scholarly journals Preventing Emerging and Re-emerging Infections in the Eastern Mediterranean Region: Gaps, Challenges, and Priorities

10.2196/14348 ◽  
2019 ◽  
Vol 5 (4) ◽  
pp. e14348
Author(s):  
Rawan Araj ◽  
Sultan Alqasrawi ◽  
Sahar Samy ◽  
Ghaya Alwahdanee ◽  
Jamal Wadi ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Rapid Assessment ◽  
Eastern Mediterranean Region ◽  
Round Table ◽  
Emerging Infections ◽  
Face To Face ◽  
Laboratory Capacity ◽  
Control And Prevention ◽  
Infection Control And Prevention

Background The Eastern Mediterranean Public Health Network, supported by the Biosecurity Engagement Program, contributed significantly to strengthening the preparedness and response to the emerging and re-emerging infections in the region. Objective This study aimed to determine the gaps, challenges, and priorities for preventing the emerging and re-emerging infections, with a focus on biosafety and biosecurity in four countries of the region, namely, Egypt, Iraq, Jordan, and Morocco. Methods A total of two different methods were used to determine the gaps and priorities for preventing the emerging and re-emerging infections. The first method was a rapid assessment for the preparedness and response to the emerging and re-emerging infections in four countries of the region, with a focus on biosafety and biosecurity. The second method was a face-to-face round table meeting of the participating teams for two days, where the teams from all countries presented their countries’ profiles, findings, priorities, and gaps based on the countries’ assessments. Results The assessment and meeting resulted in several priorities and recommendations for each of the countries in the areas of legislation and coordination, biosafety and biosecurity, surveillance and human resources, case management and response, infection control and prevention, and risk communication and laboratory capacity. Conclusions Many recommendations were relatively consistent throughout, including improving communication or building collaborations to improve the overall health of the country.

scholarly journals Preventing Emerging and Re-emerging Infections in the Eastern Mediterranean Region: Gaps, Challenges, and Priorities (Preprint)

2019 ◽  
Author(s):  
Rawan Araj ◽  
Sultan Alqasrawi ◽  
Sahar Samy ◽  
Ghaya Alwahdanee ◽  
Jamal Wadi ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Rapid Assessment ◽  
Eastern Mediterranean Region ◽  
Round Table ◽  
Emerging Infections ◽  
Face To Face ◽  
Laboratory Capacity ◽  
Control And Prevention ◽  
Infection Control And Prevention

BACKGROUND The Eastern Mediterranean Public Health Network, supported by the Biosecurity Engagement Program, contributed significantly to strengthening the preparedness and response to the emerging and re-emerging infections in the region. OBJECTIVE This study aimed to determine the gaps, challenges, and priorities for preventing the emerging and re-emerging infections, with a focus on biosafety and biosecurity in four countries of the region, namely, Egypt, Iraq, Jordan, and Morocco. METHODS A total of two different methods were used to determine the gaps and priorities for preventing the emerging and re-emerging infections. The first method was a rapid assessment for the preparedness and response to the emerging and re-emerging infections in four countries of the region, with a focus on biosafety and biosecurity. The second method was a face-to-face round table meeting of the participating teams for two days, where the teams from all countries presented their countries’ profiles, findings, priorities, and gaps based on the countries’ assessments. RESULTS The assessment and meeting resulted in several priorities and recommendations for each of the countries in the areas of legislation and coordination, biosafety and biosecurity, surveillance and human resources, case management and response, infection control and prevention, and risk communication and laboratory capacity. CONCLUSIONS Many recommendations were relatively consistent throughout, including improving communication or building collaborations to improve the overall health of the country.

scholarly journals Determine The Problems Of Women Entrepreneurs And The Research Of The Effects Of These Problems On Women's Initiatives: A Case Study Of The Eastern Mediterranean Region

2021 ◽  
Vol 4 (1) ◽  
pp. 225-331
Author(s):  
Dilehan Avşar ◽  
Gökhan Avşar
Keyword(s):  
Labor Market ◽  
Women Entrepreneurs ◽  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Face To Face ◽  
Sectoral Structure ◽  
Lack Of Information ◽  
New Business

