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1.
Indian J Tuberc ; 68(1): 128-133, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33641833

RESUMEN

COVID-19 pandemic has disturbed the delivery of health care in almost all countries of the world. This has affected mostly the public health control programs. Because of lock downs, restrictions in movement, psychological fear of contacting the disease in health care facilities, diversion of health care workers for containment and management of COVID-19, utilization of diagnostic facilities like CBNAAT machines for COVID work, conversion of hospitals for care of these patients, financial diversion etc has created issues in the NTEP to focuss on TB control in India. Case notification and other areas of the program to achieve End TB by 2025 have suffered. Various ways of overcoming these difficulties have been discussed.


Asunto(s)
/epidemiología , Tuberculosis/epidemiología , /terapia , Coinfección , Control de Enfermedades Transmisibles , Prestación de Atención de Salud , Notificación de Enfermedades , Humanos , India/epidemiología , Control de Infecciones , Pandemias , Tuberculosis/terapia
2.
Indian J Tuberc ; 68(1): 92-98, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33641858

RESUMEN

In December 2019, a large number of coronavirus cases were emerged in Wuhan, Hubei Province, China and rapidly spread to different countries and territories around the world within four months. The World Health Organization (WHO) declared this outbreak as a global health emergency. The spread of COVID-19 over globe is highly contagious; they transmitted from person-to-person through small droplets of infected person. Many diagnosis and treatment methods have been implemented to reduce and control the outbreak. Efforts have been made to develop coronavirus vaccine against S protein or spike glycoprotein of coronavirus. COVID-19 outbreak will affect the Gross Domestic Product (GDP) of the world. At the time of preparing manuscript, total number of active cases reaches to more than 8.9 million and confirmed death reaches to approx. 4.6 lakh. This article highlights the ongoing research and advances in designing vaccine and therapeutics against COVID-19 and also focusing on the epidemiology, transmission, future direction and control the spread of infectious diseases.


Asunto(s)
/epidemiología , /terapia , /diagnóstico , Control de Enfermedades Transmisibles , Coronavirus/patogenicidad , Producto Interno Bruto , Humanos , Inmunización Pasiva , Control de Infecciones , Pandemias , /patogenicidad
3.
BMC Geriatr ; 21(1): 159, 2021 03 05.
Artículo en Inglés | MEDLINE | ID: mdl-33663417

RESUMEN

BACKGROUND: To support the implementation of nurse-led interventions in long-term dementia care, in-depth knowledge of specific supporting factors and barriers is required. Conditions and structures of caring for people with dementia differ widely, depending on the country and the care context. Our study aimed to describe the experiences and opinions of nursing experts and managers with regard to facilitators and barriers to the implementation of nurse-led interventions in long-term dementia care. METHODS: We conducted a qualitative descriptive study using individual interviews based on qualitative vignettes as a useful stimulus to generate narrations allowing to study peoples' perceptions and beliefs. The study took place in nursing homes in the German-speaking part of Switzerland and in the Principality of Liechtenstein using purposive sampling. We intended to conduct the interviews face-to-face in a quiet room according to the participant's choice. However, due to the lockdown of nursing homes during the COVID-19 pandemic in spring 2020, we performed interviews face-to-face and by video. We analysed data thematically following Braun and Clarke to achieve a detailed, nuanced description. To verify our interpretation and to ensure congruence with participants' perspectives, we conducted member checks. The Standards for Reporting Qualitative Research (SRQR) served to structure our manuscript. RESULTS: Six dyads of nursing home managers and nursing experts from six nursing homes took part in our study (n = 12). Our thematic analysis yielded seven themes reflecting facilitators and barriers to implementing nurse-led interventions in long-term dementia care: «A common attitude and cohesion within the organization¼, «Commitment on several levels¼, «A needs-oriented implementation¼, «The effect and the public perception of the intervention¼, «A structured and guided implementation process¼, «Supporting knowledge and competencies¼, as well as «Resources for implementing the intervention¼. CONCLUSIONS: To support the implementation of nurse-led interventions in long-term dementia care, active commitment-building seems essential. It is necessary that the value of the intervention is perceptible.Commitment-building is the precondition to reach the persons involved, such as nursing home managers, nursing staff, residents and relatives. Furthermore, nurses should precisely inform about the intervention. It is necessary that the value of the intervention is perceptible. In addition, nurses should adjust the interventions to the situational needs of people with dementia, thus. Therefore, it is important to support dementia-specific competencies in long-term care. Findings indicate that the barrier is determined by the intervention and its implementation - and not by the behaviour of the person with dementia.


Asunto(s)
Demencia , Control de Enfermedades Transmisibles , Demencia/diagnóstico , Demencia/epidemiología , Demencia/terapia , Humanos , Cuidados a Largo Plazo , Pandemias , Investigación Cualitativa , Suiza/epidemiología
5.
Afr J Prim Health Care Fam Med ; 13(1): e1-e3, 2021 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-33764140

RESUMEN

The coronavirus disease 2019 (COVID-19) pandemic has spread throughout the world, with devastating effects of the virus as well as the repercussions of the resulting 'lockdowns'. South Africa went into a national lockdown in March 2020 to mitigate the impact of the virus. This included a ban on the sales of tobacco and electronic cigarette products. The ban has been a highly contentious issue in South Africa, discussed worldwide, which has drawn many criticisms. The prevalence rate of smoking in South Africa was around 21.5%, with the Western Cape province having a prevalence rate of 39%. We compared the number of chronic obstructive pulmonary disease (COPD) presentations at a large regional referral hospital in the Western Cape province from January to August 2019 with the same period in 2020. Electronic emergency centre data showed a reduction of 69.28% in COPD presentations. To control for some confounders for the same period, we also reviewed patients presenting with urinary tract infections, which showed only a 30.60% reduction. This notable reduction in COPD presentations reduced service pressure of emergency centre and most likely benefitted patients' health. Further research and policies are needed to ensure ongoing reduction in the prevalence of smoking.


