scholarly journals Compliance with a boil water advisory after the contamination of a municipal drinking water supply system in Norway

2020 ◽  
Vol 18 (6) ◽  
pp. 1084-1090
Author(s):  
Kristian Franer ◽  
Hinta Meijerink ◽  
Susanne Hyllestad
Keyword(s):  
Cross Sectional Study ◽  
Local Health ◽  
Cross Sectional ◽  
Health Authorities ◽  
Waterborne Infections ◽  
The People ◽  
Drinking Water Supply System ◽  
Preventive Public Health ◽  
Local Health Authorities ◽  
Boil Water Advisories

Abstract Boil-water advisories (BWAs) are one of the several methods to prevent the spread of infectious diseases through contaminated water. However, for BWAs to be effective, consumers need to be aware of, understand and comply with the advisories. Although BWAs are a widely used preventive public health measure, compliance with BWAs is rarely examined. In Norway, only one previous study on compliance with BWAs has been conducted. Therefore, we conducted a cross-sectional study to estimate consumers’ perception of and compliance with a BWA following a contamination incident at an elevated reservoir in Konnerud (population 10,314), Norway. In total, 2,451 of the 9,312 (26.3%) invited residents responded to the questionnaire. Among the respondents, 97.6% remembered receiving the BWA, of whom 94.6% complied with the advice. Effective compliance with the BWA was thus 92.3%. Only 130 (5.4%) respondents did not comply with the BWA. The main reason for non-compliance was perceived low or no risk of getting sick from the water (34.2%). Our study revealed high awareness of and compliance with the BWA, but the people who did not comply maintained several misconceptions about waterborne infections and transmission. The findings can be used by local health authorities to improve future BWAs.

scholarly journals HUBUNGAN PENDIDIKAN, PEKERJAAN DAN SIKAP IBU MENYUSUI TERHADAP PRAKTIK MENYUSUI BAYI USIA 0-6 BULAN DI WILAYAH KERJA UPK PUSKESMAS TELAGA BIRU SIANTAN HULU PONTIANAK UTARA

2018 ◽  
Vol 1 (1) ◽  
pp. 27
Author(s):  
Winda Trianita ◽  
Nopriantini Nopriantini
Keyword(s):  
Maternal Education ◽  
Local Health ◽  
Lake District ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Authorities ◽  
Blue Lake ◽  
Chi Square Test ◽  
The Right ◽  
Local Health Authorities

In the practice of nursing one factor that plays an important role in the success of breastfeeding is feeding techniques. When the breastfeeding technique is incorrect, it can cause a variety of problems. No maximum breastfeeding will result in less good, because the baby’s sucking is very influential on subsequent milk production stimulation. Based on data obtained from UPK Siantan Hulu Health Center Blue Lake District of  North Pontianak, the prevalence of exclusive breastfeeding in 2014 is still low, as much as 61.88% with a target of 80%. This study aims to determine the relationship of education, employment and attitude towards the practice of breastfeeding mothers of infants aged 0-6 months in the working area of   Puskesmas UPK Siantan Upper Blue Lake District of North Pontianak. This type of research is analytic survey with cross sectional approach. Sampling was done by purposive sampling with a sample of 59 people. Data were analyzed by chi square test. The results showed no association between maternal education with the practice of breastfeeding. There is a relationship between the work and the attitude towards the practice of breast-feeding mothers. Suggested to the local health authorities to continue to provide information on the practice of breastfeeding in the right way, through the distribution of posters, leaflets and other education media, and routinely perform counseling and individual and group counseling at health centers or at Posyandu activities.

scholarly journals Medicine Usage Behavior among Common People of Bangladesh: A Cross-Sectional Analysis

2021 ◽  
pp. 1-6
Author(s):  
Md. Monirul Islam ◽  
Md. Imran Nur Manik ◽  
Abu Zobayed ◽  
Fatema Tabassum ◽  
Furhatun Noor
Keyword(s):  
Dosage Regimen ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Self Medication ◽  
Common People ◽  
Cross Sectional ◽  
Educational Qualification ◽  
Health Authorities ◽  
The People ◽  
Usage Behavior

