scholarly journals Management of Suspected Avian (H5N1) Influenza in a Non-pandemic Setting

2007 ◽  
Vol 6 (1) ◽  
pp. 9-13
Author(s):  
Hanif Esmail ◽  
◽  
Emma Aarons ◽  

Avian (H5N1) influenza has been responsible for millions of wild bird and poultry deaths throughout the world. Sporadic human cases with a high mortality have occurred, almost exclusively in association with very close contact with sick, dying or dead birds. Appropriate management of suspected cases requires their prompt recognition via attention to travel and bird-exposure history. The early isolation, diagnosis and treatment of suspected cases as well as prompt involvement of the health protection unit should enable patients to be optimally managed with minimum risk to health care staff.

2020 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Aurang Zeb

In the late December 2019, a unique type of pneumonia was observed in Wuhan city and was reported by China Centre for Disease Control (China CDC). The pathogen was identifed on January 07, 2020 and was named as COVID-19. The COVID-19 has transmission rate more than MERS-COV and SARS-COV. The fatality rate, so far, is around 5% that is more than the common infuenza.1 According to WHO report until the end of June, 2020, there are approximately 10 million confrmed cases worldwide with total approximately 0.5 million deaths. In Pakistan alone until now there are 0.2 million confrmed cases with more than 4000 deaths.2 The whole world is affected by this pandemic psychosocially, economically and physically. To control the spread of infection almost all the countries have started lockdowns. Majority of them are following smart lockdowns where the infected cluster population is sealed only and the restrictions on economic activities are under the safety guidelines. The scientists and medical experts are trying to develop treatment and vaccine against the infection.3 Those who have already got the infections have been quarantined and those with severe symptoms are hospitalized for treatment almost all-over the world. The health care staff including doctors, nurses, pharmacists and other paramedical staff are struggling for the prevention and cure of the disease. This struggle makes them on risk for getting infection by themselves. Thousands of doctors and nurses have already been affected by the infections and hundreds of them have sacrificed their lives in fighting against it. Among all the health care workers, nurses are the professionals who spent more time than the other with the patients and are directly involved in care of the infected patients. Over 20 million nurses worldwide are fighting as front-line soldiers against COVID-19 all-over the world4 and because of the unique patient facing nature of the profession, nurses are at high occupational risk in communities and hospitals.5 It would not be wrong to say that the most vulnerable professionals in this life-threatening pandemic are nurses. Nurses need to be supported by the government and non-governmental organizations by providing them safe environment and protective equipment. Their duties should be scheduled as per WHO recommendations and they need to be compensated in terms of treatment and screening test if anyone of them is suspected for the infection. Today, the health care workers are the real heroes and nurses are the front-line members of the team. The brave efforts of these frontline soldiers are acknowledged all over the world and they have been saluted.


Author(s):  
E. Rydwik ◽  
L. Anmyr ◽  
M. Regardt ◽  
A. McAllister ◽  
R. Zarenoe ◽  
...  

Abstract Background The knowledge of the long-term consequences of covid-19 is limited. In patients, symptoms such as fatigue, decreased physical, psychological, and cognitive function, and nutritional problems have been reported. How the disease has affected next of kin, as well as staff involved in the care of patients with covid-19, is also largely unknown. The overall aim of this study is therefore three-fold: (1) to describe and evaluate predictors of patient recovery, the type of rehabilitation received and patients’ experiences of specialized rehabilitation following COVID-19 infection; (2) to study how next of kin experienced the hospital care of their relative and their experiences of the psychosocial support they received as well as their psychological wellbeing; (3) to describe experiences of caring for patients with COVID-19 and evaluate psychological wellbeing, coping mechanisms and predictors for development of psychological distress over time in health care staff. Methods This observational longitudinal study consists of three cohorts; patients, next of kin, and health care staff. The assessments for the patients consist of physical tests (lung function, muscle strength, physical capacity) and questionnaires (communication and swallowing, nutritional status, hearing, activities of daily living, physical activity, fatigue, cognition) longitudinally at 3, 6 and 12 months. Patient records auditing (care, rehabilitation) will be done retrospectively at 12 months. Patients (3, 6 and 12 months), next of kin (6 months) and health care staff (baseline, 3, 6, 9 and 12 months) will receive questionnaires regarding, health-related quality of life, depression, anxiety, sleeping disorders, and post-traumatic stress. Staff will also answer questionnaires about burnout and coping strategies. Interviews will be conducted in all three cohorts. Discussion This study will be able to answer different research questions from a quantitative and qualitative perspective, by describing and evaluating long-term consequences and their associations with recovery, as well as exploring patients’, next of kins’ and staffs’ views and experiences of the disease and its consequences. This will form a base for a deeper and better understanding of the consequences of the disease from different perspectives as well as helping the society to better prepare for a future pandemic.


2021 ◽  
pp. 152483992110035
Author(s):  
Jennifer Utter ◽  
Sally McCray

Family meals provide a unique opportunity for families to eat well and engage positively with each other. In response to the challenges presented by the COVID-19 (coronavirus disease 2019) pandemic, a new initiative to support health care staff to share healthy meals with their families was developed. At a hospital in Queensland, Australia, dietetic staff collaborated with the on-site food service retailer to develop and offer a range of hot meals that staff could take home for their families at the end of their day. The meals were nutritious, reasonably priced, and designed to feed a family of four. The dietetic staff worked with the hospital marketing department and staff health and wellness program to promote the initiative. Over the 3 months that it has been running, nearly 300 meals have been purchased. Anecdotal comments from the food service retailer highlighted that the initiative was a good thing to do for staff to maintain a positive reputation of the business. The staff evening meal initiative is a healthy, affordable, educational, and socially engaging alternative to takeaway meals and food delivery by app, and it is mutually beneficial for health care staff and the on-site food retailer. The initiative also offers a unique opportunity for promoting nutrition and social engagement during stressful times.


2019 ◽  
Vol 46 (1) ◽  
pp. 44-54
Author(s):  
Deb Mitchell ◽  
Kelly-Ann Bowles ◽  
Lisa O'Brien ◽  
Anne Bardoel ◽  
Terry Haines

2002 ◽  
Vol 6 (4) ◽  
pp. 309-323 ◽  
Author(s):  
Anne-Marie Aish ◽  
Inga-Lill Ramberg ◽  
Danuta Wasserman

2007 ◽  
Vol 122 (5) ◽  
pp. 573-578 ◽  
Author(s):  
Peter J. Levin ◽  
Eric N. Gebbie ◽  
Kristine Qureshi

The federal pandemic influenza plan predicts that 30% of the population could be infected. The impact of this pandemic would quickly overwhelm the public health and health-care delivery systems in the U.S. and throughout the world. Surge capacity for staffing, availability of drugs and supplies, and alternate means to provide care must be included in detailed plans that are tested and drilled ahead of time. Accurate information on the disease must be made available to health-care staff and the public to reduce fear. Spokespersons must provide clear, consistent messages about the disease, including actions to be taken to contain its spread and treat the afflicted. Home care will be especially important, as hospitals will be quickly overwhelmed. Staff must be prepared ahead of time to assure their ability and willingness to report to work, and public health must plan ahead to adequately confront ethical issues that will arise concerning the availability of treatment resources. The entire community must work together to meet the challenges posed by an epidemic. Identification and resolution of these challenges and issues are essential to achieve adequate public health preparedness.


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