scholarly journals An Unstoppable Marathon: Community Prevention and Residents' Sense of Security in the Period of Low Transmission

Author(s):  
Xin Shen ◽  
Jing Feng ◽  
Zihui Lei ◽  
Hui Cao ◽  
Yuxin Zhao ◽  
...  

Abstract Background: With more and more countries entering the phase of COVID-19 low transmission, there is an urgent need to study the implementation of community prevention in this stage. This study investigated the implementation of community prevention measures in China and whether residents consent they have adequate community protection during the Spring Festival of 2021, with exploring the differences in the sense of security caused by different measures.Methods: A cross-sectional survey was conducted in China from 4 to 26 February 2021. Convenient sampling strategy was adopted to recruit participators. Participants were asked to filled out the questions that assessed questionnaire on the implementation of community protection and residents' perception. Descriptive statistics were used to assess the public's attitudes. A binary logistic regression analysis was performed to identify the risk factors affecting the residents' attitudes.Results: A total of 2,361 residents filled out the questionnaire. The results showed 24.95% of community/village issued personal protective equipment, 62.98% implemented epidemic screening , and 46.59% implemented health propaganda and education of COVID-19. For people outside the community/village entering the community/village, 19.78% of community/village implemented that appointment of people are admitted, 4.57 implemented that only occupants are admitted. 1910 (80.90%) of residents agreed they acquire adequate community prevention during the Spring Festival. In addition, age of residents, “personal protective equipment will been issued by the community/village”, “resident epidemic screening is implemented by the community/village”, “health propaganda and education of COVID-19 is implemented by the community/village”, “appointment of people are admitted can enter the community/village”, “be satisfied with regularly cleaning and disinfecting by the community/village”, and “be satisfied with community service” were the mainly factors associated with residents’ attitudes.Conclusions: This research is based on an innovative perspective to explore whether residents perceive themselves to be adequately protected after experiencing measures; at the same time, the differences in the sense of security brought to residents by various measures were discussed, which can provide a reference for Chinese and global public health policy makers.

2021 ◽  
Vol 15 ◽  
pp. 117863022110135
Author(s):  
Visal Moolasart ◽  
Weerawat Manosuthi ◽  
Varaporn Thienthong ◽  
Uajai Jaemsak ◽  
Winnada Kongdejsakda ◽  
...  

Introduction: Coronavirus disease (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-COV2). COVID-19 is highly contagious, potentially fatal, and a global public health concern. Combining optimized personal protective equipment (PPE) use and hand hygiene is the best strategy for preventing COVID-19 in health care workers (HCWs). Methods: We conducted a national cross-sectional web-based survey of HCWs in the infection control program (IPC) in Thailand between May 5, 2020 and May 15, 2020. The primary objective was the prevalence of optimized PPE use amongst HCWs. The secondary objective was identification of the independent predictors of optimized PPE use. Results: We received a response from 46% of HCWs (756/1650), and all those who responded were nurse or HCWs who were registered in the IPC network. Five HCWs were excluded because of missing data, and 751 were included in the final analysis. The prevalences of PPE use were 22% (168/751) for optimized PPE use, 78% (583/751) for non-optimized PPE use, 35% (263/751) for PPE overuse, and 43% (320/751) for PPE underused. In univariate analysis, optimized PPE use was significantly associated with age, education level, knowledge of appropriate negative pressure room selection, and knowledge of apparently milder symptom severity in children than adults. In multivariate analysis, independent predictors of optimized PPE use were knowledge of appropriate negative pressure room selection (aOR = 1.95, 95% CI = 1.18-3.22), the difference in symptom severity between children and adults (aOR = 0.55, 95% CI = 0.37-0.81), and education level (aOR = 1.54, 95% CI = 1.04-2.27). Conclusion: The prevalence of optimized PPE use amongst HCWs was 22%. Independent predictors of optimized PPE use were COVID-19 knowledge-based factors and education level. Therefore, the continued education training program should be implemented to ensure maintenance of appropriate practices during the COVID-19 pandemic.