Medication usage behavior of people is an important concern for health authorities worldwide. This study was aimed to find the prevalence of self-medication, perception about drug storage, dosage regimen, side effects and missing doses of prescribed medications among people of Bangladesh. The study also aimed at the different factors that regulate the above-mentioned behavior of people from different regions of the country. This cross-sectional study was performed using an online questionnaire form that was distributed randomly among the people. A total of 1028 respondents took part in the survey. Different statistical operations were done on the responses and the results were presented were using tables and graphs. Among the participants, 31.52% often practiced self-medication and 26.94% did it rarely. There was a significant correlation between self-medication and educational qualification (p=0.023) and residence (p<0.001) variables. The tendency to not completing the dosage regimen is high in villages (44%) than urban (35%) and semi-urban (38%) areas. The rate of not recovering the missing doses is higher (40%) among the people with a low level of education than the educated people (27%). This study showed a significant correlation among medicines usage behavior and educational qualification and residential area of the participants. The policymakers should take steps to increase awareness about the safe use of medicines among common people of rural area.

scholarly journals A multi-institutional, cross-sectional study on disclosure of HIV status to sexual partner(s) and associated factors among people living with HIV/AIDS attending selected hospitals in Kigali, Rwanda

2020 ◽  
Vol 7 (2) ◽  
pp. 399
Author(s):  
Moreblessing Chipo Mashora ◽  
Tafadzwa Dzinamarira ◽  
Nicholas Njau Ngomi
Keyword(s):  
Sexual Partner ◽  
Cross Sectional Study ◽  
P Value ◽  
People Living With Hiv ◽  
Local Health ◽  
Hiv Status ◽  
Cross Sectional ◽  
Health Authorities ◽  
Hiv Status Disclosure ◽  
Status Disclosure

Background: In Sub-Saharan Africa, human immunodeficiency virus (HIV) remains a public health problem. There is need for evidence-based interventions to curb new infections. HIV status disclosure, especially to sexual partner(s) remains a critical step towards reducing viral transmission across sexual partners.Methods: A hospital-based cross-sectional study, conducted at HIV clinics of three selected hospitals. Systematic random sampling was employed to sample 384 people living with HIV/AIDS (PLWH). A pre-tested self-administered questionnaire was used to collect data.Results: Of the participants, 66% of the participants reported HIV positive status disclosure, with only 46% of these having disclosed to their sexual partner. Logistic regression analysis identified age (p value 0.035; AOR 0.94), being satisfied with counselling (p value 0.017; AOR 0.24), gender (p value 0.030; AOR 5.51) and education (p value 0.041; AOR 2.14) as factors associated with having disclosed HIV status. Being younger, satisfaction with counselling, being female and having attained at least secondary education were all associated with higher odds of HIV status disclosure.Conclusions: Based on the findings of the current study, it can be concluded that there is need to improve rates of HIV status disclosure among PLWH in Kigali, Rwanda. The current study findings have provided baseline information for the local health authorities, health care providers, policy makers and other scholars working in HIV epidemic control. The local health authorities can use this as a guide to develop a programme aimed to address the issue of non-disclosure of HIV status in Kigali City and hence help control the incessant spread of HIV infection.

OBSTETRICS AND LOCAL HEALTH AUTHORITIES

BMJ ◽  
1924 ◽  
Vol 2 (3329) ◽  
pp. 741-742
Author(s):  
J. G. Bennett
Keyword(s):  
Local Health ◽  
Health Authorities ◽  
Local Health Authorities

scholarly journals Mobility, exposure, and epidemiological timelines of COVID-19 infections in China outside Hubei province

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Xiao Fan Liu ◽  
Xiao-Ke Xu ◽  
Ye Wu
Keyword(s):  
Hubei Province ◽  
Mitigation Measures ◽  
Quality Data ◽  
Local Health ◽  
Travel History ◽  
Health Authorities ◽  
Virus Exposure ◽  
Public Disclosures ◽  
Local Health Authorities

