世卫组织总干事2020年4月1日在2019冠状病毒病(COVID-19)疫情媒体通报会上的讲话
世卫组织总干事谭德塞博士
大家早上好,下午好,晚上好。
当我们跨入COVID-19大流行疫情第四个月之际,我对感染迅速攀升和全球蔓延深感忧虑。
在过去五周里,我们看到新增病例的数量呈近乎指数级增长趋势,遍及几乎每个国家、领土和地区。
过去一周,死亡人数增加了一倍多。在接下来的几天里,将达到100万确诊病例,5万人死亡。
我们认识到,虽然非洲、中美洲和南美洲报告的确诊病例相对较少,但COVID-19可能会对这些地区产生严重的社会、经济和政治后果。
至关重要的是,我们要确保这些国家能够获得适当工具,以便发现、检测、隔离和治疗病例以及识别接触者。我欣慰地看到,许多国家尽管资源有限,但正在这样做。
许多国家要求人们待在家里,停止人口流动,这有助于限制病毒的传播,但也可能对最贫困和最脆弱群体产生意想不到的后果。
我呼吁各国政府出台社会福利措施,确保弱势群体在这场危机中获得食物和其他生活必需品。
例如,印度莫迪总理宣布了一项240亿美元的一揽子计划,其中包括为8亿弱势人口免费提供口粮,向2.04亿贫困妇女提供现金帮助,并在未来3个月为8千万家庭免费提供烹饪用燃气。
许多发展中国家会难以实施这种性质的社会福利计划。对这些国家来说,减免债务使它们能够照顾本国人民和避免经济崩溃至关重要。
世卫组织、世界银行和国际货币基金组织共同呼吁减免发展中国家的债务。
三个月前,我们对这种病毒几乎一无所知。
我们一道学到了很多东西。
我们每天都学到更多东西。
世卫组织致力于在最佳证据基础上为世界各地所有人提供服务,保护人民健康。
世卫组织依据从世界各地收集的全部证据制定指导意见。
每天,我们的工作人员与世界各地成千上万的专家交流,收集和总结这类证据和经验。
随着我们进一步了解情况,我们会不断重审和更新指导意见,并针对具体情况做出调整。
例如,我们建议洗手和保持人际距离,但我们也认识到这对那些缺乏清洁用水或在狭小环境中生活的人们来说很困难。
我们与联合国儿童基金会和国际红十字联合会一道,发布了关于改善洗手条件的新的指导意见。
我们建议各国在公共建筑入口处、办公室、公共汽车站和火车站设立洗手点。
我们也在与世界各地的研究人员一道努力工作,以提供关于哪些药物对治疗COVID-19最有效的证据。
许多国家积极响应我们的呼吁,加入了对4种药物和药物组合进行比较的团结试验项目。
迄今为止,已有74个国家加入或正在加入该试验项目。
截至今天上午,有200多名患者被随机分到其中的一个研究组。
每多一名参加试验的新患者,我们就离找到有效药物又近了一步。
另外,我们仍在继续研究戴口罩的证据。
世卫组织的重点是,保障一线医护人员能够获得必要的医用口罩和带呼气阀的口罩等个人防护装备。
我们为此继续与政府和制造商合作,加强包括口罩在内的个人防护装备的生产和销售。
关于在社区内使用口罩的争论仍在继续。
世卫组织建议生病的人和照顾他们的人戴医用口罩。
然而,在这种情况下,口罩只有与其他保护措施结合使用才有效。
世卫组织继续收集所有相关证据,并继续评估可否更广泛使用口罩在社区中控制COVID-19传播的问题。
这是一种很新的病毒,我们仍在学习中。
随着大流行疫情的演变,证据也在发展,我们的建议也在更新。
但世卫组织的承诺不会改变。我们坚定不移地基于最佳的科学证据,在没有恐惧或偏袒的情况下,保护所有人的健康。
谢谢大家。
WHO Director-General’s opening remarks at the media briefing on COVID-19 – 1 April 2020
Good morning, good afternoon and good evening.
As we enter the fourth month since the start of the COVID-19 pandemic, I am deeply concerned about the rapid escalation and global spread of infection.
Over the past 5 weeks, we have witnessed a near exponential growth in the number of new cases, reaching almost every country, territory and area.
The number of deaths has more than doubled in the past week. In the next few days we will reach 1 million confirmed cases, and 50 thousand deaths.
While relatively lower numbers of confirmed cases have been reported from Africa, and from Central and South America, we realize that COVID-19 could have serious social, economic and political consequences for these regions.
It is critical that we ensure these countries are well equipped to detect, test, isolate and treat cases, and identify contacts – I am encouraged to see that this is occurring in many countries, despite limited resources.
Many countries are asking people to stay at home and shutting down population movement, which can help to limit transmission of the virus, but can have unintended consequences for the poorest and most vulnerable people.
I have called on governments to put in place social welfare measures to ensure vulnerable people have food and other life essentials during this crisis.
In India, for example, Prime Minister Modi has announced a $24 billion package, including free food rations for 800 million disadvantaged people, cash transfers to 204 million poor women and free cooking gas for 80 million households for the next 3 months.
Many developing countries will struggle to implement social welfare programs of this nature. For those countries, debt relief is essential to enable them to take care of their people and avoid economic collapse.
This is a call from WHO, the World Bank and the IMF – debt relief for developing countries.
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Three months ago, we knew almost nothing about this virus.
Collectively, we have learned an enormous amount.
And every day, we learn more.
WHO is committed to serving all people everywhere with the best evidence to protect their health.
WHO develops guidance based on the totality of evidence collected from around the world.
Every day, our staff talk to thousands of experts around the world to collect and distil that evidence and experience.
We constantly review and update our guidance as we learn more, and we are working to adapt it for specific contexts.
For example, we recommend handwashing and physical distancing, but we also recognize this can be a practical challenge for those who lack access to clean water, or who live in cramped conditions.
Together with Unicef and the International Federation of the Red Cross, we’ve published new guidance for improving access to handwashing.
The guidance recommends that countries set up handwashing stations at the entrance to public buildings, offices, bus stops and train stations.
We’re also working hard with researchers all over the world to generate the evidence about which medicines are most effective for treating COVID-19.
There has been an extraordinary response to our call for countries to join the Solidarity trial, which is comparing four drugs and drug combinations.
So far, 74 countries have either joined the trial or are in the process of joining.
As of this morning, more than 200 patients had been randomly assigned to one of the study arms.
Each new patient who joins the trial gets us one step closer to knowing which drugs work.
We’re also continuing to study the evidence about the use of masks.
WHO’s priority is that frontline health workers are able to access essential personal protective equipment, including medical masks and respirators.
That’s why we are continuing to work with governments and manufacturers to step up the production and distribution of personal protective equipment, including masks.
There’s an ongoing debate about the use of masks at the community level.
WHO recommends the use of medical masks for people who are sick and those caring for them.
However, in these circumstances, masks are only effective when combined with other protective measures.
WHO continues to gather all available evidence and continues to evaluate the potential use of masks more broadly to control COVID-19 transmission at the community level.
This is still a very new virus, and we are learning all the time.
As the pandemic evolves, so does the evidence, and so does our advice.
But what doesn’t change is WHO’s commitment to protecting the health of all people, based on the best science, without fear or favour.
I thank you.
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