scholarly journals COVID-19 – Plano de Enfrentamento para Serviços de Terapia Assistida em Doenças Autoimunes

UNICIÊNCIAS ◽  
2021 ◽  
Vol 24 (1) ◽  
pp. 71-74
Author(s):  
Vander Fernandes ◽  
Verônica Palmiro da Silva e Lima ◽  
Luciana Carolina da Silva Ishikawa Santos Cesar ◽  
Tassia Moraes de Assis Damasceno ◽  
Cristhiane Almeida Leite da Silva
Keyword(s):  
Public Health ◽  
Autoimmune Diseases ◽  
Rheumatic Diseases ◽  
Medical Specialties ◽  
Public Health Agencies ◽  
Seeking Safety ◽  
Health Agencies ◽  
Negative Effect ◽  
Therapy Services ◽  
Treatment Continuity

Em função da Pandemia pelo COVID-19, houve a necessidade de elaborar um guia com intuito de nortear as ações dos serviços em funcionamento, buscando a segurança para pacientes em tratamento para doenças autoimunes e equipe de saúde envolvidos na prestação da assistência, sem prejuízo ao controle clínico destas doenças. Elaborar um Plano de enfrentamento e recomendar diretrizes para os Serviços de Terapia Assistida. Foram pesquisadas publicações de saúde pública nacional e internacional, sociedades de especialidades médicas de áreas afins das doenças, que se utilizam de imunomoduladores parenterais para tratamento e publicações nas principais bases de dados virtuais relacionando COVID-19, doenças reumáticas e drogas imunobiológicas. Com base em revisão de dados atuais da literatura, recomendações das principais sociedades de especialidades médicas relacionadas ao tema e agências de saúde pública, foi possível elaborar um plano de contingência para que serviços de terapia assistida para tratamento de doenças autoimunes não sofressem um impacto negativo desnecessário durante a Pandemia de COVID-19, permitindo assim a continuidade de tratamento para pacientes que necessitam uso contínuo de medicações imunomoduladoras parenterais, evitando a piora clínica destes pacientes.   Palavras-chave: COVID-19. Doenças Reumáticas. Serviço de Terapia Assistida.   Abstract Due to the Covid-19 pandemic, there was a need to prepare a coping plan to guide the services actions in operation, seeking safety for patients undergoing treatment for autoimmune diseases and the health team involved in providing care, without harming  to the clinical control of such  diseases. To develop a coping plan and recommend guidelines for assisted therapy services. Publications from national and international public health agencies, societies of medical specialties from disease-related areas that use parenteral immunomodulators for treatment and publications in the main virtual databases relating Covid-19, rheumatic diseases and immunobiological drugs were searched. Based on a review of current literature data, recommendations from the main societies of medical specialties related to the theme and public health agencies, it was possible to develop a contingency plan so that assisted therapy services for the  autoimmune diseases treatment would not undergo an unnecessary negative effect during the Covid-19 pandemic, thus allowing treatment continuity for patients who need continuous use of parenteral immunomodulatory medications, preventing the clinical worsening of these patients.   Keywords: Covid-19. Rheumatic Diseases. Assisted Therapy Services

The Perils of Partnership

2019 ◽  
Author(s):  
Jonathan H. Marks
Keyword(s):  
Public Health ◽  
Multinational Corporations ◽  
Separation Of Powers ◽  
Public Health Research ◽  
Noncommunicable Diseases ◽  
New Paradigm ◽  
Public Health Agencies ◽  
Ethical Implications ◽  
Health Agencies ◽  
Public Bodies

Collaboration with industry has become the paradigm in public health. Governments commonly develop close relationships with companies that are creating or exacerbating the very problems public health agencies are trying to solve. Nowhere is this more evident than in partnerships with food and soda companies to address obesity and diet-related noncommunicable diseases. The author argues that public-private partnerships and multistakeholder initiatives create webs of influence that undermine the integrity of public health agencies; distort public health research and policy; and reinforce the framing of public health problems and their solutions in ways that are least threatening to the commercial interests of corporate “partners.” We should expect multinational corporations to develop strategies of influence. But public bodies need to develop counter-strategies to insulate themselves from corporate influence in all its forms. The author reviews the ways in which we regulate public-public interactions (separation of powers) and private-private interactions (antitrust and competition laws), and argues for an analogous set of norms to govern public-private interactions. The book also offers a novel framework that is designed to help public bodies identify the systemic ethical implications of their existing or proposed relationships with industry actors. The book makes a compelling case that, in public health, the paradigm public-private interaction should be at arm’s length: separation, not collaboration. The author calls for a new paradigm to protect and promote public health while avoiding the ethical perils of partnership with industry.

scholarly journals International Perspectives on COVID-19 Communication Ecologies: Public Health Agencies’ Online Communication in Italy, Sweden, and the United States

