大家早上好,下午好,晚上好。
现在似乎几乎每天都创下新的严峻记录。
各国昨天向世卫组织报告的COVID-19新增病例数超过18.3万例,这无疑是迄今一天内报告的最高新增病例数。
目前各国总共向世卫组织报告了880多万例病例,46.5万多人丧生。
一些国家的病例数和死亡人数仍在快速上升。
一些国家原已成功抑制了传播,而随着社会和经济的重启,病例数出现了反弹。
各国面临微妙的平衡,既要保护本国人民,又要尽量减少社会和经济损失。
并不是必须在拯救生命与维持生计之间做出选择,国家可以做到两者兼得。
我们敦促各国认真和大力寻找解决办法,使人们既安全,又能维持正常生活。
我们继续敦促各国大力实施我们认为行之有效的基本公共卫生措施。
发现和检测疑似病例。
隔离和医护患者。
追踪和隔离接触者。
并保护卫生工作者。
这些措施奏效的前提是,每人都需采取有效保护自己和他人的措施。
保持身体距离。
继续勤洗手。
适当时戴上口罩。
我们现在知道如何防止COVID-19传播,也越来越了解如何治疗患者。
最近获得的初步数据显示,类固醇药物地塞米松可能会挽救COVID-19危重患者的生命,我们对此深感欣慰。
接下来的挑战是要增加地塞米松产量,并在全球范围内快速和公平地分配药物,重点是向最需要的地方提供这一药物。
随着英国试验结果显示地塞米松具有明显疗效,需求已激增。
幸运的是,这是一种廉价药物,而且全世界有许多地塞米松制造商,我们相信他们可以加快生产。
各国必须团结一致,共同努力,确保有大量危重病人的国家优先获得供应,并确保在治疗其他疾病过程中需要地塞米松时能够保证这种药品的供应。
保持透明和持续监控将是确保按需供应的关键,而不是谁有手段和资金谁就获得供应。
鉴于伪劣产品进入市场的风险很高,检查供应商能否保证质量也很重要。
世卫组织强调,地塞米松仅应在严格临床监督下用于患有严重或危重疾病的患者。
没有证据表明这种药物对轻症患者有效,也没有证据证明可以作为一种预防措施使用此药,那样做可能会造成伤害。
世卫组织还继续向各国提供必要的个人防护装备和实验室诊断工具。
我们采用的一个办法是,通过COVID-19供应门户开展此项工作。这是一个在线平台,需要医用物资的国家可以向此平台提出请求。
迄今已有48个国家输入请求,所需物资总值为9200万美元。
世卫组织正安排向135个国家运送超过1.4亿件个人防护装备、1.4万台氧气浓缩机和数以百万计的检测盒。
与此同时,世卫组织还与各国合作,努力维持基本卫生服务。
世卫组织最近对各国进行了调查,以评估大流行疫情对基本卫生服务的影响。
在迄今回复的82个国家中,一半以上的国家限制或暂停了至少一项服务,如门诊或住院服务或社区医护。
近四分之三的国家报告说,牙科和康复服务已经部分或完全中断。
大约三分之二的国家报告说,常规免疫、非传染性疾病诊疗以及计划生育和避孕工作受到干扰。
一半以上的国家报告精神健康障碍、产前保健、癌症诊疗以及儿科等服务中断。
各国正采用各种策略应对这些干扰,例如实行分诊、远程医疗和将患者转到其他医疗设施。
尽管如此,在今后许多年内,人们将会感受到这些干扰造成的后果。
世界历尽艰辛,终于认识到健康不是一种奢侈品,而是安全、稳定和繁荣的基石。
所以,各国不仅要紧急应对这一大流行病,而且还要投资于建立国内强大的卫生系统和维护全球卫生安全。
去年,世界各国领导人齐聚纽约联合国大会,通过了一项具有里程碑意义的全民健康覆盖政治宣言。
各国现在比以往任何时候都须重视全民健康覆盖。
这不是一个国家能否负担全民健康覆盖的问题,而是国家如果不这样做是否可以承受其严重后果的问题。
谢谢大家。
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https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19—22-june-2020
WHO Director-General’s opening remarks at the media briefing on COVID-19 – 22 June 2020
Good morning, good afternoon and good evening.
