的复杂性,人口流离失所,和安全风险。这篇叙述性综述探讨了与冲突有关的破坏如何对医疗保健系统有害,以及疾病监测和应对活动的障碍。在这方面,审查还考虑了技术创新的贡献,如改进流行病学监测,移动健康(mHealth)技术,基因组测序,和监控技术,在冲突环境中加强传染病管理。与数据隐私相关的伦理问题,还包括安全和公平。通过对专注于监控系统投资的政策的建议,诊断能力,能力建设,合作,甚至道德治理,利益攸关方可以利用技术来加强对冲突环境中传染病的反应,因此,保护全球健康安全。这篇评论充满了研究人员的信息,政策制定者,以及在冲突地区处理传染病爆发问题的从业者。
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