The number of women entrepreneurs who start a new business or own a business has been increasing rapidly in recent years. The aim of this study was to determine the problems faced by women entrepreneurs registered in the associations and chambers of business in the Eastern Mediterranean Region during their entrepreneurship and to examine the effects of these problems on women entrepreneurs. The main purpose of this study is to define the role of female labor force in the new sectoral structure in the changing labor market. In addition, it is aimed to identify the existing entrepreneurship activities, to examine the barriers to entrepreneurship and to propose solutions to the problems identified in line with the findings. The role of women entrepreneurs in the labor market is examined. Evaluating these factors, which are thought to affect the business life of women entrepreneurs, to develop suggestions that can contribute to their development and empowerment. Within the scope of this study, women entrepreneurs in the Eastern Mediterranean Region were investigated. In the preliminary study, women entrepreneurs registered as women entrepreneurs were identified by contacting the Chamber of Commerce, Chamber of Industry, Organized Industrial Zone and Commodity Exchange, and the research was conducted through face-to-face questionnaires with the entrepreneurs who accepted the interview in Eastern Mediterranean Region. At the end of the study, the most common problems faced by women engaged in entrepreneurship activity were; low level of education, insufficient financial support and lack of information. In developing countries such as Turkey, especially in terms of the effects of women's entrepreneurship development should not be ignored.

scholarly journals Progress towards elimination of lymphatic filariasis in the Eastern Mediterranean Region

2020 ◽  
Vol 13 (Supplement_1) ◽  
pp. S28-S32
Author(s):  
Reda M R Ramzy ◽  
Abdul Samid Al Kubati
Keyword(s):  
Lymphatic Filariasis ◽  
Mediterranean Region ◽  
Disease Burden ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Public Health Problem ◽  
World Health ◽  
Prevention Measures ◽  
Control And Prevention ◽  
History Of

Abstract Lymphatic filariasis (LF), a neglected tropical disease, is targeted for global elimination as a public health problem. This article reviews the history of LF control and elimination activities in the countries of the World Health Organization's (WHO) Eastern Mediterranean Region (EMR) over the last 2 decades. In 2000, the estimated at-risk population in EMR countries was 12.6 million people, accounting for approximately 1% of the global disease burden. Of the 22 EMR countries, 3 countries (Egypt, Sudan and Yemen) were LF endemic and the disease was suspected in 4 other countries (Djibouti, Oman, Somalia and Saudi Arabia). After almost 2 decades of implementing sustained control and prevention measures, Egypt and Yemen were successfully validated by the WHO as having achieved the elimination criteria in 2017 and 2019, respectively. In 2018, Sudan completed mapping of LF, reaching 26.2% geographical coverage where mass drug administration (MDA) is required and is scaling-up MDA. Extensive epidemiological assessment indicated the absence of LF transmission in the four suspected countries and no MDA required. Challenges faced during the elimination and post-elimination phases are described and discussed.

scholarly journals Global Prevalence Estimates of Toxascaris leonina Infection in Dogs and Cats

Pathogens ◽  
2020 ◽  
Vol 9 (6) ◽  
pp. 503
Author(s):  
Ali Rostami ◽  
Seyed Mohammad Riahi ◽  
Vahid Fallah Omrani ◽  
Tao Wang ◽  
Andreas Hofmann ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Meta Analysis ◽  
Eastern Mediterranean Region ◽  
Global Prevalence ◽  
Stray Cats ◽  
Prevalence Estimates ◽  
Meta Regression ◽  
Paratenic Hosts ◽  
Toxascaris Leonina

