scholarly journals Evaluation of an ICD logging system to supplement an EMR in a Sub-Saharan country

2018 ◽  
Vol 7 (2) ◽  
pp. 8
Author(s):  
Araba A. Wubah ◽  
Jean A. Yankson ◽  
Cameron Sumpter ◽  
Fred Rawlins ◽  
Dean Sutphin ◽  
...  
Keyword(s):  
United States ◽  
Developing Country ◽  
Medical Center ◽  
The United States ◽  
Sub Saharan Africa ◽  
World Health ◽  
Medical Documentation ◽  
The World ◽  
Sub Saharan ◽  
College Of Osteopathic Medicine

Adoption of electronic medical records (EMRs) has been spotty and sluggish in the world, including the United States, despite the multiple benefits of medical technology and informatics. Though there are difficulties in establishing and maintaining an EMR system in a developing country, it is not impossible. The International Classification of Diseases (ICD) Logger, called CREDO (Clinical Rotation Evaluation and Documentation Organizer), developed by Edward Via College of Osteopathic Medicine (VCOM), provides a straightforward, economical EMR system to use in a developing country, such as Ghana. However, with a recently established EMR system developed locally and being used at the target new hospital, Healthwise Medical Center, the aim of the study was to use the common medical documentation language of the World Health Organization (WHO) ICD-10 codes to add value to the local EMR. This demonstration enabled the comparison of medical encounters in Ghana to those in the United States, specifically in Appalachia where VCOM students typically do their clinical rotations. We also evaluated the issues and tested the CREDO ICD Logger as a simple, stand-alone EMR system. Therefore, by collecting ICD data twice weekly from Ghana, a data point in Sub-Saharan Africa, it became possible to compare a public health snapshot of developing countries and sites in the United States.

Law Reform in a Developing Country: A New Code of Obligations for Senegal

1964 ◽  
Vol 8 (1) ◽  
pp. 6-19
Author(s):  
E. Allan Farnsworth
Keyword(s):  
United States ◽  
Developing Country ◽  
Legal Profession ◽  
The United States ◽  
The State ◽  
Sub Saharan Africa ◽  
Law Reform ◽  
Private Law ◽  
Sub Saharan ◽  
The Republic

The Republic of Senegal has embarked upon a project to reform its private law. This fact, of itself, might not seem worthy of the attention of the legal profession in the United States, since Senegal is a country of only about 3,250,000 inhabitants, less than the population of the state of Alabama, covering only 76,000 square miles, less than the area of the state of Kansas, and having a total of exports and imports to the dollar zone of less than twelve million dollars in 1962. With twenty per cent of its population in its six largest cities of more than 30,000 inhabitants, it is the most urban, most literate, and most Europeanized of the francophonic countries of sub-Saharan Africa, but this alone would evoke little interest abroad in its attempts at law reform.

The Reverse Transfer of Technology from Sub-Saharan Africa to the United States

1987 ◽  
Vol 25 (4) ◽  
pp. 597-612 ◽  
Author(s):  
Bernard I. Logan
Keyword(s):  
United States ◽  
The United States ◽  
Relative Volume ◽  
Sub Saharan Africa ◽  
Reverse Transfer ◽  
Transfer Of Technology ◽  
The World ◽  
Trained Personnel ◽  
Sub Saharan

This study documents and evaluates the so-called ‘brain drain’ from sub-Saharan Africa to the United States during the period 1974–85. The objective is to use the available data to provide some insights into the rôle of this region in the international labour market for trained personnel. This is done by comparing the relative volume, pattern, and trend of migration to the United States from a sample of 17 countries against that for Africa as a whole, and against that for the world. The rationale for this kind of analysis rests on the need to determine the significance for all concerned of the growing transfer of technology, and to identify the factors which control the process.

