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1.
Braz Oral Res ; 34: e068, 2020 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-32609235

RESUMO

The World Health Organization declared a COVID-19 pandemic on March 11, 2020, when there were 4,293 confirmed cumulative deaths. By May 17, 2020 this number increased to 315,005. The risk of death is higher above the age of 60, but there are many deaths below 60 (for example, in Sao Paulo, 25%). Due to the lack of a vaccine or specific treatment, there are at least three types of interventions used in the first wave of this pandemic: increased alertness and hygiene (e.g. Sweden); identification and isolation of infected people and their contacts (e.g. South Korea); lockdown (e.g. Italy). These interventions are complementary. Choices of the right mix of interventions will vary from society to society and in the same society at different times. The search for a miracle drug is dangerous because it is based on the mistaken belief that any treatment option is better than "nothing". Brazilian society will not be able to maintain lockdown for a long period. Naturally, in the near future, regardless of the advice from scientists, doctors and authorities, commerce, services and schools will reopen. In order to implement any strategy aimed to control the pandemic and preserve the economy, the country needs leadership that centralizes and coordinates actions. Unfortunately, the Brazilian government is not fulfilling this role; on the contrary, it is a hindrance. This negative leadership and lack of coordination are causing many deaths and are severely damaging the lives of survivors by delaying the resuming of economic and social activities.


Assuntos
Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Betacoronavirus , Brasil/epidemiologia , Infecções por Coronavirus/mortalidade , Governo Federal , Humanos , Pandemias , Pneumonia Viral/mortalidade
2.
Air Med J ; 39(4): 251-256, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32690299

RESUMO

Recent coronavirus disease 2019 (COVID-19) events have presented challenges to health care systems worldwide. Air medical movement of individuals with potential infectious disease poses unique challenges and threats to crews and receiving personnel. The US Department of Health and Human Services air medical evacuation teams of the National Disaster Medical System directly supported 39 flights, moving over 2,000 individuals. Infection control precautions focused on source and engineering controls, personal protective equipment, safe work practices to limit contamination, and containment of the area of potential contamination. Source control to limit transmission distance was used by requiring all passengers to wear masks (surgical masks for persons under investigation and N95 for known positives). Engineering controls used plastic sheeting to segregate and treat patients who developed symptoms while airborne. Crews used Tyvek (Dupont Richmond, VA) suits with booties and a hood, a double layer of gloves, and either a powered air-purifying respirator or an N95 mask with a face shield. For those outside the 6-ft range, an N95 mask and gloves were worn. Safe work practices were used, which included mandatory aircraft surface decontamination, airflow exchanges, and designated lavatories. Although most patients transported were stable, to the best of our knowledge, this represents the largest repatriation of potentially contagious patients in history without infection of any transporting US Department of Health and Human Services air medical evacuation crews.


Assuntos
Medicina Aeroespacial , Infecções por Coronavirus/prevenção & controle , Controle de Infecções/métodos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Transporte de Pacientes/métodos , Betacoronavirus , China , Infecções por Coronavirus/terapia , Medicina de Desastres , Desinfecção , Equipamentos e Provisões , Governo Federal , Pessoal de Saúde , Humanos , Eliminação de Resíduos de Serviços de Saúde , Isolamento de Pacientes/métodos , Equipamento de Proteção Individual , Admissão e Escalonamento de Pessoal , Pneumonia Viral/terapia , Quarentena/métodos , Navios , Estados Unidos , United States Dept. of Health and Human Services
11.
Cien Saude Colet ; 25(suppl 1): 2493-2497, 2020 Jun.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32520294

RESUMO

The Ministry of Health, through the Primary Health Care Secretariat and in partnership with the Secretariat of Health Surveillance, built and implemented Primary Health Care (PHC) strategies within the scope of support to local managers and in partnership with the National Health Secretaries Council (CONASS) and the National Municipal Health Secretariats Council (CONASEMS) to combat COVID-19. These actions have PHC as the main responsible for several areas and physical, human, and financial resources, as well as allow boosting national progress towards the use of information and communication technologies and new partnerships for conducting research.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Atenção Primária à Saúde/organização & administração , Brasil , Infecções por Coronavirus/diagnóstico , Bases de Dados Factuais , Governo Federal , Humanos , Influenza Humana/diagnóstico , Pneumonia Viral/diagnóstico , Telemedicina
15.
J Aging Soc Policy ; 32(4-5): 350-357, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32441573

