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1.
Washington, D.C.; PAHO; 2021-06-08. (PAHO/FPL/IM/21-0017).
No convencional en Inglés | PAHO-IRIS | ID: phr-54186

RESUMEN

In Bolivia (Plurinational State of), public participation in the decision making, management, and monitoring of the public health system is enshrined in the national constitution. The Family, Community, and Intercultural Health Model (Salud Familiar Comunitaria Intercultural—SAFCI) provides a guiding framework for such involvement through the establishment of the nonpartisan SAFCI social structure and participatory spaces of deliberation to assess public health priorities, policy compliance, and quality of care. Reflecting the Regional Immunization Action Plan’s strategic objective 2.1 to ensure that “immunization benefits extend equitably to all people and social groups,” the Expanded Program on Immunization (EPI) in Sucre, Bolivia (Plurinational State of), has applied the SAFCI model to promoting immunization equity...


Asunto(s)
Programas de Inmunización , Programas Nacionales de Salud , Equidad en Salud , Equidad en la Cobertura , Colaboración Intersectorial , Sociedad Civil , Bolivia
2.
J Korean Med Sci ; 36(17): e103, 2021 May 03.
Artículo en Inglés | MEDLINE | ID: mdl-33942575

RESUMEN

Due to the coronavirus disease 2019 (COVID-19) outbreak, consultation and prescription via telemedicine were temporarily allowed in the Korean population. However, at this point, it is difficult to determine whether telemedicine fulfills its role as a health care strategy. Arguably, if we had enough previous experience with telemedicine or sufficient preparation for its application, telemedicine could be more smoothly and flexibly adopted in the medical field. As it is still not possible to predict when the COVID-19 pandemic will end, phone consultation and prescription are likely to continue for some time. Hence, it is expected that telemedicine will naturally settle in the medical field in the near future. However, as we have noticed during this outbreak, improvised telemedicine without adequate guidance can be confusing to both patients and health professionals, thus reducing the benefit to patients. Medical staff requires preparation on how to appropriately use telemedicine. Thus, here we present some suggestions on implementing and preparing for telemedicine in the medical community.


Asunto(s)
/epidemiología , Guías de Práctica Clínica como Asunto , Telemedicina , Continuidad de la Atención al Paciente , Vías Clínicas , Equipos y Suministros , Humanos , Colaboración Intersectorial , Grupo de Atención al Paciente , Médicos , República de Corea/epidemiología
3.
Neuron ; 109(9): 1426-1429, 2021 05 05.
Artículo en Inglés | MEDLINE | ID: mdl-33957072

RESUMEN

Chronic pain is a disabling disease with limited treatment options. While animal models have revealed important aspects of pain neurobiology, therapeutic translation of this knowledge requires our understanding of these cells and networks of pain in humans. We propose a multi-institutional collaboration to rigorously and ethically address this challenge.


Asunto(s)
Dolor Crónico , Colaboración Intersectorial , Humanos
4.
Medicine (Baltimore) ; 100(20): e25939, 2021 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-34011070

RESUMEN

ABSTRACT: Although collaborative treatment by traditional Korean medicine doctors (KMDs) and medical doctors occurs, it is mainly done by referral. As no survey of the general public's preference for the type of collaboration has ever been conducted, we aimed to investigate Koreans' preferences for a collaborative treatment type.The responders were extracted by random digit dialing and then reextracted using the proportional quota sampling method by sex and age. From July to October 2017, telephone interviews were conducted and the participant responses regarding treatment history for spinal or joint diseases, experiences with collaborative treatment, and preferred type of collaborative treatment were recorded.Of the 1008 respondents, 44.64% reported a history of treatment for spinal or joint diseases at a medical institution. The concurrent collaborative treatment system, in which both KMDs and medical doctors are present in one location participating in the treatment concurrently, was the most preferred system among the respondents. Respondents who reported experience with traditional Korean medicine hospitals were more likely to prefer a one-stop treatment approach than those who did not have experience with traditional Korean medicine hospitals (adjusted odds ratio: 1.73; 95% confidence interval: 1.12-2.68). Respondents who were familiar with collaborative treatment but did not report any personal experience with it were more likely to prefer a one-stop treatment approach than those who were not familiar with collaborative treatment (adjusted odds ratio: 1.82; 95% confidence interval: 1.37-2.44).Koreans prefer a concurrent type of collaborative treatment system by KMDs and medical doctors. Therefore, efforts and support are needed to increase the application of the concurrent type of collaborative system.


