scholarly journals La pandemia COVID-19: Priorización sanitaria en España

Bioderecho.es ◽  
2021 ◽  
Author(s):  
Manuela Giraldo Acosta ◽  
Alicia Del Río López ◽  
Beatriz García Cano

La pandemia COVID-19, desarrollada durante 2020 y 2021, ha sido un acontecimiento que ha ocasionado que varios aspectos en la organización de nuestra sociedad se hayan visto afectados, produciendo el desarrollo de una crisis originalmente sanitaria, que ha tenido numerosas consecuencias. Dentro del ámbito de la salud, uno de los procesos más relevantes que ha tenido que ser adaptado a esta nueva situación ha sido el triaje a causa de los escasos recursos sanitarios. Este proceso ha pasado por numerosas etapas con el fin de conseguir un protocolo estandarizado para toda España, elaborado mediante la colaboración del Ministerio de Sanidad, el Comité de Bioética de España y otras entidades. Para ello ha sido fundamental el papel de la bioética, así como el de expertos en el ámbito de la salud, científicos y juristas, ya que la visión conjunta de todos ellos ha permitido una evaluación más amplia de la situación. Al igual que en España, otros países como Francia e Italia han tenido que recurrir a comités de bioética para el manejo de la situación. La vacunación también ha necesitado del establecimiento de un triaje al no haber suficientes dosis para todos. Estos aspectos se analizan en este estudio. The COVID-19 pandemic, developed during 2020 and 2021, has been an event that has caused that several aspects in the organization of our society have been affected, producing the development of an originally health crisis, which has had numerous consequences. Within the health field, one of the most relevant processes that has had to be adapted to this new situation has been triage due to scarce health resources. This process has gone through numerous stages in order to achieve a standardized protocol for Spain, prepared in collaboration with the Ministry of Health, the Bioethics Committee of Spain and other entities. For this, the role of bioethics has been fundamental, as well as that of experts in the field of health, scientists and lawyers, since the joint vision of all of them has allowed a broader evaluation of the situation. As in Spain, other countries such as France and Italy have had to resort to bioethics committees to manage the situation. Vaccination has also required the establishment of a triage as there are not enough doses for everyone. These aspects are evaluated in this study.

Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Saeed Khan ◽  
Tusha Sharma ◽  
Basu Dev Banerjee ◽  
Scotty Branch ◽  
Shea Harrelson

: Currently, Coronavirus disease 2019 (COVID-19) has transformed into a severe public health crisis and wreaking havoc worldwide. The ongoing pandemic has exposed the public healthcare system's weaknesses and highlighted the urgent need for investments in scientific programs and policies. A comprehensive program utilizing the science and technologydriven strategies combined with well-resourced healthcare organizations appears to be essential for current and future outbreak management.


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Steve J. Bickley ◽  
Ho Fai Chan ◽  
Ahmed Skali ◽  
David Stadelmann ◽  
Benno Torgler

Abstract Background The ongoing COVID-19 pandemic has highlighted the vast differences in approaches to the control and containment of coronavirus across the world and has demonstrated the varied success of such approaches in minimizing the transmission of coronavirus. While previous studies have demonstrated high predictive power of incorporating air travel data and governmental policy responses in global disease transmission modelling, factors influencing the decision to implement travel and border restriction policies have attracted relatively less attention. This paper examines the role of globalization on the pace of adoption of international travel-related non-pharmaceutical interventions (NPIs) during the coronavirus pandemic. This study aims to offer advice on how to improve the global planning, preparation, and coordination of actions and policy responses during future infectious disease outbreaks with empirical evidence. Methods and data We analyzed data on international travel restrictions in response to COVID-19 of 185 countries from January to October 2020. We applied time-to-event analysis to examine the relationship between globalization and the timing of travel restrictions implementation. Results The results of our survival analysis suggest that, in general, more globalized countries, accounting for the country-specific timing of the virus outbreak and other factors, are more likely to adopt international travel restrictions policies. However, countries with high government effectiveness and globalization were more cautious in implementing travel restrictions, particularly if through formal political and trade policy integration. This finding is supported by a placebo analysis of domestic NPIs, where such a relationship is absent. Additionally, we find that globalized countries with high state capacity are more likely to have higher numbers of confirmed cases by the time a first restriction policy measure was taken. Conclusions The findings highlight the dynamic relationship between globalization and protectionism when governments respond to significant global events such as a public health crisis. We suggest that the observed caution of policy implementation by countries with high government efficiency and globalization is a by-product of commitment to existing trade agreements, a greater desire to ‘learn from others’ and also perhaps of ‘confidence’ in a government’s ability to deal with a pandemic through its health system and state capacity. Our results suggest further research is warranted to explore whether global infectious disease forecasting could be improved by including the globalization index and in particular, the de jure economic and political, and de facto social dimensions of globalization, while accounting for the mediating role of government effectiveness. By acting as proxies for a countries’ likelihood and speed of implementation for international travel restriction policies, such measures may predict the likely time delays in disease emergence and transmission across national borders.


