scholarly journals A three-layer system to win the war against COVID-19 and invest in health systems of the future

2021 ◽  
Vol 6 (12) ◽  
pp. e007365
Author(s):  
Feng Zhao ◽  
Sulzhan Bali ◽  
Rialda Kovacevic ◽  
Jeff Weintraub
Keyword(s):  
Public Health ◽  
Service Delivery ◽  
Human Population ◽  
Integrated Approach ◽  
High Impact ◽  
Limited Resources ◽  
Layer System ◽  
Global Spread ◽  
Public Health Functions ◽  
Layered Approach

The COVID-19 pandemic taught us many lessons, most critically that its human and economic toll would have been significantly smaller if countries had in place strong layers of defence that would have either prevented the spillover of the SARS-CoV-2 into a human population in the first place, or, failing that, contained the outbreak to avert its global spread. Further, the brunt of COVID-19 impacts on some countries considered ‘most prepared’ for pandemics underscored the need for an integrated approach to ensure resilience to future epidemics. Consequently, as countries plan ahead to prevent future pandemics, they should give priority to investments that transform their systems, particularly in the precrises phase, to preparedness and response through a multilayered defence. We propose a three-layered approach for post-COVID-19 investments in public health functions and service delivery, particularly at the community and precrises levels. This framework highlights the interventions that enable countries to better prevent, detect and contain epidemic threats, and that strengthen the efficient use of limited resources towards high-impact precrises systems.

scholarly journals The Essential Public Health Functions in the Americas: A Renewal for the 21st Century. Conceptual Framework and Description

2020 ◽  
Keyword(s):  
Public Health ◽  
Conceptual Framework ◽  
Conceptual Development ◽  
Health Sector ◽  
Integrated Approach ◽  
Lessons Learned ◽  
Institutional Economic ◽  
Health Authorities ◽  
Role Of The State ◽  
Public Health Functions

The essential public health functions (EPHFs) have constituted the core of the agenda for strengthening the health sector in the Region of the Americas since the 1980s. Their conceptual development and measurement in the Region came in response to sectoral reforms that threatened to reduce the role of the State and public health, particularly the stewardship function of the health authorities. In that context, in 2000, the Member States of the Pan American Health Organization (PAHO) proposed to promote a conceptual and methodological framework for public health and its essential functions, giving rise to the regional initiative called "public health in the Americas". As part of this initiative, the essential functions of public health authorities were identified, their relevance was discussed, and a broad regional consensus was reached, as explained below. More than 15 years have passed. In response to current needs, this document reviews and updates the EPHF conceptual framework for the Region of the Americas. This new version is based on the experiences and lessons learned from the implementation and regional measurement of the EPHFs, new and persistent challenges for the health of the population and its social determinants, and new institutional, economic, social, and political conditions which affect the Region of the Americas. The document is structured into five sections. The first presents the key experiences and challenges that justify a renewal of the EPHFs. The second section updates the groundwork for the exercise of public health and provides a framework to inform the exercise of the new essential functions. The third section proposes a new integrated approach for implementing the EPHFs. The fourth section presents a new list of 11 EPHFs related to each stage of this integrated approach. Finally, in the last section, considerations are put forth to guide EPHF implementation as a means of strengthening the health sector.

HYPERTENSION – A PUBLIC HEALTH PROBLEM

2019 ◽  
Author(s):  
Adia Pilav ◽  
Emira Tanović-Mikulec ◽  
Suada Branković ◽  
Vedran Đido
Keyword(s):  
Public Health ◽  
High Risk ◽  
Public Health Problem ◽  
Integrated Approach ◽  
Community Level ◽  
Effective Control ◽  
Population Approach ◽  
Hypertension Control ◽  
Adequate Model ◽  
High Prevalence

