scholarly journals Integrated Tuberculosis and COVID-19 Activities in Karachi and Tuberculosis Case Notifications

2022 ◽  
Vol 7 (1) ◽  
pp. 12
Author(s):  
Amyn A. Malik ◽  
Hamidah Hussain ◽  
Rabia Maniar ◽  
Nauman Safdar ◽  
Amal Mohiuddin ◽  
...  

As the COVID-19 pandemic surged, lockdowns led to the cancellation of essential health services. As part of our Zero TB activities in Karachi, we adapted our approach to integrate activities for TB and COVID-19 to decrease the impact on diagnosis and linkage to care for TB treatment. We implemented the following: (1) integrated COVID-19 screening and testing within existing TB program activities, along with the use of an artificial intelligence (AI) software reader on digital chest X-rays; (2) home delivery of medication; (3) use of telehealth and mental health counseling; (4) provision of PPE; (5) burnout monitoring of health workers; and (6) patient safety and disinfectant protocol. We used programmatic data for six districts of Karachi from January 2018 to March 2021 to explore the time trends in case notifications, the impact of the COVID-19 pandemic, and service adaptations in the city. The case notifications in all six districts in Karachi were over 80% of the trend-adjusted expected notifications with three districts having over 90% of the expected case notifications. Overall, Karachi reached 90% of the expected case notifications during the COVID-19 pandemic. The collaborative efforts by the provincial TB program and private sector partners facilitated this reduced loss in case notifications.

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Zulfa Kevaladandra ◽  
Evi Martha

Objective: The COVID-19 pandemic has challenged maternal and child health services in all regions of Indonesia, including the city of Cilegon. Various efforts have been made by the Cilegon City Health Office to suppress the decline in MCH services. The purpose of this study was to determine the impact of COVID-19 on MCH services in Cilegon City.Methods: This article used a qualitative descriptive method by collecting data through focus group discussions (FGD) in the second week of October 2020. The informants of this study collected by purposive sampling with the number of informants. 4 informants, including the Head of the Cilegon City Health Office, the Head of the Family Health Section (Kesga), and 2 Kesga staff.Results: The results showed that there were 7 indicators affected by COVID-19 in the city of Cilegon, including K1 coverage, K4 coverage, delivery assistance at health facilities, maternal mortality rate (MMR), neonatal visits, complete basic immunization services, and monitoring of toddler growth and development. The cause of the obstruction of MCH services was the existence of the PSBB policy and the concerns of the public and health workers of contracting the SARS-CoV-2 virus.Conclusion: Several inovasions made by the Cilegon City Health Office include implementing health protocols in health services outside buildings, making appointments for antenatal and immunization services, conducting home visits, conducting classes for pregnant women and toddlers through live streaming, and providing isolation places for OTGs. It can be concluded that the COVID-19 pandemic has caused a challenges in MCH services. However, various efforts have also been made to increase the coverage of MCH services and improve maternal and child health in the city of Cilegon. 


2020 ◽  
Author(s):  
Jason E. Farley ◽  
Derek T Dangerfield II ◽  
Jessica LaRicci ◽  
Paul Sacamano ◽  
Omeid Heidari ◽  
...  

Abstract Background: Despite clear evidence that pre-exposure prophylaxis (PrEP) prevents HIV, uptake remains suboptimal across the United States, particularly in populations at greatest risk of HIV infection, such as men who have sex with men (MSM) in Baltimore. This paper will evaluate awareness, engagement and linkage to care for PrEP activities through multiple outreach strategies. Methods: This is an observational evaluation of the impact of LGBTQ+ outreach on the PrEP cascade between March 1, 2016 to March 31, 2019. Descriptive statistics are used to characterize the data and the linkage cascade by outreach type. Results: Across all activities, our team had contact with 2,370 participants and scheduled a PrEP appointment for 84 (3.5%) with 58 (2.4%) who completed the intake visits. Among 54 venue-based activities, which focused on PrEP awareness messaging, 2,125 participants were reached with 11.4% (243/2125) interested in further discussion with a peer community-health worker (CHW). After 3 separate attempts to contact the individual, peer contact was successful in 66.2% (161/243); 11.2% (18/161) of those were interested in linkage to PrEP; 83.3% (15/18) had a PrEP appointment scheduled; and 53.3% (8/15) completed the PrEP visit. Online and telephone-based outreach resulted in 24 contacts through prepmaryland.org and 43 calls on the PrEP warm line, all of these indivduals reporting interest in further discussion with the peer CHW. Among prepmaryland.org users and warm line calls 54.2% (13/24) and 67.4% (29/43), respectively, were successfully contacted, while 100% (13/13) and 75.9% (22/29) of those reported interest in a PrEP referral. Among the referred, 61.5% (8/13) and 86.4% (19/22) had a PrEP appointment scheduled; and 50% (4/8) and 78.9% (15/19) completed the visit. The mobile app, PrEPme, yielded 178 unique downloads; 94.4% (168/178) had interest in further discussion with a peer CHW; follow-up contact was successful 64.3% (108/168); 41.6% (45/108) were interested in PrEP referral; 95.5% (43/45) had a PrEP appointment successfully scheduled; and 72.1% (31/43) completed the intake visit.Conclusions: Outreach efforts reached a large number of participants attending LGBTQ+ centric and health-based events, yet resulted in a relatively low total yield of engagement with peer CHWs and even lower documented PrEP initiations.


