scholarly journals Adapting for the COVID-19 pandemic in Ecuador, a characterization of hospital strategies and patients

2020 ◽  
Author(s):  
Daniel Garzon-Chavez ◽  
Daniel Romero-Alvarez ◽  
Marco Bonifaz ◽  
Juan Gaviria ◽  
Daniel Mero ◽  
...  
Keyword(s):  
Public Health ◽  
Laboratory Data ◽  
Control Measures ◽  
World Health ◽  
Global Pandemic ◽  
First Case ◽  
Short Period ◽  
Health Demand ◽  
Health Organization

Abstract The World Health Organization (WHO) declared coronavirus disease-2019 (COVID-19) a global pandemic on March 11th. In Ecuador, the first case of COVID-19 was recorded on February 29th. Despite efforts to control its spread, SARS-CoV-2 overrun the Ecuadorian public health system which became one of the most affected in Latin America with 22,719 cases reported up to April, 24th. Public health control measures, including social distancing and lockdowns, were implemented at different times in the biggest cities of the country: Guayaquil and Quito. The Hospital General del Sur de Quito (HGSQ) had to transition from a general to a specific COVID-19 health center in a short period of time to fulfill the health demand from patients with respiratory afflictions. Here, we summarized the implementations applied in the HGSQ to become a COVID-19 exclusive hospital, including the rearrangement of hospital rooms and a triage strategy based on a severity score calculated through an artificial intelligence (AI)-assisted chest computed tomography (CT). Moreover, we present clinical, epidemiological, and laboratory data from 75 laboratory tested COVID-19 patients, which represent the first outbreak of Quito city.

scholarly journals Adapting for the COVID-19 pandemic in Ecuador, a characterization of hospital strategies and patients

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251295
Author(s):  
Daniel Garzon-Chavez ◽  
Daniel Romero-Alvarez ◽  
Marco Bonifaz ◽  
Juan Gaviria ◽  
Daniel Mero ◽  
...  
Keyword(s):  
Health Workers ◽  
Laboratory Data ◽  
World Health ◽  
Middle Income ◽  
Reactive Protein ◽  
Global Pandemic ◽  
First Case ◽  
Short Period ◽  
Health Demand ◽  
Health Organization

The World Health Organization (WHO) declared coronavirus disease-2019 (COVID-19) a global pandemic on 11 March 2020. In Ecuador, the first case of COVID-19 was recorded on 29 February 2020. Despite efforts to control its spread, SARS-CoV-2 overran the Ecuadorian public health system, which became one of the most affected in Latin America on 24 April 2020. The Hospital General del Sur de Quito (HGSQ) had to transition from a general to a specific COVID-19 health center in a short period of time to fulfill the health demand from patients with respiratory afflictions. Here, we summarized the implementations applied in the HGSQ to become a COVID-19 exclusive hospital, including the rearrangement of hospital rooms and a triage strategy based on a severity score calculated through an artificial intelligence (AI)-assisted chest computed tomography (CT). Moreover, we present clinical, epidemiological, and laboratory data from 75 laboratory tested COVID-19 patients, which represent the first outbreak of Quito city. The majority of patients were male with a median age of 50 years. We found differences in laboratory parameters between intensive care unit (ICU) and non-ICU cases considering C-reactive protein, lactate dehydrogenase, and lymphocytes. Sensitivity and specificity of the AI-assisted chest CT were 21.4% and 66.7%, respectively, when considering a score >70%; regardless, this system became a cornerstone of hospital triage due to the lack of RT-PCR testing and timely results. If health workers act as vectors of SARS-CoV-2 at their domiciles, they can seed outbreaks that might put 1,879,047 people at risk of infection within 15 km around the hospital. Despite our limited sample size, the information presented can be used as a local example that might aid future responses in low and middle-income countries facing respiratory transmitted epidemics.