Asunto(s)
Colaboración Intersectorial , Artropatías/terapia , Prioridad del Paciente/estadística & datos numéricos , Pautas de la Práctica en Medicina/organización & administración , Enfermedades de la Columna Vertebral/terapia , Adulto , Anciano , Terapia Combinada/métodos , Terapia Combinada/estadística & datos numéricos , Femenino , Salud Holística/estadística & datos numéricos , Humanos , Masculino , Medicina Tradicional Coreana/métodos , Medicina Tradicional Coreana/estadística & datos numéricos , Persona de Mediana Edad , Ortopedia/organización & administración , Ortopedia/estadística & datos numéricos , Pautas de la Práctica en Medicina/estadística & datos numéricos , República de Corea , Encuestas y Cuestionarios/estadística & datos numéricos
5.
Mayo Clin Proc ; 96(5): 1250-1261, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33958056

RESUMEN

The administration of spike monoclonal antibody treatment to patients with mild to moderate COVID-19 is very challenging. This article summarizes essential components and processes in establishing an effective spike monoclonal antibody infusion program. Rapid identification of a dedicated physical infrastructure was essential to circumvent the logistical challenges of caring for infectious patients while maintaining compliance with regulations and ensuring the safety of our personnel and other patients. Our partnerships and collaborations among multiple different specialties and disciplines enabled contributions from personnel with specific expertise in medicine, nursing, pharmacy, infection prevention and control, electronic health record (EHR) informatics, compliance, legal, medical ethics, engineering, administration, and other critical areas. Clear communication and a culture in which all roles are welcomed at the planning and operational tables are critical to the rapid development and refinement needed to adapt and thrive in providing this time-sensitive beneficial therapy. Our partnerships with leaders and providers outside our institutions, including those who care for underserved populations, have promoted equity in the access of monoclonal antibodies in our regions. Strong support from institutional leadership facilitated expedited action when needed, from a physical, personnel, and system infrastructure standpoint. Our ongoing real-time assessment and monitoring of our clinical program allowed us to improve and optimize our processes to ensure that the needs of our patients with COVID-19 in the outpatient setting are met.


Asunto(s)
Antivirales/administración & dosificación , COVID-19 , Vías Clínicas , Terapia de Infusión a Domicilio , SARS-CoV-2 , Glicoproteína de la Espiga del Coronavirus , Anticuerpos Monoclonales/administración & dosificación , COVID-19/epidemiología , COVID-19/terapia , Protocolos Clínicos , Vías Clínicas/organización & administración , Vías Clínicas/tendencias , Eficiencia Organizacional , Terapia de Infusión a Domicilio/métodos , Terapia de Infusión a Domicilio/normas , Humanos , Colaboración Intersectorial , Cultura Organizacional , Desarrollo de Programa/métodos , SARS-CoV-2/inmunología , SARS-CoV-2/aislamiento & purificación , Índice de Severidad de la Enfermedad , Glicoproteína de la Espiga del Coronavirus/antagonistas & inhibidores , Glicoproteína de la Espiga del Coronavirus/inmunología , Estados Unidos/epidemiología
6.
Rev Esp Salud Publica ; 952021 May 11.
Artículo en Español | MEDLINE | ID: mdl-33973566

RESUMEN

OBJECTIVE: Nursing homes have suffered in a particularly pronounced way from the effects of COVID-19 so it is very convenient to know the evolution in them of the disease and the impact of SARS-CoV2 vaccination The objective of this study was to analyze COVID-19 pandemic evolution from the start of the second wave to the end of the vaccination campaign at the nursing homes. A coordination program between Primary Care and Geriatrics and Public Health services was activated. METHODS: 2,668 seniors were followed at 39 nursing homes. Data from new cases, active cases, mortality and place of treatment of COVID-19 were collected. A descriptive analysis was performed with the measurement of the absolute number of positive SARS-CoV-2 cases and the frequency distribution. RESULTS: Between August 7th 2020 and February 26th 2021, 30 outbreaks occurred at 21 nursing homes. 300 people tested positive for SARS-CoV-2 (11% of total residents). The daily average of active cases was 27,166 were hospitalized (55%). 66 patients died (22% of those infected), 54 of them (78%) at the hospital. 1,984 PCR tests were performed. The temporary profile of new cases did not follow a distribution "in waves" as in the community. Thirty-seven days after the start of the second dose of vaccination, there were no active cases until March 1st, when new cases were under study for possible vaccine leakage. CONCLUSIONS: The incidence of COVID-19 at nursing homes after the first wave of the pandemic has apparently been lower. The transmission in these centers has followed a different distribution than at community. Mass vaccination has achieved the practical disappearance of the disease.


