{"id":89744,"date":"2020-04-16T12:06:20","date_gmt":"2020-04-16T12:06:20","guid":{"rendered":"https:\/\/raed.academy\/?p=89744"},"modified":"2020-04-17T10:25:43","modified_gmt":"2020-04-17T10:25:43","slug":"notes-sobre-la-quarantena","status":"publish","type":"post","link":"https:\/\/raed.academy\/ca\/notes-sobre-la-quarantena\/","title":{"rendered":"Notes sobre la quarantena"},"content":{"rendered":"

Manuel Carballo<\/em><\/strong>
\nDirector Executiu del Centre Internacional per a la Migraci\u00f3, la Salut i el Desenvolupament (Ginebra), ex-cap de Recerca Social i del Comportament del Programa Global de l’Organitzaci\u00f3 Mundial de la Salut sobre la sida, ex-professor de Salut P\u00fablica Cl\u00ednica a la Universitat de Columbia (Nova York). Col\u00b7laborador de <\/span><\/span><\/em>la Reial Acad\u00e8mia Europea de Doctors-Barcelona 1914 (RAED)<\/em><\/p>\n

Aquestes notes van ser preparades per un grup de treball del Centre Internacional per a la Migraci\u00f3, la Salut i el Desenvolupament<\/strong> (ICMHD<\/strong>) que treballa sota la direcci\u00f3 de Manuel Carballo<\/strong>. Els membres del grup de treball van ser Rikk Guidotti<\/strong>, Ina Gudumac<\/strong>, Ra\u00fal Gagliardi<\/strong>, Paolo Hartmann<\/strong>, Abbie Yan<\/strong> i Abhishek Valivarthi<\/strong>. El nostre agra\u00efment a David<\/strong> i Sebasti\u00e1n Carballo<\/strong> per les seves revisions i comentaris.<\/p>\n

\"\"L’11 de mar\u00e7 de 2020, l’Organitzaci\u00f3 Mundial de la Salut<\/strong> (OMS<\/strong>) va recon\u00e8ixer que el brot de coronavirus s’havia convertit en una pand\u00e8mia. El ritme de propagaci\u00f3 del coronavirus ha pres a molts pa\u00efsos per sorpresa, la prevenci\u00f3 i la contenci\u00f3 de tota nova propagaci\u00f3 de virus s’ha convertit ara en la principal prioritat per als pa\u00efsos de tot el m\u00f3n. Alguns pa\u00efsos, com la Xina, It\u00e0lia i Espanya, han considerat convenient posar en quarantena a comunitats, pobles, ciutats i\/o regions senceres que s’estima s’han convertit en focus de la malaltia. La posada en quarantena de les comunitats no \u00e9s una estrat\u00e8gia nova en situacions d’epid\u00e8mia, per\u00f2 mai \u00e9s una decisi\u00f3 senzilla o f\u00e0cil d’aplicar i de mantenir. Fins ara no s’ha establert el valor de la quarantena comunit\u00e0ria per retardar la propagaci\u00f3 del coronavirus. Per tant, aquestes notes no pretenen de cap manera promoure l’aplicaci\u00f3 de la quarantena comunit\u00e0ria. S’han preparat simplement com un ajut per a les autoritats nacionals o locals que puguin estar considerant la introducci\u00f3 d’aquesta mesura, i tracten d’ajudar destacant algunes de les q\u00fcestions que s’han de tenir en compte.<\/p>\n

Covid-19 \u00e9s el nom que se li ha donat a una nova s\u00edndrome respirat\u00f2ria aguda severa causat pel coronavirus SARS-CoV-2. En el moment de preparar aquestes notes no hi ha cap vacuna o cura per a la Covid-19 encara disponible. El coronavirus que causa la Covid-19 est\u00e0 present en les gotetes que s’expulsen quan les persones que ja estan infectades amb el virus tussen i\/o esternuden. Si les persones no infectades entren en contacte directe amb aquestes gotetes, corren el risc d’adquirir la infecci\u00f3. Per aquest motiu, els cient\u00edfics metges demanen a les persones que: a) mantinguin una dist\u00e0ncia social segura, b) no toquin les superf\u00edcies sobre les que puguin haver caigut les gotes i que no hagin estat desinfectades, c) es rentin les mans freq\u00fcentment amb aigua i sab\u00f3, o b\u00e9 amb un desinfectant de mans a base d’alcohol, d) es cobreixin el nas i la boca en tossir o esternudar. Les persones que poden haver estat infectades per\u00f2 que no experimenten ni mostren s\u00edmptomes de malaltia poden, per\u00f2, tenir la capacitat de propagar el coronavirus.<\/p>\n