Public Health Control Measures in Response to Global Pandemics and Drug Resistance

2015 ◽  
Vol 43 (S2) ◽  
pp. 49-56
Author(s):  
Polly J. Price
Keyword(s):  
Public Health ◽  
Communicable Disease ◽  
International Health ◽  
Control Measures ◽  
World Health ◽  
Legal Authority ◽  
List Type ◽  
Resistant Disease ◽  
Global Pandemic ◽  
Health Organization

These teaching materials explore the specific powers of governments to implement control measures in response to communicable disease, in two different contexts:The first context concerns global pandemic diseases. Relevant legal authority includes international law, World Health Organization governance and the International Health Regulations, and regulatory authority of nations.The second context is centered on U.S. law and concerns control measures for drug-resistant disease, using tuberculosis as an example. In both contexts, international and domestic, the point is to understand legal authority to address public health emergencies.

scholarly journals Progression and Trends in Virus from Influenza A to COVID-19: An Overview of Recent Studies

Viruses ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1145
Author(s):  
Hakimeh Baghaei Daemi ◽  
Muhammad Fakhar-e-Alam Kulyar ◽  
Xinlin He ◽  
Chengfei Li ◽  
Morteza Karimpour ◽  
...  
Keyword(s):  
Influenza A ◽  
H1n1 Virus ◽  
World Health ◽  
H1n1 Pandemic ◽  
Global Pandemic ◽  
First Case ◽  
Influenza A H1n1 ◽  
The World ◽  
Novel Coronavirus ◽  
Health Organization

Influenza is a highly known contagious viral infection that has been responsible for the death of many people in history with pandemics. These pandemics have been occurring every 10 to 30 years in the last century. The most recent global pandemic prior to COVID-19 was the 2009 influenza A (H1N1) pandemic. A decade ago, the H1N1 virus caused 12,500 deaths in just 19 months globally. Now, again, the world has been challenged with another pandemic. Since December 2019, the first case of a novel coronavirus (COVID-19) infection was detected in Wuhan. This infection has risen rapidly throughout the world; even the World Health Organization (WHO) announced COVID-19 as a worldwide emergency to ensure human health and public safety. This review article aims to discuss important issues relating to COVID-19, including clinical, epidemiological, and pathological features of COVID-19 and recent progress in diagnosis and treatment approaches for the COVID-19 infection. We also highlight key similarities and differences between COVID-19 and influenza A to ensure the theoretical and practical details of COVID-19.

scholarly journals Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine

2020 ◽  
Vol 99 (5) ◽  
pp. 481-487 ◽  
Author(s):  
L. Meng ◽  
F. Hua ◽  
Z. Bian
Keyword(s):  
Public Health ◽  
Infection Control ◽  
Control Measures ◽  
World Health ◽  
Infection Control Measures ◽  
Dental Practitioners ◽  
The World ◽  
Essential Knowledge ◽  
Novel Coronavirus ◽  
Health Organization

The epidemic of coronavirus disease 2019 (COVID-19), originating in Wuhan, China, has become a major public health challenge for not only China but also countries around the world. The World Health Organization announced that the outbreaks of the novel coronavirus have constituted a public health emergency of international concern. As of February 26, 2020, COVID-19 has been recognized in 34 countries, with a total of 80,239 laboratory-confirmed cases and 2,700 deaths. Infection control measures are necessary to prevent the virus from further spreading and to help control the epidemic situation. Due to the characteristics of dental settings, the risk of cross infection can be high between patients and dental practitioners. For dental practices and hospitals in areas that are (potentially) affected with COVID-19, strict and effective infection control protocols are urgently needed. This article, based on our experience and relevant guidelines and research, introduces essential knowledge about COVID-19 and nosocomial infection in dental settings and provides recommended management protocols for dental practitioners and students in (potentially) affected areas.

scholarly journals Logarithmic versus Linear Visualizations of COVID-19 Cases Do Not Affect Citizens’ Support for Confinement

2020 ◽  
Vol 53 (2) ◽  
pp. 385-390 ◽  
Author(s):  
Semra Sevi ◽  
Marco Mendoza Aviña ◽  
Gabrielle Péloquin-Skulski ◽  
Emmanuel Heisbourg ◽  
Paola Vegas ◽  
...  
Keyword(s):  
Public Health ◽  
Public Policy ◽  
World Health Organization ◽  
World Health ◽  
Government Action ◽  
Health Measures ◽  
Global Pandemic ◽  
Key Factor ◽  
Health Organization

