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Framework for Managing the COVID-19 Infodemic: Methods and Results of an Online, Crowdsourced WHO Technical Consultation.

管理infodesire新型冠状病毒肺炎框架: 在线、众包世卫组织技术咨询的方法和结果。

  • 影响因子:5.82
  • DOI:10.2196/19659
  • 作者列表:"Tangcharoensathien V","Calleja N","Nguyen T","Purnat T","D'Agostino M","Garcia-Saiso S","Landry M","Rashidian A","Hamilton C","AbdAllah A","Ghiga I","Hill A","Hougendobler D","van Andel J","Nunn M","Brooks I","Sacco PL","De Domenico M","Mai P","Gruzd A","Alaphilippe A","Briand S
  • 发表时间:2020-06-26
Abstract

BACKGROUND:An infodemic is an overabundance of information-some accurate and some not-that occurs during an epidemic. In a similar manner to an epidemic, it spreads between humans via digital and physical information systems. It makes it hard for people to find trustworthy sources and reliable guidance when they need it. OBJECTIVE:A World Health Organization (WHO) technical consultation on responding to the infodemic related to the coronavirus disease (COVID-19) pandemic was held, entirely online, to crowdsource suggested actions for a framework for infodemic management. METHODS:A group of policy makers, public health professionals, researchers, students, and other concerned stakeholders was joined by representatives of the media, social media platforms, various private sector organizations, and civil society to suggest and discuss actions for all parts of society, and multiple related professional and scientific disciplines, methods, and technologies. A total of 594 ideas for actions were crowdsourced online during the discussions and consolidated into suggestions for an infodemic management framework. RESULTS:The analysis team distilled the suggestions into a set of 50 proposed actions for a framework for managing infodemics in health emergencies. The consultation revealed six policy implications to consider. First, interventions and messages must be based on science and evidence, and must reach citizens and enable them to make informed decisions on how to protect themselves and their communities in a health emergency. Second, knowledge should be translated into actionable behavior-change messages, presented in ways that are understood by and accessible to all individuals in all parts of all societies. Third, governments should reach out to key communities to ensure their concerns and information needs are understood, tailoring advice and messages to address the audiences they represent. Fourth, to strengthen the analysis and amplification of information impact, strategic partnerships should be formed across all sectors, including but not limited to the social media and technology sectors, academia, and civil society. Fifth, health authorities should ensure that these actions are informed by reliable information that helps them understand the circulating narratives and changes in the flow of information, questions, and misinformation in communities. Sixth, following experiences to date in responding to the COVID-19 infodemic and the lessons from other disease outbreaks, infodemic management approaches should be further developed to support preparedness and response, and to inform risk mitigation, and be enhanced through data science and sociobehavioral and other research. CONCLUSIONS:The first version of this framework proposes five action areas in which WHO Member States and actors within society can apply, according to their mandate, an infodemic management approach adapted to national contexts and practices. Responses to the COVID-19 pandemic and the related infodemic require swift, regular, systematic, and coordinated action from multiple sectors of society and government. It remains crucial that we promote trusted information and fight misinformation, thereby helping save lives.

摘要

背景: 信息系统是流行病期间发生的大量信息 -- 有些是准确的,有些不是。它以类似于流行病的方式,通过数字和物理信息系统在人类之间传播。这使得人们在需要时很难找到值得信赖的来源和可靠的指导。 目的: 针对与冠状病毒疾病 (世卫组织) 大流行相关的infodesire进行了一次新型冠状病毒肺炎的技术咨询,完全在线,众筹提出了infodesire管理框架的行动建议。 方法: 媒体、社交媒体平台、各种私营部门组织的代表加入了一群决策者、公共卫生专业人员、研究人员、学生和其他相关利益相关者和民间社会建议和讨论社会各部分的行动,以及多个相关的专业和科学学科、方法,和技术。在讨论期间,总共有 594 个行动想法在网上众包,并整合为infodeolar管理框架的建议。 结果: 分析小组将建议浓缩成一组 50 项拟议行动,用于管理突发卫生事件中的信息流行病。磋商揭示了需要考虑的六个政策影响。首先,干预措施和信息必须基于科学和证据,必须接触到公民,使他们能够就如何在卫生紧急情况下保护自己和社区做出明智的决定。第二,知识应该转化为可操作的行为改变信息,以所有社会所有部分的所有个人都理解和可以访问的方式呈现。第三,政府应接触关键社区,确保他们的关切和信息需求得到理解,量身定制咨询和信息,以满足他们所代表的受众。第四,为了加强对信息影响的分析和放大,应在所有部门建立战略伙伴关系,包括但不限于社交媒体和技术部门、学术界和民间社会。第五,卫生当局应确保这些行动得到可靠的信息,帮助他们了解社区信息、问题和错误信息流动的循环叙述和变化。第六,根据迄今在应对信息系统新型冠状病毒肺炎经验和其他疾病爆发的教训,应进一步发展信息系统管理方法,以支持准备和应对,并为风险缓解提供信息,并通过数据科学和社会行为等研究得到增强。 结论: 本框架的第一版提出了五个行动领域,世卫组织会员国和社会内行为者可以根据其任务规定,适用适应国情和实践的信息管理方法。应对新型冠状病毒肺炎大流行和相关信息系统需要社会和政府多个部门采取迅速、定期、系统和协调的行动。至关重要的是,我们要促进可信信息,打击错误信息,从而帮助拯救生命。

