scholarly journals Impact of the COVID-19 Pandemic on Tuberculosis Control: An Overview

2020 ◽  
Vol 5 (3) ◽  
pp. 123 ◽  
Author(s):  
Kefyalew Addis Alene ◽  
Kinley Wangdi ◽  
Archie C A Clements
Keyword(s):  
Prevention And Control ◽  
Viral Infections ◽  
Health Care Systems ◽  
Middle Income ◽  
Health Crisis ◽  
Control Programs ◽  
Endemic Diseases ◽  
Care Systems ◽  
And Control ◽  
The Impact

Throughout history, pandemics of viral infections such as HIV, Ebola and Influenza have disrupted health care systems, including the prevention and control of endemic diseases. Such disruption has resulted in an increased burden of endemic diseases in post-pandemic periods. The current coronavirus disease 2019 (COVID-19) pandemic could cause severe dysfunction in the prevention and control of tuberculosis (TB), the infectious disease that causes more deaths than any other, particularly in low- and middle-income countries where the burden of TB is high. The economic and health crisis created by the COVID-19 pandemic as well as the public health measures currently taken to stop the spread of the virus may have an impact on household TB transmission, treatment and diagnostic services, and TB prevention and control programs. Here, we provide an overview of the potential impact of COVID-19 on TB programs and disease burden, as well as possible strategies that could help to mitigate the impact.

scholarly journals Structural Barriers to Diagnosis and Treatment of Cancer in Low- and Middle-Income Countries: The Urgent Need for Scaling Up

2016 ◽  
Vol 34 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Eduardo Cazap ◽  
Ian Magrath ◽  
T. Peter Kingham ◽  
Ahmed Elzawawy
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Cancer Care ◽  
Health Care Systems ◽  
Diagnosis And Treatment ◽  
Middle Income ◽  
Health Crisis ◽  
Middle Income Countries ◽  
Care Systems ◽  
Low And Middle Income

Noncommunicable diseases are now recognized by the United Nations and WHO as a major public health crisis. Cancer is a main part of this problem, and health care systems are facing a great challenge to improve cancer care, control costs, and increase systems efficiency. The disparity in access to care and outcomes between high-income countries and low- and middle-income countries is staggering. The reasons for this disparity include cost, access to care, manpower and training deficits, and a lack of awareness in the lay and medical communities. Diagnosis and treatment play an important role in this complex environment. In different regions and countries of the world, a variety of health care systems are in place, but most of them are fragmented or poorly coordinated. The need to scale up cancer care in the low- and middle-income countries is urgent, and this article reviews many of the structural mechanisms of the problem, describes the current situation, and proposes ways for improvement. The organization of cancer services is also included in the analysis.

scholarly journals Community participation and malaria prevention programs

2016 ◽  
Vol 7 (4) ◽  
pp. 139-148
Author(s):  
Norlington Mashayamombe ◽  
Costa Hofisi
Keyword(s):  
Community Participation ◽  
Malaria Control ◽  
Prevention And Control ◽  
Malaria Prevention ◽  
Prevention Programs ◽  
Community Members ◽  
Control Programs ◽  
Save The Children ◽  
And Control ◽  
The Impact

Malaria prevention and control programs in Zimbabwe have been hampered by low levels of cooperation by local communities. The study sought to assess the impact of community participation on cooperation in malaria prevention and control programs in Binga, Gokwe and Kariba districts in Zimbabwe. This study is aimed at synthesizing, comparing and contrasting data from these three districts which are, arguably, the most prone to malaria in the country. An intensive and extensive review of related literature was done on the impact of community participation on cooperation in malaria prevention and control. The literature reviewed was focusing on three districts in the country, namely, Binga, Gokwe and Kariba. Typologies of participation were used for the measurement of levels of participation, while analysis was descriptive. Findings revealed that the levels of participation in malaria prevention and control programs in Binga and Gokwe were low, but high in Kariba. The findings from Kariba showed that where the level of community participation was high, cooperation in malaria prevention programs by communities was also high. This study demonstrates the importance of community participation for the success of the malaria prevention and control programs. Although community participation was also very low in Binga and Gokwe malaria prevention and control programs, in Kariba, the program by Save the Children Fund (UK) showed high levels of participation which might have contributed to the high levels of cooperation by community members. Another important issue to emerge from the study is the effectiveness of environmental management methods of vector control, because they are community-based, hence, the success of the Save the Children Fund (UK) program in Binga and Kariba districts. The study revealed that community participation at higher levels on the participation typologies contributes in a significant way to cooperative behavior by community members in malaria prevention and control programs. This is significant, since it improves the effectiveness of malaria control programs. Recommendations made include increased community participation in malaria prevention and control programs to enhance cooperation and educational programs on causes, prevention and treatment of malaria. Keywords: community participation, malaria prevention, malaria control, cooperation. JEL Classification: I12, I18, I14

scholarly journals Quality and Efficiency of Health Care Systems During the COVID-19 Pandemic: Assessment of G20 Unified Procurement Systems for Medical Equipment