The SARS-CoV-2 virus was first identified in Wuhan, China, in late December 2019, and it quickly spread to many countries. By March 2020, the virus had triggered a global pandemic (World Health Organization, 2020). In response to this crisis, governments have implemented unprecedented public health measures. The success of these policies will largely depend on the public's willingness to comply with new rules. A key factor in citizens’ willingness to comply is their understanding of the data that motivate government action. In this study, we examine how different ways of presenting these data visually can affect citizen's perceptions, attitudes and support for public policy.

scholarly journals Progress of COVID-19 Epidemic in Pakistan

2020 ◽  
Vol 32 (4) ◽  
pp. 154-156 ◽  
Author(s):  
Khadijah Abid ◽  
Yashfika Abdul Bari ◽  
Maryam Younas ◽  
Sehar Tahir Javaid ◽  
Abira Imran
Keyword(s):  
Public Health ◽  
World Health Organization ◽  
Short Communication ◽  
Health Sector ◽  
Public Health Emergency ◽  
World Health ◽  
First Case ◽  
The World ◽  
Health Organization ◽  
Shed Light

The outbreak of corona virus initiated as pneumonia of unknown cause in December 2019 in Wuhan, China, which has been now spreading rapidly out of Wuhan to other countries. On January 30, 2020, the World Health Organization (WHO) declared coronavirus outbreak as the sixth public health emergency of international concern (PHEIC), and on March 11, 2020, the WHO announced coronavirus as pandemic. Coronavirus is thought to be increasing in Pakistan. The first case of coronavirus was reported from Karachi on February 26, 2020, with estimated populace of Pakistan as 204.65 million. Successively, the virus spreads into various regions nationwide and has currently become an epidemic. The WHO has warned Pakistan that the country could encounter great challenge against the outbreak of coronavirus in the coming days. This short communication is conducted to shed light on the epidemic of coronavirus in the country. It would aid in emphasizing the up-to-date situation in a nutshell and the measures taken by the health sector of Pakistan to abate the risk of communication.

scholarly journals Deep Learning Detection of COVID-19, Temporal Variation and its Link with Temperature in Nigeria

2021 ◽  
pp. 55-62
Author(s):  
Ebiendele Eromosele Precious
Keyword(s):  
Deep Learning ◽  
Health Workers ◽  
World Health ◽  
Religious Activities ◽  
X Ray ◽  
Global Pandemic ◽  
First Case ◽  
Average Accuracy ◽  
Maximum Temperatures ◽  
Health Organization

COVID-19 was announced as a global pandemic on 11 March 2020 by the World Health Organization due to its spread globally.  Nigeria recorded its first case on 27 February 2020. Since then, it has spread to all parts of the country. In this paper we study the effectiveness and skill performance of deep learning architectures in assisting health workers in detecting COVID-19 infected patient through X-ray images. Analytical deductions obtained from 500 X-ray images of both infected and non-infected patients confirmed that our proposed model InceptionV3 is effective in detecting COVID-19 and attain an average accuracy of 92%. The relationship or link between the COVID-19 daily occurrence and two meteorological variables (minimum and maximum temperatures) are further assessed. The result also indicated that the cases recorded in Wednesdays and Fridays are observed to be higher than other days which usually coincide with either religious activities or market days in the country, while a progressively decline in weekday cases is observed towards the weekend with Sundays (ranging from 152 to 280 cases) having the lowest cases. The study further indicated statistically that COVID-19 daily cases significantly decline when maximum and minimum temperature are increasing (-0.79 and -0.44 correlation coefficient).

scholarly journals Una presentación infrecuente de COVID-19, con diarrea como síntoma inicial, el primer caso diagnosticado en Cartagena, Colombia.

2021 ◽  
Vol 10 (1) ◽  
pp. 65-74
Author(s):  
Germán Enrique Arenas ◽  
Jesús De León Martínez ◽  
Marcela Negrete Vasquez ◽  
Mario Lora ◽  
Martín Carvajal ◽  
...  
Keyword(s):  
World Health ◽  
Nasopharyngeal Swab ◽  
Imaging Data ◽  
Rt Pcr ◽  
Global Pandemic ◽  
First Case ◽  
Initial Symptoms ◽  
The Common ◽  
Severity Of The Disease ◽  
Health Organization