The Basic Structure as Object: Institutions and Humanitarian Concern

2005 ◽  
Vol 31 ◽  
pp. 253-278
Author(s):  
Leif Wenar
Keyword(s):  
Disease Burden ◽  
Rural Poverty ◽  
Basic Structure ◽  
The United States ◽  
Bronchial Tree ◽  
Sub Saharan Africa ◽  
World Health ◽  
The World ◽  
Sub Saharan ◽  
Health Organization

One third of the human species is infested with worms. The World Health Organization estimates that worms account for 40 per cent of the global disease burden from tropical diseases excluding malaria. Worms cause a lot of misery.In this article I will focus on one particular type of infestation, which is hookworm. Approximately 740 million people suffer from hookworm infection in areas of rural poverty: more than one human in ten, a total greater than twenty-three times the population of Canada or twice the population of the United States. The greatest numbers of cases occur in China, Southeast Asia, and Sub-Saharan Africa- that is, mostly in the places in the world where poverty is most severe.Hookworm larvae pierce the skin, enter the bloodstream, work their way into the heart and then into the lungs, where they climb the bronchial tree into the throat and are swallowed.

The Ethics of COVID-19 Vaccine Passports

2021 ◽  
Vol 46 (4) ◽  
pp. 1-2
Author(s):  
Joseph Meaney ◽  
Keyword(s):  
United States ◽  
World Health Organization ◽  
The United States ◽  
Scientific Data ◽  
World Health ◽  
Medical Decisions ◽  
The Poor ◽  
Divided Society ◽  
The World ◽  
Health Organization

COVID-19 vaccine passports run the risk of creating a divided society where social privileges or restrictions based on “fitness” lead to discrimination based on immunization status. Individuals have a strong right to be free of coercion to take a COVID-19 vaccine, and we should be very leery of further invasion of private medical decisions. These concerns are shared both internationally and in the United States, and the World Health Organization, the Biden administration, and many US governors oppose COVID-19 vaccine credentials. In addition, regulations for COVID-19 vaccine credentials face practical barriers, including lack of access globally, especially among the poor; and lack of scientific data on the efficacy of these vaccines.

Comparing breast cancer characteristics across Sub-Saharan Africa and the United States

2018 ◽  
Vol 92 ◽  
pp. S155 ◽  
Author(s):  
S. Grover ◽  
M. Narasimhamurthy ◽  
R. Bhatia ◽  
C. Benn ◽  
K. Fearnhead ◽  
...  
Keyword(s):  
Breast Cancer ◽  
United States ◽  
The United States ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals Individual, community and societal correlates of insecticide treated net use among pregnant women in sub-Saharan Africa: a multi-level analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Edward Kwabena Ameyaw
Keyword(s):  
Pregnant Women ◽  
Sub Saharan Africa ◽  
World Health ◽  
Health Concern ◽  
Maternal And Newborn Health ◽  
African Countries ◽  
The World ◽  
Itn Use ◽  
Multi Level ◽  
Sub Saharan

Abstract Background Malaria in pregnancy is a crucial public health concern due to the enormous risk it poses to maternal and newborn health. The World Health Organisation therefore recommends insecticide-treated net (ITN) for pregnant women. The world over, sub-Saharan Africa bears the highest prevalence of malaria and its associated complications. This study investigated the individual, community and society level factors associated with ITN use among pregnant women in sub-Saharan Africa. Methods The study was conducted with Demographic and Health Survey data of 21 sub-Saharan African countries. A total of 17,731 pregnant women who possessed ITN participated in the study. Descriptive computation of ITN use by survey country and socio-demographic characteristics was conducted. Further, five multi-level binary logistic regression models were fitted with MLwiN 3.05 package in STATA. The Markov Chain Monte Carlo (MCMC) estimation procedure was used in estimating the parameters whilst the Bayesian Deviance Information Criterion was used for the model fitness test. Results On average, 74.2% pregnant women in SSA used ITN. The highest prevalence of ITN use occurred in Mali (83.7%) whilst the least usage occurred in Namibia (7%). Women aged 30–34 were more likely to use ITN compared with those aged 45–49 [aOR = 1.14; Crl = 1.07–1.50]. Poorest women were less probable to use ITN relative to richest women [aOR = 0.79; Crl = 0.70–0.89]. Compared to women who did not want their pregnancies at all, women who wanted their pregnancies [aOR = 1.06; Crl = 1.04–1.19] were more probable to use ITN. Women in male-headed households had higher likelihood of ITN use compared to those from female-headed households [aOR = 1.28; Crl = 1.19–1.39]. On the whole, 38.1% variation in ITN use was attributable to societal level factors whilst 20.9% variation was attributable to community level factors. Conclusion The study has revealed that in addition to individual level factors, community and society level factors affect ITN use in SSA. In as much as the study points towards the need to incorporate community and societal variations in ITN interventions, active involvement of men can yield better outcome for ITN utilisation interventions in SSA.

