Understanding the public health consequences of suspending a rural syringe services program: a qualitative study of the experiences of people who inject drugs

The healthcare trend of parental refusal or delay of childhood vaccinations will be investigated through a complex Cynefin Framework component in an economic and educational context, allowing patterns to emerge that suggest recommendations of change for the RN role and healthcare system. As a major contributing factor adding complexity to this trend, social media is heavily used for health related knowledge, making it is difficult to determine which information is most trustworthy. Missed opportunities for immunization can result, leading to economic and health consequences for the healthcare system and population. Through analysis of the powerful impact social media has on this evolving trend and public health, an upstream recommendation for RNs to respond with is to utilize reliable social media to the parents’ advantage within practice. The healthcare system should focus on incorporating vaccine-related education into existing programs and classes offered to parents, and implementing new vaccine classes for the public.

Download Full-text

Distance from the outbreak of infection, ozone pollution and public health consequences of SARS-CoV-2 epidemic

European Journal of Public Health ◽

10.1093/eurpub/ckaa221 ◽

2020 ◽

Author(s):

Giovanni Tripepi ◽

Mario Plebani ◽

Giorgio Iervasi ◽

Mercedes Gori ◽

Daniela Leonardis ◽

...

Keyword(s):

Public Health ◽

Ozone Pollution ◽

Health Consequences ◽

The Public ◽

Italian Provinces ◽

Breakpoint Analysis ◽

The Relationship ◽

The City ◽

Italian Province ◽

Optimal Radius

Abstract Background Italy was the second country in the world, after China, to be hit by SARS-CoV-2 pandemic. The Italy’s experience teaches that steps to limit people’s movement by imposing “red zones” need to be put in place early by carefully identifying the cities to be included within these areas of quarantine. The assessment of the relationship between the distance from an established outbreak of SARS-CoV-2 infection with transmission-linked cases and mortality observed in other sites could provide useful information to identify the optimal radius of red zones. Methods We investigated the relationship between SARS-CoV-2 cases and the distance of each Italian province from the first outbreak of SARS-CoV-2 epidemic in Italy (the city of Lodi placed in the Lombardia region). In 38 provinces of Lombardia and neighboring regions, we performed a breakpoint analysis to identify the radius of the red zone around Lodi minimizing epidemic spread and mortality in neighboring cities. Results In all Italian provinces a non-linear relationship was found between SARS-CoV-2 cases and distance from Lodi. In an analysis including the provinces of Lombardia and neighboring regions, SARS-CoV-2 cases and mortality increased when the distance from Lodi reduced below 92 km and 140 km, respectively, and such relationships were amplified by ozone (O3) pollution. Conclusions The breakpoint analysis identifies the radius around the outbreak of Lodi minimizing the public health consequences of SARS-CoV-2 in neighboring cities. Such an approach can be useful to identify the red zones in future epidemics due to highly infective pathogens similar to SARS-CoV-2.

Download Full-text