Introduction: the Coronavirus disease 2019 (COVID-19) was declared as a global pandemic by the World Health Organization on March 11, 2020. The clinical presentation and severity of the disease has been described from its most typical symptoms, the common cold, pneumonia and respiratory distress syndrome, to the involvement of other organs and systems such such as the gastrointestinal, renal and cardiovascular. Case report: we describe the first case of COVID-19 diagnosed in Cartagena, Colombia, on March 11, 2020, and its uncommon clinic presentation, which was almost unknown at the time. An 85-year-old woman with week-long initial symptoms of nausea and occasional vomiting, with progression to diarrhea and a 38.5 oC fever during the last three days. The patient came from Oxford, UK, and she had been on a Caribbean cruise excursion since the end of February, 2020. Chest computed tomography showed ground glass opacities in both peripheral and central lung fields, multilobar and predominantly subpleural; without evidence of consolidation or pleural effusion. COVID-19 was confirmed three days after admission, when a RT-PCR molecular test performed on a nasopharyngeal swab sample tested positive for SARS-Cov-2 Conclusion: this first case of COVID-19 diagnosed in Cartagena occurred at a time when our health system was not prepared to face the pandemic. However, despite having manifested with a clinical that had not been described at the time, and thanks to the epidemiological, clinical and imaging data, the case could be adequately approached, diagnosed and treated according to the necessary and recommended measures at the time.

scholarly journals Use of hydroxychloroquine for novel corona virus infection in India: is it ethically justifiable?

2020 ◽  
Vol 7 (6) ◽  
pp. 2426
Author(s):  
Ramesh Verma ◽  
Vinod Chayal ◽  
Meenakshi Kalhan ◽  
Rohit Dhaka ◽  
Ginni Agrawal ◽  
...  
Keyword(s):  
Public Health ◽  
Public Health Emergency ◽  
World Health ◽  
The Novel ◽  
Wuhan City ◽  
First Case ◽  
The Family ◽  
Novel Virus ◽  
Health Organization ◽  
Corona Viruses

Coronavirus disease is caused by a novel virus belonging to the family of corona viruses similar to severe acute respiratory syndrome (SARS) and  name given to the novel virus as SARS Coronavirus- 2 (SARS-CoV-2) and the disease was named as COVID-19 on 11th February 2020 by World Health Organization (WHO). First case of this infection was reported in December 2019 in Wuhan city of China and after that it spread globally.3 On 30th January 2020, WHO declared this disease as Public Health Emergency of International Concern (PHEIC) and on 11th March 2020, WHO declared it as a pandemic when the infection was reported from all six WHO regions.

scholarly journals Report of simultaneous measles outbreaks in two different health regions in Portugal, February to May 2017: lessons learnt and upcoming challenges

2019 ◽  
Vol 24 (3) ◽  
Author(s):  
Gonçalo Figueiredo Augusto ◽  
Andreia Silva ◽  
Natália Pereira ◽  
Teresa Fernandes ◽  
Ana Leça ◽  
...  
Keyword(s):  
Vaccination Coverage ◽  
Measles Virus ◽  
Control Measures ◽  
World Health ◽  
Population Immunity ◽  
First Case ◽  
Rapid Control ◽  
Measles Vaccination ◽  
Health Organization ◽  
Measles Outbreaks

In Portugal, measles vaccination coverage and population immunity are high, and no endemic measles cases had been reported since 2004. The World Health Organization classified measles as eliminated in the country in 2015 and 2016, based on data from the previous 3 years. However, in a context of increasing incidence in several European countries in 2016 and 2017, Portugal experienced two simultaneous measles outbreaks with a total of 27 laboratory-confirmed cases (0.3 cases/100,000 population) in two health regions between February and May 2017. Nineteen cases (70.1%) were adults, of whom 12 were healthcare workers. Overall, 17 cases (63.0%) were not vaccinated, of whom five were infants younger than 12 months of age. One unvaccinated teenager died. Genotype B3 was identified in 14 cases from both regions. Measles virus sequencing identified different possible origins of the virus in each region affected. Although measles transmission was stopped in less than 2 months from the first case being notified, these outbreaks represent an opportunity to reinforce awareness of measles diagnosis. We highlight the intensity of the control measures taken and their impact on the rapid control of the outbreaks and also the fact that high vaccination coverage was crucial to stop transmission.

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