Aim. The aim of this paper is to present public health importance of hypertension in population as one of the major CVD risk factor as well as a model of integrated approach to hypertension control at community level. Background. In spite of wide knowledge of pathophysiology and epidemiology in development of hypertension, ability to easily diagnose it, availability of efficient medications, hypertension continues to have high prevalence and setting up hypertension controls poses significant public health challenge. High prevalence of hypertension exists in all countries of the world, regardless of socioeconomic status of the country. It is estimated that the number of people with hypertension by 2025 will rise by 15-20%, and the number of sick people will increase up to 1.5 billion people worldwide. Methods. A review of the relevant literature which discusses the importance of defining clear strategies and interventions in the control of hypertension in countries, with particular emphasis on integrated hypertension management that has the greatest impact. Discussion. Effective and efficient hypertension control requires two approaches: population approach and individual approach to high-risk individuals. The balanced combination of population approach and an approach to access high-risk individuals is vital for the effective control of hypertension and cardiovascular diseases. Conclusions. Health systems in every country must be flexible and ready to provide adequate model of integrated approach to hypertension control at community level understanding their own local needs.

scholarly journals Endemicity of malaria in rural areas: A prospective longitudinal study in India

2013 ◽  
Vol 2 (2) ◽  
pp. 28-33
Author(s):  
Mohammad Athar Ansari ◽  
Iqbal Mohd Khan
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Public Health Problem ◽  
Integrated Approach ◽  
Presumptive Treatment ◽  
Prospective Longitudinal Study ◽  
Medical College ◽  
Paramedical Staff ◽  
Increasing Trend ◽  
Prospective Longitudinal

The aim of the study is to assess the magnitude of the problem and certain epidemiological factors associated with malaria and examine the changing pattern of malaria through its parameters of measurement during 2009-2011. The study was carried out at the Rural Health Training Center (RHTC), under the J. N. Medical College, Aligarh Mus-lim University, Aligarh, (India) for three years from 1st January 2009 to 31st December 2011. Teams of doctors and paramedical staff regularly visited the villages. If any person was found to be suffering from fever, his/her blood was examined for the malaria parasite. Patients were given presumptive treatment and radical treatment if slides were positive. The findings of the study demonstrated that the number of malaria cases increased during the study period, but in the year 2010, a sudden upsurge was noticed. Out of 5594 patients, most of the patients seen were in the age group of 11-20 years (34.3%). P. vivax (96.2%) was the most common malaria infection in these areas. An increasing trend of malaria was seen from July to October. Most of the parameters of malaria measurement in-creased many folds in 2010 and showed a declining trend in 2011. The overall findings of the study indicated the high endemicity of malaria in the study area and demonstrated a changing pattern of malaria in the registered vil-lages as most of the parameters of malaria measurement increased. An integrated approach is needed which in-cludes mass survey or active surveillance, and appropriate drug therapy to tackle this public health problem. DOI: http://dx.doi.org/10.3329/seajph.v2i2.15940 South East Asia J Public Health | Jul-Dec 2012 | Vol 2 Issue 2 | 28-33

scholarly journals Regulatory Challenges for the Use of Reclaimed Water in Mexico: A Case Study in Baja California

Water ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1432 ◽  
Author(s):  
Christian Gilabert-Alarcón ◽  
Saúl Salgado-Méndez ◽  
Luis Daesslé ◽  
Leopoldo Mendoza-Espinosa ◽  
Mariana Villada-Canela
Keyword(s):  
Public Health ◽  
Water Resource Management ◽  
Baja California ◽  
Stakeholder Participation ◽  
Wastewater Reuse ◽  
Reclaimed Water ◽  
Integrated Approach ◽  
Management Regime ◽  
Study Results

In Mexico, water planning is based on the National Water Law, the core of which is Integrated Water Resources Management (IWRM). The municipality provides wastewater treatment and reuse, and an integrated approach is mandatory for these processes. However, a traditional (non-integrated) management regime has prevailed in water legislation, resulting in pollution and the inefficient use of water. The objectives of this research were to analyze the Mexican legal framework and international guidelines in the use of reclaimed water for agricultural irrigation and environmental discharges, and to evaluate challenges facing reclaimed water in the Maneadero Valley, Baja California, as a case study. Results show that wastewater reuse was implemented in the absence of integrative planning and assessment of the potential impacts on the environment and public health. In addition, gaps between decisions linked to the legal attributes of the relevant institutions were identified. Defined roles across the three levels of authority, transparent and congruent funding, coherent water-quality requirements and the strengthening of stakeholder participation are needed to adopt integrated water resource management for reclaimed water use. The alignment of common goals on public health, environmental protection and agricultural development between authorities and the different sectors is crucial to bridge these challenges.