2013 ◽  
Vol 3 (1) ◽  
pp. 29-50 ◽  
Author(s):  
Evinç Doğan ◽  
Ibrahim Sirkeci

This study examines the ways in which the city image of Istanbul is re-created through the mega-events within the context of the European Capital of Culture (ECoC) 2010. Istanbul “took the stage” as one of the three ECoC cities (Essen for the Ruhr in Germany and Pécs in Hungary), where the urban spaces were projected as the theatre décor while residents and visitors became the spectators of the events. Organisers and agents of the ECoC 2010 seemed to rebrand Istanbul as a “world city” rather than a “European capital”. With a series of transnational connotations, this can be considered as part of an attempt to turn Istanbul to a global city. In this study we examine posters used during the ECoC 2010 to see whether this was evident in the promoted images of Istanbul. The research employs a hermeneutic approach in which representations, signs and language are the means of symbolic meaning, which is analysed through qualitative methods for the visual data (Visual Analysis Methods), namely Semiotics and Discourse Analysis. The analysed research material comes from a sample of posters released during the ECoC 2010 to promote 549 events throughout the year. Using stratified random sampling we have drawn 28 posters (5% of the total) reflecting the thematic groups of events in the ECoC 2010. Particular attention is also paid to the reflexivity of the researchers and researchers’ embeddedness to the object of research. The symbolic production and visual representation are therefore investigated firstly through the authoritative and historically constituted discourses in the making of Istanbul image and secondly through the orders of cultural consumption and mediatisation of culture through spectacular events. Hence enforcing a transnationalisation of the image of the city where the image appears to be almost stateless transcending the national boundaries. Findings and methodology used in this study can be useful in understanding similar cases and further research into the processes of city and place branding and image relationships. 


2015 ◽  
Vol 26 (3-4) ◽  
pp. 116-123
Author(s):  
A. P. Korzh ◽  
T. V. Zahovalko