Materials ◽  
2020 ◽  
Vol 13 (15) ◽  
pp. 3339 ◽  
Author(s):  
Mostapha Tarfaoui ◽  
Mourad Nachtane ◽  
Ibrahim Goda ◽  
Yumna Qureshi ◽  
Hamza Benyahia

Currently, the emergence of a novel human coronavirus disease, named COVID-19, has become a great global public health concern causing severe respiratory tract infections in humans. Yet, there is no specific vaccine or treatment for this COVID-19 where anti-disease measures rely on preventing or slowing the transmission of infection from one person to another. In particularly, there is a growing effort to prevent or reduce transmission to frontline healthcare professionals. However, it is becoming an increasingly international concern respecting the shortage in the supply chain of critical single-use personal protective equipment (PPE). To that scope, we aim in the present work to provide a comprehensive overview of the latest 3D printing efforts against COVID-19, including professional additive manufacturing (AM) providers, makers and designers in the 3D printing community. Through this review paper, the response to several questions and inquiries regarding the following issues are addressed: technical factors connected with AM processes; recommendations for testing and characterizing medical devices that additively manufactured; AM materials that can be used for medical devices; biological concerns of final 3D printed medical parts, comprising biocompatibility, cleaning and sterility; and limitations of AM technology.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S179-S179
Author(s):  
Vansha Singh ◽  
Akshay Khatri ◽  
Aradhana Khameraj ◽  
Rehana Rasul ◽  
Rebecca Schwartz ◽  
...  

Abstract Background “Red box (RB)” is a delineated space in the entry way to a patient(pt) room(rm) that facilitates communication between pt and health care provider (HCP) without the latter needing to don/doff personal protective equipment (PPE). It decreases PPE use where unnecessary and increases pt satisfaction ratings. Remote Video Auditing (RVA) is a novel technique used to ensure adherence to isolation precautions. In this study, we used RVA to compare HCP compliance rates with PPE use in isolation rms with or without RB. Methods A prospective observational study (2/26/19-2/27/20) was designed to evaluate HCP compliance with PPE when entering or exiting droplet/contact isolation rms. RB was demarcated by red tape as a 3-ft area at rm entrance, >6 ft from the head of the bed. Cameras were placed at the entry of 4 rms with RB (RB rms) and 2 isolation rms without RB (control rms). Adherence to gowns, gloves, masks and hand hygiene (HH) was reviewed by trained independent remote observers to maintain uniformity. When HCPs stayed in the RB, compliance at exit was calculated. Compliance was compared between events of HCPs going beyond the RB and those of HCPs entering/exiting control rms using binomial regression models with log link. Results RVA captured 6959 pt encounters in 6 rms over a year. Consistent with RB protocol, when HCPs utilized the RB, 69.9% did not practice HH, 91.6% did not utilize gloves and 95.2% did not use gowns (Table 1). When HCPs went beyond the RB, there was significantly increased non-compliance with PPE and HH in RB rms compared with control rms (Table 2). Healthcare-associated infection (HAI) rates for this unit assessed using NHSN criteria demonstrated no increase as compared to prior years. Table 1: Non-Compliance among those who entered Red Box but did not go into the room fully Table 2: Comparison of non-compliance between group that went beyond Red Box Vs. Control group without Red Box Conclusion RVA, a novel, labor-efficient and objective method, was used for observing and comparing PPE compliance in RB rms. Consistent with the purpose of RB, >90% HCPs did not use PPE while confined within it. However, HCPs going beyond the RB were more non-compliant with PPE use as compared to HCPs in control rms. While HAI rates were not increased, this finding is concerning – HCPs going beyond RB may not have used PPE (even in close proximity) due to a false sense of security due to RB. Re-education about optimal use of the RB or discontinuing RB should be considered. Disclosures All Authors: No reported disclosures


2021 ◽  
Vol 34 ◽  
Author(s):  
Breno César Diniz Pontes ◽  
Geraldo Magela Salomé

Abstract Introduction: In the year 2020, Brazilian and global public health systems were overwhelemend by COVID-19, a pandemic highly transmissible by droplets and contact, mainly in enclosed areas and hospital environments. Objective: Create a booklet to instruct health professionals on the use of personal protective equipment (PPE) and preventive measures for facial skin injuries during the SARS-CoV-2 pandemic. Methods: The study was conducted from June to September 2020, adopting the following steps: situational diagnosis; literature review of the main health science databases; content selection and survey; drafting texts; creating illustrations; and diagramming the manual. Results: After the literature review, 26 articles were selected for the booklet. The material was prepared by the authors of this article and reviewed by a professional in the biomedical field, with expertise in standardizing procedures and tissue injury innovations. The final version contains four chapters and three algorithms, one with step-by-step instructions on donning PPE, one on removal and one containing preventive measures for PPE-related injuries. Conclusion: After an interactive review of the literature, a booklet was created that provides theoretical and practical foundations for health professionals on PPE donning and removal techniques, with a view to preventing facial injuries and COVID-19 infection.


TERANG ◽  
2021 ◽  
Vol 3 (2) ◽  
pp. 155-162
Author(s):  
Utami Wahyuningsih ◽  
Eko Sulistyo ◽  
Halim Rusjdi ◽  
Win Alfalah ◽  
Sudirmanto Sudirmanto ◽  
...  