2021 ◽  
pp. 000276422199283
Author(s):  
Serena Tagliacozzo ◽  
Frederike Albrecht ◽  
N. Emel Ganapati
Keyword(s):  
Public Health ◽  
United States ◽  
Social Groups ◽  
Online Communication ◽  
The United States ◽  
Negative Consequences ◽  
Public Health Agencies ◽  
Communication Ecology ◽  
Health Agencies ◽  
National Public Health

Communicating during a crisis can be challenging for public agencies as their communication ecology becomes increasingly complex while the need for fast and reliable public communication remains high. Using the lens of communication ecology, this study examines the online communication of national public health agencies during the COVID-19 pandemic in Italy, Sweden, and the United States. Based on content analysis of Twitter data ( n = 856) and agency press releases ( n = 95), this article investigates two main questions: (1) How, and to what extent, did national public health agencies coordinate their online communication with other agencies and organizations? (2) How was online communication from the agencies diversified in terms of targeting specific organizations and social groups? Our findings indicate that public health agencies relied heavily on internal scientific expertise and predominately coordinated their communication efforts with national government agencies. Furthermore, our analysis reveals that agencies in each country differed in how they diversify information; however, all agencies provided tailored information to at least some organizations and social groups. Across the three countries, information tailored for several vulnerable groups (e.g., pregnant women, people with disabilities, immigrants, and homeless populations) was largely absent, which may contribute to negative consequences for these groups.

scholarly journals Non-woven materials for cloth-based face mask inserts: Relationship between material properties and sub-micron aerosol filtration

2021 ◽  
Author(s):  
Leigh Crilley ◽  
Brian Malile ◽  
Andrea Angelucci ◽  
Cora Young ◽  
Trevor C. VandenBoer ◽  
...  
Keyword(s):  
Public Health ◽  
Material Properties ◽  
Face Mask ◽  
Respiratory Viruses ◽  
Public Health Agencies ◽  
Aerosol Filtration ◽  
Health Agencies ◽  
Current Guidance

Current guidance by leading public health agencies recommends wearing a 3-layer cloth-based face mask with a middle non-woven material insert to reduce the transmission of infectious respiratory viruses like SARS-CoV-2....

scholarly journals A tale of two parts of Switzerland: regional differences in the impact of the COVID-19 pandemic on parents

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michelle Seiler ◽  
Georg Staubli ◽  
Julia Hoeffe ◽  
Gianluca Gualco ◽  
Sergio Manzano ◽  
...  
Keyword(s):  
Public Health ◽  
Regional Differences ◽  
Online Survey ◽  
Pediatric Emergency ◽  
The South ◽  
Public Health Agencies ◽  
The North ◽  
Regional Strategies ◽  
Health Agencies ◽  
The Impact

Abstract Background We aimed to document the impact of the coronavirus disease 2019 (COVID-19) pandemic on regions within a European country. Methods Parents arriving at two pediatric emergency departments (EDs) in North of Switzerland and two in South of Switzerland completed an online survey during the first peak of the pandemic (April–June 2020). They were asked to rate their concern about their children or themselves having COVID-19. Results A total of 662 respondents completed the survey. Parents in the South were significantly more exposed to someone tested positive for COVID-19 than in the North (13.9 and 4.7%, respectively; P <  0.001). Parents in the South were much more concerned than in the North that they (mean 4.61 and 3.32, respectively; P <  0.001) or their child (mean 4.79 and 3.17, respectively; P <  0.001) had COVID-19. Parents reported their children wore facemasks significantly more often in the South than in the North (71.5 and 23.5%, respectively; P <  0.001). Conclusion The COVID-19 pandemic resulted in significant regional differences among families arriving at EDs in Switzerland. Public health agencies should consider regional strategies, rather than country-wide guidelines, in future pandemics and for vaccination against COVID-19 for children.

scholarly journals Preparedness and response of a tertiary hospital to the COVID-19 pandemic in Nigeria: challenges, opportunities and lessons

2021 ◽  
Author(s):  
Darlington E Obaseki ◽  
Iriagbonse I Osaigbovo ◽  
Esohe O Ogboghodo ◽  
Omokhoa Adeleye ◽  
Obehi A Akoria ◽  
...  
Keyword(s):  
Public Health ◽  
Personal Protective Equipment ◽  
Tertiary Hospital ◽  
Lessons Learned ◽  
Protective Equipment ◽  
Scientific Journals ◽  
Healthcare Facilities ◽  
Public Health Agencies ◽  
Health Agencies ◽  
Individual Healthcare

Abstract Africa was the last continent to be affected by the COVID-19 pandemic. Much of the discourse on Africa's response captured in scientific journals revolves around nations, public health agencies and organizations, but little is documented about how individual healthcare facilities have fared. This article reports the challenges faced in a tertiary hospital in Nigeria, including space constraints, diagnostic challenges, shortages in personal protective equipment and health worker infections. The opportunities and strengths that aided the response are also highlighted. The lessons learned will be useful to similar facilities. More information about health facility response at various levels is needed to comprehensively assess Africa's response to the pandemic.

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