Asunto(s)
/epidemiología , Geriatría/organización & administración , Casas de Salud/organización & administración , Pandemias/prevención & control , Atención Primaria de Salud/organización & administración , Salud Pública/métodos , Anciano , Anciano de 80 o más Años , /transmisión , Estudios de Seguimiento , Geriatría/métodos , Hogares para Ancianos/organización & administración , Humanos , Incidencia , Colaboración Intersectorial , Masculino , Atención Primaria de Salud/métodos , España/epidemiología
7.
J Manag Care Spec Pharm ; 27(6): 791-796, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34057398

RESUMEN

This article examines payer-provider partnerships in social determinants of health (SDoH) interventions, identifies important factors for an approach centered around return on investment (ROI) using integrated delivery and finance systems as case studies, and advocates for increased collaboration between payers and providers when addressing SDoH. Despite the numerous examples where payers and providers have attempted to independently address SDoH, there is limited evidence for the success of these interventions. Since most stakeholders individually do not have access to financial and clinical data, identifying an ROI for SDoH interventions is logistically challenging, but even when these data are available, stakeholders may not want to share their learnings due to negative findings and/or unwillingness to share proprietary information. These issues are further amplified by the effects of COVID-19 and its worsening effect on widening health disparities, but many payers and providers have risen to the challenge together. This article advocates for the importance of payer-provider partnerships to address SDoH and uses examples of integrated delivery and finance systems as case studies of how these partnerships could function. DISCLOSURES: No outside funding supported the writing of this article. Hartle is employed by Geisinger Health System. The other authors have nothing to disclose.


Asunto(s)
Determinantes Sociales de la Salud/economía , /economía , Humanos , Colaboración Intersectorial , /patogenicidad
8.
Acta Trop ; 219: 105910, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-33831344

RESUMEN

Public Health Emergency Operations Center (PH-EOC) and Incident Management System (IMS) provides a platform for inter-sectoral coordination, and collaboration to enhance efficiency of response activities and help in effective control of disease outbreaks. Dengue fever (DF) is an emerging serious public health threat with a potential to transform into a public health emergency. Pakistan faced a heavy outbreak of Dengue fever (DF) from August to December 2019. National Institute of Health (NIH), Islamabad activated its Public Health Emergency Operations Center (PH-EOC) with an objective to implement principles and practices of IMS for control of the outbreak. The challenges during inter-sectoral collaboration for response activities were also identified. PH-EOC was activated on 16th September 2019, and remained operational for next 81 days till 05th December 2019. Incident management structure, incident action plan (IAP), and risk communication plan was developed and executed during this phase. Daily morning and evening meetings were held during all operational days. Federal and provincial health departments, district health offices (DHO), and government/private hospitals were coordinated for collection of the data pertaining to Dengue confirmed cases and deaths. As of 05th December 2019, a total of 52,877 confirmed Dengue cases were reported from all across Pakistan with maximum cases reported from Rawalpindi and Islamabad collectively i.e. 20,988 (40%), followed by Karachi 14,768 (28%), and Peshawar 2,699 (5%), while AJK reported 1,690 (3%). A total of 92 deaths happened all across Pakistan, out of which 43 (47%) happened in Karachi, 23 (25%) in Rawalpindi, and 22 (24%) in Islamabad. The response was coordinated through NIH based PH-EOC, but was carried out by relevant federal and provincial district health offices, vector surveillance programs, dengue control programs and sanitation departments respectively. As a part of response plan, vector surveillance, larva source management, and insecticidal spraying i.e. both fogging and indoor residual spraying activities were carried out in hotspots or the areas where confirmed cases were reported. Sanitation departments daily reported the removal of additional 80-100 ton of solid waste from hotspot areas. Hospitals were coordinated for reporting of isolation of DF patients and provision of quality clinical management for admitted patients. The International Federation for Red Cross/Crescent conducted community awareness, and covered 28,800 households in affected areas of Islamabad. Conversely, the DF outbreak was controlled 02-03 weeks ahead of previous years trends. All the coordinated activities were incorporated in a daily situation report (SitRep) and this was widely distributed among all the stakeholders through emails. Additionally, the data was displayed on the dashboard in PH-EOC. The data dashboard at PH-EOC served as an information management hub that visually mapped, tracked, analyzed, and displayed clusters of DF cases and hotspots. Accordingly, SitRep substantiated as the main reporting tool to monitor response activities initiated by rapid response teams at the national and subnational level. The inter-sectoral coordinating efforts made among concerned line departments resulted in a timely response leading to effective handling of a national public health threat. The information distilled from this experience was that the early and judicious activation of PH-EOC with adaptation of IMS under decision making leadership resulted in a well-managed and prompt response executed by different departments/stakeholders, and effective control of the outbreak before its transformation into a public health event/emergency of national or international concern.


