30个国家易受类埃博拉疫情的威胁

30个国家易受类埃博拉疫情的威胁

A new report warns that nearly 30 countries are highly vulnerable to an Ebola-like epidemic 1. Save the Children says those countries have even weaker health care systems than Guinea, Liberia and Sierra Leone had before the outbreak.

一份最新报告称近30多个国家非常容易遭受埃博拉这样疫情的破坏，拯救儿童基金会称这些国家的医疗系统甚至比几内亚、利比里亚和塞拉利昂疫情爆发前的医疗系统还要糟。

The Save the Children report is entitled: Wake Up Call: Lessons from Ebola for the World’s Health Systems.

拯救儿童基金会报告的标题是：敲响警钟：世界医疗体系应从埃博拉中吸取的教训。

Brendan, the organization’s Director of Policy and Advocacy, said, “Well, what we hope is that from all of the horror, the pain and the suffering that’s come as a result of the Ebola crisis that some good will come of it, that we will learn some of the lessons. And so, as the name of the report says, we hope it will be a wake up call to the international community. What that means is that we need to get much better at not just responding to crises like Ebola, but getting out ahead of them.”

布兰登是该组织政策与宣传主任，他说，“我们希望在埃博拉危机带来所有的恐怖、伤痛和痛苦之后，能从中吸取到好的东西，我们将吸取教训。同时，正如报告标题所说的那样，我们希望这对国际社会来说是个警钟。这就意味着我们需要不仅要在应对埃博拉等危机上做出更好的应对，还要提前做好预防。”

He said that countries with weak health care systems are prime areas for disease outbreaks.

他说那些医疗体系糟糕的国家是疾病爆发的主要地区。

“When you allow a country like Liberia with one health care worker per 4,000 people, which compares to the U.K. of one per 80, for example, it should be of no surprise that those countries are susceptible 2 to outbreaks like this. But also they can incubate diseases like this that can also spread around the planet.”

“在利比里亚这样的国家，每4000人只有一位医疗人员，而英国每80人就有一位医疗人员，所以利比里亚这样的国家容易爆发疫情也就不足为奇了，但同时也可能会酝酿出埃博拉这样能蔓延整个世界的疾病。”

The Save the Children report lists 28 countries as highly vulnerable to West Africa Ebola-size epidemics 3.

拯救儿童基金会列出了非常容易受西非埃博拉这样规模疫情影响的28个国家。

“Most of them are Africa, but they range from Haiti to Afghanistan, really right around the world, but obviously focused on those poorest countries. And what that says is that far from Liberia, Sierra Leone and Guinea being the exception – far from them being strange individual cases -- in fact, there’s a whole set of countries, some with much bigger population sizes, that could be in danger of these sorts of diseases,” said Cox.

“大多数是非洲国家，但同时也包括海地到阿富汗，也就是全世界，不过显然主要是在最贫困国家。也就是说利比里亚、塞拉利昂和几内亚根本不是例外，根本不是单个的案例，事实上，有很多人口规模巨大的国家也有可能发生此类疾病。”

The threat is not just from Ebola. Cox said two new zoonotic diseases – diseases that are transmitted from animals to humans – emerge every year.

其威胁不仅来自埃博拉，考克斯说有两种新的人兽共患病每年都会发生，也就是从动物传给人类的疾病。

It’s estimated donors 4 have committed $4.3 billion to fight Ebola in West Africa. Save the Children said that’s “nearly three times the annual cost of investing in building a universal health service in all three affected 5 countries.”

据估计捐赠者为为西非的埃博拉疫情捐赠了43亿美元，拯救儿童基金会称这“几乎相当于三个疫情国家年度全民医疗服务建设投资总额的三倍。”

“Unless we learn an old adage 6 that prevention is better than cure, we’re going to be spending a hell of a lot of money that we didn’t need to. And most importantly, a lot more human suffering [than] there needs to be," he said. "So that’s why we’re saying, ‘learn that lesson. Invest in health systems. Build up a basic health care system in each of these countries.’ And that – not protective suits, not vaccines 7, not reforming the humanitarian 8 system – that is the key lesson from this crisis.”

“除非我们能听从一句古老的格言，也就是预防是更好的治疗，我们还会花去大量原本无需花费的金钱。最重要的是，人们要糟糕更多痛苦。所以我们说，‘吸取教训，投资医疗体系，在每个国家都建设基本的医疗体系。’不是防护装、不是疫苗，也不是改革人道主义体系，这就是这场危机最关键的教训。”

Cox said that universal health coverage 9 would allow diseases to be identified, contained and treated early.

考克斯说，全民医疗覆盖将能及早识别、遏制和治疗疾病。

“People will be going for routine immunizations. People would be going to give birth. Mortality rates will come down,” he said.

“人们将进行常规的免疫，这样就能生育，死亡率也会下降。”

Weak health care systems, he said, contribute to the deaths of 17,000 children each day from preventable causes, such as malaria 10 and pneumonia 11.

他说，糟糕的医疗体系导致每年有1.7万儿童死于原本可以预防的疾病，比如疟疾和肺炎。

The World Health Organization estimates it would cost a country nearly $90 per person per year to provide the minimum of health care.

世卫组织估计每个国家大约每年需要在每人身上花费90美元来提供最基本的医疗服务。

The Save the Children report recommended countries increase their domestic tax revenue so they can “allocate at least 15 percent of their national budgets to health.” It also called on world leaders “to commit to end preventable maternal 12, new-born and child deaths by 2030.”

拯救儿童基金会的报告建议各国增加国内税收，这样就能“至少分配15%的国民预算用于医疗。”还呼吁各国领导人“致力于在2030年之前终结可预防的妊娠、新生儿和儿童死亡。”

The organization said this and universal health coverage could be addressed in the Sustainable Development Goals that will replace the Millennium 13 Development Goals at the end of this year.

该组织称这一目标和全民医疗覆盖将在可持续发展目标中得到解决，可持续发展目标将在今年年底取代千年发展目标。