scholarly journals The Relationship Between the Global Burden of Influenza From 2017 to 2019 and COVID-19: Descriptive Epidemiological Assessment (Preprint)

2020 ◽  
Author(s):  
Stefan David Baral ◽  
Katherine Blair Rucinski ◽  
Jean Olivier Twahirwa Rwema ◽  
Amrita Rao ◽  
Neia Prata Menezes ◽  
...  
Keyword(s):  
Respiratory Infections ◽  
Temporal Trends ◽  
Sub Saharan Africa ◽  
World Health ◽  
Respiratory Pathogens ◽  
Modes Of Transmission ◽  
The World ◽  
Influenza Activity ◽  
Sub Saharan ◽  
Health Organization

BACKGROUND SARS-CoV-2 and influenza are lipid-enveloped viruses with differential morbidity and mortality but shared modes of transmission. OBJECTIVE With a descriptive epidemiological framing, we assessed whether recent historical patterns of regional influenza burden are reflected in the observed heterogeneity in COVID-19 cases across regions of the world. METHODS Weekly surveillance data reported by the World Health Organization from January 2017 to December 2019 for influenza and from January 1, 2020 through October 31, 2020, for COVID-19 were used to assess seasonal and temporal trends for influenza and COVID-19 cases across the seven World Bank regions. RESULTS In regions with more pronounced influenza seasonality, COVID-19 epidemics have largely followed trends similar to those seen for influenza from 2017 to 2019. COVID-19 epidemics in countries across Europe, Central Asia, and North America have been marked by a first peak during the spring, followed by significant reductions in COVID-19 cases in the summer months and a second wave in the fall. In Latin America and the Caribbean, COVID-19 epidemics in several countries peaked in the summer, corresponding to months with the highest influenza activity in the region. Countries from regions with less pronounced influenza activity, including South Asia and sub-Saharan Africa, showed more heterogeneity in COVID-19 epidemics seen to date. However, similarities in COVID-19 and influenza trends were evident within select countries irrespective of region. CONCLUSIONS Ecological consistency in COVID-19 trends seen to date with influenza trends suggests the potential for shared individual, structural, and environmental determinants of transmission. Using a descriptive epidemiological framework to assess shared regional trends for rapidly emerging respiratory pathogens with better studied respiratory infections may provide further insights into the differential impacts of nonpharmacologic interventions and intersections with environmental conditions. Ultimately, forecasting trends and informing interventions for novel respiratory pathogens like COVID-19 should leverage epidemiologic patterns in the relative burden of past respiratory pathogens as prior information.

Annual Summary of Vital Statistics—1976

PEDIATRICS ◽  
1977 ◽  
Vol 60 (6) ◽  
pp. 797-804
Author(s):  
Myron E. Wegman
Keyword(s):  
United States ◽  
United Nations ◽  
The United States ◽  
Vital Statistics ◽  
World Health ◽  
Health Statistics ◽  
The World ◽  
States Data ◽  
International Data ◽  
Health Organization

Data for this article, as in previous reports,1 are drawn principally from the Monthly Vital Statistics Report,2-5 published by the National Center for Health Statistics. The international data come from the Demographic Yearbook6 and the quarterly Population and Vital Statistics Report,7 both published by the Statistical Office of the United Nations, and the World Health Statistics Report,8 published by the World Health Organization. All the United States data for 1976 are estimates by place of occurrence based upon a 10% sample of material received in state offices between two dates, one month apart, regardless of when the event occurred. Experience has shown that for the country as a whole the estimate is very close to the subsequent final figures.

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