Recently, the number of published works devoted to the processes of synanthropization of fauna, is growing like an avalanche, which indicates the extreme urgency of this theme. In our view, the process of forming devices to coexist with human and the results of his life reflects the general tandency of the modern nature evolution. Urbanization is characteristic for such a specific group of animals like amphibians, the evidence of which are numerous literature data. Many researchers use this group to assess the bioindicative quality of the environment. For this aim a variety of indicators are used: from the cellular level of life of organization up to the species composition of the group in different territories. At the same time, the interpretation of the results is not always comparable for different areas and often have significantly different interpretations by experts. Urban environment, primarily due to the contamination is extremely aggressive to amphibians. As a consequence, the urban populations of amphibians may be a change in the demographic structure, affecting the reproductive ability of the population, the disappearance of the most sensitive species or individuals, resizing animals, the appearance of abnormalities in the development, etc. At the same time play an important amphibians in the ecosystems of cities, and some species in these conditions even feel relatively comfortable. Therefore, it is interesting to understand the mechanisms of self-sustaining populations of amphibians in urban environments. To assess the impact of natural and anthropogenic factors on the development of amphibian populations were used cognitive modeling using the program Vensim PLE. Cognitive map of the model for urban and suburban habitat conditions were the same. The differences concerned the strength of connections between individual factors (migration, fertility, pollution) and their orientation. In general, factors like pollution, parasites, predators had negative impact on the population, reducing its number. The birth rate, food and migration contributed to raising number of individuals. Some of the factors affected on the strength to of each other as well: the majority of the factors affected the structure of the population, had an influence on the fertility. Thanks to it the model reflects the additive effect of complex of factors on the subsequent status of the population. Proposed and analyzed four scenarios differing strength and duration of exposure. In the first scenario, a one-time contamination occurs and not subsequently repeated. The second and third scenario assumes half board contamination, 1 year (2 scenario) and two years (scenario 3). In the fourth scenario, the pollution affected the population of amphibians constantly. In accordance with the results of simulation, much weaker than the natural populations respond to pollution - have them as an intensive population growth and its disappearance at constant pollution is slow. Changes to other parameters of the model showed that this pollution is the decisive factor -only the constant action leads to a lethal outcome for the populations. All other components of the model have a corrective effect on the population dynamics, without changing its underlying trand. In urban areas due to the heavy impact of pollution maintaining the population is only possible thanks to the migration process – the constant replenishment of diminishing micropopulations of natural reserves. This confirms the assumption that the form of existence metapopulations lake frog in the city. In order to maintain the number of amphibians in urban areas at a high level it is necessary to maintain existing migration routes and the creation of new ones. Insular nature of the placement of suitable habitats in urban areas causes the metapopulation structure of the types of urbanists. Therefore, the process of urbanization is much easier for those species whicht are capable of migration in conditions of city. In the initial stages of settling the city micropopulationis formed by selective mortality of the most susceptible individuals to adverse effects. In future, maintaining the categories of individuals is provided mainly due to migration processes metapopulisation form of the species of existence is supported). It should be noted that the changes in the previous levels are always saved in future. In the case of reorganizations of individuals we of morphology can assume the existence of extremely adverse environmental conditions that threaten the extinction of the micropopulations. 


Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .


Author(s):  
Elizaveta Derevenets ◽  
Elizaveta Derevenets

Gelendzhik is the resort town, there aren't a lot of industrial enterprises here. The main pollutant is transport. The work purpose is the assessment of a condition of the artificial landings of a pine located along the Federal highway "Don" and landings, which is nearly the sea coast. Researches were conducted to a standard technique of the General vital state (A. S. Bogolyubov). The assessment of a condition of pines was carried out during 6 years: from 2010 to 2015. For carrying out research we used 6 experimental grounds on the Markotkhsky spine and 2 control grounds within the town. We investigated 24 trees on each platform, middle age of the trees were 30 - 40 years. Results. 1. The condition of trees in the pine forests located in immediate proximity with the Federal highway "Don" (No. 1, 2, 3) is unsatisfactory. As even weak influences of the majority of atmospheric gaseous pollutants (sulphurous gas, nitrogen oxides, etc.) give effect of a necrosis and hloroz of pine needles, the condition of pines is connected with technogenic pollution. So near the Federal highway "Don" the air environment is strongly polluted by exhaust gases. Information of 2012 confirm that negative influence of the route on Markotkh's vegetation decreases at reduction of load of the route. 2. On the sites located above on a slope (No. 4,5,6) thanks to remoteness and the wind mode intensity of influence of pollutants is lower and a condition of pines the quite satisfactory. 3. Trees on the sites located near the sea (No. 7,8) are in a good shape. Small deterioration of a state is noted in very droughty years. Conclusion. Results of six years' research show that the condition of the plantings which are in close proximity with the road worsens. It is explained by increase in intensity of the movement on the road, especially during a resort season. Gelendzhik is the city with a good ecological shape, but the damage to environment is already caused. If not to take measures, we can lose a unique part of the nature in the future, recreate it will be impossible. Measures of reduction of negative impact of exhaust gases were offered. Results of researches are transferred to ecological department of the City administration of Gelendzhik.


2019 ◽  
pp. 74-86
Author(s):  
Marianna Kokhan ◽  
Anastasiya Mazur

The article considers the concept of startups and ecosystems of startup development. It investigates the innovativeness ratings of countries and regional ecosystems of startups and the factors influencing the successful development of startups. The article considers the ranking of the best regional startup ecosystems in the world. It covers the experience of the leading regions, whose effectiveness is driven by attention to financing, networking, expanding access to markets, attracting and nurturing talents, accumulating experience and scientific development. Particular attention is given to the impact of the specialization and effectiveness of the regional focus strategy. Based on the methodology and results of the Global Startup Ecosystem Ranking 2019, authors have empirically investigated the startup ecosystem of the Lviv city. Authors described and systemized the startups operating in the city, the elements, and dynamics of the urban startup infrastructure. The preconditions for successful development of startups - financing, talents, experience, connectedness, access to markets - have been identified. The effectiveness of the activity of city authorities, the local policy of promoting the startup environment development - documents, measures and results – have been investigated. The main factors of Lviv’s regional leadership in the development of digital startups in Ukraine are: the dynamic development of the IT industry, the development of digital competencies and the concentration of talent in leading universities, the development of corporate universities and innovative infrastructure, the development of infrastructure and comfort in the city. For the development of the Lviv startup ecosystem, it is recommended to focus the efforts on further accumulation and transfer of experience, retention of talents, improvement of technology transfer systems, focusing on areas of exclusive competence while expanding access to finance and the global market.


