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随着全球接种SARS-CoV-2(新型冠状病毒)疫苗人数的增加,新冠病例和死亡人数总体在减少,我们可以期望不就大将来人们能够恢复正常的生活。但哈佛大学公共卫生学院的专家指出,尽管大多数人可能能够做到这一点,但在感染Covid-19数月后仍然出现衰弱症状的10%到30%的人却难以恢复到正常的生活。他们认为,从目前的数字和趋势表明,“新冠长期后遗症(long-haulCovidor“longCovid”)”将是下一场公共卫生灾难。NowthatmoreandmoreadultshavebeenvaccinatedagainstSARS-CoV-2,Covid-19casesanddeathsareonthedecline,andthereisapalpablesensethatlifecanreturntonormal.ThoughmostAmericansmaybeabletodoso,restorationofnormalitydoesnotapplytothe10%to30%ofthosewhoarestillexperiencingdebilitatingsymptomsmonthsafterbeinginfectedwithCovid-19.Unfortunately,currentnumbersandtrendsindicatethat“long-haulCovid(or“longCovid”)isournextpublichealthdisasterinthemaking.
美国疾病控制与预防中心(CDC)估计,截至年3月,已有超过1.14亿美国人感染了新冠肺炎病毒。考虑到未接种疫苗的人群中发生新的感染,我们可以保守地预计这次大流行将导致超过万例新冠长期后遗症患者。这些患者的平均年龄约为40岁,这意味着大多数人正处于黄金工作年龄。因此新冠长期后遗症可能会给我们的医疗保健系统和经济复苏蒙上一层阴影。TheCentersforDiseaseControlandPrevention(CDC)estimatesthatmorethanmillionAmericanshadbeeninfectedwithCovid-19throughmarch.Factoringinnewinfectionsinunvaccinatedpeople,wecanconservativelyexpectmorethan15millioncasesoflongCovidresultingfromthispandemic.Andthoughdataarestillemerging,theaverageageofpatientswithlongCovidisabout40,whichmeansthatthemajorityareintheirprimeworkingyears.Giventhesedemographics,longCovidislikelytocastalongshadowonourhealthcaresystemandeconomicrecovery.
鉴于新冠长期后遗症的复杂和模糊的临床表现,患者群体在分科很细、以器官为分科依据的医疗保健系统中面临艰难而曲折的看病经历。目前对该病症没有明确的共识定义;事实上,描述它不是什么比描述它是什么更容易。ThecohortofpatientswithlongCovidwillfaceadifficultandtortuousexperiencewithourmultispecialty,organ-focusedhealthcaresystem,inlightofthe