2021 ◽  
Author(s):  
Abdulmalek Aljafari
Keyword(s):  
Best Practices ◽  
Medical Device ◽  
Medical Devices ◽  
Health Care Systems ◽  
Cost Savings ◽  
Healthcare Services ◽  
Health Crisis ◽  
Country Level ◽  
Care Systems ◽  
The Impact

Abstract Background Country level comparative studies on the performance and experiences of medical device procurement systems, in terms of both quality and efficiency, particularly during COVID-19 are lacking. Objective To evaluate the impact on healthcare cost and efficiency of four national models of medical device procurement. Further, to propose procurement system "best practices" using the response to COVID-19 as a reference. Methods A review of qualitative data drawn from public and private sources was conducted, as well as various studies related to national procurement systems in four G20 countries, to (1) identify differences, strengths and weaknesses; (2) evaluate how each system responded to the COVID-19 crisis; and, (3) identify best practices for policy-makers. Results While some governments have centralized the procurement of medical devices, developing a national scheme for tendering and purchase, other countries have deployed a decentralized approach where regions or even individual hospitals are responsible for all or some aspects of procurement. This dichotomy has led to a variety of efficiency and quality of service outcomes, with models implementing national uniformity achieving greater cost-savings. Furthermore centralized systems of procurement performed better during times of health crisis. It remains unclear whether these short-term savings lead to long-term efficiencies achieved through improved patient outcomes as data is lacking. Conclusion The available data indicates that countries that have adopted a centralized approach to the procurement of medical devices tend to have an advantage during times of crisis, as well as in the normal provision of healthcare services.

Novel Applications of Nanotechnology in Controlling HIV and HSV Infections

2020 ◽  
Vol 12 ◽  
Author(s):  
Sai Akilesh M ◽  
Ashish Wadhwani
Keyword(s):  
Drug Delivery ◽  
Viral Infections ◽  
Polymeric Nanoparticles ◽  
Volume Ratio ◽  
Fold Increase ◽  
Multi Drug Resistance ◽  
Health Crisis ◽  
Pharmaceutical Properties ◽  
Simplex Virus ◽  
The Impact

: Infectious diseases have been prevalent since many decades and viral pathogens have caused global health crisis and economic meltdown on a devastating scale. High occurrence of newer viral infections in the recent years, in spite of the progress achieved in the field of pharmaceutical sciences defines the critical need for newer and more effective antiviral therapies and diagnostics. The incidence of multi-drug resistance and adverse effects due to the prolonged use of anti-viral therapy is also a major concern. Nanotechnology offers a cutting edge platform for the development of novel compounds and formulations for biomedical applications. The unique properties of nano-based materials can be attributed to the multi-fold increase in the surface to volume ratio at the nano-scale, tunable surface properties of charge and chemical moieties. Idealistic pharmaceutical properties such as increased bioavailability and retention times, lower toxicity profiles, sustained release formulations, lower dosage forms and most importantly, targeted drug delivery can be achieved through the approach of nanotechnology. The extensively researched nano-based materials are metal and polymeric nanoparticles, dendrimers and micelles, nano-drug delivery vesicles, liposomes and lipid based nanoparticles. In this review article, the impact of nanotechnology on the treatment of Human Immunodeficiency Virus (HIV) and Herpes Simplex Virus (HSV) viral infections during the last decade are outlined.

Hazards for Construction Workers

2017 ◽  
Author(s):  
Gavin H. West ◽  
Laura S. Welch
Keyword(s):  
Heavy Metals ◽  
Prevention And Control ◽  
Respiratory Diseases ◽  
Noise Exposure ◽  
Engineered Nanomaterials ◽  
Construction Workers ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
And Control ◽  
The Impact

This chapter describes the hazards for construction workers, with a particular focus on injuries as well as exposures to hazardous chemicals and dusts. A section describes hazardous exposures to lead and other heavy metals. Another section describes noise exposure. The impact of musculoskeletal disorders among construction workers is then discussed. A section on respiratory diseases focuses on asbestosis, silicosis, chronic obstructive pulmonary disease, and asthma. Exposures known to cause dermatitis and cancer are reviewed. There is a discussion of engineered nanomaterials as a potential emerging hazard. Various approaches to prevention and control, including regulations and health services, are described.

An Overview of the Ethics of Injury in Public Health

2019 ◽  
pp. 597-603
Author(s):  
Adnan A. Hyder
Keyword(s):  
Public Health ◽  
Injury Prevention ◽  
Prevention And Control ◽  
Public Health Ethics ◽  
Ethical Challenges ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Ethics ◽  
Prompt Attention ◽  
And Control

This chapter briefly introduces ethics issues in injury prevention and control in low- and middle-income countries (LMICs), using a series of examples that prompt attention to the ethical principles of autonomy and justice. The chapter also introduces the section of The Oxford Handbook of Public Health Ethics dedicated to an examination of injury and public health ethics, with attention given to the complex ethical challenges arising in injury prevention and control in LMICs. The section’s two chapters discuss public health ethics issues arising in the prevention and control of unintentional injuries and intentional injuries, respectively. Those chapters define a set of ethics issues within international injury work and provide an initial analysis of the nature of those ethics issues, their specificity, and potential pathways for addressing them.