Author(s):  
Elizaveta Derevenets ◽  
Elizaveta Derevenets

Gelendzhik is the resort town, there aren't a lot of industrial enterprises here. The main pollutant is transport. The work purpose is the assessment of a condition of the artificial landings of a pine located along the Federal highway "Don" and landings, which is nearly the sea coast. Researches were conducted to a standard technique of the General vital state (A. S. Bogolyubov). The assessment of a condition of pines was carried out during 6 years: from 2010 to 2015. For carrying out research we used 6 experimental grounds on the Markotkhsky spine and 2 control grounds within the town. We investigated 24 trees on each platform, middle age of the trees were 30 - 40 years. Results. 1. The condition of trees in the pine forests located in immediate proximity with the Federal highway "Don" (No. 1, 2, 3) is unsatisfactory. As even weak influences of the majority of atmospheric gaseous pollutants (sulphurous gas, nitrogen oxides, etc.) give effect of a necrosis and hloroz of pine needles, the condition of pines is connected with technogenic pollution. So near the Federal highway "Don" the air environment is strongly polluted by exhaust gases. Information of 2012 confirm that negative influence of the route on Markotkh's vegetation decreases at reduction of load of the route. 2. On the sites located above on a slope (No. 4,5,6) thanks to remoteness and the wind mode intensity of influence of pollutants is lower and a condition of pines the quite satisfactory. 3. Trees on the sites located near the sea (No. 7,8) are in a good shape. Small deterioration of a state is noted in very droughty years. Conclusion. Results of six years' research show that the condition of the plantings which are in close proximity with the road worsens. It is explained by increase in intensity of the movement on the road, especially during a resort season. Gelendzhik is the city with a good ecological shape, but the damage to environment is already caused. If not to take measures, we can lose a unique part of the nature in the future, recreate it will be impossible. Measures of reduction of negative impact of exhaust gases were offered. Results of researches are transferred to ecological department of the City administration of Gelendzhik.


1995 ◽  
Vol 32 (9-10) ◽  
pp. 197-204
Author(s):  
G. C. Christodoulou ◽  
I. Ioakeim ◽  
K. Ioannou

The paper presents a numerical modeling study aimed at a preliminary assessment of the impact of the planned sea outfall of the city of Limassol, Cyprus, on the waters of Akrotiri bay. First the local meteorological and oceanographic conditions as well as the loading characteristics are briefly reviewed. Two-dimensional finite element hydrodynamic and dispersion models are subsequently applied to the study area. The results of the former show an eastbound flow pattern under the prevailing westerly winds, in general agreement with available field observations. The spread of BOD and N under continuous loading is then examined for eastward as well as for westward flow as an indicator for the extent of pollution to be expected. The computed concentrations are generally low and confined to the shallower parts of the bay.


1995 ◽  
Vol 32 (9-10) ◽  
pp. 85-94 ◽  
Author(s):  
Michael O. Angelidis

The impact of the urban effluents of Mytilene (Lesvos island, Greece) on the receiving coastal marine environment, was evaluated by studying the quality of the city effluents (BOD5, COD, SS, heavy metals) and the marine sediments (grain size, organic matter, heavy metals). It was found that the urban effluents of Mytilene contain high organic matter and suspended particle load because of septage discharge into the sewerage network. Furthermore, although the city does not host important industrial activity, its effluents contain appreciable metal load, which is mainly associated with the particulate phase. The city effluents are discharged into the coastal marine environment and their colloidal and particulate matter after flocculation settles to the bottom, where is incorporated into the sediments. Over the years, the accumulation of organic matter and metals into the harbour mud has created a non-point pollution source in the relatively non-polluted coastal marine environment of the island. Copper and Zn were the metals which presented the higher enrichment in the sediments of the inner harbour of Mytilene.


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