scholarly journals Promoting Appropriate Antibiotic Use

2004 ◽  
Vol 2 (SI) ◽  
pp. 22-30 ◽  
Author(s):  
Elizabeth Steiner ◽  
Laura C. Saddler ◽  
Lyle J. Fagnan
Keyword(s):  
Public Health ◽  
Respiratory Infections ◽  
Integrated Approach ◽  
Antibiotic Use ◽  
Care Providers ◽  
Office Visits ◽  
Public Health Programs ◽  
Important Health ◽  
Upper Respiratory ◽  
State Programs

Antibiotic resistance is a major public health threat that requires an organized, comprehensive approach to overcome. Many studies have shown that integrating education programs for clinicians, medical office staff, patients, and targeted audiences such as day care providers make the biggest difference in community-wide antibiotic use. We describe such an integrated approach between our state’s public health programs and our developing curriculum for primary care residents based at the academic health center. Patients receive education directly from both the state programs and their clinicians during office visits for upper respiratory infections. Physicians learn principles of appropriate antibiotic use, how best to educate patients about this important health topic, and how to address patients’ concerns about their illnesses.

scholarly journals Zika virus: A newly emergent vector-borne public health threat in the Americas

2016 ◽  
Author(s):  
Sujit Pujhari ◽  
Jason L. Rasgon
Keyword(s):  
Public Health ◽  
Birth Defects ◽  
Zika Virus ◽  
Human Population ◽  
Focused Attention ◽  
New Disease ◽  
Conspiracy Theories ◽  
Transmission Cycle ◽  
Public Health Threat ◽  
Vector Borne

Zika virus is a newly emergent mosquito-borne flavivirus. Once almost ignored epidemiologically, recent major outbreaks and links to neurological birth defects have focused attention on this neglected pathogen. We review the discovery, biology and symptomatology of Zika virus, what is known and not known about the mosquitoes that transmit the virus, conspiracy theories currently hampering control efforts, and potential avenues of Zika control. It is likely that Zika virus is here to stay in the Americas, so a thorough understanding of the complete epidemiological transmission cycle and potential effects on the human population will be critical for managing this new disease in the coming years.

scholarly journals Pelatihan Swamedikasi Dalam Rumah Tangga Di Kelurahan Tarantang

2019 ◽  
Vol 1 (1) ◽  
pp. 47-59
Author(s):  
Rika - Sepriani
Keyword(s):  
Public Health ◽  
Health Worker ◽  
Community Service ◽  
Limited Resources ◽  
Legal Basis ◽  
Community Members ◽  
Self Medication ◽  
The Public ◽  
Healthy State ◽  
Service Activity

Health is a healthy state, both physically, mentally, spiritually and socially that allows everyone to live productively socially and economically. Health development as one of the national developments designed for the achievement of awareness, willingness and ability to live healthy for every population to realize an optimal degree of public health. Self-medication is an attempt by someone to overcome a problem of illness or disease without prior agreement with a doctor or health worker. More than 60% of members of the public swarmed the legal basis Permenkes No.919 / MENKES / PER / X / 1993. Swamedication was more focused on handling quickly and effectively without prior intervention by medical consultants, pharmacists, to reduce the workload on the limited resources and labor. The target audience for this community service activity is 30 health cadres obtained through collaboration with the state visited by the health cadres to provide information and understanding to other community members in their neighborhoods. From this dedication activity obtained 1) Increased knowledge and understanding of health cadres about self-medication 2) Increased knowledge and understanding of health cadres about managing drugs in the household.

scholarly journals GLOBAL SPREAD OF INFECTIOUS DISEASES

2004 ◽  
Vol 12 (03) ◽  
pp. 289-300 ◽  
Author(s):  
S. HSU ◽  
A. ZEE
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Human Mobility ◽  
Air Travel ◽  
Peak Number ◽  
Public Health Infrastructure ◽  
Health Infrastructure ◽  
Global Spread ◽  
Epidemiological Parameters ◽  
Simple Models

We develop simple models for the global spread of infectious diseases, emphasizing human mobility via air travel and the variation of public health infrastructure from region to region. We derive formulas relating the total and peak number of infections in two countries to the rate of travel between them and their respective epidemiological parameters.

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