皮特凯恩群岛的 COVID-19 准备和应对工作:确保世界上最小和最孤立的人口在大流行病中的安全。

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Western Pacific Surveillance and Response Pub Date : 2024-06-27 eCollection Date: 2024-04-01 DOI:10.5365/wpsar.2024.15.2.1068
Darralyn Griffiths, Kevin Walters, Sean T Casey
{"title":"皮特凯恩群岛的 COVID-19 准备和应对工作:确保世界上最小和最孤立的人口在大流行病中的安全。","authors":"Darralyn Griffiths, Kevin Walters, Sean T Casey","doi":"10.5365/wpsar.2024.15.2.1068","DOIUrl":null,"url":null,"abstract":"<p><strong>Problem: </strong>While the COVID-19 pandemic threatened the entire world, the extremely remote Pitcairn Islands faced unique vulnerabilities. With only a physician and a nurse to care for an ageing population of fewer than 40 residents, and with very limited referral pathways, Pitcairn encountered distinct challenges in preparing for and responding to the COVID-19 pandemic.</p><p><strong>Context: </strong>The Pitcairn Islands is an overseas territory of United Kingdom of Great Britain and Northern Ireland consisting of four islands in the South Pacific: Pitcairn, Henderson, Ducie and Oeno. Pitcairn is the only inhabited island with a local resident population of approximately 31 people, around half of whom were over 60 years old in 2023. The islands are only accessible by sea and are located more than 2000 km from the nearest referral hospital in French Polynesia.</p><p><strong>Actions: </strong>Pitcairn's Island Council took aggressive action to delay the importation of SARS-CoV-2, vaccinate its small population and prepare for the potential arrival of the virus.</p><p><strong>Outcomes: </strong>As of May 2024, Pitcairn was one of the only jurisdictions in the world not to have had a single COVID-19 hospitalization or death. Nevertheless, the pandemic presented the islands' population with many economic, social and health challenges.</p><p><strong>Discussion: </strong>Pitcairn's population avoided COVID-19-related hospitalizations and deaths despite its elderly population's vulnerability to COVID-19, a significant level of comorbidities, and limited clinical management capabilities and options for emergency referrals. The pandemic highlighted some of the population's health vulnerabilities while also underscoring some of their innate strengths.</p>","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"15 2","pages":"1-7"},"PeriodicalIF":1.0000,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11215652/pdf/","citationCount":"0","resultStr":"{\"title\":\"COVID-19 preparedness and response in the Pitcairn Islands: keeping one of the world's smallest and most isolated populations safe in a pandemic.\",\"authors\":\"Darralyn Griffiths, Kevin Walters, Sean T Casey\",\"doi\":\"10.5365/wpsar.2024.15.2.1068\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Problem: </strong>While the COVID-19 pandemic threatened the entire world, the extremely remote Pitcairn Islands faced unique vulnerabilities. With only a physician and a nurse to care for an ageing population of fewer than 40 residents, and with very limited referral pathways, Pitcairn encountered distinct challenges in preparing for and responding to the COVID-19 pandemic.</p><p><strong>Context: </strong>The Pitcairn Islands is an overseas territory of United Kingdom of Great Britain and Northern Ireland consisting of four islands in the South Pacific: Pitcairn, Henderson, Ducie and Oeno. Pitcairn is the only inhabited island with a local resident population of approximately 31 people, around half of whom were over 60 years old in 2023. The islands are only accessible by sea and are located more than 2000 km from the nearest referral hospital in French Polynesia.</p><p><strong>Actions: </strong>Pitcairn's Island Council took aggressive action to delay the importation of SARS-CoV-2, vaccinate its small population and prepare for the potential arrival of the virus.</p><p><strong>Outcomes: </strong>As of May 2024, Pitcairn was one of the only jurisdictions in the world not to have had a single COVID-19 hospitalization or death. Nevertheless, the pandemic presented the islands' population with many economic, social and health challenges.</p><p><strong>Discussion: </strong>Pitcairn's population avoided COVID-19-related hospitalizations and deaths despite its elderly population's vulnerability to COVID-19, a significant level of comorbidities, and limited clinical management capabilities and options for emergency referrals. The pandemic highlighted some of the population's health vulnerabilities while also underscoring some of their innate strengths.</p>\",\"PeriodicalId\":31512,\"journal\":{\"name\":\"Western Pacific Surveillance and Response\",\"volume\":\"15 2\",\"pages\":\"1-7\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2024-06-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11215652/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Western Pacific Surveillance and Response\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5365/wpsar.2024.15.2.1068\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/4/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Western Pacific Surveillance and Response","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5365/wpsar.2024.15.2.1068","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

