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Rev. enferm. UERJ ; 28: 49570, jan.-dez. 2020.
Article in English, Portuguese | LILACS, BDENF - Nursing | ID: biblio-1094832


Objetivo: discutir as experiências e contradições no controle da pandemia de Covid-19 sob a perspectiva da epidemiologia e das políticas públicas brasileiras. Conteúdo: o debate apresentado divide-se em duas seções: a primeira traça a reflexão dos parâmetros epidemiológicos sobre a curva epidêmica do SARS-CoV-2, bem como as experiências internacionais para o controle deste fenômeno. A segunda, ancorada nas políticas públicas brasileiras, apresenta uma análise comparada das experiências nacionais e internacionais, discutindo os potenciais reflexos sobre a pandemia, considerando algumas especificidades sociais. Conclusão: frente à impossibilidade de redução de pessoas susceptíveis por meio de estratégias vacinais, a redução da velocidade da curva epidêmica precisa ocorrer por meio de ações de isolamento físico social. Ademais, a construção de políticas públicas que visem a proteção ao trabalhador e a ampliação do investimento no setor saúde são medidas urgentes.

Objective: to discuss experiences and contradictions in the control of the Covid-19 pandemic from the perspective of epidemiology and Brazilian public policies. Content: the discussion presented is divided into two sections: the first one present epidemiological parameters on the epidemic curve of SARS-CoV-2, as well as the international experiences for the control of this phenomenon. The second, anchored in the Brazilian public policies, presents a comparative analysis of national and international experiences, discussing the potential impacts on the pandemic, considering some specific social issues. Conclusion: in the face of impossibility of reducing susceptible people through vaccination strategies, the reduction of the speed of the epidemic curve needs to occur through actions of social distance. In addition, the construction of public policies aimed at protecting workers and expanding investment in the health sector are urgent measures.

Objetivo: discutir las experiencias y contradicciones en el control de la pandemia Covid-19 desde la perspectiva de la epidemiología brasileña y las políticas públicas. Contenido: el debate presentado se divide en dos secciones. El primero traza la reflexión de los parámetros epidemiológicos en la curva epidémica del SARS-CoV-2, así como las experiencias internacionales para el control de este fenómeno. El segunda seccione, anclada en las políticas públicas brasileñas, presenta un análisis comparativo de las experiencias nacionales e internacionales, discutiendo los posibles impactos en la pandemia, considerando algunas especificidades sociales brasileñas. Conclusión: dada la imposibilidad de reducir a las personas susceptibles a través de estrategias de vacunación, la reducción de la velocidad de la curva epidémica debe ocurrir a través de acciones de aislamiento social y físico. Además, la construcción de políticas públicas destinadas a proteger a los trabajadores y ampliar la inversión en el sector de la salud son medidas urgentes.

Humans , Pneumonia, Viral , Coronavirus Infections/economics , Coronavirus Infections/epidemiology , Public Health Policy , Pandemics , Public Policy , Betacoronavirus
Bogotá; Organización Panamericana de la Salud; July 1, 2020. 14 p.
Non-conventional in Spanish | LILACS | ID: biblio-1102490


Este es el reporte de situación COVID-19 Colombia No. 93 - 01 de julio de 2020.

Humans , Pneumonia, Viral/epidemiology , Coronavirus Infections/epidemiology , Pandemics/statistics & numerical data , Betacoronavirus , Colombia/epidemiology
Bogotá; Organización Panamericana de la Salud; July 2, 2020. 15 p.
Non-conventional in Spanish | LILACS | ID: biblio-1102591


Este es el reporte de situación COVID-19 Colombia No. 94 - 02 de julio de 2020.

Humans , Pneumonia, Viral/epidemiology , Coronavirus Infections/epidemiology , Pandemics/statistics & numerical data , Betacoronavirus , Colombia/epidemiology
Bogotá; Organización Panamericana de la Salud; July 3, 2020. 16 p.
Non-conventional in Spanish | LILACS | ID: biblio-1102661


Este es el reporte de situación COVID-19 Colombia No. 95 - 03 de julio de 2020.

Humans , Pneumonia, Viral/epidemiology , Coronavirus Infections/epidemiology , Pandemics/statistics & numerical data , Betacoronavirus , Colombia/epidemiology
Washington; Organización Panamericana de la Salud; jul. 7, 2020. 3 p.
Non-conventional in Spanish | LILACS | ID: biblio-1102872


La semana pasada se cumplieron seis meses desde que se alertó a la Organización Mundial de la Salud sobre unos casos de "neumonía de causa desconocida" que circulaban en Wuhan. El 16 de enero, la OPS fue la primera oficina regional en emitir una alerta epidemiológica con recomendaciones para prevenir y controlar infecciones.

Pneumonia, Viral/prevention & control , Pneumonia, Viral/epidemiology , Coronavirus Infections/prevention & control , Coronavirus Infections/epidemiology , Betacoronavirus , Americas/epidemiology
Rev Infirm ; 69(260-261): 31-32, 2020.
Article in French | MEDLINE | ID: mdl-32600593


Originating in China in November 2019, the wave of infection caused by the new coronavirus Sars-CoV-2 is sweeping across the planet through human contact and fast, global, mass travel. Health professionals on every level are fighting relentlessly against Covid-19, this deadly, invisible yet real enemy. The public, increasingly worried, expect them to protect it against the disease and death. Perceived by most people as a line of defence against the pandemic, health professionals are supported and treated as heroes. Some people howeverfear tthat they may be possible contamination agents.

