scholarly journals Policy recommendations in response to the resurgence of COVID-19 cases for institutional medical practice from an ophthalmic perspective

2020 ◽  
Vol 17 (3) ◽  
pp. 250-262
Author(s):  
Blanche X.H. Lim ◽  
Chris H.L. Lim ◽  
Aaron Q.Y. Goh ◽  
Dawn K.A. Lim ◽  
Clement W.T. Tan

Objectives: The COVID-19 pandemic has been declared a public health emergency of international concern. Singapore was one of the first countries to identify imported cases and also experience a second wave of outbreaks. A slew of measures enacted by the government to ‘flatten the curve’ has directly impacted upon the way we practice. Study design/Methods: This article describes steps enacted by our department to ensure sustainability of our ophthalmic practice. Results: We share considerations at various time points and policies implemented in a stepwise approach in response to the worsening community situation. We further discuss our phased approach towards reinstating our services safely and effectively for patients and staff in a markedly different practice climate. Conclusions: The COVID-19 pandemic has markedly upended the way we practice medicine. Reflecting on the ideal measures required for such occurrences in the future will empower practices with the ability to respond effectively to future outbreaks.

2021 ◽  
Vol 7 (1) ◽  
pp. 139-161
Author(s):  
Steven Suprantio

The business world everywhere including those in Indonesia cannot but felt the brunt of economic slowdown caused by the public health emergency (the COVID 19 pandemic). Quite a few national and local businesses have had to close their operation and lay off all its employees. Although the consensus between the government, workers (individuals and unions) as well as employers is to prevent and avoid termination of employment at all costs, the Law No. 11 of 2020, re. Job Creation allows massive dismissal of employees due to economic necessity or state of emergency. This article shall critically examine how the prevailing law, Law No. 11 of 2020 re. Job Creation regulates termination of employment in case of state of emergency.  


2014 ◽  
Vol 29 (4) ◽  
pp. 358-363 ◽  
Author(s):  
Lainie Rutkow ◽  
Jon S. Vernick ◽  
Carol B. Thompson ◽  
Ronald G. Pirrallo ◽  
Daniel J. Barnett

AbstractIntroductionFor effective responses to emergencies, individuals must have the ability to respond and also be willing to participate in the response. A growing body of research points to gaps in response willingness among several occupational cohorts with response duties, including the Emergency Medical Services (EMS) workforce. Willingness to respond is particularly important during an influenza or other pandemic, due to increased demands on EMS workers and the potential for workforces to be depleted if responders contract influenza or stay home to care for sick dependents. State emergency preparedness laws are one possible avenue to improve willingness to respond.HypothesisPresence of certain state-level emergency preparedness laws (ie, ability to declare a public health emergency; requirement to create a public health emergency plan; priority access to health resources for responders) is associated with willingness to respond among EMS workers.MethodsFour hundred twenty-one EMS workers from the National Registry of Emergency Medical Technicians’ (NREMT's) mid-year Longitudinal EMT Attributes and Demographics Study (LEADS) were studied. The survey, which included questions about willingness to respond during an influenza pandemic, was fielded from May through June 2009. Survey data were merged with data about the presence or absence of the three emergency preparedness laws of interest in each of the 50 US states. Unadjusted logistic regression analyses were performed with the presence/absence of each law and were adjusted for respondents’ demographic/locale characteristics.ResultsCompared to EMS workers in states that did not allow the government to declare a public health emergency, those in states that permitted such declarations were more likely to report that they were willing to respond during an influenza pandemic. In adjusted and unadjusted analyses, this difference was not statistically significant. Similar results were found for the other state-level emergency preparedness laws of interest.ConclusionWhile state-level emergency preparedness laws are not associated with willingness to respond, recent research suggests that inconsistencies between the perceived and objective legal environments for EMS workers could be an alternative explanation for this study's findings. Educational efforts within the EMS workforce and more prominent state-level implementation of emergency preparedness laws should be considered as a means to raise awareness of these laws. These types of actions are important steps toward determining whether state-level emergency preparedness laws have the potential to promote response willingness among EMS workers.RutkowL, VernickJS, ThompsonCB, PirralloRG, BarnettDJ. Emergency preparedness law and willingness to respond in the EMS workforce. Prehosp Disaster Med. 2014;29(4):1-6.


2020 ◽  
Author(s):  
Tiantian Zhang ◽  
Wenming Shi ◽  
Ying Wang ◽  
Ge Bai ◽  
Ruiming Dai ◽  
...  