Occupational Safety and Health now occupies an important place in the company, especially in industrial work. A sense of security and comfort at work is a demand for companies to be able to fulfill it in order to provide job security for workers. This study aims to evaluate the implementation of K3 in the implementation of work in the small industry of Pempek Belida in PT Cita Rasa Palembang based on SMK3. The study used survey questionnaires and direct interviews in the field, followed by identification of industrial locations, visual surveys in the industry and documentation taking in the field. At PT Cita Rasa Palembang, the implementation of Occupational Safety and Health (K3) has been going quite well, because in this Industry the work organizers have provided personal protective equipment (PPE) for workers and the socialization of K3 has also been carried out by the owners and workers quite understand it but there are still impressive workers who do not care about the Occupational Safety and Health, it can be seen from the results of the questionnaire stated, 100% (Yes) because the work of the food industry has provided personal protective equipment (PPE); 98% know what is meant by Occupational Safety and Health; and 100% of workers claim there is a guarantee of Occupational Safety and Health.


Author(s):  
Talitha Crowley ◽  
Danine Kitshoff ◽  
Frances De Lange-Cloete ◽  
Justine Baron ◽  
Santel De Lange ◽  
...  

Introduction: The novel coronavirus 2019 or COVID-19 pandemic has brought about a global public health crisis. Primary care (PC) nurses render first line care, or refer for more specialised services.Aim: To investigate the preparedness of PC nurses for COVID-19 in the Western Cape.Setting: The Western Cape province of South Africa.Methods: We administered an online survey, with closed and open-ended questions, to 83 Stellenbosch University postgraduate PC nursing students and alumni working in the Western Cape, between 03 July and 01 September 2020.Results: The results indicated that 43.3% of participants were confident about the infection, prevention, and control (IPC) training they received and 56.7% felt prepared to provide direct care to suspected cases of COVID-19. Primary care nurses were more comfortable to triage (78.3%) than to manage persons with COVID-19 (42.2%), indicating that they may not be functioning to the full capacity of their education and training. Adequate infrastructure was reported by less than a third of the participants (30.1%) and 59.1% reported that personal protective equipment (PPE) was always available. Primary care nurses needed support in coping with stress (57.8%) although few (14.5%) reported access to mental health services.Conclusion: Primary care nurses were not prepared optimally for the COVID-19 pandemic. Challenges included adequate training, infrastructure, the availability of personal protective equipment, COVID-19 testing of health care workers and management support. Primary care nurses need comprehensive support to manage stress and anxiety.


2020 ◽  
Vol 59 (04) ◽  
pp. 294-299 ◽  
Author(s):  
Lutz S. Freudenberg ◽  
Ulf Dittmer ◽  
Ken Herrmann

Abstract Introduction Preparations of health systems to accommodate large number of severely ill COVID-19 patients in March/April 2020 has a significant impact on nuclear medicine departments. Materials and Methods A web-based questionnaire was designed to differentiate the impact of the pandemic on inpatient and outpatient nuclear medicine operations and on public versus private health systems, respectively. Questions were addressing the following issues: impact on nuclear medicine diagnostics and therapy, use of recommendations, personal protective equipment, and organizational adaptations. The survey was available for 6 days and closed on April 20, 2020. Results 113 complete responses were recorded. Nearly all participants (97 %) report a decline of nuclear medicine diagnostic procedures. The mean reduction in the last three weeks for PET/CT, scintigraphies of bone, myocardium, lung thyroid, sentinel lymph-node are –14.4 %, –47.2 %, –47.5 %, –40.7 %, –58.4 %, and –25.2 % respectively. Furthermore, 76 % of the participants report a reduction in therapies especially for benign thyroid disease (-41.8 %) and radiosynoviorthesis (–53.8 %) while tumor therapies remained mainly stable. 48 % of the participants report a shortage of personal protective equipment. Conclusions Nuclear medicine services are notably reduced 3 weeks after the SARS-CoV-2 pandemic reached Germany, Austria and Switzerland on a large scale. We must be aware that the current crisis will also have a significant economic impact on the healthcare system. As the survey cannot adapt to daily dynamic changes in priorities, it serves as a first snapshot requiring follow-up studies and comparisons with other countries and regions.


2020 ◽  
pp. 30-33
Author(s):  
E. V. Panina ◽  
M. V. Pugachev ◽  
A. G. Shchesiu

The article shows that in the daily activities of nursing staff of functional diagnostics departments (offices), it is necessary to strictly observe the requirements and rules for the prevention of infections associated with medical care, especially during the COVID-19 pandemic. The types of personal protective equipment (PPE) of medical personnel (MP), as well as current effective methods of disinfection, rules for collecting medical waste in a complex epidemiological situation are presented.


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