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| 埃博拉相关恐惧、耻辱及歧视不容忽视 |
| 辛海光1,2,陆叶1,3,杨武4,邵小平1,5,万昌丽1,6,贺治青1,7,陈静1,8,郭昌星1,5,李成忠1,9*,鞠金涛10* |
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(1. 中国人民解放军第二批援利医疗队;
2. 第二军医大学长征医院感染科, 上海 200003;
3. 第二军医大学长征医院麻醉科, 上海 200003;
4. 第二军医大学训练部临床管理处, 上海 200433;
5. 第二军医大学长征医院急救科, 上海 200003;
6. 第二军医大学长征医院骨科, 上海 200003;
7. 第二军医大学长征医院心内科, 上海 200003;
8. 第二军医大学长征医院肾内科, 上海 200003;
9. 第二军医大学长海医院感染科, 上海 200433;
10. 第二军医大学海军医学系, 上海 200433
*通信作者) |
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| 摘要: |
| 埃博拉相关恐惧、耻辱和歧视是在埃博拉病毒病(EVD)流行过程中产生的一种心理障碍及行为表现。它的产生不仅与EVD的高致死性、易传播性、不易鉴别等特点有关,而且与西非滞后的经济和教育水平、极不完善的医疗体系、传统的生活生产方式以及当地政治等多种因素有关。笔者作为中国人民解放军第二批援利医疗队成员,在利比里亚工作期间也感受到了针对EVD患者、密切接触者甚至相关医务工作者的恐惧、歧视甚至伤害,也体会到这些行为对EVD防控带来的不利影响;在积极救治EVD患者的过程中,通过深入当地社区开展相关宣传教育、培训当地医务人员防护技能、雇佣EVD治愈者参与防控工作以及援助大量防护装备等方式提高当地EVD防控水平,消除埃博拉相关恐惧、耻辱及歧视。通过加紧研制针对EVD的药物和疫苗,坚持全方位的援助以及加强宣传教育等方式将有助于消除埃博拉疫情及其相关恐惧、耻辱和歧视。 |
| 关键词: 埃博拉病毒病 恐惧 耻辱 歧视 |
| DOI：10.3724/SP.J.1008.2015.00813 |
| 投稿时间：2015-04-13修订日期：2015-05-20 |
| 基金项目: |
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| Ebola virus disease-related fear, stigma and discrimination can not be overlooked |
| XIN Hai-guang1,2,LU Ye1,3,YANG Wu4,SHAO Xiao-ping1,5,WAN Chang-li1,6,HE Zhi-qing1,7,CHEN Jing1,8,GUO Chang-xing1,5,LI Cheng-zhong1,9*,JU Jin-tao10* |
(1. The Second Medical Team of the Chinese People's Liberation Army to Liberia;
2. Department of Infectious Diseases, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China;
3. Department of Anesthesiology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China;
4. Office of Clinical Management, Divison of Training, Second Military Medical University, Shanghai 200433, China;
5. Department of Emergency, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China;
6. Department of Orthopedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China;
7. Department of Cardiology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China;
8. Department of Nephrology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China;
9. Department of Infectious Diseases, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;
10. Faculty of Naval Medicine, Second Military Medical University, Shanghai 200433, China
*Corresponding authors) |
| Abstract: |
| Ebola virus disease (EVD)-related fear, stigma and discrimination are series of psychological barriers and behaviors during EVD epidemics, which are caused not only by the characters of EVD, such as high fatality rate, high transmission efficiency and clinical similarities to other infectious diseases, but also by the backward economy and educational levels, unsound hospital and health care system, traditional production mode and life style, and political unrest in West Africa countries. As members of the second batch of the Chinese People's Liberation Army (PLA) medical team to Liberia the authors noticed that not only EVD patients and the contacts, but also the medical workers had to face the fear, discrimination, and even the violence from other people, which decreased the effects of the EVD-prevention and control efforts. Prompt publicity and education about EVD in local communities, Ebola-prevention training programs to the local health workers, letting Ebola survivors to participate in the epidemic control mission, and providing more protective equipment should be employed to improve Ebola prevention and eliminate the Ebola-related fear, stigma and discrimination. It is suggested that strengthening the research on the specific vaccines and medicines against Ebola, all-around assistance from the international society and extensive publicity and education about Ebola can help to dismiss the psychological barriers of fear, stigma, and discrimination about EVD. |
| Key words: Ebola virus disease fear stigma discrimination |
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