《自然》論文原文：Bhadelia N. Coronavirus: hospitals must learn from past pandemics. Nature. 2020 Feb;578(7794):193.
The world that is grappling with 2019 novel coronavirus (2019-nCoV) is different from how it was during the SARS and H1N1 pandemics. The disease itself, and information and disinformation, now travel faster than ever.
I worked as a clinician in West Africa during the Ebola outbreak, and in New York City hospitals during the H1N1 one. Now, I’m working in Boston, Massachusetts, to prepare for potential cases of 2019-nCoV acute respiratory disease. And many of the challenges are the same as those faced in previous outbreaks.
The specifics of each virus are important, but so is an overarching question: what do you do when large numbers of people arrive wanting care for suspected infections of an unfamiliar disease? This comes down to three decisions: how to quickly identify infected people, how to isolate and care for them and how to keep health-care workers safe.
Identify and confirm cases
As this epidemic grows, two trends will make it harder to identify people with 2019-nCoV infections while coping with those showing similar symptoms in the middle of the current influenza season. First, the 2013 and 2016 Ebola outbreaks taught us the importance of travel history. But with more countries reporting 2019-nCoV cases, it will be harder to teach hospital workers what locations to ask people about, and hospitals will need to devise strategies to keep staff aware of the changing geography of risk.