AbstractBackgroundThe novel coronavirus disease 2019 (COVID-19) outbreak is spreading rapidly throughout China and the world. Hence, early surveillance and public health emergency disposal are considered crucial to curb this emerging infectious disease. However, studies that investigated the early surveillance and public health emergency disposal for the prevention and control of the COVID-19 outbreak in China are relatively few. We aimed to compare the strengths and weaknesses of early surveillance and public health emergency disposal for prevention and control between COVID-19 and H7N9 avian influenza, which was commended by the international community, in China.MethodsA case-comparison study was conducted using a set of six key time nodes to form a reference framework for evaluating early surveillance and public health emergency disposal between H7N9 avian influenza (2013) in Shanghai, China and COVID-19 in Wuhan, China.FindingsA report to the local Center for Disease Control and Prevention, China, for the first hospitalized patient was sent after 6 and 20 days for H7N9 avian influenza and COVID-19, respectively. In contrast, the pathogen was identified faster in the case of COVID-19 than in the case of H7N9 avian influenza (12 days vs. 31 days). The government response regarding COVID-19 was 10 days later than that regarding avian influenza. The entire process of early surveillance and public health emergency disposal lasted 5 days longer in COVID-19 than in H7N9 avian influenza (46 days vs. 41 days).ConclusionsThe identification of the unknown pathogen improved in China between the outbreaks of avian influenza and COVID-19. The longer emergency disposal period in the case of COVID-19 could be attributed to the government’s slower response to the epidemic. Improving public health emergency management could lessen the adverse social effects of emerging infectious diseases and public health crisis in the future.ContributorsTZ, WS, and LL designed the project, processed and analyzed the data, and wrote the manuscript. YW, GB, RD, and QW edited the manuscript. All authors revised the draft.


Author(s):  
Isaiah Nnanna Ibeh ◽  
Seyi Samson Enitan ◽  
Richard Yomi Akele ◽  
Christy Chinwe Isitua ◽  
Felix Omorodion

The Coronavirus Disease – 2019 (COVID-19) is officially now a pandemic and not just a public health emergency of international concern as previously labelled. Worldwide, the new coronavirus has infected more than 4.9 million people and leaving more than 300,000 people dead in 188 countries. As countries of the world get locked down in an effort to contain the widespread of the virus, experts are concern about the global impacts of the pandemic on individuals, countries and the world at large. Millions of people are currently under quarantine across the globe. Many countries have responded by proclaiming a public health emergency, closed their borders and restrict incoming flights from high risk countries. This has grossly affected the travel plan of many. Several international programs, conferences, workshops and sporting activities are either postponed or cancelled. As the number of confirmed cases continues to escalate across the globe, hospitals seems to be running out of medical supplies, hospital spaces and personnel. Health workers are being overwhelmed by the numbers of people requesting for testing and treatment. Many of such health workers have been infected with the coronavirus and even lost their lives since the fight against COVID-19 started. Public health experts are also concerned about the huge medical wastes coming from the hospitals at this time and the adverse effects associated with improper management of such medical wastes, both at the hospital and community levels. The pandemic has also impacted negatively on the global economy. There have been serious crises in the stock market, with gross fall in the price of crude oil resulting in inflation and economic hardship among the populace. Many are currently out of job and as a result, the level of crime, protest and violence have continued to escalate in different parts of the world. The deaths of loved ones due to the coronavirus has left many emotionally traumatized. Nigeria, like other African countries is not spared of the ravaging effects of the pandemic, even as the government take strict measures to contain the virus. No doubt, this is very challenging, but the country is capable of surmounting the virus with the needed help from her international partners and cooperation from the citizenry. But if we as a people, remain complacent and continue with business as usual, without taking measures to flatten the curve, the disease will escalate too quickly beyond our capacity to handle and our health system will be overwhelmed and may collapse eventually. We cannot therefore afford to be complacent in our response to containing the pandemic.


2021 ◽  
Vol 27 (1) ◽  
pp. 1-2
Author(s):  
Esther Wagner ◽  
Randolph Atkins

2021 ◽  
Vol 9 ◽  
Author(s):  
Tiantian Zhang ◽  
Qian Wang ◽  
Ying Wang ◽  
Ge Bai ◽  
Ruiming Dai ◽  
...  

Background: Since the novel coronavirus disease (COVID-19) has been a worldwide pandemic, the early surveillance and public health emergency disposal are considered crucial to curb this emerging infectious disease. However, studies of COVID-19 on this topic in China are relatively few.Methods: A case-comparison study was conducted using a set of six key time nodes to form a reference framework for evaluating early surveillance and public health emergency disposal between H7N9 avian influenza (2013) in Shanghai and COVID-19 in Wuhan, China.Findings: A report to the local Center for Disease Control and Prevention, China, for the first hospitalized patient was sent after 6 and 20 days for H7N9 avian influenza and COVID-19, respectively. In contrast, the pathogen was identified faster in the case of COVID-19 than in the case of H7N9 avian influenza (12 vs. 31 days). The government response to COVID-19 was 10 days later than that to avian influenza. The entire process of early surveillance and public health emergency disposal lasted 5 days longer in COVID-19 than in H7N9 avian influenza (46 vs. 41 days).Conclusions: The identification of the unknown pathogen improved in China between the outbreaks of avian influenza and COVID-19. The longer emergency disposal period in the case of COVID-19 could be attributed to the government's slower response to the epidemic. Improving public health emergency management could lessen the adverse social effects of emerging infectious diseases and public health crisis in the future.


