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ABSTRACT
Objectives: We developed COVID-19 Outbreak Simulator (https://ictr.github.io/covid19-outbreak-simulator/) to quantitatively estimate the effectiveness of preventative and interventive measures to prevent and battle COVID-19 outbreaks for specific populations.
INTRODUCTION: Health service use among the public can decline during outbreaks and had been predicted among low and middle-income countries during the COVID-19 pandemic. In March 2020, the government of the Democratic Republic of the Congo (DRC) started implementing public health measures across Kin
...
shasa, including strict lock-down measures in the Gombe health zone.
METHODS: Using monthly time series data from the DRC Health Management Information System (January 2018 to December 2020) and interrupted time series with mixed effects segmented Poisson regression models, we evaluated the impact of the pandemic on the use of essential health services (outpatient visits, maternal health, vaccinations, visits for common infectious diseases and non-communicable diseases) during the first wave of the pandemic in Kinshasa. Analyses were stratified by age, sex, health facility and lockdown policy (i.e, Gombe vs other health zones).
RESULTS: Health service use dropped rapidly following the start of the pandemic and ranged from 16% for visits for hypertension to 39% for visits for diabetes. However, reductions were highly concentrated in Gombe (81% decline in outpatient visits) relative to other health zones. When the lock-down was lifted, total visits and visits for infectious diseases and non-communicable diseases increased approximately twofold. Hospitals were more affected than health centres. Overall, the use of maternal health services and vaccinations was not significantly affected.
CONCLUSION: The COVID-19 pandemic resulted in important reductions in health service utilizsation in Kinshasa, particularly Gombe. Lifting of lock-down led to a rebound in the level of health service use but it remained lower than pre-pandemic levels.
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Illustrated by A. Scheffler and contribution by G. Medley
Against the backdrop of the COVID-19 pandemic, health is receiving unprecedented public and political attention. Yet the fact that climate change also presents us with a health crisis deserves further recognition. From more deaths due to heat stress to increased transmission of infectious diseases,
...
climate change affects the social and environmental determinants of health in ways that are profound and far-reaching. The fundamental interdependency of human health and the health of the environment is encapsulated in the concept of planetary health, a scientific field and social movement that has been gaining force since the 2015 publication of the Rockefeller Foundation-Lancet Commission report “Safeguarding human health in the Anthropocene epoch”.
We see an urgent need for strategic communication to raise awareness of climate-health synergies in order to overcome the misperception that climate and health are two independent agendas. The fragmented and sector-focused nature of thinking and action remains a significant barrier to integrating health considerations into climate planning and project development. Inevitably, collaboration across sectors requires a community of practice. Despite recent efforts focused on the climate-health nexus, much work remains to be done to translate scientific findings for policymakers, mobilise climate financing resources in support of health co-benefits, and promote genderjust solutions within climate change projects.
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Quick reference guide
Recommendations for in-patient management of COVID-19 in adult patients
Version 10, November 2020.
Flow chart for the care of symptomatic-respiratory patients suspected of COVID-19
The purpose of this document is to provide relevant information and guidelines on
coronavirus outbreaks – and in particular the novel coronavirus SARS-CoV-2 and the
diseases it produces, COVID-19 – for pharmacists and the pharmacy workforce, both in a
primary care context (i.e. community phar
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macies and primary healthcare facilities) and in
hospital settings, as well as for pharmacists working as clinical biologists in medical
analysis laboratories, for example, as clinical biologists, and offer a set of references that
may be consulted for more informationstor
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Protocolo Atención de enfermería a pacientes adultos con COVID-19 sin complicaciones respiratorias
Gavilanez Medina Patricia, Gualoto Lincango Blanca, Chamorro Obando Patricia et al
Ministerio de Salud Pública del Ecuador
(2020)
CC
Nursing Care Protocol for adult patients with COVID-19 without respiratory complications
COVID-19, General Epidemiological Surveillance Guidelines (Version 6)
This issue is available in Engilsh, Maguindanao, Maranao, Tagalog from the website
Additional dose of the primary vaccination against COVID-19: Technical Guidelines
Guidelines for diagnosis, acute care and post-COVID-19 follow-up for children and adolescents
Guidelines for the care of children and adolescents diagnosed with COVID - 19.
Recomendaciones sobre salud mental para la población de niños, niñas y adolescentes a un año del inicio de la pandemia por covid-19. ACTUALIZACIÓN 2021
Direccion Nacional de salud mental y adicciones del Ministerio de Salud
Ministerio de Salud Argentina
(2021)
CC
Mental health recommendations for the child and adolescent population one year after the start of the covid-19 pandemic. UPDATE 2021
Recomendaciones para el cuidado y atención de la salud/salud mental de las personas mayores en el marco de la pandemia por Covid-19 ACTUALIZACIÓN 2021
Direccion Nacional de salud mental y adicciones del Ministerio de Salud
Ministerio de Salud Argentina
(2021)
CC
Tips and guidelines for mental health care for older people ( Update 2021)
Guidelines for the use of oxygen in patients with COVID 19
Countries reported disruptions in all health-care settings. In more than half of countries surveyed, many people are still unable to access care at the primary care and community care levels. Significant disruptions have also been reported in emergency care, particularly concerning given the impact
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on people with urgent health needs. Thirty-six per cent of countries reported disruptions to ambulance services; 32% to 24-hour emergency room services; and 23% to emergency surgeries.
Elective surgeries have also been disrupted in 59% of countries, which can have accumulating consequences on health and well-being as the pandemic continues. Disruptions to rehabilitative care and palliative care were also reported in around half of the countries surveyed.
Major barriers to health service recovery include pre-existing health systems issues which have been exacerbated by the pandemic as well as decreased demand for care.
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Vaccinator's Manual SINOPHARM Vaccine - 28 FEBRUARY 2021