摘要

问题:虽然 COVID-19 大流行病威胁着整个世界,但极其偏远的皮特凯恩群岛却面临着独特的脆弱性。皮特凯恩只有一名医生和一名护士负责照顾不到 40 名居民的老龄人口,而且转诊途径非常有限,因此在准备和应对 COVID-19 大流行方面遇到了独特的挑战:皮特凯恩群岛是大不列颠及北爱尔兰联合王国的海外领地,由南太平洋上的四个岛屿组成:皮特凯恩岛、亨德森岛、杜西岛和奥埃诺岛。皮特凯恩岛是唯一有人居住的岛屿,当地常住人口约 31 人,到 2023 年,其中约一半人超过 60 岁。这些岛屿只能通过海路进入,距离法属波利尼西亚最近的转诊医院也有 2000 多公里:皮特凯恩岛理事会采取了积极的行动,推迟 SARS-CoV-2 的输入,为岛上的少数居民接种疫苗,并为病毒的可能到来做好准备:截至 2024 年 5 月,皮特凯恩岛是世界上唯一没有发生过 COVID-19 住院或死亡病例的辖区之一。然而,大流行病给岛上居民带来了许多经济、社会和健康方面的挑战:讨论:尽管皮特凯恩岛的老年人容易感染 COVID-19、合并症多、临床管理能力和紧急转诊选择有限,但岛上居民避免了与 COVID-19 相关的住院和死亡。这次大流行凸显了该地区人口在健康方面的一些弱点,同时也强调了他们的一些先天优势。
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 preparedness and response in the Pitcairn Islands: keeping one of the world's smallest and most isolated populations safe in a pandemic.

Problem: While the COVID-19 pandemic threatened the entire world, the extremely remote Pitcairn Islands faced unique vulnerabilities. With only a physician and a nurse to care for an ageing population of fewer than 40 residents, and with very limited referral pathways, Pitcairn encountered distinct challenges in preparing for and responding to the COVID-19 pandemic.

Context: The Pitcairn Islands is an overseas territory of United Kingdom of Great Britain and Northern Ireland consisting of four islands in the South Pacific: Pitcairn, Henderson, Ducie and Oeno. Pitcairn is the only inhabited island with a local resident population of approximately 31 people, around half of whom were over 60 years old in 2023. The islands are only accessible by sea and are located more than 2000 km from the nearest referral hospital in French Polynesia.

Actions: Pitcairn's Island Council took aggressive action to delay the importation of SARS-CoV-2, vaccinate its small population and prepare for the potential arrival of the virus.

Outcomes: As of May 2024, Pitcairn was one of the only jurisdictions in the world not to have had a single COVID-19 hospitalization or death. Nevertheless, the pandemic presented the islands' population with many economic, social and health challenges.

Discussion: Pitcairn's population avoided COVID-19-related hospitalizations and deaths despite its elderly population's vulnerability to COVID-19, a significant level of comorbidities, and limited clinical management capabilities and options for emergency referrals. The pandemic highlighted some of the population's health vulnerabilities while also underscoring some of their innate strengths.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Western Pacific Surveillance and Response
Western Pacific Surveillance and Response PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.70
自引率
0.00%
发文量
23
审稿时长
15 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信