scholarly journals Spatio-temporal evolution and influencing mechanism of the COVID-19 epidemic in Shandong province, China

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jinlong Shi ◽  
Xing Gao ◽  
Shuyan Xue ◽  
Fengqing Li ◽  
Qifan Nie ◽  
...  
Keyword(s):  
Prevention And Control ◽  
Temporal Evolution ◽  
Geographical Location ◽  
Shandong Province ◽  
Control Measures ◽  
Middle Aged ◽  
Health Crisis ◽  
Aged People ◽  
Spatio Temporal ◽  
And Control

AbstractThe novel coronavirus pneumonia (COVID-19) outbreak that emerged in late 2019 has posed a severe threat to human health and social and economic development, and thus has become a major public health crisis affecting the world. The spread of COVID-19 in population and regions is a typical geographical process, which is worth discussing from the geographical perspective. This paper focuses on Shandong province, which has a high incidence, though the first Chinese confirmed case was reported from Hubei province. Based on the data of reported confirmed cases and the detailed information of cases collected manually, we used text analysis, mathematical statistics and spatial analysis to reveal the demographic characteristics of confirmed cases and the spatio-temporal evolution process of the epidemic, and to explore the comprehensive mechanism of epidemic evolution and prevention and control. The results show that: (1) the incidence rate of COVID-19 in Shandong is 0.76/100,000. The majority of confirmed cases are old and middle-aged people who are infected by the intra-province diffusion, followed by young and middle-aged people who are infected outside the province. (2) Up to February 5, the number of daily confirmed cases shows a trend of “rapid increase before slowing down”, among which, the changes of age and gender are closely related to population migration, epidemic characteristics and intervention measures. (3) Affected by the regional economy and population, the spatial distribution of the confirmed cases is obviously unbalanced, with the cluster pattern of “high–low” and “low–high”. (4) The evolution of the migration pattern, affected by the geographical location of Wuhan and Chinese traditional culture, is dominated by “cross-provincial” and “intra-provincial” direct flow, and generally shows the trend of “southwest → northeast”. Finally, combined with the targeted countermeasures of “source-flow-sink”, the comprehensive mechanism of COVID-19 epidemic evolution and prevention and control in Shandong is revealed. External and internal prevention and control measures are also figured out.

scholarly journals The Impact and Implications of The COVID-19 Pandemic on Organ Procurement Outside of an Epicenter

2021 ◽  
pp. 152692482110028
Author(s):  
Janice Jene Hudgins ◽  
Allison Jo Boyer ◽  
Kristen Danielle Orr ◽  
Clint Allen Hostetler ◽  
Jeffrey Paul Orlowski ◽  
...  
Keyword(s):  
Health Care ◽  
Initial Phase ◽  
Organ Procurement ◽  
Health Care Systems ◽  
Health Data ◽  
Organ Procurement Organization ◽  
Care Systems ◽  
The Impact ◽  
Variable Impact ◽  
Single Organ

The COVID-19 pandemic has been well-documented to have a variable impact on individual communities and health care systems. We describe the experience of a single organ procurement organization (OPO), located in an area without a large cluster of cases during the initial phase of the COVID-19 pandemic. A review of community health data describing the impact of COVID-19 nationally and in Oklahoma was conducted. Additionally, a retrospective review of available OPO data from March 2019-May 2020 was performed. While the amount of donor referrals received and organs recovered by the OPO remained stable in the initial months of the pandemic, the observed organs transplanted vs. expected organs transplanted (O:E) decreased to the lowest number in the 15-month period and organs transplanted decreased as well. Fewer organs from Oklahoma donors were accepted for transplant despite staff spending more time allocating organs.

scholarly journals SARS-CoV-2 and Cytomegalovirus Co-Infections—A Case Series of Critically Ill Patients

2021 ◽  
Vol 10 (13) ◽  
pp. 2792
Author(s):  
Patrícia Moniz ◽  
Sérgio Brito ◽  
Pedro Póvoa
Keyword(s):  
Intensive Care Unit ◽  
Critically Ill ◽  
Immune Suppression ◽  
Clinical Course ◽  
Health Care Systems ◽  
Case Series ◽  
Confounding Factors ◽  
Care Systems ◽  
The Impact ◽  
Cmv Reactivation

The SARS-CoV-2 pandemic has placed great strain on the most developed of health care systems, especially in the context of critical care. Although co-infections with cytomegalovirus (CMV) are frequent in the critically ill due to underlying immune suppression of multiple causes, the impact on COVID-19 patients remains unclear. Furthermore, severe COVID-19 has recently been associated with significant immune suppression, and this may in turn impact CMV reactivation, possibly contributing to clinical course. Nevertheless, multiple confounding factors in these patients will certainly challenge upcoming research. The authors present a case series of five patients admitted to the intensive care unit (ICU) in the context of respiratory failure due to severe COVID-19. All patients evolved with CMV reactivation during ICU stay.

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