Attitude to Health , Coronavirus Infections/epidemiology , Coronavirus Infections/therapy , Health Personnel , Pandemics , Pneumonia, Viral/epidemiology , Pneumonia, Viral/therapy , China/epidemiology , Coronavirus Infections/transmission , Courage , Humans , Infectious Disease Transmission, Professional-to-Patient , Pneumonia, Viral/transmission
Article in English | MEDLINE | ID: mdl-32602672


It aimed to evaluate the perception of safety and preparedness among health workers caring for coronavirus disease 2019 (COVID-19) patients before and after a multi-professional simulation-based course in Pakistan. Health workers' perception of preparedness, safety, and their willingness to care for COVID-19 patients were measured before after attending a simulation-based training course to prepare them to care for COVID-19 patients, in Combined Military Hospital Landi Kotal Cantt, from 1st March 2020 to 30th April 2020. : The participants' perceived level of safety and preparedness to care for COVID-19 patients before the simulation-based course was low but increased after completing it (P<0.05). They felt confident and were willing to a significantly higher degree to care for patients of COVID-19 or other infections requiring high isolationSimulation-based training is an effective tool to improve the perception of risk and readiness to deal with COVID-19 among medical and non-medical health workers in Pakistan.

Coronavirus Infections/therapy , Interprofessional Relations , Personnel, Hospital/education , Personnel, Hospital/psychology , Pneumonia, Viral/therapy , Simulation Training/methods , Adult , Coronavirus Infections/epidemiology , Female , Humans , Male , Middle Aged , Pakistan/epidemiology , Pandemics , Personnel, Hospital/statistics & numerical data , Pneumonia, Viral/epidemiology , Program Evaluation , Safety , Self Efficacy , Young Adult
BMC Public Health ; 20(1): 1036, 2020 Jun 30.
Article in English | MEDLINE | ID: mdl-32605549


BACKGROUND: Due to the SARS-CoV-2 pandemic, public health interventions have been introduced globally in order to prevent the spread of the virus and avoid the overload of health care systems, especially for the most severely affected patients. Scientific studies to date have focused primarily on describing the clinical course of patients, identifying treatment options and developing vaccines. In Germany, as in many other regions, current tests for SARS-CoV2 are not conducted on a representative basis and in a longitudinal design. Furthermore, knowledge about the immune status of the population is lacking. Nonetheless, these data are needed to understand the dynamics of the pandemic and hence to appropriately design and evaluate interventions. For this purpose, we recently started a prospective population-based cohort in Munich, Germany, with the aim to develop a better understanding of the state and dynamics of the pandemic. METHODS: In 100 out of 755 randomly selected constituencies, 3000 Munich households are identified via random route and offered enrollment into the study. All household members are asked to complete a baseline questionnaire and subjects ≥14 years of age are asked to provide a venous blood sample of ≤3 ml for the determination of SARS-CoV-2 IgG/IgA status. The residual plasma and the blood pellet are preserved for later genetic and molecular biological investigations. For twelve months, each household member is asked to keep a diary of daily symptoms, whereabouts and contacts via WebApp. If symptoms suggestive for COVID-19 are reported, family members, including children < 14 years, are offered a pharyngeal swab taken at the Division of Infectious Diseases and Tropical Medicine, LMU University Hospital Munich, for molecular testing for SARS-CoV-2. In case of severe symptoms, participants will be transferred to a Munich hospital. For one year, the study teams re-visits the households for blood sampling every six weeks. DISCUSSION: With the planned study we will establish a reliable epidemiological tool to improve the understanding of the spread of SARS-CoV-2 and to better assess the effectiveness of public health measures as well as their socio-economic effects. This will support policy makers in managing the epidemic based on scientific evidence.

Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Coronavirus Infections/transmission , Germany/epidemiology , Humans , Pneumonia, Viral/transmission , Prospective Studies , Research Design
Rev Med Suisse ; 16(699): 1316-1318, 2020 Jul 01.
Article in French | MEDLINE | ID: mdl-32608590


The Covid-19 pandemic has brought the concept of frailty back to the centre of debate, particularly for its relevance as a determinant of health outcomes. Frailty is concept that has long been a used gerontology. Today, several theoretical models of frailty are proposed in the literature, with as many tools to operationalize it. This article provides a brief outline of the three main models of frailty and the corresponding measurement instruments. The choice of the model as well as the choice of the assessment tool are discussed in the light of the clinical objectives pursued by health professionals. More generally, this article highlights the value of assessing frailty in routine practice to determine health outcomes and adapt care to individual needs.

Coronavirus Infections/epidemiology , Frailty/diagnosis , Frailty/epidemiology , Geriatric Assessment/methods , Pneumonia, Viral/epidemiology , Aged , Betacoronavirus/pathogenicity , Coronavirus Infections/mortality , Frail Elderly/statistics & numerical data , Humans , Pandemics , Pneumonia, Viral/mortality , Prognosis , Treatment Outcome