Asunto(s)
Dengue/epidemiología , Dengue/prevención & control , Brotes de Enfermedades/prevención & control , Urgencias Médicas , Colaboración Intersectorial , Salud Pública , Humanos , Masculino , Evaluación de Resultado en la Atención de Salud , Pakistán/epidemiología
9.
Indian Pediatr ; 58(4): 383-390, 2021 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-33883314

RESUMEN

JUSTIFICATION: The unprecedented COVID-19 pandemic has had a formidable impact on Indian health care. With no sight of its end as yet, various establishments including the smaller clinics and nursing homes are restarting full operations. Hence, there is the need for recommendations to allow safe practice ensuring the safety of both the heath care worker (HCW) and patients. PROCESS: Indian Academy of Pediatrics organized an online meeting of subject experts on 27 July, 2020. A committee was formed comprising of pediatricians, pediatric and neonatal intensivists, and hospital administrators. The committee held deliberations (online and via emails) and a final consensus was reached by November, 2020. OBJECTIVES: To develop recommendations to provide a safe and practical healthcare facility at clinics and small establishments during COVID times. RECOMMENDATIONS: The key recommendation to practise safely in this setting are enumerated. Firstly, organizing the out-patient department (OPD). Secondly, appropriate personal protective equipment (PPE) to provide protection to the individual. Thirdly, decontamination/disinfection of various common surfaces and equipment to prevent transmission of infection from fomites. Next, maintaining the heating ventilation and air conditioning (HVAC) to provide a stress-free, comfortable, and safe environment for patients and HCWs. Finally, steps to effectively manage COVID-19 exposures in a non-COVID-19 facility. All these measures will ensure safe practice during these unprecedent times in clinics and smaller establishments.


Asunto(s)
Vías Clínicas , Control de Infecciones , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Neonatología , Pediatría , /epidemiología , /terapia , Vías Clínicas/organización & administración , Vías Clínicas/normas , Vías Clínicas/tendencias , Humanos , India/epidemiología , Control de Infecciones/instrumentación , Control de Infecciones/métodos , Control de Infecciones/organización & administración , Colaboración Intersectorial , Neonatología/organización & administración , Neonatología/normas , Innovación Organizacional , Pediatría/organización & administración , Pediatría/normas , Sociedades Médicas
10.
PLoS One ; 16(4): e0249280, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33793613

RESUMEN

International scientific collaborations have always been regarded as critical actions to address global pandemics, however, there was an obvious uncertainty between international collaboration and the COVID-19 control. We aim to combine digital data-based strategies to produce meaningful and advanced insights into the imbalance between COVID-19 and international collaboration, as well as reveal possible influencing factors, and ultimately enhance global collaboration. We conducted three retrospective cohort studies using respectively COVID-19 data from WHO, a complete dataset of scientific publications on coronavirus-related research from WoS, and daily data from Google Trends (GT). The results of geovisualization and spatiotemporal analysis revealed that the global COVID19 pandemic still remains serious. The global issue of imbalance between international collaborations and pandemic does exit, and the nations with good pandemic control had their own characteristics in above-mentioned correlation. Digital epidemiology provides, at least in part, evidence-based assessment and scientific advice to understand the imbalance between international collaborations and COVID-19. Our investigation demonstrates that transdisciplinary conversation through digital data-based strategies can help us fully understand the complex factors influencing the effectiveness of international scientific collaboration, thus facilitating the global response to COVID-19.


