世卫组织总干事2020年4月10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2020年4月10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

https://www.who.int/zh/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19—10-april-2020

2020年4月10日

大家早上好,下午好,晚上好。

在全球范围内,现已向世卫组织报告了近150万例COVID-19确诊病例,死亡人数超过9.2万。

在过去的一周里,我们欣慰地看到一些受冲击最严重的欧洲国家,如西班牙、意大利、德国和法国,出现疫情放缓迹象。

就个人而言,我很高兴看到我的朋友鲍里斯·约翰逊已转出重症监护室。我祝他一切顺利,也祝愿所有正面临他曾面对的危险的人一切顺利。

与此同时,我们看到其他国家的疫情出现惊人加速趋势。

我想着重谈一谈非洲。我们看到在非洲,病毒正在向农村地区蔓延。目前我们看到16个以上国家出现聚集性病例和社区传播。

我们预计,本已捉襟见肘的卫生系统将面临严重困难,特别是在农村地区。农村地区通常缺乏城市卫生系统那样的资源。

正如世卫组织非洲区域主任莫蒂博士昨天所说的,这意味着非洲国家需要采取国内应对措施,紧急加强现有的国家公共卫生和初级卫生保健基础设施。

二十国集团国家在最近的会议上表示坚决支持非洲。尽管非洲的病例数仍相对较少,但必须加快支持非洲。

我了解到,一些国家已经计划放松居家限制。

世卫组织和任何人一样也希望看到解除限制。

但过快解除限制可能会导致疫情急剧恶化。

如果行动不当,下坡路可能会与上坡路一样危险。

世卫组织正在与受影响国家一道制定逐步安全放宽限制的策略。

需要考虑的重要因素有:

首先,控制了传播;

第二,有足够的公共卫生和医疗服务;

第三,在诸如长期护理设施之类的特殊环境中,已将暴发风险降至极低程度;

第四,在工作场所、学校和其他人们需要去的地方备有预防措施;

第五,输入病例的风险可以管控;

第六,社区充分认识到并参与逐步解禁,这一点如何强调都不过分。

每个人在结束这一大流行疫情中都可以发挥自己的作用。

我们对报告的大量医护人员被感染尤其感到忧虑。

在一些国家,有报告称,超过10%的医护人员被感染。这一趋势令人震惊。

当医护人员遭受危险时,我们所有人都面临危险。

中国、意大利、新加坡、西班牙和美国的证据有助我们了解这种情况发生的原因和我们可以采取的措施。

证据表明,一些医护人员实际上是在卫生设施以外,即家中或在社区中被感染的。

在医疗机构中,常见的问题是很晚才发现COVID-19,或者在处理呼吸道病原体方面缺乏培训或经验不足。

许多医护人员还缺乏休息,他们长时间加班加点并接触大量患者。

然而,证据还表明,如果医护人员正确穿戴个人防护装备,就能预防感染。

因此,医护人员能够获得安全有效工作所需的口罩、手套、防护服和其他个人防护装备尤为重要。

为支持各国应对COVID-19患者增多而估算所需的医护人员、用品和设备,世卫组织推出了三种工具,帮助管理人员和计划人员进行计算。

本周三,我提到了新成立的联合国供应链工作队。它负责协调和扩大个人防护装备、实验室诊断仪器和氧气设备的采购,并将它们分发给最需要的国家。

工作队将由世卫组织和粮食计划署负责协调,并以联合国内外多个伙伴之间的现有合作为基础。

供应链系统将由比利时、中国、埃塞俄比亚、加纳、马来西亚、巴拿马、南非和阿拉伯联合酋长国等供应枢纽组成。

我们估计,在大流行疫情的严重阶段,该供应链可能需要满足全世界30%以上的需求。

每个月,我们需要运送至少1亿个医用口罩和手套;

多达2500万个N95口罩、防护服和面罩;

多达250万个诊断试剂盒;

以及大量的制氧机和其他用于临床医护的设备。

为了将这些物资运送到世界各地,粮食计划署将部署8架747飞机和8架中型货机,并将使用数架小型客机运送人道主义工作者、技术人员、培训员和其他人员。

显然,相关费用开支巨大。粮食计划署估计,仅用于支付储存和运送物资的费用就需要约2.8亿美元。采购物资的开支会更大。

我们敦促各捐助方支持这一至关重要的系统。我们呼吁所有捐助方支持粮食计划署。

今天,我召集了刚果民主共和国境内埃博拉问题突发事件委员会会议。

在52天未出现病例后,实地监测和响应小组确认了刚果民主共和国一例新的埃博拉病例。

我们一直在防范和预备处理新发病例。

遗憾的是,这意味着刚果民主共和国政府将无法如预期的那样在周一宣布疫情结束。

但是,世卫组织和所有合作伙伴仍将留在当地,并一如既往地致力于在政府的领导下,同受影响社区和我们的合作伙伴并肩奋斗,结束埃博拉疫情。

谢谢大家。

WHO Director-General’s opening remarks at the media briefing on COVID-19 – 10 April 2020

10 April 2020

Good morning, good afternoon and good evening.

