世卫组织总干事2020年4月3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
- English https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19–3-april-2020
大家早上好,下午好,晚上好。
正如塔里克所说,我们很高兴今天国际货币基金组织总裁克里斯塔利娜•格奥尔基耶娃能够与会。欢迎你,我的好姐妹。
克里斯塔利娜过一会将阐述这一大流行病的经济影响以及国际货币基金组织为各国和全球经济所提供的支持。
各国现已向世卫组织报告了100多万例COVID-19确诊病例,包括5万多人死亡。
但我们知道,这远不止是一场健康危机。我们都意识到这场大流行病带来深刻的社会和经济后果。
许多国家为保护人们健康而实施的限制措施对个人和家庭的收入以及社区和国家的经济产生严重影响。
我们正在为保护生命和生计而共同努力。
从短期来看,各国可以通过社会福利项目减轻人们面临的负担,确保人们有食物和其他生活必需品。
对一些国家来说,债务减免对它们照顾本国人民和避免经济崩溃至关重要。这是世卫组织、国际货币基金组织和世界银行之间的一个合作领域。
但归根结底,各国结束限制措施、减轻经济影响的最佳方式就是采取我们之前多次提到的大力全面的一揽子行动抗击病毒:发现、检测、隔离和治疗每一个病例,并追踪每一个接触者。
如果各国过快取消限制措施,病毒可能会卷土重来,经济影响可能会更加严重和持久。
因此,为医疗应对措施提供资金,不仅是拯救生命,而且对于长期社会和经济复苏,也是一项必不可少的投资。
各国需要重视以下三个主要领域。
首先,我们呼吁所有国家确保为核心公共卫生措施提供充分资金,开展病例调查、检测、接触者追踪、收集数据以及沟通和宣传等活动。
第二,我们呼吁各国和合作伙伴加强卫生系统的基础。这意味着必须为医务工作者支付工资,卫生设施需要获得可靠的资金购买基本医疗用品。
第三,我们呼吁所有国家消除医疗保健的财政障碍。
如果人们因为负担不起而推迟或放弃医护,他们不仅伤害自己,而且会使大流行更难控制,使社会处于危险之中。
一些国家暂停收取与COVID-19有关的个人医疗费用,不论人们的保险、公民身份或居留身份如何,均为其提供免费COVID-19检测和医护。
我们鼓励采取这些措施。这是一场前所未有的危机,需要前所未有的应对措施。
应该采取措施补偿医疗机构的收入损失,以支持暂停个人付费。
政府还应考虑向最脆弱的家庭提供现金补助,以克服在获取服务方面的障碍。
这对难民、境内流离失所者、移民和无家可归者来说尤为重要。
这一大流行病也对防治其他疾病(如脊灰)产生了影响。
如你们所知,近年来,我们已快要消灭脊灰。这是一项大规模的全球努力,由扶轮社发起,得到许多其他伙伴的支持,成千上万名卫生工作者在一些非常困难和危险的地区为儿童接种了疫苗。
其中许多卫生工作者目前正在应对COVID-19。
他们正在追踪接触者,寻找病例,并向社区提供公共卫生信息。
为了降低COVID-19传播风险,脊灰监督委员会明知暂停可能导致脊灰病例增加,仍被迫做出暂停挨家挨户接种疫苗的艰难决定。
为了降低这种风险,我们支持各国针对所有可用疫苗预防的疾病继续开展基本免疫接种工作。
世卫组织公布了关于如何在应对这场危机的同时维持基本卫生服务的指导意见。
全球消灭脊灰行动项目正在努力,确保一旦安全可行,就能支持各国迅速重启脊灰疫苗接种运动。
尽管我们的所有精力现在都集中在应对COVID-19上,但我们消灭脊灰的承诺绝不动摇。
可悲的是,一些国家的报告显示自COVID-19暴发以来,家庭暴力有增无已。
人们被要求待在家里,亲密伴侣之间的暴力风险可能会增加。
随着家庭成员密切接触的时间增加,并且随着家庭承受额外的压力和可能蒙受经济或工作损失,本来在家中就易受虐待的妇女会雪上加霜,其子女的处境也同样如此。
妇女与家人和朋友的联系可能会减少,而家人和朋友本来可能会提供支持和保护,使妇女免受暴力侵害。
我们呼吁各国将解决家庭暴力问题列为在应对COVID-19期间仍须继续提供的一项基本服务。
如果你正在经历或面临家庭暴力的风险,请与支持你的家人和朋友交谈,通过热线寻求支持,或者寻求当地的受害者救助服务。
尽量制定一个保护自己和孩子的计划。这可能包括在你需要马上离开家的时候,能找到一位邻居、朋友、亲戚或者一处避难所。
绝不能容忍暴力。我们憎恶任何时候任何形式的暴力。
最后,没有各国和合作伙伴的慷慨解囊,全球应对COVID-19是不可能的。
两个月前,世卫组织发布了战略防范和应对计划,最初要求提供6.75亿美元来支持应对行动。
我很高兴地通报,现已收到近6.9亿美元的认捐或捐款。其中,3亿美元用于支持世卫组织的工作,其余资金为双边捐助,或提供给参与应对措施的其他组织。
我要感谢科威特,它今天捐款总额达6000万美元,成为最大的捐助国之一。
世卫组织团结应对基金现已从21.9万多名个人和组织筹集了1.27亿美元。我要感谢腾讯公司捐赠了1千万美元。
我还高兴地宣布,我已邀请联合国儿童基金会加入团结应对基金。联合国儿童基金会在筹资和执行项目方面富有经验,我们结为伙伴将有助于我们密切合作,拯救生命。非常感谢我的好大姐亨丽埃塔接受了我的邀请。
在这场战斗中,我们还有很长的路要走。世卫组织每天都在与所有国家和伙伴一道拯救生命,努力减轻这一大流行病的社会和经济影响。
国际货币基金组织是一个重要的合作伙伴。现在我想请亲爱的克里斯塔利娜讲话。非常感谢克里斯塔利娜今天与会。
谢谢大家。
WHO Director-General’s opening remarks at the media briefing on COVID-19 – 3 April 2020
Good morning, good afternoon and good evening.