2021 ◽  
pp. 194855062199962
Author(s):  
Jennifer S. Trueblood ◽  
Abigail B. Sussman ◽  
Daniel O’Leary

Development of an effective COVID-19 vaccine is widely considered as one of the best paths to ending the current health crisis. While the ability to distribute a vaccine in the short-term remains uncertain, the availability of a vaccine alone will not be sufficient to stop disease spread. Instead, policy makers will need to overcome the additional hurdle of rapid widespread adoption. In a large-scale nationally representative survey ( N = 34,200), the current work identifies monetary risk preferences as a correlate of take-up of an anticipated COVID-19 vaccine. A complementary experiment ( N = 1,003) leverages this insight to create effective messaging encouraging vaccine take-up. Individual differences in risk preferences moderate responses to messaging that provides benchmarks for vaccine efficacy (by comparing it to the flu vaccine), while messaging that describes pro-social benefits of vaccination (specifically herd immunity) speeds vaccine take-up irrespective of risk preferences. Findings suggest that policy makers should consider risk preferences when targeting vaccine-related communications.


Author(s):  
Kostas Rontos ◽  
Maria-Eleni Syrmali ◽  
Luca Salvati

The COVID-19 pandemic has rapidly evolved into an acute health crisis with extensive socioeconomic and demographic consequences. The severity of the COVID-19 pandemic requires a refined (and more comprehensive) understanding of virus dissemination over space, transmission mechanisms, clinical features, and risk factors. In line with this assumption, the present study illustrates a comparative, empirical analysis of the role of socioeconomic and demographic dimensions in the early stages of the COVID-19 pandemic grounded on a large set of indicators comparing the background context across a global sample of countries. Results indicate that—in addition to epidemiological factors—basic socioeconomic forces significantly shaped contagions as well as hospitalization and death rates across countries. As a response to the global crisis driven by the COVID-19 pandemic, all-embracing access to healthcare services should be strengthened along with the development of sustainable health systems supported by appropriate resources and skills. The empirical findings of this study have direct implications for the coordination of on-going, global efforts aimed at containing COVID-19 (and other, future) pandemics.


Author(s):  
Eva Spiritus-Beerden ◽  
An Verelst ◽  
Ines Devlieger ◽  
Nina Langer Primdahl ◽  
Fábio Botelho Guedes ◽  
...  

The COVID-19 pandemic is a defining global health crisis of our time. While the impact of COVID-19, including its mental health impact, is increasingly being documented, there remain important gaps regarding the specific consequences of the pandemic on particular population groups, including refugees and migrants. This study aims to uncover the impact of the COVID-19 pandemic on the mental health of refugees and migrants worldwide, disentangling the possible role of social and daily stressors, i.e., experiences of discrimination and daily living conditions. Descriptive analysis and structural equation modeling were used to analyze the responses of N = 20,742 refugees and migrants on the self-reporting global ApartTogether survey. Survey findings indicated that the mental health of refugees and migrants during the COVID-19 pandemic was significantly impacted, particularly for certain subgroups, (i.e., insecure housing situation and residence status, older respondents, and females) who reported experiencing higher levels of increased discrimination and increases in daily life stressors. There is a need to recognize the detrimental mental health impact of the COVID-19 pandemic on particular refugee and migrant groups and to develop interventions that target their unique needs.


