严重急性呼吸综合征冠状病毒2型疾病和社区药剂师:来自一线的实践经验

Olugbade Omotoso Bolanle
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摘要

严重急性呼吸系统综合征冠状病毒-2 (SARS-CoV-2)疾病代表了全球范围内富国和穷国的各种系统性压力测试。作为一种无国界疾病,它暴露了卫生系统能力如何迅速不堪重负,导致大量生命损失,以及疫苗获取和公平分配如何有助于扭转大流行有害后果,而现有疫苗分配不成比例不公平的社区和地区可能更容易出现令人沮丧的健康结果。与传统的疫苗开发时间表相反,SARS-CoV-2疾病造成了全球卫生紧急情况,促进了公共和私营部门的全球合作,并鼓励通过mRNA和病毒载体疫苗技术平台快速开发疫苗。任何医疗或公共卫生干预的成功取决于干预手段的迅速发展和公平和广泛的获取。虽然社区药房密度对美国的疫苗获取至关重要,但发展中国家的其他地区可以继续部署已经用于其他社区疾病控制工作的渠道,同时努力提高药房密度。在美国,通过社区药房获得疫苗促进了从大流行到地方性流行的过渡,获得疫苗的机会相同;快速检测和早期治疗将遏制疾病,最大限度地减少疾病暴发,并防止卫生系统能力紧张。药剂师和其他卫生保健专业人员应该期待更多的患者出现COVID-19的长期系统性影响,无论是COVID-19疾病的幸存者还是因COVID-19疾病失去亲人的幸存者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Severe acute respiratory syndrome corona virus-2 disease and the community pharmacist: Practical lessons from the trenches
Severe acute respiratory syndrome corona virus-2 (SARS-CoV-2) disease represented a systemic stress test of sorts on a global scale both in rich and poor nations. As a disease without borders, it exposed how rapidly health system capacity can be overwhelmed, resulting in massive loss of lives and how vaccine access and equitable distribution may contribute to a reverse in pandemic deleterious outcomes, while communities and regions that suffer disproportionate inequitable distribution of available vaccines may be more prone to dismal health outcomes. Contrary to the traditional vaccine development timeline, SARS-CoV-2 disease created a global health emergency that fostered global cooperation in public and private sector and encouraged warp-speed vaccine development through mRNA and viral vector vaccine technology platforms. The success of any medical or public health intervention is predicated on both rapid development of intervention agents and equitable and widespread access. While community pharmacy density was pivotal to vaccine access in the United States, other parts of the developing world can continue to deploy channels already in use for other community disease containment efforts while striving to improve pharmacy density. In the United States, vaccine access through community pharmacies facilitated the pandemic-to-endemic transition, same access; to rapid testing and early treatment would curtail the disease, minimize disease outbreaks, and prevent health system capacity stress. Pharmacists and other health-care professionals should expect larger number of their patients showing up with long-term systemic implications of COVID-19, either as survivors of COVID-19 disease or survivors of relatives lost to COVID-19 disease.
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