Asunto(s)
Investigación Biomédica , Manejo de Datos , Cooperación Internacional , Pandemias/estadística & datos numéricos , Investigación Biomédica/organización & administración , Investigación Biomédica/estadística & datos numéricos , Humanos , Colaboración Intersectorial , Estudios Retrospectivos
11.
Artículo en Inglés | MEDLINE | ID: mdl-33917335

RESUMEN

The promotion of walking and cycling to stay active and mobile offers great potential for healthy aging. Intersectoral collaboration for age-friendly urban planning is required in local government to realize this potential. Semi-structured interviews were conducted with the heads of planning and public health departments in city and district administrations of a Metropolitan Region in Germany to identify factors influencing action on the cross-cutting issue of active mobility for healthy aging. Although some administrations are working on the promotion of active mobility, they consider neither the needs of older people nor health effects. A lack of human resources and expertise, mainly due to the low priority placed on the issue, are described as the main barriers for further strategic collaboration. Furthermore, the public health sector often focuses on pathogens as the cause of morbidity and mortality, reducing their acceptance of responsibility for the topic. Facilitating factors include the establishment of new administrative structures, projects with rapid results that create awareness and credibility among citizens and politicians, additional staff with expertise in health promotion, and political commitment. In the future, new administrative structures for intersectoral collaboration are needed in order to consider various perspectives in complex developments, such as healthy aging, and to benefit from synergies.


Asunto(s)
Envejecimiento Saludable , Gobierno Local , Anciano , Anciano de 80 o más Años , Ciudades , Alemania , Promoción de la Salud , Humanos , Colaboración Intersectorial
12.
Rev Esp Salud Publica ; 952021 Apr 14.
Artículo en Español | MEDLINE | ID: mdl-33850095

RESUMEN

OBJECTIVE: The disease produced by SARS-CoV-2 has led to severe situations and mortality in elderly people. The objective of this study was to describe the collaboration between hospital professionals and nursing homes when applying preventive measures for the transmission of COVID-19 and in the assistance of institutionalized patients. METHODS: A descriptive study was carried out in 4 centers with information collected by researchers in two moments of the COVID-19 pandemic. The information collected was related to the resources and knowledge of infection prevention, details about face-to-face and telematic assistance from the hospital team, as well as material, drugs provided, and clinical results. The variables studied were described by means of percentages, absolute frequencies and ratios; statistical chi-square tests and McNemar'test were used. RESULTS: The study was conducted in 4 centers with a total of 640 residents and an initial occupancy between 62% and 85%. Differences were found regarding the ratio of staff and knowledge of preventive measures of the transmission of SARS-CoV-2 infection, which was improved in the second period of the study. The number of face-to-face visits (from 5 to 22) and telematic visits (between 42 and 109 patients) were different in the 4 nursing homes, as well as the material provided, adapted to the needs of each center. The percentage of infected patients ranged from 6.1% to 90.2%, and the accumulated mortality in the second period ranged from 15.38% to 38.35% of the residents at the beginning of the pandemic. CONCLUSIONS: The collaboration between the professionals of healthcare centers and the hospital, adapted to the needs of each center, has allowed to improve the assistance to the residents and the coordination between the professionals, optimizing the available resources.


Asunto(s)
/terapia , Hogares para Ancianos/organización & administración , Hospitales Universitarios/organización & administración , Control de Infecciones/métodos , Relaciones Interprofesionales , Colaboración Intersectorial , Casas de Salud/organización & administración , Anciano , Anciano de 80 o más Años , /mortalidad , Competencia Clínica , Femenino , Humanos , Control de Infecciones/organización & administración , Cuidados a Largo Plazo , Masculino , España/epidemiología
13.
Gac Sanit ; 35 Suppl 1: S30-S32, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33832620

RESUMEN

OBJECTIVE: The large-scale social distancing policy conducted twice was unable to reduce the rate of development of COVID-19 widespread in Makassar, yet it increased. One of the causes was that social awareness is still lacking especially for people in the poverty line. This study attempts to describe the social behavior of people in poverty line toward COVID-19 case in Makassar. METHOD: This research is a qualitative descriptive study based on the case. The data analysis was undertaken qualitatively. RESULTS: The results revealed that the limited understanding of people in poverty line about COVID-19 and health protocols makes their behavior indifferent and disobedient to health protocols. In addition, the government's top-down approach to deal with COVID-19 pandemic was ineffective. However, bottom-up collaborative interventions need to be carried out through a group approach to gain an understanding of the COVID-19 health protocol, especially for people in poverty line and other vulnerable groups.