AbstractThe 2019 coronavirus disease (COVID-19) is pseudonymously linked to more than 100 million cases in the world as of January 2021. High-quality data are needed but lacking in the understanding of and fighting against COVID-19. We provide a complete and updating hand-coded line-list dataset containing detailed information of the cases in China and outside the epicenter in Hubei province. The data are extracted from public disclosures by local health authorities, starting from January 19. This dataset contains a very rich set of features for the characterization of COVID-19’s epidemiological properties, including individual cases’ demographic information, travel history, potential virus exposure scenario, contacts with known infections, and timelines of symptom onset, quarantine, infection confirmation, and hospitalization. These cases can be considered the baseline COVID-19 transmissibility under extreme mitigation measures, and therefore, a reference for comparative scientific investigation and public policymaking.

scholarly journals Patient health engagement model: explaining citizens noncompliance and maladaptive behaviors

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Graffigna ◽  
S Barello ◽  
L Palamenghi ◽  
M Savarese ◽  
G Castellini
Keyword(s):  
Healthcare Services ◽  
Cross Sectional Study ◽  
Health Prevention ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Health Authorities ◽  
Patient Health ◽  
Public Health Authorities ◽  
High Level ◽  
Restrictive Measures

Abstract Background At the end of February 2020 a new case was diagnosed with COVID-19 in north Italy, suddenly followed by new cases. Italian health authorities decided to enforce restrictive measures. Northern areas of Italy were identified as “red areas” to slow down the epidemic and its impact on the healthcare system. From this perspective, the COVID-19 epidemic in Italy constitutes a testing ground for the assessment of the ability of consumers to cope with this health risk. Methods A cross-sectional study on a representative sample of 1000 Italian citizens was conducted over the period 27 February- 5 March exploring the following hypotheses: 1) less engaged individuals are more concerned for the health emergency and feel more vulnerable; 2) less engaged have higher probability to develop negative attitudes and dysfunctional behaviors. Results only the 16% the interviewees presented a high level of engagement. Lower levels of engagement were measured in the southern parts of Italy (not yet touched by the epidemics at the time of data collection). People with lowers levels of engagement reported higher fears for the contagion and sense of vulnerability. Furthermore, they showed the lower levels of trust in the Public Health Authorities, in medical research and in vaccines. Finally, they appeared more dismissive in their preventive behaviors and more disorganized in the fruition of the healthcare services. Conclusions A psychological analysis of processes of attitudinal and role change in the direction of becoming more engaged in health prevention is worthy in order to forecast potential dysfunctional reactions to restrictive health prevention measures and to orient personalized education initiatives to consumers with different level of engagement. Key messages Profiling based on the levels of health engagement is important in order to plan more effective healthcare measures during epidemics. Targeted educational initiatives should take into account citizens' engagement profiles.

Wide variability in colorectal cancer screening uptake by general practitioner: Cross-sectional study

2021 ◽  
pp. 096914132110357
Author(s):  
Cecilia Acuti Martellucci ◽  
Maria E Flacco ◽  
Margherita Morettini ◽  
Giusi Giacomini ◽  
Matthew Palmer ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Geographical Area ◽  
Central Italy ◽  
Cross Sectional Study ◽  
Local Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Crc Screening ◽  
Screening Uptake

Objectives Despite several interventions, colorectal cancer (CRC) screening uptake remains below acceptable levels in Italy. Among the potential determinants of screening uptake, only a few studies analysed the role of general practitioners (GPs). The aim was to evaluate the variation in screening uptake of the clusters of subjects assisted by single GPs. Setting Ancona province, Central Italy. Methods Cross-sectional study, including all residents aged 50–69 years, who were offered the public screening programme with biannual faecal immunochemical tests. Demographic (of all GPs) and screening data (of all eligible residents) for years 2018–2019 were collected from the official electronic datasets of the Ancona Local Health Unit. The potential predictors of acceptable screening uptake, including GP's gender, age, and number of registered subjects, were evaluated using random-effect logistic regression, with geographical area as the cluster unit. Results The final sample consisted of 332 GP clusters, including 120,178 eligible subjects. The overall province uptake was 38.0% ± 10.7%. The uptake was lower than 30% in one-fifth of the GP clusters, and higher than 45% in another fifth. At multivariable analysis, the significant predictors of uptake were younger GP age ( p = 0.010) and lower number of registered subjects ( p < 0.001). None of the GP clusters with 500 subjects or more showed an uptake ≥45%. Conclusions The wide variation across GPs suggests they might substantially influence screening uptake, highlighting a potential need to increase their commitment to CRC screening. Further research is needed to confirm the role of the number of registered subjects.