It seems that almost every day we reach a new and grim record.
Yesterday, more than 183,000 new cases of COVID-19 were reported to WHO – easily the most in a single day so far.
More than 8.8 million cases have now been reported to WHO, and more than 465,000 people have lost their lives.
Some countries are continuing to see a rapid increase in cases and deaths.
Some countries that have successfully suppressed transmission are now seeing an upswing in cases as they reopen their societies and economies.
All countries are facing a delicate balance, between protecting their people, while minimizing the social and economic damage.
It’s not a choice between lives and livelihoods. Countries can do both.
We urge countries to be careful and creative in finding solutions that enable people to stay safe while getting on with their lives.
We continue to urge all countries to double down on the fundamental public health measures that we know work.
Finding and testing suspected cases works.
Isolating and caring for the sick works.
Tracing and quarantining contacts works.
And protecting health workers works.
At the same time, these measures can only be effective if each and every individual takes the measures that we also know work to protect themselves and others.
Maintain physical distance.
Continue cleaning your hands.
And wear a mask where appropriate.
Just as we do the things that we know work to prevent the spread of the disease, we’re also learning more about how to treat the sick.
Although the data are still preliminary, the recent finding that the steroid dexamethasone has life-saving potential for critically ill COVID-19 patients gave us a much-needed reason to celebrate.
The next challenge is to increase production and rapidly and equitably distribute dexamethasone worldwide, focusing on where it is needed most.
Demand has already surged, following the UK trial results showing dexamethasone’s clear benefit.
Fortunately, this is an inexpensive medicine and there are many dexamethasone manufacturers worldwide, who we are confident can accelerate production.
Guided by solidarity, countries must work together to ensure supplies are prioritized for countries where there are large numbers of critically ill patients, and that supplies remain available to treat other diseases for which it is needed.
Transparency and constant monitoring will be key to ensuring needs dictate supplies, rather than means.
It is also important to check that suppliers can guarantee quality, as there is a high risk of substandard or falsified products entering the market.
WHO emphasizes that dexamethasone should only be used for patients with severe or critical disease, under close clinical supervision.
There is no evidence this drug works for patients with mild disease or as a preventative measure, and it could cause harm.
WHO is also continuing to support countries with essential supplies of personal protective equipment and laboratory diagnostics.
One way we’re doing that is through the COVID-19 Supply Portal, an online platform through which countries that need supplies can enter requests.
So far, 48 countries have made requests for supplies, with a value of US$92 million.
WHO is currently in the process of shipping more than 140 million items of personal protective equipment to 135 countries, 14,000 oxygen concentrators and millions of tests.
Meanwhile, WHO is also working with countries to maintain essential health services.
WHO recently surveyed countries to assess the impact of the pandemic on essential health services.
Of the 82 countries that have responded so far, more than half have limited or suspended at least one service delivery platform, such as outpatient or inpatient services, or community-based care.
Almost three quarters of countries reported that dental and rehabilitation services have been partially or completely disrupted.
Around two-thirds of countries reported disruptions to routine immunization, diagnosis and treatment for noncommunicable diseases and family planning and contraception.
More than half of countries reported disruptions for mental health disorders, antenatal care, cancer diagnosis and treatment, and services for sick children.
Countries are using a variety of strategies to deal with these disruptions, including triage, telemedicine and redirecting patients to alternative health facilities.
Still, the consequences of these disruptions will be felt for many years to come.
The world is learning the hard way that health is not a luxury item; it’s the cornerstone of security, stability and prosperity.
That’s why it’s essential that countries not only respond urgently to the pandemic, but also that they invest in strong health systems domestically, and in global health security.
Last year, world leaders came together at the United Nations General Assembly in New York to adopt a landmark political declaration on universal health coverage.
Now more than ever, all countries must make universal health coverage a priority.
It’s not a question of whether countries can afford to do this, it’s a question of whether they can afford not to.
I thank you.
未经允许不得转载:慧康网 » 世卫组织总干事2020年6月22日在COVID-19疫情媒体通报会上的讲话