Preventing the Soldiers of Health Care From Becoming Victims on the Pandemic Battlefield: Respirators or Surgical Masks as the Armor of Choice

2009 ◽  
Vol 3 (S2) ◽  
pp. S203-S210 ◽  
Author(s):  
Lewis J. Radonovich ◽  
Trish M. Perl ◽  
Victoria Davey ◽  
Howard Cohen

ABSTRACTThe respiratory protective equipment necessary to protect health care workers from the novel swine-origin influenza A (H1N1) virus is not known. The knowledge gap created by this unanswered question has caused substantial debate and controversy on a global scale, leading public health organizations to feel pressured into issuing decisive recommendations despite a lack of supportive data. Changes in clinical practice caused by public health guidance during such high-profile events can be expected to establish a new standard of care. Also possible is an unforeseen gradual transition to widespread N95 respirator use, driven by public health pressures instead of science, for all outbreaks of influenza or influenza-like illness. Therefore, public health organizations and other influential institutions should take care to avoid making changes to established practice standards, if possible, unless these changes are bolstered by sound scientific evidence. Until definitive comparative effectiveness clinical trials are conducted, the answer to this question will continue to remain elusive. In the meantime, relying on ethical principles that have been substantiated over time may help guide public health and clinical decisions. (Disaster Med Public Health Preparedness. 2009;3(Suppl 2):S203–S210)

Eye ◽  
2021 ◽  
Author(s):  
Ashwin Venkatesh ◽  
Ravi Patel ◽  
Simran Goyal ◽  
Timothy Rajaratnam ◽  
Anant Sharma ◽  
...  

AbstractEmerging infectious diseases (EIDs) are an increasing threat to public health on a global scale. In recent times, the most prominent outbreaks have constituted RNA viruses, spreading via droplets (COVID-19 and Influenza A H1N1), directly between humans (Ebola and Marburg), via arthropod vectors (Dengue, Zika, West Nile, Chikungunya, Crimean Congo) and zoonotically (Lassa fever, Nipah, Rift Valley fever, Hantaviruses). However, specific approved antiviral therapies and vaccine availability are scarce, and public health measures remain critical. Patients can present with a spectrum of ocular manifestations. Emerging infectious diseases should therefore be considered in the differential diagnosis of ocular inflammatory conditions in patients inhabiting or returning from endemic territories, and more general vigilance is advisable in the context of a global pandemic. Eye specialists are in a position to facilitate swift diagnosis, improve clinical outcomes, and contribute to wider public health efforts during outbreaks. This article reviews those emerging viral diseases associated with reports of ocular manifestations and summarizes details pertinent to practicing eye specialists.


2010 ◽  
Vol 2 (4) ◽  
pp. 323 ◽  
Author(s):  
Daniel Williams ◽  
Annabel Begg ◽  
Kim Burgess ◽  
Michele Hider ◽  
Lance Jennings ◽  
...  

BACKGROUND AND CONTEXT: Reviews of overseas pandemic responses have suggested that stronger links between primary care and other parts of the health sector are required. The influenza A (H1N1) 2009 (‘H1N1 09’) pandemic was the first real test of New Zealand’s pandemic preparedness. ASSESSMENT OF PROBLEM: In the six months from May to October 2009, there were 595 confirmed cases of H1N1 09 in Canterbury, with 187 hospitalisations and three deaths. This paper describes the way a range of Canterbury agencies worked together in a co-ordinated health-led response aimed at minimising the impact of H1N1 09 in the community and maintaining effective health care services for both influenza and non-influenza patients. STRATEGIES FOR IMPROVEMENT: Key strategies included sector-wide response co-ordination, intelligence and communications, a combined public health/primary care response during the ‘containment’ phase, and universal red/green streaming supported by dedicated ’flu centres and an 0800 call centre during the ‘manage it’ phase. LESSONS: Despite the considerable impact of the H1N1 09 virus in Canterbury, health care services were not overwhelmed. The key lesson learned from the Canterbury H1N1 09 response has been the importance of preparing and working together across the sector. KEYWORDS: Influenza, human; pandemic; primary health care; public health; mass media; civil defence


2017 ◽  
Vol 1 (3) ◽  
Author(s):  
Samuel A. Nigro

Simple clinical health improving procedures are offered which should be promoted by public health organizations everywhere.  These procedures are the result of discovering the cure for the author's severe laryngospasm disorder.  Discovering the SAM prompted reflections on improving simple valuable self-care for all.  All techniques are described and recommended for improving health care and comfortable living for everyone everywhere old enough to follow directions.  They have to be daily practiced and made routine.


2010 ◽  
Vol 5 (1) ◽  
pp. 10 ◽  
Author(s):  
Sabine Wicker ◽  
Holger F Rabenau ◽  
Harald Bias ◽  
David A Groneberg ◽  
René Gottschalk

Author(s):  
Damira Japarova ◽  
Anara Kamalova

Public health in Kyrgyzstan is generally characterized by the dominance of inpatient care. There is an increase in hospitalization in all regions of the republic. This is an indicator of ineffective activity at the primary level, i.e. patients who have not been treated in polyclinics become hospital patients. This fact contradicts the goals of health care reform and shows that limited resources in health care are used inefficiently. A considerable part of the state funds is used for the treatment of privileged special patients. Accordingly, no more than 6% of budgetary funds are addressed for remaining citizens. During the analyzed period, the share of expenses for medicines decreased, most of the funds are aimed at increasing the salaries of medical staff, covering public services and other expenses. Customers who need state support do extra payment for doctors. Herewith a small share of their extra payment is used for treatment and nutrition in hospitals.


Author(s):  
Scott Burris ◽  
Micah L. Berman ◽  
Matthew Penn, and ◽  
Tara Ramanathan Holiday

Chapter 20 explores the strategic reasons why entities may challenge public health laws, and uses the R.J. Reynolds Tobacco Company v. FDA case to walk through the steps of a legal challenge to a public health law. The chapter also identifies the attorneys involved in defending public health laws on behalf of local, state, and federal government entities and explains how legal technical assistance from public health organizations can support their efforts. Finally, the chapter defines the role of amicus curiae briefs and how they may effectively contribute to the defense of public health laws and regulations.


1938 ◽  
Vol 53 (14) ◽  
pp. 523 ◽  
Author(s):  
Joseph W. Mountin ◽  
Anthony J. Borowski ◽  
Hazel O'Hara

Sign in / Sign up

Export Citation Format

Share Document