scholarly journals Yulin Children's Hospital's Response to COVID-19 Epidemic Prevention and Control Measures and Effects

2020 ◽  
pp. 16-23
Author(s):  
Li Huirong
Keyword(s):  
Prevention And Control ◽  
Control Measures ◽  
Shaanxi Province ◽  
National Guidelines ◽  
Effective Prevention ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Prevention And Control Measures ◽  
Control Work ◽  
And Control

Objective: Introduce the prevention and control measures and effects during COVID-19, and provide a basis for strengthening the emergency response ability of children's hospitals to respond to public health emergencies. Methods: Introduced the epidemic prevention and control measures of the Children's Hospital of Yulin City, Shaanxi Province from January 22 to July 31, and summarize the prevention and control effects Results: During this period, according to the relevant national guidelines and regulations, the hospital established a reasonable hospital management model, formulated scientific prevention and control plans, and introduced effective prevention and control measures, realizing zero infection among front-line medical workers, zero spread of the epidemic in the hospital, and zero death among confirmed patients in the hospital. Conclusion: The prevention and control work of Yulin Children's hospital has comprehensive overall deployment and effective prevention and control measures, which has certain reference significance for the prevention and control work of large comprehensive children's specialized hospitals.

scholarly journals Changes in Prevalence of Nosocomial Infection Pre- and Post-COVID-19 pandemic from a Tertiary Hospital in China

2021 ◽  
Author(s):  
Chunmei Su ◽  
Zhiqin Zhang ◽  
Xu Zhao ◽  
Hanlin Peng ◽  
Yi Hong ◽  
...  
Keyword(s):  
Nosocomial Infection ◽  
Nosocomial Infections ◽  
Prevention And Control ◽  
Control Measures ◽  
Gastrointestinal Infections ◽  
Effective Prevention ◽  
Oral Infections ◽  
Prevention And Control Measures ◽  
And Control ◽  
The Impact

Abstract Background: Nosocomial infections (NIs) are an important cause of mortality, and increasing evidence reveals that the prevalence of NIs can be reduced through effective prevention and control measures. The aim of this study was to investigate the impact of the prevention and control measures for the COVID-19 pandemic on NIs.Methods: A retrospective study was conducted to analyze the prevalence of NIs before and after COVID-19 pandemic for six months in the Children’s Hospital of Soochow University.Results: A total of 39,914 patients in 2019 and 34,645 patients in 2020 were admitted to the hospital during the study. There were 1.39% (481/34645) of patients with NIs in 2020, which was significantly lower than the 2.56% (1021/39914) of patients in 2019. The rate of critical and fatal cases was also decreased. Except for the ICU, the prevalence of nosocomial infection in most departments decreased from 2019 to 2020. Regarding the source of infections, a significant reduction was mainly observed in respiratory (0.99% vs 0.42%, p=0.000) and digestive tract (0.63% vs 0.14%, p=0.000). The microorganism analysis of respiratory infections indicated an obvious decline in acinetobacters and fungi. The most significant decline of pathogens in gastrointestinal infections was observed for rotavirus. The comparison of catheter-related nosocomial infections between 2019 and 2020 did not show significant differences. Conclusions: The prevention and control measures for the COVID-19 pandemic have reduced the nosocomial infection in almost all departments, except the ICU, mainly regarding respiratory, gastrointestinal, and oral infections, while catheter-related infections did not show any differences.

scholarly journals Investigation of an anthrax outbreak in Makoni District, Zimbabwe

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Richard Makurumidze ◽  
Notion Tafara Gombe ◽  
Tapuwa Magure ◽  
Mufuta Tshimanga
Keyword(s):  
Risk Factors ◽  
Prevention And Control ◽  
Multivariable Analysis ◽  
Control Measures ◽  
Delayed Response ◽  
National Guidelines ◽  
Public Health Importance ◽  
Awareness Campaigns ◽  
Prevention And Control Measures ◽  
And Control