La quarantena \u00e9s una mesura de salut p\u00fablica destinada a reduir el potencial de propagaci\u00f3 de malalties que es consideren de gran preocupaci\u00f3 per a la salut p\u00fablica i per a les quals no es disposa de vacunes i tractaments. La finalitat de la quarantena \u00e9s crear una dist\u00e0ncia social i f\u00edsica temporal entre les persones que s’estima que han corregut un alt risc d’infecci\u00f3 i la resta de el p\u00fablic que s’estima que segueix corrent un risc menor d’haver estat exposat a virus. La quarantena s’utilitza t\u00edpicament per a\u00efllar les persones que estan, o es sospita que estan, infectades. No obstant aix\u00f2, la posada en quarantena d’una comunitat \u00e9s un enfocament m\u00e9s ampli i ambici\u00f3s, i t\u00e9 per objecte a\u00efllar comunitats senceres en qu\u00e8 s’ha confirmat un elevat nombre de casos d’infecci\u00f3. La posada en quarantena de comunitats senceres no \u00e9s una estrat\u00e8gia nova i en l’\u00faltim decenni s’ha utilitzat en resposta a l’epid\u00e8mia de SARS al Canad\u00e0 el 2002, i a l’ebola a Guinea, Lib\u00e8ria i Sierra Leone el 2014-2016. A l’actual crisi de Covid-19 s’ha convertit en una part central de la resposta de la Xina, It\u00e0lia i Espanya, i \u00e9s possible que tamb\u00e9 altres pa\u00efsos la considerin una resposta adequada. La quarantena s’est\u00e0 aplicant com a m\u00e8tode per retardar la propagaci\u00f3 del coronavirus i alleugerir la c\u00e0rrega de el sistema sanitari.<\/p>\n

(…)<\/p>\n

Les decisions de posar en quarantena comunitats senceres mai s’han de prendre a la lleugera. Encara no s’ha establert el valor de posar comunitats sota quarantena, encara que l\u00f2gicament es pot suposar que retarda la propagaci\u00f3 del coronavirus. Al mateix temps, pot suposar una c\u00e0rrega nova i addicional per a les persones, els serveis sanitaris i socials locals i el personal que els at\u00e9n. Molt dependr\u00e0 inevitablement de la mida i el perfil sociodemogr\u00e0fic de la comunitat, per\u00f2 en general cal esperar que la quarantena sigui complicada i exigeixi un pensament innovador i una planificaci\u00f3 flexible. Tots els sectors hauran de col\u00b7laborar sota la direcci\u00f3 i coordinaci\u00f3 de el sector de la salut per fer front al desafiament de la Covid-19.<\/p>\n

Llegir el treball complet<\/a><\/h3>\n","protected":false},"excerpt":{"rendered":"

Manuel Carballo Director Executiu del Centre Internacional per a la Migraci\u00f3, la Salut i el Desenvolupament (Ginebra), ex-cap de Recerca Social i del Comportament del Programa Global de l’Organitzaci\u00f3 Mundial de la Salut sobre la sida, ex-professor de Salut P\u00fablica Cl\u00ednica a la Universitat de Columbia (Nova York). Col\u00b7laborador de la Reial Acad\u00e8mia Europea de […]<\/p>\n","protected":false},"author":12,"featured_media":89684,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[268,273],"tags":[],"class_list":["post-89744","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-coronavirus-des-del-coneixement","category-salut","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nNotes sobre la quarantena - Reial Acad\u00e8mia Europea de Doctors<\/title>\n<meta name=\"description\" content=\"Notes preparades per un grup de treball del ICMHD, sota la direcci\u00f3 de Manuel Carballo\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/raed.academy\/ca\/notes-sobre-la-quarantena\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Notes sobre la quarantena - 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