RESUMO

The economic threat posed by responses to COVID 19 endangers financing for long-term care across the states that is already inadequate and inequitable. Increasing the federal share of Medicaid spending as unemployment rises would mitigate fiscal pressure on states and preserve public services. But unlike the demand for Medicaid's health care protections, which rises when economic activity declines, the demand for long-term care protections will grow even in a healthy economy as the population ages. Enhanced federal support is urgent not only to cope with the virus today but also to meet the long-term care needs of the nation's aging population in the years to come. Long-term care financing policy should be modified to either adjust federal matching funds by the age of each state's population, or fully federalize the funding of LTC expenses of Medicaid beneficiaries who are also eligible for Medicare.


Assuntos
Infecções por Coronavirus/epidemiologia , Governo Federal , Assistência de Longa Duração/economia , Medicaid/economia , Medicare/economia , Pneumonia Viral/epidemiologia , Envelhecimento , Betacoronavirus , Gastos em Saúde , Humanos , Pandemias , Estados Unidos/epidemiologia
17.
Eur Rev Med Pharmacol Sci ; 24(9): 5176-5177, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32432783

RESUMO

OBJECTIVE: COVID-19 broke out in China at the end of 2019 and spread rapidly around the world. The World Health Organization designated COVID-19 as a global pandemic on March 11, 2020. China has adopted its own country-specific comprehensive prevention and control measures, and, as a result, the domestic COVID-19 epidemic became effectively controlled in China in mid-March 2020. During the COVID-19 epidemic, remarkable changes have taken place in China's domestic learning, living, and working methods, primarily in terms of the synergy between the Internet Plus (Internet+) strategy and the leadership of the Chinese government.


Assuntos
Infecções por Coronavirus/epidemiologia , Internet , Pneumonia Viral/epidemiologia , Betacoronavirus , China , Comércio , Infecções por Coronavirus/prevenção & controle , Educação a Distância , Governo Federal , Humanos , Liderança , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle
19.
Healthc Manage Forum ; 33(4): 158-163, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32372664

RESUMO

In April 2009, Mexican, American, and Canadian authorities announced a novel influenza that became the first pandemic of the century. We report on lessons learned in Mexico. The Mexican Pandemic Influenza Preparedness and Response Plan, developed and implemented since 2005, was a decisive element for the early response. Major lessons-learned were the need for flexible plans that consider different scenarios; the need to continuously strengthen routine surveillance programs and laboratory capacity and strengthen coordination between epidemiological departments, clinicians, and laboratories; maintain strategic stockpiles; establish a fund for public health emergencies; and collaboration among neighboring countries. Mexico responded with immediate reporting and transparency, implemented aggressive control measures and generous sharing of data and samples. Lessons learned induced changes leading to a better response to public health critical events.


Assuntos
Controle de Doenças Transmissíveis/métodos , Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus , Monitoramento Epidemiológico , Influenza Humana/epidemiologia , Pandemias , Pneumonia Viral , Betacoronavirus , Governo Federal , História do Século XXI , Humanos , Vírus da Influenza A Subtipo H1N1 , Influenza Humana/história , Influenza Humana/prevenção & controle , Cooperação Internacional , Governo Local , México/epidemiologia , Vigilância de Evento Sentinela
20.
J Gerontol Nurs ; 46(6): 19-23, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-32453436

RESUMO

This article reviews recent federal and state policy changes in response to the COVID-19 pandemic that affect health care and quality of life for older adults. Specific regulations and guidelines issued at the state and federal level have increased access and provided additional funding for essential services and supports. Many of these changes are temporary and have the potential to improve care beyond the immediate crisis. This period of greater flexibility offers the opportunity to accrue evidence on quality and access to influence sustained change. [Journal of Gerontological Nursing, 46(6), 19-23.].


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/epidemiologia , Enfermagem Geriátrica , Política de Saúde , Pandemias , Pneumonia Viral/epidemiologia , Idoso , Infecções por Coronavirus/virologia , Governo Federal , Humanos , Pneumonia Viral/virologia , Governo Estadual , Estados Unidos/epidemiologia
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