Abstract Background Anthrax continues to be a disease of public health importance in Zimbabwe, with sporadic outbreaks reported annually in many parts of the country. A human anthrax outbreak occurred in wards 22 and 23 of Makoni District from mid-June 2013 to end of January 2014, following cattle deaths in the wards. Laboratory tests confirmed anthrax as the cause for the cattle deaths. This study investigated the clinical characteristics, distribution of cases (places, person and time) and risk factors for contracting the anthrax disease. We also assessed the environment, district preparedness and response, and outbreak prevention and control measures. Methods We conducted an outbreak investigation using a mixed-methods design. A 1:1 case-control study was used to assess risk factors for contracting anthrax. The controls were frequency matched to cases by sex. Data were collected using a structured interviewer-administered questionnaire. Environmental assessment, district preparedness and response, and outbreak prevention and control measures were assessed using a checklist, observations, and key informant interviews. Multivariable unconditional logic regression analysis was performed to identify independent risk factors associated with contracting anthrax. Results We interviewed 37 of the 64 cases, along with 37 controls. All the cases had cutaneous anthrax, with the hand being the most common site of the eschar (43%). Most of the cases (89%) were managed according to the national guidelines. Multivariable analysis demonstrated that meat sourced from other villages [vs butchery, OR = 15.21, 95% CI (2.32–99.81)], skinning [OR = 4.32, 95% CI (1.25–14.94)], and belonging to religions that permit eating meat from cattle killed due to unknown causes or butchered after unobserved death [OR = 6.12, 95% CI (1.28–29.37)] were associated with contracting anthrax. The poor availability of resources in the district caused a delayed response to the outbreak. Conclusion The described anthrax outbreak was caused due to contact with infected cattle meat. Although the outbreak was eventually controlled through cattle vaccination and health education and awareness campaigns, the response of the district office was initially delayed and insufficient. The district should strengthen its emergency preparedness and response capacity, revive zoonotic committees, conduct awareness campaigns and improve surveillance, especially during outbreak seasons.

scholarly journals A knowledge, attitudes, and practices study on ticks and tick-borne diseases in cattle among farmers in a selected area of eastern Bhutan

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247302
Author(s):  
Jamyang Namgyal ◽  
Tenzin Tenzin ◽  
Sylvia Checkley ◽  
Tim J. Lysyk ◽  
Sangay Rinchen ◽  
...  
Keyword(s):  
Prevention And Control ◽  
Animal Health ◽  
Control Measures ◽  
Favorable Attitude ◽  
Feeding System ◽  
Livestock Farming ◽  
Effective Prevention ◽  
Adequate Knowledge ◽  
Prevention And Control Measures ◽  
And Control

Livestock farming plays an important role in supporting the livelihood of resource-poor subsistence farmers in Bhutan. However, ticks and tick-borne diseases (TBDs) are one of the major constraints to livestock farming due to their negative effect on health and production. To date, no study has been conducted in Bhutan to assess farmers’ knowledge, attitude, and practices (KAP) about ticks and TBDs in cattle, although such information is essential in ensuring the development and adoption of effective prevention and control measures. Therefore, a KAP survey was conducted among 246 cattle owners in the Samkhar sub-district of eastern Bhutan in June 2019, using a structured questionnaire. Based on our scoring criteria, 52% [95%CI: 45.5–58.4] had adequate knowledge about ticks as potential vectors of diseases. Logistic regression analysis showed that the individuals who practiced a stall-feeding system of cattle rearing were 2.8 times [OR = 2.8 (95%CI: 1.66–4.78)] more likely to have adequate knowledge than others. Sixty-eight percent [95%CI: 62.5–74.4] had a favorable attitude toward tick prevention and control programs. Men were 1.95 times [OR = 1.95 (95%CI: 1.09–3.55)] more likely to have a favorable attitude than women, and the individuals who practiced a stall-feeding system were 2.59 times [OR = 2.59 95%CI: 1.45–4.78)] more likely to have a favorable attitude than others, after adjusting for the effect of other variables in the model. Overall, only 38% [95%CI 32.5–45] of the respondents reported tick infestation as one of the most important animal health problems, but 100% reported using acaricides to control ticks in cattle. Despite a high level of acaricide usage, the level of knowledge was low among the farmers interviewed. Findings from this study underline the importance of considering identified knowledge gaps and initiating education efforts to improve the adoption of effective tick prevention and control measures among farmers.