Toxascaris leonina is an ascaridoid nematode of dogs and cats; this parasite affects the health of these animals. This study estimated the global prevalence of Ta. leonina infection in dogs and cats using random effects meta-analysis as well as subgroup, meta-regression and heterogeneity analyses. The data were stratified according to geographical region, the type of dogs and cats and environmental variables. A quantitative analysis of 135 published studies, involving 119,317 dogs and 25,364 cats, estimated prevalence rates of Ta. leonina in dogs and cats at 2.9% and 3.4%, respectively. Prevalence was highest in the Eastern Mediterranean region (7.2% for dogs and 10.0% for cats) and was significantly higher in stray dogs (7.0% vs. 1.5%) and stray cats (7.5% vs. 1.8%) than in pets. The findings indicate that, worldwide, ~26 million dogs and ~23 million cats are infected with Ta. leonina; these animals would shed substantial numbers of Ta. leonina eggs into the environment each year and might represent reservoirs of infection to other accidental or paratenic hosts. It is important that populations of dogs and cats as well as other canids and felids be monitored and dewormed for Ta. leonina and (other) zoonotic helminths.

scholarly journals Primary care healthcare policy implementation in the Eastern Mediterranean region; experiences of six countries: Part II

2019 ◽  
Vol 26 (1) ◽  
pp. 1-6
Author(s):  
Nagwa Nashat ◽  
Redouane Hadjij ◽  
Abdul Munem Al Dabbagh ◽  
Mohammed Rasoul Tarawneh ◽  
Huda Alduwaisan ◽  
...  
Keyword(s):  
Primary Care ◽  
Policy Implementation ◽  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Healthcare Policy

scholarly journals Correction to: A systematic review on hospital inefficiency in the Eastern Mediterranean Region: sources and solutions

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hamid Ravaghi ◽  
Mahnaz Afshari ◽  
Parvaneh Isfahani ◽  
Victoria D. Bélorgeot
Keyword(s):  
Systematic Review ◽  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Original Publication

In the original publication of this article [1], one author’s name needs to be revised from Pavaneh Isfahani to Parvaneh Isfahani.

scholarly journals Effectiveness of Community Nutrition-Specific Interventions on Improving Malnutrition of Children under 5 Years of Age in the Eastern Mediterranean Region: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (15) ◽  
pp. 7844
Author(s):  
Delaram Ghodsi ◽  
Nasrin Omidvar ◽  
Bahareh Nikooyeh ◽  
Roshanak Roustaee ◽  
Elham Shakibazadeh ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Meta Analysis ◽  
Eastern Mediterranean Region ◽  
Child Malnutrition ◽  
Z Score ◽  
Community Based ◽  
Nutritional Status Of Children ◽  
Children Under 5

Childhood malnutrition remains an important public health and development problem in low- and middle-income countries. This study aimed to systematically review the community-based nutrition-specific interventions and their effectiveness and/or cost-effectiveness on the nutritional status of children under 5 years of age in the Eastern Mediterranean Region (EMR). A systematic literature search of the English electronic databases, including PubMed, Scopus, ISI Web of Knowledge, Ovid, EMBASE, as well as Persian databases (SID and Magiran) was performed up to May 2019. Studies regarding the effectiveness/cost-effectiveness of the community-based nutrition-specific programs and interventions targeted at under-five-year children in EMR countries were selected. The primary outcomes were mean of Weight-for-age z-score (WAZ), Height-for-Age z-score (HAZ), and Weight-for-Height z-score (WHZ) of children or prevalence of wasting, stunting, and/or underweight among the children. Meta-analysis was also performed on the selected articles and intervention effects (mean differences) were calculated for each outcome for each study and pooled using a weighted random effects model. Risk of bias (ROB) of each included study was assessed based on the Cochrane Handbook for Systematic Reviews. The study protocol was registered in PROSPERO (CRD42020172643). Of 1036 identified studies, eight met the inclusion criteria. Amongst these, seven were from Pakistan and one from Iran. Only one study conducted in Pakistan reported the cost-effectiveness of nutrition-specific interventions in the region. Nutrition education/consultation and cash-based interventions were the most common nutrition-specific strategies used for management of child malnutrition in the EMR countries. Out of these eight studies, four were included in the meta-analysis. When different interventions were pooled, they had resulted in a significant improvement in WHZ of children (MD: 0.26; 95% CI: 0.07 to 0.46, three studies, I2 82.40%). Considering the high prevalence of child malnutrition in a number of countries in the region, capacity building and investigation regarding the implementation of new approaches to improve nutritional status of children and their effect(s) and cost-effectiveness assessment are highly recommended.

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