Geographical accessibility to the supply of antiophidic sera in Brazil: Timely access possibilities

Snakebite accidents are considered category A neglected tropical diseases. Brazil stands out for snakebite accidents, mainly in the Amazon region. The best possible care after snakebite accidents is to obtain antiophidic sera on time. And the maximum ideal time to reach it is about 2 hours after an accident. Based on public health information and using a tool to analyze geographical accessibility, we evaluate the possibility of reaching Brazilian serum-providing health facilities from the relationship between population distribution and commuting time. In this exploratory descriptive study, the geographic accessibility of Brazilian population to health facilities that supply antiophidic serum is evaluated through a methodology that articulates several issues that influence the commuting time to health units (ACCESSMOD): population and facilities’ distribution, transportation network and means, relief and land use, which were obtained in Brazilian and international sources. The relative importance of the population without the possibility of reaching a facility in two hours is highlighted for Macro-Regions, States and municipalities. About nine million people live in locations more than two hours away from serum-providing facilities, with relevant variations between regions, states, and municipalities. States like Mato Grosso, Pará and Maranhão had the most important participation of population with reaching time problems to those units. The most significant gaps are found in areas with a dispersed population and sometimes characterized by a high incidence of snakebites, such as in the North of the country, especially in the Northeastern Pará state. Even using a 2010 population distribution information, because of the 2020 Census postponement, the tendencies and characteristics analyzed reveal challenging situations over the country. The growing availability of serum-providing health facilities, the enhanced possibilities of transporting accident victims, and even the availability of sera in other types of establishments are actions that would allow expanding the possibilities of access to serum supply.

Social Media Campaign as a Tool for Patient Education of Disease Prevention and Health Promotion

Public awareness campaigns have played a crucial role in improving the health of communities, as they directly affect people's perception and behavior towards a specific topic, especially on disease prevention and health promotion. This can be seen in campaigns focused on, for example, infectious disease prevention such as HIV, tuberculosis, dengue, and more recently, COVID-19. Formerly, awareness campaigns took a very traditional approach using printed promotional materials, in-person conferences, and television and radio commercials as their primary way of reaching their target audience. This chapter describes an alternative method for reaching new audiences, in a society where social media has taken over as the public's main source of information and entertainment. These platforms can be used to extend important public health information to connect with and educate the public. The authors believe that this approach may increase the public's response towards emerging public health concerns as well as aid the digitalization of medicine through the evolution of telemedicine.

Gaming and digital technologies during the COVID-19 pandemic (Preprint)

UNSTRUCTURED The online gaming industry has experienced tremendous growth in recent years, which has only been intensified by the COVID-19 pandemic. Advertising by the private sector is common in online games, but games can also present a new avenue for innovative messaging by other actors. Online gaming can be a controversial topic, with debate surrounding the health effects of prolonged gaming. Though the World Health Organization (WHO) recognizes instances of gaming disorder, some research suggests that online gaming is not inherently dangerous and can, in some situations, be beneficial to mental health. In the wake of the COVID-19 pandemic, WHO has recently explored using gaming as an avenue for promoting public health messaging and has been involved in various projects that aimed to spread COVID mitigation guidelines through games. While the direct impact of in-game or advertising messaging on individuals’ behaviours is difficult to assess, the spread in popularity of these tactics and their estimated reach suggests a promising new approach for delivering public health information to certain groups. The goal of this paper is to objectively assess the potential of public health messaging through video games with a distinct focus on the impact of current initiatives being utilized to provide much-needed public health information on the COVID-19 pandemic, especially looking to initiatives in which WHO was involved or led. Whilst there is less literature and research in this field than other COVID-19 related topics, this paper has uncovered several meaningful insights and potential routes for future endeavors. To capture the sentiment of the academic community, an advanced Boolean search was conducted through Google Scholar. Google Scholar was used for this search as opposed to specific journals or databases given the cross-specialty nature of research on this topic (i.e., psychology to marketing). The search of ("gaming" OR "video games" OR "online games") AND ("covid-19" OR "coronavirus" OR "pandemic") AND ("public health messaging" OR "public health communication" OR "public health campaigns") was set over the time period 2019-2021.

Making HIS More Agile, Relevant and Public Health Friendly: Lessons from Covid-19 in India

Anthony Giddens, the noted sociologist, describes the COVID-19 pandemic as a ‘digidemic,’ emphasizing the inextricable linkages between the pandemic and the digital. As the pandemic has spread globally, countries have adopted different strategies to leverage digital technologies, in their design, development, implementation, and governance to address the pandemic. Some of these strategies have worked well and others have not so. We submitted this paper at the time when India was fighting the first COVID-19 wave and are submitting this revised version as India fights a much tougher second wave. And between these two waves, we have witnessed some flattening of the COVID-19 curve and the onset of a rigorous vaccination drive. This paper aims to try to analyse some experiences of how countries leveraged digital technologies in their information systems response, such as from Sri Lanka, South Korea and anchored in a historical understanding of public Health Information Systems (HIS) in India, build key learnings for strengthening HIS in India, both for pandemic situations and also routine health management. These include i) improving agility, reflecting the ability of the HIS to provide timely information for supporting local action; ii) improving relevance, implying providing required information for supporting the desired action for different stakeholders; and, iii) public friendliness, implying the HIS should help support population health at large in an equitable manner. We argue that these learnings are not only relevant for strengthening the HIS response to pandemic management but also more broadly for strengthening Indian public HIS covering routine systems. These learnings are particularly pertinent in the current ‘digital’ context in India, where large-scale interventions related to the National Digital Health Mission are currently being planned and implemented. For good or bad, the ‘digital’ is inevitable in public health systems globally, and it becomes important for researchers and practitioners to engage with this process of understanding the digital interventions and contribute to strengthening the health systems.