scholarly journals Investigation of an anthrax outbreak in Makoni District, Zimbabwe

2020 ◽  
Author(s):  
Richard Makurumidze ◽  
Gombe Notion Tafara ◽  
Magure Tapuwa ◽  
Mufuta Tshimanga
Keyword(s):  
Risk Factors ◽  
Environmental Assessment ◽  
Prevention And Control ◽  
Multivariable Analysis ◽  
Control Measures ◽  
Delayed Response ◽  
National Guidelines ◽  
Awareness Campaigns ◽  
Prevention And Control Measures ◽  
And Control

Abstract Background: Anthrax continues to be a disease of public health importance in Zimbabwe, with sporadic outbreaks reported annually in many parts of the country. A human anthrax outbreak occurred in wards 22 and 23 of Makoni District from mid-June 2013 to end of January 2014, following cattle deaths in the wards. Laboratory tests confirmed anthrax as the cause for the cattle deaths. This study aims to investigate the clinical characteristics, distribution of anthrax cases (places, person and time), risk factors for contracting the disease, environmental assessment, district preparedness and response, and outbreak prevention and control measures.Methods: We conducted an outbreak investigation using a mixed-methods design. A 1:1 case-control study was used to assess risk factors for contracting anthrax. The controls were frequency matched to cases by sex. Data were collected using a structured interviewer-administered questionnaire. Environmental assessment, district preparedness and response, and outbreak prevention and control measures were assessed using a checklist, observations, and key informant interviews. Multivariable unconditional logic regression analysis was performed to identify independent risk factors associated with contracting anthrax.Results: We interviewed 37 of the 64 cases, along with 37 controls. All the cases had cutaneous anthrax, with the hand being the most common site of the eschar (43%). Most of the cases (89%) were managed according to the national guidelines. Multivariable analysis demonstrated that meat sourced from other villages [vs butchery, OR = 15.21, 95% CI (2.32-99.81)], skinning [OR = 4.32, 95% CI (1.25-14.94)], and belonging to religions that permit eating meat from cattle killed due to unknown causes or butchered after unobserved death [OR = 6.12, 95% CI (1.28-29.37)] were associated with contracting anthrax. The poor availability of resources in the district caused a delayed response to the outbreak.Conclusion: The described anthrax outbreak was caused due to contact with infected cattle meat. Although the outbreak was eventually controlled through cattle vaccination and health education and awareness campaigns, the response of the district office was initially delayed and insufficient. The district should strengthen its emergency preparedness and response capacity, revive zoonotic committees, conduct awareness campaigns and improve surveillance, especially during outbreak seasons.

scholarly journals An investigation of an anthrax outbreak in Makoni District, Zimbabwe

2020 ◽  
Author(s):  
Richard Makurumidze ◽  
Gombe Notion Tafara ◽  
Magure Tapuwa ◽  
Mufuta Tshimanga
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Environmental Assessment ◽  
Prevention And Control ◽  
Multivariable Analysis ◽  
Control Measures ◽  
National Guidelines ◽  
Awareness Campaigns ◽  
Prevention And Control Measures ◽  
And Control