2014 ◽  
Vol 30 (2) ◽  
pp. 143-152 ◽  
Author(s):  
Cecilia A.L. Dahlsjö ◽  
Catherine L. Parr ◽  
Yadvinder Malhi ◽  
Homathevi Rahman ◽  
Patrick Meir ◽  
...  

Abstract:Termite species and functional groups differ among regions globally (the functional-diversity anomaly). Here we investigate whether similar differences in biomass and abundance of termites occur among continents. Biomass and abundance data were collected with standardized sampling in Cameroon, Malaysia and Peru. Data from Peru were original to this study, while data from Cameroon and Malaysia were compiled from other sources. Species density data were sampled using a standardized belt transect (100 × 2 m) while the biomass and abundance measurements were sampled using a standardized protocol based on 2 × 2-m quadrats. Biomass and abundance data confirmed patterns found for species density and thus the existence of the functional diversity anomaly: highest estimates for biomass and abundance were found in Cameroon (14.5 ± 7.90 g m−2 and 1234 ± 437 ind m−2) followed by Malaysia (0.719 ± 0.193 g m−2 and 327 ± 72 ind m−2) and then Peru (0.345 ± 0.103 g m−2 and 130 ± 39 ind m−2). The biomass and abundance for each functional group were significantly different across sites for most termite functional groups. Biogeographical distribution of lineages was the primary cause for the functional diversity anomaly with true soil-feeding termites dominating in Cameroon and the absence of fungus-growing termites from Peru. These findings are important as the biomass and abundance of functional groups may be linked to ecosystem processes. Although this study allowed for comparisons between data from different regions further comparable data are needed to enhance the understanding of the role of termites in ecosystem processes on a global scale.


Author(s):  
Debishree Khan ◽  
◽  
Shailendra Yadav ◽  
Atya Kapley ◽  
◽  
...  

Managing Solid Waste is always a challenge for any developing nations due to poor infrastructure and awareness. The emergency situation due to COVID-19 pandemic has shifted the dynamics of solid waste generation globally. However, its impact varies from developed world to developing nation. Multiple knowledge gaps exist regarding the containment of waste during pandemic situation in developing nation. For overcoming health crisis, a multifaceted coordinated approach between civic authorities, policymakers and scientific community is required. Therefore, present review article highlights the challenges associated with solid waste management and role of policymakers in combating pandemic strategically.


2021 ◽  
pp. 48-51
Author(s):  
Mrinal Joshi ◽  
Aayushi Choudhary

Introduction: The declaration of COVID 19 pandemic by WHO on 11th March 2020, is the dening global health crisis of the past 100 years. The following Nationwide survey was conducted to ascertain the sea changes this pandemic has brought in the physiatrist practice, patient management and preparing oneself to the challenges of rehabilitation in the POST COVID world. The survey covers the role and importance of social media in medical education and consultation in a POST COVID world. It also sheds light on the nancial implications and personal lifestyle changes that physiatrists are witnessing. A Google form comprising of 74 questions, divided in 3 se Material &Methods: ctions, was used to gather the requisite data on :- A) PRECOVID practice, management and lifestyle; B) Life during COVID pandemic; and C) Anticipated changes in POST COVID era. The survey was circulated to 400 physiatrist via various interactive groups who have been practicing either independently or in govt setups and associated hospitals nationwide. They were requested to submit their responses in a period of 30 days. In PRECOVID era an average Result: physiatrist was nely balancing his profession, personal lifestyle, learning and recreation. The LOCKDOWN clamped their practice which lead to nancial drought but hardly made a dent in productivity by engaging in webinars, reading and researching. The POST COVID time demands implementation of newer safety protocols like changes in setup, regulating the patient trafc, limiting daily procedures, engaging in distance learning through virtual conferences, maintaining a healthy lifestyle and constructing proper protocols for pulmonary, neurological and musculoskeletal rehabilitation programs for patients post recovery from COVID19, especially the patients weaning from ventilators. Conclusion: The effect of COVID19 demands major change in physiatrist professional practice like limiting consultation, following safety protocols, COVID testing, preparing consolidated program for POSTCOVID sequel. Social media is rightly poised to be a major tool for education, consultation, marketing and awareness. The role of teleconsultation needs to be reprised, recognised and regularised. Webinars and virtual conferences will nd more takers in future.


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