Identifying Strengths and Weaknesses From the United State's Response to the Covid-19 Pandemic

Ahmad Elhaija, Rita Debbaneh
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Abstract

COVID-19 is a respiratory disease that was declared to be a pandemic by the WHO on March 11th, 2020. A catastrophic public health crisis, its effects are still being felt to this day and will certainly be experienced in the years to come–both in the United States and abroad. A 2021 report by the University of California-San Francisco Global Institute of Health Sciences critiqued the U.S response to the outbreak by assessing domestic leadership, the measures taken, and the resulting impact on healthcare, the economy, and American lives. From a political perspective, the report found that federal guidance was sluggish and unclear, leading to varied strategies among individual states; partisanship also contributed to the fragmented subnational measures. Additionally, the Center of Disease Control’s (CDC) early rejection and later promotion of face-mask use increased public division over masking mandates. This lack of organization extended towards public health interventions: ineffective contact-tracing and problems with test-kit development and capacity resulted in dramatically increased endemicity. Accompanying lockdowns continued to renew, shuttering businesses and leaving almost 27 million Americans unemployed by the end of 2020. The pandemic’s effects were especially seen in hospitals where ICUs greatly exceeded capacity and high burnout provoked physician attrition rates. Despite these shortcomings, the U.S commitment to creating a vaccine was notable. Collaboration between the private and public sectors led to a both accelerated and safe treatment development. Ultimately, the report concluded that preemptive measures should be taken to better fortify the U.S in the event of a future pandemic. Steps to consider include apolitical public health institutions, swift and better-coordinated responses from experts, and investments in resources to combat pathogen outbreaks.
确定美国应对Covid-19大流行的优势和劣势
2019冠状病毒病是一种呼吸道疾病,世卫组织于2020年3月11日宣布其为大流行。这是一场灾难性的公共卫生危机,它的影响至今仍在持续,而且在未来的岁月里,无论是在美国还是在其他国家,人们肯定都会感受到它的影响。加州大学旧金山分校全球健康科学研究所2021年的一份报告通过评估国内领导、采取的措施以及由此对医疗保健、经济和美国人生活的影响,批评了美国对疫情的应对。从政治角度来看,该报告发现,联邦政府的指导迟缓且不明确,导致各州的策略各不相同;党派之争也导致了地方措施的分散。此外,疾病控制中心(CDC)早期拒绝使用口罩,后来又推广使用口罩,这增加了公众对口罩要求的分歧。这种缺乏组织的情况延伸到公共卫生干预措施:接触者追踪无效以及检测包开发和能力方面的问题导致流行急剧增加。随之而来的封锁继续延续,企业关闭,到2020年底,近2700万美国人失业。疫情对医院的影响尤其明显,重症监护室的容量大大超出了负荷,高度倦怠导致了医生的流失率。尽管有这些缺点,但美国致力于研制疫苗的努力是值得注意的。私营和公共部门之间的合作促进了治疗的加速和安全发展。最终,该报告得出结论,应该采取先发制人的措施,以便在未来发生大流行时更好地加强美国的防御。需要考虑的步骤包括非政治性的公共卫生机构、专家作出迅速和更协调的反应,以及对防治病原体暴发的资源进行投资。
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