4 Big Lessons To Be Learnt from the Covid19 Pandemic.

[Music]

uh

the 27th of february 2020

began like every other random day for me

i was still quietly in the meeting

somewhere when i received

a whatsapp message

we have confirmed our first case of

kovid

little did i know at that time that that

simple

whatsapp message was going to be my

baptism of

fire into what i now refer to as my

first

pandemic response experience

the last couple of months have been a

lot of things for me

my colleagues and indeed a lot of

nigerians

the sleepless nights the confusion the

frustration

the joy from having our loved ones

return from coveted isolation centers

the sadness from losing loved ones to

covet 19

the on and off depression

the sleepless nights the endless

meetings

the anxiety a lot of things

but the biggest parts for me would

always be the lessons

from this experience so i call this

the four biggest lessons we should all

learn

about public health from the kovy 19

pandemic

first lesson public health

is political

in public health we often say that the

field

is driven by

science and evidence and this is true

nobody can argue that

but is that really all that drives this

very important field

i think not

and for those of us who have either been

involved in this pandemic response

or who have followed the trajectory of

conversations

would probably by now understand the

extent to which

politics and political decisions

drive public health interventions

public health response public health

infrastructure

whether you’re talking about the

leadership itself

whether you’re talking about the

financing of public health

initiatives or response whatever it is

politics is a big driver

of whatever happens as far as public

health response

is concerned early on in nigeria we

saw the president inaugurate the

presidential task force

on covey 19 to provide both political

and strategic leadership for the

response

many of us who are involved in this

response can argue positively

that a large part of the success that we

have had

in the country to the

coverage response has been largely to

this political structure that was put in

place

early enough at the micro level we’ve

seen

governors exercise their political will

to ensure that

necessary infrastructure is available in

their states

whether you’re talking about

laboratories to diagnose

covid19 what are you talking about

covered isolation centers for clinical

management

one way or the other leaderships at the

state level have taken

some responsibility exercising their

political will to ensure that

things happen when they showed how they

should and for who they showed

so we must begin to

ask public health experts

but generally as a whole begin to

internalize and reflect

on the role that politics plays in

shaping public health response

if we must build back better post kobe

the second lesson is that public health

is local

local hair not necessarily restricting

or limiting to

geographical settings even though that

still applies

but local in the sense that

we unpack the bigger population

into smaller groups with

similar characteristics such as age

gender religion profession

because at the end of the day

messages even though they are the same

would always be interpreted by people

based on their circumstances at the time

and the environment that they find

themselves in

so the way a doctor would interpret the

same message might be different from the

way

farmer walking in his farms will

interpret it

the way a rich man might interpret a

message might be a bit different from

the way

that a former a homeless person would

interpret the same messaging

so if we are to communicate better in

future

we need to start to to learn

to customize public health messaging

public health interventions to fit

different groups of people in their

settings

within their spaces so that at the end

of the day we do not

end up leaving any group behind

the third lesson is that public health

is everything

not just health

due to the kobe pandemic we have seen

millions of jobs lost

millions of people have lost their

sources of livelihoods due to the

multiple global lockdowns

businesses have gone bankrupt

many have been shut down

some may rebuild some may not

in the early days of the pandemic in

nigeria we have the vice president of

nigeria professor yemi

osinbajo project

that by december 2020

close to 39.4 million jobs

will be lost in nigeria

if that number does not die you

think for a minute about how many

eyeshadows

and have met how many ngozis and

makers how many toulouse and au pairs

how many celestinas

is 39.4 million

how many of that 39.4 million

are our mothers our brothers our sisters

our uncles

our friends our neighbors

think about the almost 50 million school

children who have been forced to stay at

home for almost

six months because our schools and our

institutions

are locked down

think about all of this within the

context

of a country where even before the

lockdown

unemployment rate was already at almost

34

and even among those who employed the

underemployment was

at about 19 according to the nigerian

bureau of statistics

in a context where a huge number of our

children were already out

of school in a context where

our educational infrastructure was

already as fragile as we had it

pre-covered

think about it for a minute

finally public health is everybody’s

business

for the first time in a very long time

because of the covey pandemic

we have a situation where everybody

is affected by the same thing

in this case covid19 infection

for the very first time in a long time a

lot of us are living through a situation

where

it doesn’t matter who you are whether

you’re rich or poor

whether you’re a pharma doctor whether

you’re a journalist a politician

whether you’re young or old whether

you’re a boy a girl

male or female nobody is immune

nobody is shielded

we’ve had presidents affected we’ve had

governors affected we’ve had farmers we

have

we’ve had doctors everybody

everywhere

even in places where we thought things

were a lot better even in the more

developed climbs

developed nations and under developed

nations alike everybody is

affected

nobody is immune nobody showed it

so if this does not make us

think about how much

anything public health is everybody’s

business i don’t know what else will

and as i end this talk today

i want to invite all of us

each one of us sit back and think for a

minute about the role

that we are playing to end this pandemic

are you making things better why are you

making them worse

thank you

[音乐]

