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South African cardiovascular risk stratification guideline for non-cardiac surgery

Alphonsus, C.; Naidoo, N.; Motshabi, P. et al. South African Medical Journal (2021) CC

The South African (SA) guidelines for cardiac patients for non-cardiac surgery were developed to address the need for cardiac risk assessment and risk stratification for elective non-cardiac surgical patients in SA, and more broadly in Africa. The guidelines were developed by updating the Canadian ...Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Non-cardiac Surgery, with a search of literature from African countries and recent publications. The updated proposed guidelines were then evaluated in a Delphi consensus process by SA anaesthesia and vascular surgical experts. The recommendations in these guidelines are: 1. We suggest that elective non-cardiac surgical patients who are 45 years and older with either a history of coronary artery disease, congestive cardiac failure, stroke or transient ischaemic attack, or vascular surgical patients 18 years or older with peripheral vascular disease require further preoperative risk stratification as their predicted 30-day major adverse cardiac event (MACE) risk exceeds 5% (conditional recommendation: moderate-quality evidence). 2. We do not recommend routine non-invasive testing for cardiovascular risk stratification prior to elective non-cardiac surgery in adults (strong recommendation: low-to-moderate-quality evidence). 3. We recommend that elective non-cardiac surgical patients who are 45 years and older with a history of coronary artery disease, or stroke or transient ischaemic attack, or congestive cardiac failure or vascular surgical patients 18 years or older with peripheral vascular disease should have preoperative natriuretic peptide (NP) screening (strong recommendation: high-quality evidence). 4. We recommend daily postoperative troponin measurements for 48 - 72 hours for non-cardiac surgical patients who are 45 years and older with a history of coronary artery disease, or stroke or transient ischaemic attack, or congestive cardiac failure or vascular surgical patients 18 years or older with peripheral vascular disease, i.e. (i) a baseline risk >5% for MACE 30 days after elective surgery (if no preoperative NP screening), or (ii) an elevated B-type natriuretic peptide (BNP)/N-terminal-prohormone B-type natriuretic peptide (NT-proBNP) measurement before elective surgery (defined as BNP >99 pg/mL or a NT-proBNP >300 pg/mL) (conditional recommendation: moderate-quality evidence). Additional recommendations are given for the management of myocardial injury after non-cardiac surgery (MINS) and medications for comorbidities. more

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Managing family risk: A facilitator’s toolbox for empowering families to manage risks during COVID-19. Part 1

World Health Organization WHO; IFRC; UNICEF and GOARN (2021) C_WHO

People-centered approaches that help communities maintain protective behaviours and follow guidelines set out by public health and government agencies are more important than ever. The evidence is clear, communities play a role in preventing and controlling epidemics and they are best able to take a... more

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Projecting the risk of mosquito-borne diseases in a warmer and more populated world: a multi-model, multi-scenario intercomparison modelling study

Colón-González, F.J.; M. Odhiambo Sewe, A.M Tompkins et al. The Lancet (2021) CC

Mosquito-borne diseases are expanding their range, and re-emerging in areas where they had subsided for decades. The extent to which climate change influences the transmission suitability and population at risk of mosquito-borne diseases across different altitudes and population densities has not be... more

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Noncommunicable diseases risk behaviours among adults in the South-East Asia Region: Findings from STEPS and GATS

World Health Organization (WHO), Regional Office for South-East-Asia (2016) C_WHO

The publication conveys the most recent quantitative surveillance results focusing on noncommunicable disease (NCDs)-related risk behaviours among adults from the WHO STEPwise approach to NCD risk factor surveillance (STEPS) and tobacco use among adults from the Global Adult Tobacco Survey (GATS) in... more

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Antimicrobial stewardship: changing risk-related behaviours in the general population

National Institut for Health and Care Excellence NICE (2017) C2

This guideline covers making people aware of how to correctly use antimicrobial medicines (including antibiotics) and the dangers associated with their overuse and misuse. It also includesmeasures to prevent and control infection that can stop people needing antimicrobials or spreadinginfection to o... more

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Assessing the risks of Migration along the Central and Eastern Mediterranean Routes: Iraq and Nigeria as Case Study Countries

Department for International Development, International Organization for Migration (2016) C1

The report is based on in-depth qualitative research in countries along the Eastern and Central Mediterranean routes. It focuses on Iraqi and Nigerian migrants as case studies, as Nigeria is the number one country of origin for migrants travelling along the Central Mediterranean route. Iraqis repres... more

