2022-06-20-世界卫生组织-Monthly_operational_update_on_COVID-19_-_June_2022_18页_3mb

报告摘要

WHO Monthly Operational Update on COVID-19: June 2022

From The Field

Genomic Surveillance & Strategy Development:
Türkiye, in collaboration with WHO, hosted a 3-day meeting (24-26 June) to develop a national genomic surveillance strategy for SARS-CoV-2, aiming to strengthen capacities across 9 regions. The meeting involved 32 participants from Türkiye and 30 international experts.
Ecuador’s Indigenous Engagement: Leveraged community health workers to empower indigenous populations during COVID-19, reducing transmission by enabling local hygiene practices and equitable information access.
Samoa Supplies: Received 15 tonnes of medical equipment (masks, gloves, oxygen concentrators, etc.) funded by the EU, accelerating vaccination efforts in a country with 14,422 COVID-19 cases by 16 June 2022.
Syria Vaccination Campaign: Mobilized 1,500+ teams for an intensified 2-week campaign, achieving nearly 80,000 weekly vaccinations amid misinformation and accessibility challenges.
Tanzania Simulation Exercise: Conducted a 7-day training to improve cross-sectoral (health, One Health) preparedness at entry points like Kilimanjaro Airport.
Bolivia’s Oxygen Therapy: Provided oxygen concentrators/pipelines to mitigate ICU strain during early pandemic waves, saving lives and building resilience for future health crises.
Yemen’s Dual Response: Partnered for COVID-19 vaccination (13 governorates) and essential health services, including oxygen stations in major hospitals by Sept 2022.
Burkina Faso/Viet Nam Resolutions: Collaborated with partners to draft legal frameworks and integration strategies for sustainable genomic surveillance now covering 10 high-threat countries.

OpenWHO and Learning

Platform Expansion: Over 6.8 million enrolments in 64+ languages (including 9 priority diseases, e.g., Cholera, Ebola). Highest enrolment surge for DRC’s French Ebola courses (17.2% of local learning).
COVID-19 Courses: 46 active courses, notably accessible in local languages. Democratic Republic of Congo utilized monkeypox resources exceeding the intermediate course by 36 times concurrent with outbreaks.
“Story of Coronavirus” Video: Used animation for human-centric translation of WHO’s science, viewed >20M times, winning 39 awards.
Monkeypox Training: WHO’s $700B+ innovation widely disseminated, but recommendations for mandatory vaccination during COVID-19: Ethical ambiguity created by its potential as a public tool for pressing inequalities.

Infodemic Management

Policy Updates on Vaccination Mandates: Explores whether mandatory policies balance individual rights with public health imperatives during COVID-19.
SARS-CoV-2 Severity during Omicron: Hospitalizations were less severe than Delta, but data variability raises concerns for the ongoing transition to endemic phase.

Public Health Response and Coordination Highlights

IPC Measures Reinforcement: Policy brief requires sustaining Infection Prevention & Control (IPC) in health facilities, achieving three main goals: preserve interventions, maintain readiness, scale up capacities.
WHO/Europe’s Intra-Action Review: Identified complex intra-sectoral challenges in Azerbaijan's COVID- preparatory efforts, promising future review design refinements.

Vaccine Delivery Partnership

COVDP: Ted Chaiban visited Malawi to push acceleration of COVID-19 vaccines; by April 2022, Malawi had ∼1.2 million first-dose beneficiaries (9%) among ∼57m at risk of future pneumo/polio re-outbreaks.
Priorities for Partnerships: Balancing scientific evidence, solidarity mechanisms, and donor contributions while building capacity in select nations.

Appeals

Fundraising Status: $568.5M raised (currently $90.8M pledged) towards WHO’s GHEA 2022 $2.7B ask; limited donor progress affects access disparity (high-income regions vs. LMICs).
COVID-19 Tools Accelerator (ACT-A): Supported by Diagnostics ($487M), Vaccines ($267M), Therapeutics ($176M), Health Systems/HRC ($355M) allocations.

Guidance and Publications

WHO Interm. Rec. (Jan 2022): Addresses variants, cross-immunity, and use of Ad26.COV2.S COVID-19 vaccine, recommending mRNA boosters for vulnerable populations.
Omicron Severity Reports: Highlights reduced hospital sequelae vs. Delta but ongoing genomic tracking needs.
IPC Policy Brief: Urges continuous IPC implementation, emphasizing hand hygiene, case/focus tracing, avoiding transmission fomites.

Key Links and Resources

WHO Operational Data: Navigate regional epidemiological updates from EMTs & GOARN(vacE detections) for acute risk management.
New Publications: Priority regions (AFRO/WHO, AFRO’s SURGE) assessed impact of geopolitical conflicts/health systems strain.
EPI-WIN & Outreach: Access Monkeypox training (Science in 5), Watch COVID-19 Vaccine Delivery Partnership Reports, and regional response initiatives.