Prevention in COVID-19 time: from failure to future.
Identifieur interne : 001259 ( Main/Exploration ); précédent : 001258; suivant : 001260Prevention in COVID-19 time: from failure to future.
Auteurs : Rodolfo Saracci [Oman]Source :
- Journal of epidemiology and community health [ 1470-2738 ] ; 2020.
Descripteurs français
- KwdFr :
- Betacoronavirus (MeSH), Coronavirus (MeSH), Humains (MeSH), Immunité de groupe (MeSH), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (épidémiologie), Pandémies (prévention et contrôle), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (épidémiologie), Prévision (MeSH), Quarantaine (MeSH).
- MESH :
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Betacoronavirus, Coronavirus, Humains, Immunité de groupe, Prévision, Quarantaine.
English descriptors
- KwdEn :
- Betacoronavirus (MeSH), COVID-19 (MeSH), Coronavirus (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Forecasting (MeSH), Humans (MeSH), Immunity, Herd (MeSH), Pandemics (prevention & control), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Quarantine (MeSH), SARS-CoV-2 (MeSH).
- MESH :
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- Betacoronavirus, COVID-19, Coronavirus, Forecasting, Humans, Immunity, Herd, Quarantine, SARS-CoV-2.
Abstract
The COVID-19 pandemic has developed as a consequence of sheer prevention failures, leading in many countries to a sizeable number of deaths and over-saturation of intensive care units. This triggered the imposition of generalisd quarantine ('lockdown') of variable stringency in different countries: with the decrease of the epidemic, the lockdown is now gradually relaxed and replaced by tight tracing and isolation of new cases and their contacts. Prevention, however, remains not a constant priority, as the objective may be avoidance of saturation of intensive care beds or more generally of healthcare facilities rather than the minimisation of the disease incidence. This combined with the fact that notwithstanding repeated warnings in past years the epidemic occurred as a surprise denotes a way of thinking in which prevention is an important option but not a guiding principle of choice and action within the health system. To modify this way of thinking and place prevention at the core of the system, non-negligible changes are required: they may become possible in light of emerging hazards like new viruses and climate change, huge economic costs of failed prevention and initial changes in the health system already induced by the COVID-19 epidemic.
DOI: 10.1136/jech-2020-214839
PubMed: 32595136
PubMed Central: PMC7320718
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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This triggered the imposition of generalisd quarantine ('lockdown') of variable stringency in different countries: with the decrease of the epidemic, the lockdown is now gradually relaxed and replaced by tight tracing and isolation of new cases and their contacts. Prevention, however, remains not a constant priority, as the objective may be avoidance of saturation of intensive care beds or more generally of healthcare facilities rather than the minimisation of the disease incidence. This combined with the fact that notwithstanding repeated warnings in past years the epidemic occurred as a surprise denotes a way of thinking in which prevention is an important option but not a guiding principle of choice and action within the health system. To modify this way of thinking and place prevention at the core of the system, non-negligible changes are required: they may become possible in light of emerging hazards like new viruses and climate change, huge economic costs of failed prevention and initial changes in the health system already induced by the COVID-19 epidemic.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32595136</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>24</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1470-2738</ISSN><JournalIssue CitedMedium="Internet"><Volume>74</Volume><Issue>9</Issue><PubDate><Year>2020</Year><Month>09</Month></PubDate></JournalIssue><Title>Journal of epidemiology and community health</Title><ISOAbbreviation>J Epidemiol Community Health</ISOAbbreviation></Journal><ArticleTitle>Prevention in COVID-19 time: from failure to future.</ArticleTitle><Pagination><MedlinePgn>689-691</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/jech-2020-214839</ELocationID><Abstract><AbstractText>The COVID-19 pandemic has developed as a consequence of sheer prevention failures, leading in many countries to a sizeable number of deaths and over-saturation of intensive care units. This triggered the imposition of generalisd quarantine ('lockdown') of variable stringency in different countries: with the decrease of the epidemic, the lockdown is now gradually relaxed and replaced by tight tracing and isolation of new cases and their contacts. Prevention, however, remains not a constant priority, as the objective may be avoidance of saturation of intensive care beds or more generally of healthcare facilities rather than the minimisation of the disease incidence. This combined with the fact that notwithstanding repeated warnings in past years the epidemic occurred as a surprise denotes a way of thinking in which prevention is an important option but not a guiding principle of choice and action within the health system. To modify this way of thinking and place prevention at the core of the system, non-negligible changes are required: they may become possible in light of emerging hazards like new viruses and climate change, huge economic costs of failed prevention and initial changes in the health system already induced by the COVID-19 epidemic.</AbstractText><CopyrightInformation>© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Saracci</LastName><ForeName>Rodolfo</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Former President, International Epidemiological Association, Lyon, France saracci@hotmail.com.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Epidemiol Community Health</MedlineTA><NlmUniqueID>7909766</NlmUniqueID><ISSNLinking>0143-005X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017934" MajorTopicYN="Y">Coronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005544" MajorTopicYN="N">Forecasting</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D032521" MajorTopicYN="N">Immunity, Herd</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011790" MajorTopicYN="Y">Quarantine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Covid-19</Keyword><Keyword MajorTopicYN="Y">Emerging hazards</Keyword><Keyword MajorTopicYN="Y">Health system</Keyword><Keyword MajorTopicYN="Y">Lockdown</Keyword><Keyword MajorTopicYN="Y">Prevention</Keyword><Keyword MajorTopicYN="Y">Prevention failure</Keyword></KeywordList><CoiStatement>Competing interests: None declared.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32595136</ArticleId><ArticleId IdType="pii">jech-2020-214839</ArticleId><ArticleId IdType="doi">10.1136/jech-2020-214839</ArticleId><ArticleId IdType="pmc">PMC7320718</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Lancet. 2020 Mar 21;395(10228):931-934</Citation><ArticleIdList><ArticleId IdType="pubmed">32164834</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 Apr 16;382(16):e31</Citation><ArticleIdList><ArticleId IdType="pubmed">32197002</ArticleId></ArticleIdList></Reference><Reference><Citation>Eur Psychiatry. 2020 Apr 01;63(1):e32</Citation><ArticleIdList><ArticleId IdType="pubmed">32234102</ArticleId></ArticleIdList></Reference><Reference><Citation>Proc Biol Sci. 2008 Sep 22;275(1647):2111-5</Citation><ArticleIdList><ArticleId IdType="pubmed">18505720</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet Glob Health. 2020 Jul;8(7):e901-e908</Citation><ArticleIdList><ArticleId IdType="pubmed">32405459</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Oman</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Lyon</li></settlement></list><tree><country name="Oman"><region name="Auvergne-Rhône-Alpes"><name sortKey="Saracci, Rodolfo" sort="Saracci, Rodolfo" uniqKey="Saracci R" first="Rodolfo" last="Saracci">Rodolfo Saracci</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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