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Communicating about Vaccination-related Risks

World Health Organisation (WHO) (2023) C_WHO

This document seeks to help health communication professionals working on the topic of immunization more effectively communicate about Events Supposedly Attributed to Vaccination and Immunization (ESAVI) by building trust in National Immunization Programs, understanding risk perceptions related to v... more

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Marburg Virus: reducing the risk of transmission

European Centre for Disease Prevention and Control (ecdc) (2024) C_CDC

Infographic

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Operational guidance on rapid risk assessment methodology

Katrin Leitmeyer; Dilys Morgan, Hilary Kirkbride and Bengü Said European Centre for Disases Prevention and Control ECDC (2011)

ECDC Technical Document

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Global Climate Risk Index 2021

Eckstein, D.; V. Künzel and L.Schäfer Germanwatch e.V. (2015) C2

Who suffers Most from Extreme Weather Events? Weather-related Loss Events in 2019 and 2000 to 2019 The Global Climate Risk Index 2021 analyses and ranks to what extent countries and regions have been affected by impacts of climate related extreme weather events (storms, floods, heatwaves etc.). The... more

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Resilience in a Riskier World: Managing Systemic Risks from Biological and Other Natural Hazards - Asia-Pacific Disaster Report 2021

UN Economic and Social Commission for Asia and the Pacific (2021) C1

Since the start of the pandemic, the region has been hit by multiple natural and biological disasters. At the same time, climate change has continued to warm the world, exacerbating the impacts of many of these disasters. The *Asia-Pacific Disaster Report 2021, *also launched today, shows that the p... more

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Guidance on Mainstreaming Disaster Risk Reduction in the Health Sector, Myanmar - Rural Setting

The Republic of the Union of Myanmar, Ministry of Social Welfare, Relief and Resettlement (MSWRR), Ministry of Health (2011) C1

The guidance aspires
• To emphasize the 'need' to mainstream disaster risk reduction (DRR) in the health sector initiatives.
• To identify key approaches for mainstreaming DRR in the health sector in Myanmar, particularly in rural areas, based on the good practices, innovative approach... more

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Public health risk mapping and capacities assessment in Ghana

Ministry of Health, Ghana, World Health Organizaiotn (WHO) and Ghana Health Service (2016) C1

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Zika Virus Risk Assessment in the WHO African region - A Technical Report

World Health Organization WHO (2016) C_WHO

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Myanmar Community Based Disaster Risk Management

[Asian Disaster Preparedness Center (ADPC)] (2009) C1

This Manual is primarily intended for community level volunteers trained in Community Based Disaster Risk Management (CBDRM) and CBDRM Practitioners and Professionals.
The year of publication is not specified in the document.

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Public health risk assessment and interventions. Typhoon Haiyan

World Health Organization, Western Pacific Office (2013)

External Link

Crisis Emergency Risk Communication. Manual
recommended

Centers for Disease Control and Prevention; US Dept. of Health and Human Services (2014) CC

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Guideline on Inclusive Disaster Risk Reduction: Early Warning and Accessible Broadcasting

Dion, Betty; Qureshi, Aqeel Global Alliance on Accessible Technologies and Environments (GAATES), Asia Pacific Broadcasting Union, Asia Disaster Preparedness Center (2014) C1

- Build community resilience to coastal hazards by improving capacity of inclusive disaster management systems.
- Reduce the mortality rate of persons with disabilities in situations of risk.
- Raise awareness about inclusive policies, practices and disaster risk reduction strategies that ... more

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HIV Transmission and AIDS risk - Short brochure (English)

Bundeszentrale für gesundheitliche Aufklärung (BZgA) (2014) C2

Different situations, risks, recommendations. Short brochure with pictograms. Available in: English, Turkish, French, Russian at: http://www.bzga.de/infomaterialien/fremdsprachige-materialien/ AND German at: http://www.bzga.de/infomaterialien/aidsaufklärung/hiv-übertragung-und-aids-gefahr/

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Multiple-hazards and systemic risk: Addressing climate-related disasters in times of COVID-19

UN office for Disaster Risk Reduction (2020) CC

The current effort on fighting COVID-19 cannot conceal the fact that climatic and geological hazards affect Latin-America and the Caribbean every year. At a time when countries of the region are actively responding to the pandemic, they also need to prepare for and implement actions to mitigate the ... more

Crisis Emergency Risk Communication. Manual recommended

Crisis Emergency Risk Communication. Manual
recommended