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Critical medical ecology and SARS-COV-2 in the urban environment:a pragmatic,dynamic approach to explaining and planning for research and practice

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Infectious Diseases of Poverty 2020年第3期9卷 90-96页

作者： Timothy De Ver Dye Erin Muir lorne farovitch Shazia Siddiqi Saloni Sharma Department of Obstetrics and Gynecology University of Rochester School of Medicine and Dentistry601 Elmwood AvenueRochesterNew York 14642USA

Background:Practitioners and researchers in the midst of overwhelming coronavirus disease 2019(COVID-19)outbreaks are calling for new ways of looking at such pandemics,with an emphasis on human behavior and holistic *** outbreaks are characterized by socio-behaviorally-oriented public health efforts aimed at reducing exposure and prevention of morbidity/mortality once *** efforts involve different points-ofview,generally,than do those aimed to understand the virus’natural *** spread of SARS-CoV-2 infection in cities clearly signals that urban areas contain conditions favorable for rapid transmission of the *** text:The Critical Medical Ecology model is a multidimensional,multilevel way of viewing pandemics comprehensively,rooted simultaneously in microbiology and in anthropology,with shared priority for evolution,context,stressors,homeostasis,adaptation,and power *** COVID-19 with a Critical Medical Ecological lens suggests three important interpretations:1)COVID-19 is equally-if not more-a socially-driven disease as much as a biomedical disease,2)the present interventions available for primary prevention of transmission are social and behavioral interventions,and 3)wide variation in COVID-19 hospitalization/death rates is not expected to significantly be attributable to a more virulent and rapidly-evolving virus,but rather to differences in social and behavioral factors-and power dynamics-rather than(solely)biological and clinical *** especially are challenged due to logistics and volume of patients,and lack of access to sustaining products and services for many residents living in ***:In the end,SARS-CoV-2 is acting upon dynamic social human beings,entangled within structures and relationships that include but extend far beyond their cells,and in fact beyond their own individual *** a comprehensive way of thinking,the Critical Medical Ecology model helps identify

关键词： COVID-19 SARS-CoV-2 Critical Medical Ecology model

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