Globally, nearly 1.5 million confirmed cases of COVID-19 have now been reported to WHO, and more than 92,000 deaths.

In the past week, we’ve seen a welcome slowing in some of the hardest-hit countries in Europe, like Spain, Italy, Germany and France.

On a personal note, I was pleased to see my friend Boris Johnson is no longer in intensive care. I wish him all the best – as I wish the best for everyone who is facing what he faced.

At the same time, we’ve seen an alarming acceleration in other countries.

I want to take a moment to highlight Africa, where we are seeing the spread of the virus to rural areas. We are now seeing clusters of cases and community spread in more than 16 countries.

We anticipate severe hardship for already overstretched health systems, particularly in rural areas, which normally lack the resources of those in cities.

As Dr Moeti, the WHO Regional Director for Africa, said yesterday, this means countries need to localize the response, by urgently strengthening the existing public health and primary health care infrastructure in countries.

The recent meeting of the G20 countries expressed strong support for Africa, which must be expedited even though the numbers in Africa are still relatively small but accelerating.

I know that some countries are already planning the transition out of stay-at-home restrictions.

WHO wants to see restrictions lifted as much as anyone.

At the same time, lifting restrictions too quickly could lead to a deadly resurgence.

The way down can be as dangerous as the way up if not managed properly.

WHO is working with affected countries on strategies for gradually and safely easing restrictions.

Important factors to consider are:

First, that transmission is controlled;

Second, that sufficient public health and medical services are available;

Third, that outbreak risks in special settings like long-term care facilities are minimized;

Fourth, that preventive measures are in place in workplaces, schools and other places where it’s essential for people to go;

Fifth, that importation risks can be managed;

And sixth – and I cannot over-emphasize this point – that communities are fully aware and engaged in the transition.

Every single person has a role to play in ending this pandemic.

We are particularly concerned by the large numbers of infections reported among health workers.

In some countries there are reports of more than 10 percent of health workers being infected. This is an alarming trend.

When health workers are at risk, we’re all at risk.

Evidence from China, Italy, Singapore, Spain and the United States is helping us to understand why this is happening, and what we can do about it.

It shows that some health workers are actually being infected outside health facilities, in their homes or communities.

Within health facilities, common problems are the late recognition of COVID-19, or lack of training or inexperience in dealing with respiratory pathogens.

Many health workers are also being exposed to large numbers of patients in long shifts with inadequate rest periods.

However, the evidence also shows that when health workers wear personal protective equipment the right way, infections can be prevented.

That makes it even more important that health workers are able to access the masks, gloves, gowns and other PPE they need to do their jobs safely and effectively.

To support countries, WHO has launched three tools to help managers and planners calculate the health workers, supplies and equipment that will be needed for the increase in COVID-19 patients.

On Wednesday I mentioned the new United Nations Supply Chain Task Force, to coordinate and scale up the procurement and distribution of personal protective equipment, lab diagnostics and oxygen to the countries that need it most.

This initiative will be coordinated by WHO and the World Food Programme, building on existing collaboration between multiple partners from within and outside the UN.

This system will consist of hubs in Belgium, China, Ethiopia, Ghana, Malaysia, Panama, South Africa and the United Arab Emirates.

We estimate this supply chain may need to cover more than 30% of the world’s needs in the acute phase of the pandemic.

Every month, we will need to ship at least 100 million medical masks and gloves;

up to 25 million N95 respirators, gowns and face-shields;

up to 2.5 million diagnostic tests;

and large quantities of oxygen concentrators and other equipment for clinical care.

To move these supplies around the world, the World Food Programme will deploy eight 747 aircraft, eight medium-sized cargo aircraft, and several smaller passenger planes to move humanitarian workers, technical staff, trainers and other personnel.

Clearly the associated costs will be substantial. The WFP estimates it will need approximately US$280 million, simply to cover the costs of storing and moving supplies. The costs of procuring supplies will be much greater.

We urge donors to support this vitally important system.  We call on all donors to support the World Food Programme.

Today I convened a meeting of the Emergency Committee on Ebola in DRC.

After 52 days without a case, surveillance and response teams on the ground have confirmed a new case of Ebola in DRC.

We have been preparing for and expecting more cases.

Unfortunately, this means the government of DRC will not be able to declare an end to the outbreak on Monday, as hoped.

But WHO and all partners remain on the ground and committed as ever to working under the leadership of the government, affected communities and our partners to end the outbreak.

I thank you.

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