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DOI:10.3346/jkms.2020.35.e79
作者列表:["Lim J","Jeon S","Shin HY","Kim MJ","Seong YM","Lee WJ","Choe KW","Kang YM","Lee B","Park SJ"]

METHODS::Since mid-December of 2019, coronavirus disease 2019 (COVID-19) infection has been spreading from Wuhan, China. The confirmed COVID-19 patients in South Korea are those who came from or visited China. As secondary transmissions have occurred and the speed of transmission is accelerating, there are rising concerns about community infections. The 54-year old male is the third patient diagnosed with COVID-19 infection in Korea. He is a worker for a clothing business and had mild respiratory symptoms and intermittent fever in the beginning of hospitalization, and pneumonia symptoms on chest computerized tomography scan on day 6 of admission. This patient caused one case of secondary transmission and three cases of tertiary transmission. Hereby, we report the clinical findings of the index patient who was the first to cause tertiary transmission outside China. Interestingly, after lopinavir/ritonavir (Kaletra, AbbVie) was administered, β-coronavirus viral loads significantly decreased and no or little coronavirus titers were observed.

影响因子:4.36
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METHODS::In December 2019, a novel coronavirus (2019-nCoV) caused an outbreak in Wuhan, China, and soon spread to other parts of the world. It was believed that 2019-nCoV was transmitted through respiratory tract and then induced pneumonia, thus molecular diagnosis based on oral swabs was used for confirmation of this disease. Likewise, patient will be released upon two times of negative detection from oral swabs. However, many coronaviruses can also be transmitted through oral-fecal route by infecting intestines. Whether 2019-nCoV infected patients also carry virus in other organs like intestine need to be tested. We conducted investigation on patients in a local hospital who were infected with this virus. We found the presence of 2019-nCoV in anal swabs and blood as well, and more anal swab positives than oral swab positives in a later stage of infection, suggesting shedding and thereby transmitted through oral-fecal route. We also showed serology test can improve detection positive rate thus should be used in future epidemiology. Our report provides a cautionary warning that 2019-nCoV may be shed through multiple routes.

翻译标题与摘要 下载文献
影响因子:2.48
发表时间:2020-04-01
来源期刊:Infection
DOI:10.1007/s15010-020-01401-y
作者列表:["Cheng ZJ","Shan J"]

METHODS::There is a current worldwide outbreak of a new type of coronavirus (2019-nCoV), which originated from Wuhan in China and has now spread to 17 other countries. Governments are under increased pressure to stop the outbreak spiraling into a global health emergency. At this stage, preparedness, transparency, and sharing of information are crucial to risk assessments and beginning outbreak control activities. This information should include reports from outbreak sites and from laboratories supporting the investigation. This paper aggregates and consolidates the virology, epidemiology, clinical management strategies from both English and Chinese literature, official news channels, and other official government documents. In addition, by fitting the number of infections with a single-term exponential model, we report that the infection is spreading at an exponential rate, with a doubling period of 1.8 days.

呼吸道感染方向

呼吸道感染分为上呼吸道感染与下呼吸道感染。上呼吸道感染是指自鼻腔至喉部之间的急性炎症的总称,是最常见的感染性疾病。下呼吸道感染是最常见的感染性疾患,治疗时必须明确引起感染的病原体以选择有效的抗生素。

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