Asunto(s)
/prevención & control , Conductas Relacionadas con la Salud , Conocimientos, Actitudes y Práctica en Salud , Colaboración Intersectorial , Pandemias , Pobreza , Participación de los Interesados , /epidemiología , /transmisión , Participación de la Comunidad , Agencias Gubernamentales , Política de Salud , Humanos , Indonesia/epidemiología , Administración en Salud Pública , Investigación Cualitativa , Responsabilidad Social , Participación de los Interesados/psicología , Población Urbana
15.
J Public Health Manag Pract ; 27(3): 310-317, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33729189

RESUMEN

INTRODUCTION: COVID-19 represents an unprecedented challenge to policy makers as well as those entrusted with capturing, monitoring, and analyzing COVID-19 data. Effective public policy is data-informed policy. This requires a liaison between public health scientists and public officials. OBJECTIVE: This article details the experience, challenges, and lessons learned advising public officials in a large metropolitan area from March to October 2020. METHODS: To effectively do this, an R Markdown report was created to iteratively monitor the number of COVID-19 tests performed, positive tests obtained, COVID-19 hospitalization census, intensive care unit census, the number of patients with COVID-19 on ventilators, and the number of deaths due to COVID-19. RESULTS: These reports were presented and discussed at meetings with policy makers to further comprehension. DISCUSSION: To facilitate the fullest understanding by both the general public and policy makers alike, we advocate for greater centralization of public health surveillance data, objective operational definitions of metrics, and greater interagency communication to best guide and inform policy makers. Through consistent data reporting methods, parsimonious and consistent analytic methods, a clear line of communication with policy makers, transparency, and the ability to navigate unforeseen externalities such as "data dumps" and reporting delays, scientists can use information to best support policy makers in times of crises.


Asunto(s)
Personal Administrativo/psicología , Política de Salud , Difusión de la Información/métodos , Pandemias/prevención & control , Vigilancia en Salud Pública/métodos , Salud Pública/métodos , Adulto , Comunicación , Femenino , Florida/epidemiología , Humanos , Colaboración Intersectorial , Masculino , Persona de Mediana Edad
16.
Med J (Ft Sam Houst Tex) ; (PB 8-21-01/02/03): 20-21, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33666907

RESUMEN

The Installation Management Command (IMCOM) delivers quality base support from the strategic support area, enabling readiness for a globally responsive Army. IMCOM has more than 75 installations, covering more than 13 million acres, in 17 time zones, 12 countries and 58 services. In early March 2020, the COVID-19 pandemic required IMCOM to shift focus in ensuring health protection measures were implemented early and quickly, which relied on medical expertise. The IMCOM Surgeon and the Deputy Surgeon serve as the command's key advisors for all matters related to health care and medical readiness. During the COVID-19 pandemic, the IMCOM Surgeon and the Deputy Surgeon were critical in the consolidation of various information from multiple organizations. They promoted the integration of force health protection principles during COVID-19 operations. All of the military members at IMCOM headquarters (HQ) were considered mission essential while other personnel were identified on a phasing structure in the early stages of the pandemic, which meant civilian personnel were instructed to telework.


Asunto(s)
/prevención & control , Control de Enfermedades Transmisibles/organización & administración , Colaboración Intersectorial , Medicina Militar/organización & administración , /epidemiología , Gestión de Recursos de Personal en Salud/organización & administración , Humanos , Asociación entre el Sector Público-Privado/organización & administración , Estados Unidos
20.
Lancet Planet Health ; 5(4): e237-e245, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33684341

RESUMEN

The rapid global spread and human health impacts of SARS-CoV-2, the virus that causes COVID-19, show humanity's vulnerability to zoonotic disease pandemics. Although anthropogenic land use change is known to be the major driver of zoonotic pathogen spillover from wildlife to human populations, the scientific underpinnings of land use-induced zoonotic spillover have rarely been investigated from the landscape perspective. We call for interdisciplinary collaborations to advance knowledge on land use implications for zoonotic disease emergence with a view toward informing the decisions needed to protect human health. In particular, we urge a mechanistic focus on the zoonotic pathogen infect-shed-spill-spread cascade to enable protection of landscape immunity-the ecological conditions that reduce the risk of pathogen spillover from reservoir hosts-as a conservation and biosecurity priority. Results are urgently needed to formulate an integrated, holistic set of science-based policy and management measures that effectively and cost-efficiently minimise zoonotic disease risk. We consider opportunities to better institute the necessary scientific collaboration, address primary technical challenges, and advance policy and management issues that warrant particular attention to effectively address health security from local to global scales.


Asunto(s)
Animales Salvajes/virología , Ecosistema , Política Ambiental , Salud Pública , Zoonosis/epidemiología , Animales , Biodiversidad , COVID-19 , Humanos , Colaboración Intersectorial , SARS-CoV-2/patogenicidad
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