世界卫生组织发布操作规划指南，旨在帮助各国在新冠疫情期间保持基本卫生服务1。WHO指出，全球卫生系统因疫情面临超负荷压力，如果基本服务中断，可能导致其他可防治疾病的死亡率增加1。WHO总干事谭德塞强调："最好的防御是强大的卫生系统"1。这一警示源于历史教训——在2014-2015年埃博拉疫情期间，因卫生系统失效导致的麻疹、疟疾、艾滋病和结核病死亡人数超过了埃博拉的直接死亡人数1。
指南要求各国确定优先维持的基本卫生服务，范围涵盖常规疫苗接种、孕产妇保健、幼儿及老年人护理、精神卫生、非传染性疾病及传染病管理、紧急医疗救治等1。为保障这些服务的连续性，指南强调各国需要通过资源优化和透明沟通来应对，特别是进行频繁透明的公众沟通和社区参与1。
The World Health Organization has issued operational guidelines to assist countries in sustaining critical health services amid the COVID-19 crisis.1 The WHO emphasized that the pandemic has strained health systems globally, risking increased mortality from preventable diseases as resources become stretched.1
The guidelines direct nations to prioritize essential services that must continue operating, including routine immunization programs, maternal and child healthcare, management of communicable and non-communicable diseases, mental health services, and emergency medical care.1 WHO Director-General Tedros Adhanom Ghebreyesus underscored the importance of these measures, stating that "the strongest defense is a strong health system."1
Drawing on lessons from previous crises, the WHO noted that during the 2014-2015 Ebola outbreak, deaths from measles, malaria, HIV/AIDS, and tuberculosis caused by health system collapse exceeded direct Ebola fatalities.1 To ensure service continuity, the guidelines recommend optimizing resource allocation and maintaining frequent, transparent communication with the public and communities.1
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