Abstract Background: In Zimbabwe, anthrax continues to be a disease of public health importance with sporadic outbreaks reported in many parts of the country annually. A human anthrax outbreak occurred in Makoni District Ward 22 and 23 between June 2013 and February 2014. The human anthrax outbreak followed cattle deaths in the wards, which were laboratory confirmed to be due to anthrax. We report the clinical characteristics, distribution of anthrax cases (places, person and time), risk factors for contracting the disease, environmental assessment, district preparedness and response and outbreak prevention and control measures. Methods: We conducted an outbreak investigation with the design of a 1:1 case-control study. Cases and controls were frequency matched against sex. Data were collected using a structured interviewer-administered questionnaire. Environmental assessment, district preparedness and response and outbreak prevention and control measures were assessed using a checklist, observations and key informant interviews. Multivariable unconditional logic regression analysis was performed to identify independent risk factors associated with contracting anthrax. Results: Of the 64 cases, 37 cases and 37 controls were interviewed. All the cases had cutaneous anthrax with the commonest site of eschar being the hand (43%). Most of the cases (89%) were managed according to the national guidelines. On multivariable analysis, source of meat from other villagers [vs butchery, OR = 15.21, 95% CI (2.32-99.81)], skinning [OR = 4.32, 95% CI (1.25-14.94)] and belonging to a religion which permits eating meat from cattle slaughtered due to unknown illness or butchered after an unobserved death [OR = 6.12, 95% CI (1.28-29.37)] were associated with contracting anthrax. The district was poorly resourced and delayed to respond to the outbreak. Conclusion: The described anthrax outbreak resulted from contact and consumption of infected cattle meat. The district office response was delayed and was not prepared to control the outbreak. However, the outbreak was eventually controlled through cattle vaccination; health education and awareness campaigns. The district should strengthen its emergency preparedness and response capacity, revive zoonotic committees, conduct awareness campaign during the high-risk period and improve the surveillance of anthrax during high-risk periods.

scholarly journals Changes in prevalence of nosocomial infection pre- and post-COVID-19 pandemic from a tertiary Hospital in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chunmei Su ◽  
Zhiqin Zhang ◽  
Xu Zhao ◽  
Hanlin Peng ◽  
Yi Hong ◽  
...  
Keyword(s):  
Nosocomial Infection ◽  
Nosocomial Infections ◽  
Prevention And Control ◽  
Control Measures ◽  
Gastrointestinal Infections ◽  
Effective Prevention ◽  
Oral Infections ◽  
Prevention And Control Measures ◽  
And Control ◽  
The Impact

Abstract Background Nosocomial infections (NIs) are an important cause of mortality, and increasing evidence reveals that the prevalence of NIs can be reduced through effective prevention and control measures. The aim of this study was to investigate the impact of the prevention and control measures for the COVID-19 pandemic on NIs. Methods A retrospective study was conducted to analyze the prevalence of NIs before and after COVID-19 pandemic for 6 months in the Children’s Hospital of Soochow University. Results A total of 39,914 patients in 2019 and 34,645 patients in 2020 were admitted to the hospital during the study. There were 1.39% (481/34645) of patients with NIs in 2020, which was significantly lower than the 2.56% (1021/39914) of patients in 2019. The rate of critical and fatal cases was also decreased. In addition, the rate of appropriate handwashing, the number of protective gloves and aprons used per person and the number of healthcare staff per patients were significantly increased. Except for the ICU, the prevalence of nosocomial infection in most departments decreased from 2019 to 2020. Regarding the source of infections, a significant reduction was mainly observed in respiratory (0.99% vs 0.42%, p = 0.000) and digestive tract (0.63% vs 0.14%, p = 0.000). The microorganism analysis of respiratory infections indicated an obvious decline in acinetobacters and fungi. The most significant decline of pathogens in gastrointestinal infections was observed for rotavirus. The comparison of catheter-related nosocomial infections between 2019 and 2020 did not show significant differences. Conclusions The prevention and control measures for the COVID-19 pandemic have reduced the nosocomial infection in almost all departments, except the ICU, mainly regarding respiratory, gastrointestinal, and oral infections, while catheter-related infections did not show any differences.

scholarly journals Spatial and Temporal Distribution Changes of Human Brucellosis in Inner Mongolia, China, effects of Husbandry and Control Measures

2020 ◽  
Author(s):  
Jingbo Zhai ◽  
qi zhang ◽  
Ying Wang ◽  
Dali Wang ◽  
Lihua Song ◽  
...  
Keyword(s):  
Inner Mongolia ◽  
Prevention And Control ◽  
Temporal Distribution ◽  
Control Measures ◽  
Human Brucellosis ◽  
Spatial And Temporal Distribution ◽  
Effective Prevention ◽  
Policies And Measures ◽  
Prevention And Control Measures ◽  
And Control

