我们是否应该放松对SARS - CoV-2大流行的规范?:对印度国内新冠肺炎疫情联合声明的分析

Ria Roy, Sarita Kumari, K. Naveen
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摘要

随着人群中新的BF.7和XBB组粒变异的出现,COVID-19的人口统计学和基因组学发生了变化。IPHA和IAPSM发布了关于印度COVID-19大流行的第五次联合声明,其中“与COVID共存”是主题。该报告总结说,现在是时候宣布结束这一流行病,并将防止滥用任何新出现疾病的机制制度化。然而,我们应该展望全球趋势,并为即将到来的新变种做好准备,并进行强有力的监测,以防止另一次大流行。基因组测序及其与疾病严重程度的关系、加强综合初级保健服务是可以采取的少数措施。应遵循循证决策,而不是只考虑有限的资源分配。尽管目前COVID-19处于流行状态,但如果病例增加,州一级的建议和要求可能适用口罩、消毒剂或保持社交距离。随着时间的推移,无论是在感染前还是在感染后接种疫苗,对再次感染的保护作用都在下降。然而,既感染又接种疫苗的人比未感染或在同一时间后接种第二剂疫苗的人具有更高的保护作用。保持谨慎和鼓励人群接种疫苗应该是我们维持人群高水平血清阳性的持续战略。
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Should we Relax the Norms on SARS CoV-2 Pandemic Yet?: Analysis of the Joint Statement on COVID Pandemic within India
The demographic and genomics of COVID-19 have changed with the advent of new BF.7 and XBB Omicron variants in the population. IPHA and IAPSM have released the 5th Joint statement on COVID-19 pandemic in India, where “Living with COVID” is the main theme. The report has summarized that it was time to declare an end to the pandemic, and institutionalize mechanisms for preventing misuse of any emergent disease. However, we should look towards the trends worldwide and be prepared for incoming new variants with robust surveillance to prevent another pandemic. Genomic sequencing and its association with the disease severity, strengthening the comprehensive primary health services are few of the measures that can be taken. Evidence-based decisions should be followed rather than keeping only restrained allocation of resources in mind. Despite the present endemic status of COVID-19, state level recommendations and mandates of masks, sanitisers or social distancing might apply in case there is rise of cases. With passage of time, protection against reinfection decreased regardless of vaccination before or after infection. However, people who were both infected and vaccinated had higher protection than those who were uninfected, or received a second dose of vaccine after the same time had elapsed. Remaining cautious and encouraging vaccination for the population should be our ongoing strategy for maintaining high level of seropositivity in the population.
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