黎巴嫩的 COVID-19 群体免疫:挑战与前景

Christopher Maatouk, Orestis Germanos, Anna‐Maria Aad, Georges Gandour, J. M. A. Buban, Ralph Maatouk, Michelle Zeina, S. Budhathoki, D. Lucero‐Prisno
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摘要

COVID-19 在最糟糕的时候袭击了黎巴嫩,当时黎巴嫩正处于经济下行阶段,全国上下都在抗议生活条件和政治腐败。第一例病例发现于 2020 年 2 月 21 日,第一批疫苗于 2021 年 3 月 24 日到达。虽然自然感染和大规模疫苗接种都不能真正提供群体免疫力,但后者是应对大流行病的更有效方法,而黎巴嫩在这条道路上却没有成功。大流行期间,各种因素使黎巴嫩应对病毒的工作变得复杂。在 COVAX 计划的帮助下,黎巴嫩收到了 1086 720 剂捐赠疫苗和 1626 390 剂交付疫苗。总共发放了 580 多万剂。共有 274 万人至少接种了一剂疫苗,240 万人接种了完整的初级疫苗系列。然而,约 98% 的人口感染了病毒。阻止疫苗接种活动的问题包括对政府官员和新闻媒体缺乏信任,导致虚假信息在网上传播并不受质疑。其他因素还包括经济崩溃,这导致黎巴嫩货币失去了其最初价值的 98% 以上。一些黎巴嫩人可能会发现自己要么无法到达适当的医疗机构,要么不愿意接受政治精英们所推崇的说法。贫困也加剧了受感染者的预后和死亡率。必须更加重视帮助残疾人或低收入地区的人,因为他们受这一流行病的影响最大。这些社区面临的问题包括特殊教育学校缺乏资金,以及无法获得政府宣传的医疗信息。黎巴嫩必须从这次大流行病中出现的问题中吸取教训,集中精力提前解决这些问题,为将来可能出现的任何其他卫生紧急情况做好准备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID‐19 herd immunity in Lebanon: Challenges and prospects
COVID‐19 hit Lebanon at the worst time, amid an economic downward spiral and national protests regarding living conditions and political corruption. The first case was found on February 21, 2020, and the first batch of vaccines arrived on March 24, 2021. Although neither natural infection nor mass vaccination truly provided herd immunity, the latter was a more effective way to handle the pandemic, and Lebanon fell short on that path. During the pandemic, a myriad of factors complicated its response to the virus. Thanks to the COVAX program, the country received 1086,720 doses donated and 1626,390 deliveries. All in all, over 5.8 million doses have been administered. A total of 2.74 million people received at least one dose, and 2.4 million had a complete primary vaccination series. However, around 98% of the population were infected with the virus. Issues that stopped the vaccination campaigns include a lack of trust in government officials and news media, leading to false information propagating and remaining unchallenged online. Other factors include the economic collapse, which led to the Lebanese currency losing over 98% of its initial worth. Some Lebanese people might find themselves either unable to reach proper health facilities or unwilling to adopt the narrative pushed by the political elite. Poverty also worsened affected infected individuals’ prognosis and mortality. A bigger emphasis must be put on reaching individuals with disabilities or in low‐income areas, as they were the most affected by the pandemic. Problems these communities face include the lack of funding for special education schools and the lack of accessibility to medical information promoted by the government. Lebanon must learn from the issues that arose during this pandemic and focus on fixing them in advance to prepare for any other health emergency that might turn up in the future.
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