As Tarik said, we’re delighted to be joined today by Kristalina Georgieva, the Managing-Director of the International Monetary Fund. Welcome, my sister.
Kristalina will say more in a few minutes about the economic impact of the pandemic and what the IMF is doing to support countries and the global economy.
More than 1 million confirmed cases of COVID-19 have now been reported to WHO, including more than 50,000 deaths.
But we know that this is much more than a health crisis. We are all aware of the profound social and economic consequences of the pandemic.
The restrictions many countries have put in place to protect health are taking a heavy toll on the income of individuals and families, and the economies of communities and nations.
We are in a shared struggle to protect both lives and livelihoods.
In the short term, countries can ease the burden on their populations through social welfare programs to ensure people have food and other life essentials.
For some countries, debt relief is essential to enable them to take care of their people and avoid economic collapse. This is an area of cooperation between WHO, the IMF and the World Bank.
But ultimately, the best way for countries to end restrictions and ease their economic effects is to attack the virus, with the aggressive and comprehensive package of measures that we have spoken about many times before: find, test, isolate and treat every case, and trace every contact.
If countries rush to lift restrictions too quickly, the virus could resurge and the economic impact could be even more severe and prolonged.
Financing the health response is therefore an essential investment not just in saving lives, but in the longer-term social and economic recovery.
There are three main areas for countries to focus on.
First, we call on all countries to ensure core public health measures are fully funded, including case-finding, testing, contact tracing, collecting data, and communication and information campaigns.
Second, we also call on countries and partners to strengthen the foundations of health systems. That means health workers must be paid their salaries, and health facilities need a reliable supply of funding to purchase essential medical supplies.
Third, we call on all countries to remove financial barriers to care.
If people delay or forego care because they can’t afford it, they not only harm themselves, they make the pandemic harder to control and put society at risk.
Several countries are suspending user fees and providing free testing and care for COVID-19, regardless of a person’s insurance, citizenship, or residence status.
We encourage these measures. This is in an unprecedented crisis, which demands an unprecedented response.
Suspending user fees should be supported with measures to compensate providers for the loss of revenues.
Governments should also consider using cash transfers to the most vulnerable households to overcome barriers to access.
This may be particularly important for refugees, internally displaced persons, migrants and the homeless.
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The pandemic is also having an effect on the fight against other diseases, like polio.
As you know, in recent years we have driven polio to the brink of eradication. This has been a massive global effort, started by Rotary, supported by many other partners, and led by thousands of health workers, vaccinating children in some very difficult and dangerous areas.
Many of those health workers are now supporting the COVID-19 response.
They are tracing contacts, finding cases and providing public health information to communities.
To reduce the risk of increasing transmission of COVID-19, the polio oversight board has made the hard decision to suspend house-to-house vaccination campaigns, knowing that this may lead to an increase in polio cases.
To reduce this risk, we will support countries to maintain essential immunization for all vaccine preventable diseases.
WHO has published guidance for countries on how to maintain essential health services even while responding to this crisis.
The Global Polio Eradication Initiative is working to ensure that once it is safe to do so, countries can be supported to rapidly restart polio vaccination campaigns.
While all our energy may be focused on COVID-19 now, our commitment to eradicating polio is unshakeable.
Sadly, there are reports from some countries of an increase in domestic violence since the COVID-19 outbreak began.
As people are asked to stay at home, the risk of intimate partner violence is likely to increase.
Women in abusive relationships are more likely to be exposed to violence, as are their children, as family members spend more time in close contact, and families cope with additional stress and potential economic or job losses.
Women may have less contact with family and friends who may provide support and protection from violence.
We call on countries to include services for addressing domestic violence as an essential service that must continue during the COVID-19 response.
If you are experiencing or at risk of domestic violence, speak to supportive family and friends, seek support from a hotline, or seek out local services for survivors.
Make a plan to protect yourself and your children any way you can. This could include having a neighbour, friend, relative, or shelter identified to go to should you need to leave the house immediately.
There is never any excuse for violence. We abhor all violence of all forms, at all times.
Finally, the global response to COVID-19 would not be possible without the generosity of countries and partners.
Two months ago, WHO issued its Strategic Preparedness and Response Plan, with an initial ask of US$675 million to support the response.
I’m delighted to say that almost US$690 million has now been pledged or received. Of this amount, US$300 million has been given to support WHO’s work, and the rest has been given on a bilateral basis, or to other organizations involved in the response.
I’d like to thank the State of Kuwait, which today is becoming one of the largest donors, with a total of US$60 million.
WHO’s Solidarity Response Fund has now raised more than US$127 million from more than 219,000 individuals and organizations. I’d like to thank Tencent for its contribution of US$10 million.
I’m also pleased to announce that I have invited Unicef to join the Solidarity Response Fund. Unicef has extensive experience both in fundraising and in implementing programmes, and our partnership will help us to work together closely to save lives. Thank you so much, my sister Henrietta, for accepting my invitation.
We still have a long way to go in this fight. WHO is working every day with all countries and partners to save lives, and to mitigate the social and economic impact of the pandemic.
The IMF is a key partner, and I’d now like to hand the floor to my sister Kristalina to make a few remarks. Thank you so much for joining us Kristalina.
Thank you.
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