scholarly journals Digital Pathology Operations at an NYC Tertiary Cancer Center During the First 4 Months of COVID-19 Pandemic Response

2021 ◽  
Vol 8 ◽  
pp. 237428952110102
Author(s):  
Orly Ardon ◽  
Victor E. Reuter ◽  
Meera Hameed ◽  
Lorraine Corsale ◽  
Allyne Manzo ◽  
...  

Implementation of an infrastructure to support digital pathology began in 2006 at Memorial Sloan Kettering Cancer Center. The public health emergency and COVID-19 pandemic regulations in New York City required a novel workflow to sustain existing operations. While regulatory enforcement discretions offered faculty workspace flexibility, a substantial portion of laboratory and digital pathology workflows require on-site presence of staff. Maintaining social distancing and offering staggered work schedules. Due to a decrease in patients seeking health care at the onset of the pandemic, a temporary decrease in patient specimens was observed. Hospital and travel regulations impacted onsite vendor technical support. Digital glass slide scanning activities onsite proceeded without interruption throughout the pandemic, with challenges including staff who required quarantine due to virus exposure, unrelated illness, family support, or lack of public transportation. During the public health emergency, we validated digital pathology systems for a remote pathology operation. Since March 2020, the departmental digital pathology staff were able to maintain scanning volumes of over 100 000 slides per month. The digital scanning team reprioritized archival slide scanning and participated in a remote sign-out validation and successful submission of New York State approval for a laboratory developed test. Digital pathology offers a health care delivery model where pathologists can perform their sign out duties at remote location and prevent disruptions to critical pathology services for patients seeking care at our institution during emergencies. Development of standard operating procedures to support digital workflows will maintain turnaround times and enable clinical operations during emergency or otherwise unanticipated events.

2007 ◽  
Vol 122 (5) ◽  
pp. 573-578 ◽  
Author(s):  
Peter J. Levin ◽  
Eric N. Gebbie ◽  
Kristine Qureshi

The federal pandemic influenza plan predicts that 30% of the population could be infected. The impact of this pandemic would quickly overwhelm the public health and health-care delivery systems in the U.S. and throughout the world. Surge capacity for staffing, availability of drugs and supplies, and alternate means to provide care must be included in detailed plans that are tested and drilled ahead of time. Accurate information on the disease must be made available to health-care staff and the public to reduce fear. Spokespersons must provide clear, consistent messages about the disease, including actions to be taken to contain its spread and treat the afflicted. Home care will be especially important, as hospitals will be quickly overwhelmed. Staff must be prepared ahead of time to assure their ability and willingness to report to work, and public health must plan ahead to adequately confront ethical issues that will arise concerning the availability of treatment resources. The entire community must work together to meet the challenges posed by an epidemic. Identification and resolution of these challenges and issues are essential to achieve adequate public health preparedness.


PEDIATRICS ◽  
1974 ◽  
Vol 53 (1) ◽  
pp. 124-124
Author(s):  
Selig H. Katz

In a letter published in the August 1973 issue, Dr. Hania W. Ris suggests routine screening of women for gonorrhea. A recently enacted amendment to the Public Health Law of New York State requires all physicians, clinics or facilities providing gynecological, obstetrical, contraceptive, sterilization or termination-of-pregnancy services or treatment to offer to administer to every New York State resident coming for such services or treatment, appropriate tests for the detection of syphilis and gonorrhea.


2021 ◽  
Vol 4 (6) ◽  
Author(s):  
Ayim Aboagye D

The purpose of this article is to provide an overview of available research concerning covid-19 in Ghana. It presents challenges, measures from the health care delivery sector in the public health facilities. The article draws some strength from the fundamental laws of medicine as they aid to prepare the scientists in their combat against the novel Covid-19, its variants such as Delta and Omicron. Though the government has suffered economically from lockdowns and social interventions, its resilience efforts have been acclaimed to be successful and have to be emulated by other countries. The health care workers in Ghana's dissatisfaction with their jobs in these periods have not sidelined government efforts to lead and care for its citizens amid a pandemic.


2020 ◽  
Vol 49 (4) ◽  
pp. 36-46
Author(s):  
Osama Tanous

This essay explores representations of Palestinian physicians in the Israeli health-care system during the Covid-19 pandemic and the dynamics that have played out in that system during the public health emergency from the perspective of a Palestinian physician. It argues that the health-care system, an essential pillar and infrastructural foundation of the settler-colonial project, is naively imagined as an apolitical, neutral sphere. As the site of a metaphorical battlefield against Covid-19, it has been window-dressed as an arena for brotherhood between Israeli Palestinians and Jews, and fantasized about as a gateway to political gain or equality for the Palestinian citizens of Israel (PCIs). Throughout the process, settler militarism, settler symbols, and settler domination have continued to be normalized.


Author(s):  
Genevieve Thompson ◽  
Carla Ens ◽  
Harvey Chochinov

Chapter 14 expands on the role of palliative care within the framework of cancer control. In addition, the public health approach outlined by the WHO, including appropriate policy, adequate drug availability, education, and palliative care delivery at all levels of health care, will be discussed. Finally, the challenges in adapting these principles into high and low resource settings will be described.


PEDIATRICS ◽  
1950 ◽  
Vol 5 (1) ◽  
pp. 157-159
Author(s):  
ERNEST L. STEBBINS

DR. ERNEST L. STEBBINS, whose communication appears below, is Professor of Public Health Administration and Director of the Johns Hopkins University School of Hygiene and Public Health. He has previously worked as epidemiologist and District Health Officer in State Health Departments and has held the position of Assistant Commissioner of Health in New York State and Commissioner of Health in New York City. He was at one time professor of epidemiology at Columbia University. He is secretary of the American Board of Preventive Medicine and Public Health and holds numerous other committee and board memberships.


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