嗯 2020 年 2 月 27

日对我来说就像每隔一天一样开始,

当我收到一条 whatsapp 消息时,我还在某个地方安静地开会,

我们已经确认了我们的第一例

kovid

19。

当时我几乎不知道

简单的

whatsapp消息

将成为我现在所说的

第一次

大流行应对经验

的火洗礼过去几个月

对我

我的同事甚至很多

尼日利亚人来说是很多事情不眠之夜混乱

沮丧

让我们所爱的人

从梦寐以求的孤立中归来的喜悦 中心

失去爱人而垂涎的悲伤 19 时断时续的

抑郁 不眠之夜 无休止的

会议 焦虑 很多事情,

但对我来说最重要的部分

永远是课程

从这次经历中,我称之为

我们都应该

从 kovy 19 大流行中学到的

关于公共卫生的四大

教训 第一课公共卫生

是政治的

在公共卫生领域,我们经常说该

领域

是由

科学和证据驱动的,这是事实,

没有人可以争辩说,

但我认为不是驱动这个

非常重要的领域的所有因素

,对于我们这些参与过这个领域的人来说

大流行应对

或遵循对话轨迹的

人现在可能会了解

政治和政治决策在多大程度上

推动公共卫生干预

公共卫生应对 公共卫生

基础设施

无论您是在谈论

领导本身

还是在谈论

融资 公共卫生

倡议或响应无论是什么

政治是

任何发生的事情的重要驱动力就公共卫生

响应而言,早在尼日利亚,我们

看到总统就职第 19 届

总统特别工作

组就职,为政府提供政治

和战略领导

响应

我们中的许多参与此响应的人都

可以积极地争辩说

我们

在该国对

覆盖响应所取得的成功在很大程度上归功于

这种政治结构,这种结构

在微观层面上很早就已经到位,我们已经

看到

州长们行使他们的政治意愿,

以确保

必要的基础设施是 无论您是在谈论诊断 covid19 的实验室,在

他们的州都

可以使用您在谈论

一种方式进行临床管理的有盖隔离中心,还是州一级的其他领导

已经承担了

一些责任,行使了他们的

政治意愿,以确保

事情在他们发生时发生 展示了他们

应该如何以及他们展示了谁,

因此我们必须开始

询问公共卫生专家,

但总的来说,如果我们必须在神户 19 后重建得更好,我们必须开始

内化并反思

政治在塑造公共卫生应对方面所起的作用

第二个教训是公共卫生

是当地的

当地头发不一定限制

或限制在

地理上 图形设置尽管

仍然适用,

但在某种意义上是局部的,因为

我们将较大的人口

分解为具有

相似特征(例如年龄

性别宗教职业)的较小群体,

因为在一天结束时,

即使它们相同

,人们也总是会解释信息

根据他们当时的情况

和他们所处的环境,

因此医生解释

同一信息的方式可能与

农夫在他的农场中行走的方式不同,

富人解释

信息的方式可能是不同的 与

前无家可归者

解释相同信息的方式有点不同,

所以如果我们将来要更好地沟通,

我们需要开始

学习定制公共卫生信息

公共卫生干预措施,以适应

不同人群的

环境

在他们的空间内,以便在

一天结束时,我们不会

最终将任何群体留

在第三个 教训是,公共卫生

不仅仅是健康,

因为神户大流行,我们已经看到

数以百万计的工作失去了

数百万人

由于全球多次封锁而失去了生计来源

企业破产了

许多企业已经倒闭,

有些可能会重建 有些人可能不会

在尼日利亚大流行的早期阶段

我们有尼日利亚副总统

耶米·奥辛巴霍教授

项目

,如果这个数字不死,到 2020 年 12 月

,尼日利亚将失去近 3940 万个工作岗位

想一想如何 许多

眼影

,见过多少 ngozis 和制造商 多少图卢兹和

互惠生 有

多少 celestinas

是 3940 万

这 3940 万中

有多少是我们的母亲 我们的兄弟姐妹

我们的叔叔

我们的朋友 我们的邻居

想想将近 5000 万学童

由于我们的学校和

机构

被封锁,

我们被迫在家呆了将近六个月 这是在

一个国家的背景下,根据尼日利亚统计局的数据,即使在封锁之前,

失业率已经接近

34 人

,甚至在

就业不足的人中也

有大约 19 人,

而我们的大量

孩子已经

我们的教育基础设施

已经像我们

预先覆盖的那样脆弱的情况下离开学校

考虑一下

最后公共卫生

在很长一段时间内第一次成为每个人的事,

因为我们有一个covey大流行

在这种情况下

,很长一段时间以来第一次感染covid19,每个人都受到同样的影响

,我们中的很多人都生活在这样一种情况

下,

无论你是富人还是穷人,你是谁都无所谓

无论

您是记者还是政治家,

无论您是年轻还是年老,无论

您是男孩还是女孩,无论是

男性还是女性,无人能免疫,

无人能挡。 d

我们让总统受到

影响 我们让州长受到

影响 每个人都

受到影响

没有人免疫 没有人表现出来

所以如果这不能让我们

思考

公共卫生是每个人的事

我们中的一个人坐下来想一想

我们在结束这场流行病方面所扮演的角色

你让事情变得更好为什么你让事情变得

更糟

谢谢