Rethinking the Infodemic: Global Health Security and Information Disorder

The discourse on the infodemic constructs the combination of the pandemic and disinformation as a new source of insecurity on a global scale. How can we make sense – analytically and politically– of this newly politicized nexus of public health, information management, and global security? This article proposes approaching the phenomenon of the infodemic as an intersecting securitization of information disorder and health governance. Specifically, it argues that there are two distinct frames of security mobilized in the context of infodemic governance: information as a disease and information as a weapon. Drawing on literatures on global health and the emerging research on disinformation, the paper situates the two framings of the infodemic in broader discourses on the medicalization of security, and securitization of information disorder, respectively. The article critically reflects on each framing and offers some preliminary thoughts on how to approach the entanglements of health, security, and information disorder in contemporary global politics.

Utilising design principles to improve the perception and effectiveness of public health infographics

Infographics are becoming a common tool in the communication of public-health information. However, research-based resources in how to create effective infographics are rare. The application of design principles in the creation of infographics has been shown to more effectively communicate information. Here, the research explores the adherence of 84 research-based infographic design principles on 3 designs of varying levels of application. A multi-method approach, including eye-tracking, was used to record information location efficiency, memorability and user perception. Support was found in favour of utilising design principles in the creation of public health infographics; resulting in improved user opinion and information location.

Assessing The Public Health Benefits of Parkrun By Modelling Performance And Participation At Events In Scotland

Background: parkrun is a hugely successful public health initiative that encourages inactive people to exercise. The parkrun results database is likely to contain a wealth of potentially important public health information on the fitness benefits and participation patterns of parkrun, yet this resource has been ignored. The aim was to identify patterns in performance and attendance of participants at parkrun events in Scotland to enhance the future health benefits of parkrun through widening participation particularly by identifying features of events that overcome barriers to women taking part.Study design: The study conducted linear and binomial mixed models of age-graded performance, sex ratio and age of participants at parkrun events held in Scotland. Predictor variables were age, sex, parkrun ID number, number of runs, elevation gain, surface type and travelling time to the next nearest parkrun event. The data were generated from parkrun results pages for 56 events in Scotland. Results: There was a decline in the mean performance of participants at events, however individual performances improved over time. The sex ratio was male biased but the proportion of female participants has been increasing. Events in the most remote parts of Scotland had the lowest age graded performance scores and the highest proportion of female participants with the remotest events exhibiting a female bias in participation. Events on slower surfaces had a higher proportion of female participants.Conclusion: This study reports that parkrun events are becoming more inclusive with new participants being increasingly unfit women. In remoter parts of Scotland the traditional male bias in participation in sport has actually become a slight female bias revealing parkrun has seemingly overcome traditional barriers to female participation in sport. Events with slower surfaces had more female participants. Prioritising the creation of events at more remote locations and on slower surfaces could increase inclusivity and widen participation further. These findings could also help general practitioners prescribe those events that are most likely to benefit new participants making the parkrun practice initiative more effective. For example, women might be encouraged to attend traditionally slower events than men.

The challenge of SARS-CoV-2 environmental monitoring in schools using floors and portable HEPA filtration units: Fresh or relic RNA?

Testing surfaces in school classrooms for the presence of SARS-CoV-2, the virus that causes COVID-19, can provide public-health information that complements clinical testing. We monitored the presence of SARS-CoV-2 RNA in five schools (96 classrooms) in Davis, California (USA) by collecting weekly surface-swab samples from classroom floors and/or portable high-efficiency particulate air (HEPA) units. Twenty-two surfaces tested positive, with qPCR cycle threshold (Ct) values ranging from 36.07-38.01. Intermittent repeated positives in a single room were observed for both floor and HEPA filter samples for up to 52 days , even following regular cleaning and HEPA filter replacement after a positive result. We compared the two environmental sampling strategies by testing one floor and two HEPA filter samples in 57 classrooms at Schools D and E. HEPA filter sampling yielded 3.02% and 0.41% positivity rates per filter sample collected for Schools D and E, respectively, while floor sampling yielded 0.48% and 0% positivity rates. Our results indicate that HEPA filter swabs are more sensitive than floor swabs at detecting SARS-CoV-2 RNA in interior spaces. During the study, all schools were offered weekly free COVID-19 clinical testing. On-site clinical testing was offered in Schools D and E, and upticks in testing participation were observed following a confirmed positive environmental sample. However, no confirmed COVID-19 cases were identified among students associated with classrooms yielding positive environmental samples. The positive samples detected in this study appeared to reflect relic viral RNA from individuals infected before the monitoring program started and/or RNA transported into classrooms via fomites. The high-Ct positive results from environmental swabs further suggest the absence of active infections. Additional research is needed to differentiate between fresh and relic SARS-CoV-2 RNA in environmental samples and to determine what types of results should trigger interventions.