Author(s):  
Manuranjan Gogoi ◽  
Pranjal Protim Buragohain ◽  
Purabi Gogoi ◽  
Atanu Hazarika

Background-The outbreak of COVID-19 pandemic has affected the global economy from its starting. Indian economy is also affected by the pandemic and experienced a lot of economic damages. India has become the global hotspot of COVID-19 during the second wave of the pandemic and recorded the second-highest position in terms of positivity rate after China. The present study attempts to analyze the economic issues that emerged in the first and second waves of the pandemic in India. Method/Approach-There is no econometric tools or analytical models used in the present study. This study attempts to evaluate the two research questions which are formed on the basis of some previous studies by various organizations and researchers. The research questions are as follow, First, what are the sectors those are primarily affected at the time of the first COVID-19 outbreak? Second, which economic issues and impacts emerged in the second wave of the pandemic? Results/ Findings-From the study, it is found that the second wave of COVID-19 is not much affected by the Indian economy. At this time, no nationwide lockdown was announced by the Government. But so, it was much severe in the time of the first wave of COVID-19. Many sectors were affected by the pandemic like agriculture, MSMEs, Tourism, etc., and these resulted in substantial unemployment problems in the economy. The study is trying to analyze these problems and concluding it with a few policy recommendations for the economy of India.


Author(s):  
Arslan Habib ◽  
Khalid Mahmood Anjum ◽  
Ajmal Shehzad ◽  
Muhammad Imran ◽  
Zeeshan Ashraf ◽  
...  

The current pandemic of COVID-19 was first observed in the Wuhan city of China in December 2019, which later appeared worldwide. World Health Organization (WHO) declares coronavirus pandemic as an international issue of a public health emergency worldwide. On 11 February 2020, WHO named this virus as Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Different effective preventive measures were implemented to control the transmission of COVID-19. After the COVID-19 pandemic outbreak in Pakistan, the government designed other effective protocols to fight against this zoonotic disease. This review highlighted the COVID-19 outbreak prevalence in Pakistan with their current scenario and the government response to combat the disease.


Author(s):  
Ritwick Mondal ◽  
Shramana Deb ◽  
Durjoy Lahiri ◽  
Gourav Shome

The ongoing outbreak of COVID-19 that began in Wuhan, China, has constituted a Public Health Emergency of International Concern, with cases confirmed in more than 200 countries. Currently, infected individuals are the primary source of infection and multiple cases of relapse are also reported following the recovery. It is highly concerning the nature of relapse which may be caused due to reactivation or reinfection. While the present testing scenario of using different molecular techniques has several loopholes that can report false results and hamper the process of effectively preventing the transmission of the virus. Various recommendations need modifications to effectively stop the horizontal transmission of the virus and look deeply into the links with relapse cases to prevent a second wave during a pandemic.


2018 ◽  
Vol 22 (4) ◽  
pp. 510-520
Author(s):  
N. Nurlaela Arief ◽  
Siti Karlinah ◽  
Yanti Setianti ◽  
Sri Susilawati

Purpose The purpose of this paper is to analyze how media plays a role in the issue of counterfeit vaccines. Specifically, to describe how the government communicators manage issues of counterfeit vaccines in Indonesia. Even though a public health emergency situation is very hard to predict, monitoring issues in media is crucial before communicating with the public. This will help improve public trust on the importance of vaccines. Design/methodology/approach The study collected data from June until December 2016. The research method employed quantitative content analysis of data obtained from media monitoring and interviews. Findings The results show that the issue of fake vaccines received great attention from the media with a total of 1,724 news headlines on the topic. The government communicators were responsive in handling this issue by providing sources of information for key influencers when it arose. Since the majority of media sentiment was positive, the research also proposes a model for the future managing of issues on counterfeit vaccines. Research limitations/implications Limited to managing issues on media about counterfeit vaccines and how government communicators and stakeholders communicated during the crisis. It is suggested that future research should focus on the emotional perspective of parents whose children were affected by counterfeit vaccines. Practical implications This research is worthwhile for Public Relations Practitioners in government health institutions, such as the Ministry of Health, the National Agency for Food and Drugs Control and PR practitioners in Hospitals and Pharmacies to overcome another communication crisis in a public health emergency. Social implications To increase awareness in Indonesia about the importance of vaccines and to educate the public about using government vaccines without fear. Originality/value This research is new as the topic about counterfeit vaccines has not been brought up before. This has the potential to have a considerable impact to local communities, as well as a wider impact on global health systems.


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