scholarly journals Childhood Immunisation Coverage during the COVID-19 Epidemic in Italy

Vaccines ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 120
Author(s):  
Michela Sabbatucci ◽  
Anna Odone ◽  
Carlo Signorelli ◽  
Andrea Siddu ◽  
Andrea Silenzi ◽  
...  
Keyword(s):  
Vaccine Coverage ◽  
National Health System ◽  
P Value ◽  
Local Health ◽  
Rate Decrease ◽  
Rotavirus Vaccination ◽  
Health Authorities ◽  
Vaccine Type ◽  
Childhood Vaccine ◽  
Local Health Authorities

The COVID-19 pandemic has affected national healthcare systems worldwide, with around 282 million cumulative confirmed cases reported in over 220 countries and territories as of the end of 2021. The Italian National Health System was heavily affected, with detrimental impacts on preventive service delivery. Routine vaccination services were disrupted across the country during the first months of the pandemic, and both access to and demand for vaccines have decreased during the pandemic. In many cases, parents preferred to postpone scheduled appointments for routine paediatric vaccinations because of stay-at-home orders or fear of COVID-19 infection when accessing care. The objective of the current study was to assess the routine childhood vaccine coverage (VC) rates during the COVID-19 epidemic in Italy. We compared 2020 and 2019 VC by age group and vaccine type. The Italian Ministry of Health collected anonymised and aggregated immunisation national data through the local health authorities (LHAs). Results were considered statistically significant at a two-tailed p-value ≤ 0.05. VC rates for mandatory vaccinations decreased in 2020 compared to 2019 (range of VC rate decrease: −1% to −2.7%), while chicken pox increased (+2.2%) in 7-year-old children. Recommended vaccinations were moderately affected (range of VC rate decrease in 2020 vs. 2019: −1.4% to −8.5%), with the exception of anti-HPV in males, Men ACWY, and anti-rotavirus vaccination (VC increase 2020 vs. 2019: +1.8%, +4.7% and +9.4%, respectively). In the COVID-19 era, the implementation of coherent, transparent, and effective communication campaigns and educational programs on safe childhood vaccinations, together with the increase in the number of healthcare staff employed, is essential to support strategies to reinforce vaccination confidence and behaviour, thus avoiding health threats due to VPD during and beyond COVID-19 times.

scholarly journals Exploring the Impact of Crises on Food Security in Lebanon: Results from a National Cross-Sectional Study

2021 ◽  
Vol 13 (16) ◽  
pp. 8753
Author(s):  
Maha Hoteit ◽  
Youssef Al-Atat ◽  
Hussein Joumaa ◽  
Suheir El Ghali ◽  
Rania Mansour ◽  
...  
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Coping Strategies ◽  
Cross Sectional Study ◽  
Assessment System ◽  
Cross Sectional ◽  
The People ◽  
Food Consumption Score ◽  
The Government ◽  
The Impact

This study aims to explore the prevalence and correlates of food insecurity among Lebanese households since the ordeals of COVID-19, economic crisis, and Beirut port explosions. At the core of the study, a mobile application entitled Nutrition Assessment System (NAS) that simplified the data collection was used as toolkit and a technical test was carried out in all Lebanese governorates between November 2020 and March 2021. Findings show that food insecurity is an immediate problem for households in Beirut and in many governorates in Lebanon. Nine in every 16 households ate less than 2 meals per day and more than 70% of them skipped their meals to spare food. Even though half the population studied had a low food consumption score, 82.4% of the people were not relying on livelihood coping strategies. However, more than three out of ten of these households relied on at least three food-based coping strategies. In addition, as for the livelihoods, this assessment found that most Lebanese households reported a drop in income along with an expansion in debt incurrence in the last 24 months to be able to buy food. Improving food security in Lebanon requires effort not only on the part of the government, but through regional and international actions.

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