scholarly journals Addressing lead exposure in children in Georgia: challenges and successes of a multi-agency response

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Ruadze ◽  
I Khonelidze ◽  
L Sturua ◽  
P Lauriola ◽  
H Crabbe ◽  
...  
Keyword(s):  
Public Health ◽  
Blood Concentration ◽  
Tracking System ◽  
Action Plan ◽  
Blood Lead ◽  
Relevant Information ◽  
State Intervention ◽  
Intervention Programme ◽  
Public Health Action ◽  
Pb Exposure

Abstract The national response for reducing lead (Pb) exposure in Georgia is coordinated by the National Centre for Disease Control and Public Health (NCDC&PH) and implemented as a multi-agency (CDC, UNICEF, WHO, University of Emory) response. Given concerns about the extent of Pb exposure, in 2018 Multiple Indicator Cluster Surveys (MICS) of representative samples of children have been conducted to study several demographic and health aspects, including a study of the prevalence of blood Pb levels among 2 to 7 years old children (n = 1578). This survey was conducted in collaboration with the Italian Instituto Superiore di Sanita' (ISS), UNICEF and NCDC. The laboratory analyses were conducted at ISS in Italy. Initial results showed that in 41% of all children, blood Pb concentration was ≥ 5 µg/dl, a challenge which motivated public agencies to establish an initial public health action plan to assess environmental samples (paint, dust, water, soil, selected food items such as spices and imported sweets) in families where Pb concentrations were ≥ 10 µg/dL. A State intervention programme, monitoring Pb blood concentration among MICS children and their family members, provided relevant information on exposed households and led to a reduction of Pb blood concentration across the most exposed households. In collaboration with Public Health England, NCDC has conducted a small Pb isotope ratio study aimed at identifying the most relevant sources of Pb exposure contributing to elevated blood Pb in MICS children. It is expected that these data will support the design of more detailed public health interventions to reduce exposure to key sources of Pb, thus leading to further reduction of Pb-induced health effects in Georgia. In addition, this experience will clarify elements of an ongoing monitoring of environmental factors such as an Environmental Public Health Tracking system, to support national capacity to manage the risks to public health. Key messages Environmental health response requires extensive research and multi-agency approach. If State implements adequate intervention it is possible to reduce blood lead (Pb) level.

scholarly journals Hair loss in children in rural population

2019 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Vimala Manne ◽  
D. Subhash Reddy
Keyword(s):  
Public Health ◽  
School Children ◽  
Tinea Capitis ◽  
Action Plan ◽  
Public Health Problem ◽  
Trichophyton Mentagrophytes ◽  
Public Health Action ◽  
Cross Sectional ◽  
Microsporum Ferrugineum ◽  
Causative Agents

<p class="abstract"><strong>Background:</strong> Among children worldwide, dermatophyte infections are most common constituting a public health problem. The aim of the study is to determine the prevalence and causative agents of tinea capitis in school children attending primary school located in Hyderabad and to perform an analysis of risk factors associated with tinea capitis as the etiological factor.</p><p class="abstract"><strong>Methods:</strong> This is a school based, cross sectional, prospective study which was conducted in July 2015. This study was conducted in a school located near Hyderabad.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 600 school children, 298 boys and 302 girls, 100 were diagnosed with a tinea capitis infection after clinical and microbiological examination, with an estimated prevalence rate of 15.0%. The most prevalent dermatophytes isolation in tinea capitis in children were <em>Trichophyton verucosum</em> (90), <em>Trichophyton tonsurans</em> (30), <em>Trichophyton mentagrophytes</em> (28), <em>Microsporum audiouium</em> (15), <em>Trichophyton soudanese</em> (9), <em>Trichophyton violaceum</em> (5), <em>Microsporum ferrugineum</em> (3), <em>Trichophyton schoenleineii</em> (3), <em>Microsporum gallinae</em> (2) and culture negative and KOH positive (10).</p><p class="abstract"><strong>Conclusions:</strong> This study concluded that the findings suggest that the practices resulting in entrenchment of dermatophyte infections and fungal infection. The promotion of public health action plan based on self hygiene education, which aimed to counteract the epidemiological burden specifically, and it should play an pivotal role in reduction of the prevalence in future of this common infection.</p>

A Public Health Action Plan Is Needed for Chronic Kidney Disease

2005 ◽  
Vol 12 (4) ◽  
pp. 418-423 ◽  
Author(s):  
Anton C. Schoolwerth ◽  
Michael M. Engelgau ◽  
Thomas H. Hostetter
Keyword(s):  
Public Health ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Action Plan ◽  
Public Health Action ◽  
Health Action ◽  
Health Action Plan

scholarly journals Invasive meningococcal disease with fatal outcome in a Swiss student visiting Berlin

2008 ◽  
Vol 13 (45) ◽  
Author(s):  
I Zuschneid ◽  
A Witschi ◽  
L Quaback ◽  
W Hellenbrand ◽  
N Kleinkauf ◽  
...  
Keyword(s):  
Public Health ◽  
Meningococcal Disease ◽  
National Level ◽  
Fatal Outcome ◽  
Relevant Information ◽  
Invasive Meningococcal Disease ◽  
Contact Tracing ◽  
Post Exposure Prophylaxis ◽  
Disease Notification ◽  
Public Health Action

Following the fatal invasive meningococcal disease in a Swiss student who had been visiting Berlin, several public health institutions on local, regional and national level cooperated to ensure that the appropriate measures such as contact tracing and post exposure prophylaxis were taken to prevent further cases. The incidence highlighted the importance of early disease notification and showed that if an infectious disease requiring public health action occurs in an international context, it is vital that relevant information is communicated to all levels of the public health systems of the countries involved.

Health Information and Its Crucial Role in Policy Formulation and Implementation

2021 ◽  
Vol 23 (1) ◽  
pp. 54-62
Author(s):  
Himanshu Chauhan ◽  
Saurabha U. S. ◽  
Sujeet Kumar Singh
Keyword(s):  
Public Health ◽  
Health Information ◽  
Relevant Information ◽  
Policy Formulation ◽  
Timely Manner ◽  
Public Health Action ◽  
Policy Makers ◽  
Public Health Emergencies ◽  
Health Action ◽  
Information Providers

In an era where every public health action is expected to be backed by credible evidence, health policy-making has also been increasingly seen to follow the same. The general consensus across the globe is to strengthen health information systems and the decisions of the policy makers are increasingly relying on the information provided to them through such systems. COVID-19 has clearly brought out the need for accurate, timely and relevant information in planning for and responding to public health emergencies that can be equally devastating, if not more. It is crucial for information providers to understand the importance of communicating and disseminating it in a timely manner so that it leads to public health action for the larger good of the population.

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