Abstract BackgroundInner Mongolia has the highest incidence rate, causing great public health and economic losses. A number of policies to guide the prevention and control of human brucellosis had been issued and have made some achievements. Analysis of the distribution characteristics and changes of human brucellosis is important for the targeted prevention and control of this disease.MethodsWe collected various policies and measures related to brucellosis promulgated, and comprehensively analyzed the spatial and temporal distribution of human brucellosis in Inner Mongolia from 2005 to 2019 using the Bayesian theory of space-time modeling. ResultsWith the implementation of various policies and measures, great achievements have been made and distribution trends changed. Some western regions have changed into stable or cold-spot counties, and most cities in the eastern region have become hot-spot counties during the time period. The rising trend of risk in three cities is slowing down, while the risk in two cities is growing faster than the overall trend.ConclusionThe effective prevention and control measures are essential. The analysis results of this study may provide a theoretical and scientific basis for the public health department to develop targeted effective prevention and control measures for human brucellosis.

scholarly journals Mathematical Modeling and Epidemic Prediction of Covid-19 and Its Significance to Epidemic Prevention and Control Measures

2021 ◽  
Vol 3 (2) ◽  
pp. 01-12
Author(s):  
Bin Zhao ◽  
Yichi Li ◽  
Bowen Wang ◽  
Ruiyang Peng ◽  
Chen Zhou ◽  
...  
Keyword(s):  
Time Series ◽  
Sensitivity Analysis ◽  
Prevention And Control ◽  
Mainland China ◽  
Model Analysis ◽  
Control Measures ◽  
Cumulative Number ◽  
Effective Prevention ◽  
Prevention And Control Measures ◽  
And Control

Background: Since receiving unexplained pneumonia patients at the Jinyintan Hospital in Wuhan, China in December 2019, the new coronavirus (COVID-19) has rapidly spread in Wuhan, China and spread to the entire China and some neighboring countries. We establish the dynamics model of infectious diseases and time series model to predict the trend and short-term prediction of the transmission of COVID-19, which will be conducive to the intervention and prevention of COVID-19 by departments at all levels in mainland China and buy more time for clinical trials. Methods: Based on the transmission mechanism of COVID-19 in the population and the implemented prevention and control measures, we establish the dynamic models of the six chambers, and establish the time series models based on different mathematical formulas according to the variation law of the original data. Findings: The results based on time series analysis and kinetic model analysis show that the cumulative diagnosis of pneumonia of COVID-19 in mainland China can reach 36,343 after one week (February 8, 2020), and the number of basic regenerations can reach 4.01. The cumulative number of confirmed diagnoses will reach a peak of 87,701 on March 15, 2020; the number of basic regenerations in Wuhan will reach 4.3, and the cumulative number of confirmed cases in Wuhan will reach peak at 76,982 on March 20. Whether in Mainland China or Wuhan, both the infection rate and the basic regeneration number of COVID-19 continue to decline, and the results of the sensitivity analysis show that the time it takes for a suspected population to be diagnosed as a confirmed population can have a significant impact on the peak size and duration of the cumulative number of diagnoses. Increased mortality leads to additional cases of pneumonia, while increased cure rates are not sensitive to the cumulative number of confirmed cases. Interpretation: Chinese governments at various levels have intervened in many ways to control the epidemic. According to the results of the model analysis, we believe that the emergency intervention measures adopted in the early stage of the epidemic, such as blocking Wuhan, restricting the flow of people in Hubei province, and increasing the support to Wuhan, had a crucial restraining effect on the original spread of the epidemic. It is a very effective prevention and treatment method to continue to increase investment in various medical resources to ensure that suspected patients can be diagnosed and treated in a timely manner. Based on the results of the sensitivity analysis, we believe that enhanced treatment of the bodies of deceased patients can be effective in ensuring that the bodies themselves and the process do not result in additional viral infections, and once the pneumonia patients with the COVID-19 are cured, the antibodies left in their bodies may prevent them from reinfection COVID-19 for a longer period of time.

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