Asunto(s)
Fumar Cigarrillos/efectos adversos , Servicio de Urgencia en Hospital , Pandemias , Aceptación de la Atención de Salud/estadística & datos numéricos , Enfermedad Pulmonar Obstructiva Crónica/terapia , Productos de Tabaco/legislación & jurisprudencia , /epidemiología , /virología , Fumar Cigarrillos/epidemiología , Fumar Cigarrillos/legislación & jurisprudencia , Fumar Cigarrillos/prevención & control , Comercio/legislación & jurisprudencia , Control de Enfermedades Transmisibles/métodos , Humanos , Enfermedad Pulmonar Obstructiva Crónica/complicaciones , Enfermedad Pulmonar Obstructiva Crónica/epidemiología , Sudáfrica/epidemiología , Brote de los Síntomas , Productos de Tabaco/efectos adversos , Productos de Tabaco/economía
6.
N Z Med J ; 134(1531): 50-58, 2021 03 26.
Artículo en Inglés | MEDLINE | ID: mdl-33767476

RESUMEN

AIM: To assess the effects of the community lockdown phases on trauma-related admissions to Midland region hospitals over the period 15 February to 10 July 2020, and to compare volume variation with the same period in the previous three years. METHODS: A retrospective, descriptive study of prospectively collected data from the Midland Trauma Registry in New Zealand. RESULTS: There was a 36.7% (p<.00001) reduction in injury admissions during Alert Level 4 ('Lockdown') compared with the same period in 2017, 2018 and 2019. This was in the context of volume increases during the pre-lockdown period (17.8%, p<.00001) and a 'rebound' as restrictions eased. There was an increase in injuries occurring at home (28.3%, p<.00001) and on footpaths (37.9%, p=0.00076), while there was a decline in events on roads (33.0%, p=0.017), at schools (75.0%, p<.00001) and in sports areas (79.7%, p<.00001). Falls remained the dominant mechanism of injury in 2020, contributing 39.9% of all hospitalisations. CONCLUSIONS: The reduction in hospital admissions during alert levels 4 and 3 was short lived, with a rebound evident when restrictions eased. Hospital resources have been strained because this rebound coincided with a planned 'catch up' on healthcare that was delayed during the higher community restriction levels.


Asunto(s)
Accidentes por Caídas/estadística & datos numéricos , Control de Enfermedades Transmisibles/métodos , Hospitalización/estadística & datos numéricos , Cuarentena/estadística & datos numéricos , Heridas y Traumatismos , Adulto , /prevención & control , Niño , Servicio de Urgencia en Hospital , Femenino , Humanos , Masculino , Nueva Zelanda/epidemiología , Estudios Retrospectivos , Índices de Gravedad del Trauma , Heridas y Traumatismos/epidemiología , Heridas y Traumatismos/etiología , Heridas y Traumatismos/terapia
7.
BMJ Glob Health ; 6(3)2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33762253

RESUMEN

Early on in the COVID-19 pandemic, the WHO Eastern Mediterranean Regional Office recognised the importance of epidemiological modelling to forecast the progression of the COVID-19 pandemic to support decisions guiding the implementation of response measures. We established a modelling support team to facilitate the application of epidemiological modelling analyses in the Eastern Mediterranean Region (EMR) countries. Here, we present an innovative, stepwise approach to participatory modelling of the COVID-19 pandemic that engaged decision-makers and public health professionals from countries throughout all stages of the modelling process. Our approach consisted of first identifying the relevant policy questions, collecting country-specific data and interpreting model findings from a decision-maker's perspective, as well as communicating model uncertainty. We used a simple modelling methodology that was adaptable to the shortage of epidemiological data, and the limited modelling capacity, in our region. We discuss the benefits of using models to produce rapid decision-making guidance for COVID-19 control in the WHO EMR, as well as challenges that we have experienced regarding conveying uncertainty associated with model results, synthesising and comparing results across multiple modelling approaches, and modelling fragile and conflict-affected states.


Asunto(s)
/epidemiología , Control de Enfermedades Transmisibles/organización & administración , Toma de Decisiones , Métodos Epidemiológicos , Salud Pública , Humanos , Región Mediterránea/epidemiología , Pandemias
8.
Asian Pac J Cancer Prev ; 22(3): 681-690, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33773529

RESUMEN

OBJECTIVE: The COVID-19 pandemic has dramatically affected healthcare services around Asia. The Asian National Cancer Centres Alliance and the Asia-Pacific Organisation for Cancer Prevention collaborated to assess the mid- and long- term impact of COVID-19 to cancer care in Asia. METHODS: The two entities organised a combined symposium and post-meeting interactions among representatives of major cancer centres from seventeen Asian countries to outlining major challenges and countermeasures. RESULTS: Participating stakeholders distilled five big questions. 1) "Will there be an explosion of late-stage cancers after the pandemic?" To address and recover from perceived delayed prevention, screening, treatment and care challenges, collaboration of key stakeholders in the region and alignment in cancer care management, policy intervention and cancer registry initiatives would be of essential value. 2) "Operations and Finance" The pandemic has resulted in significant material and financial casualties. Flagged acute challenges (shortages of supplies, imposition of lockdown) as well as longer-standing reduction of financial revenue, manpower, international collaboration, and training should also be addressed. 3) "Will telemedicine and technological innovations revolutionize cancer care?" Deploying and implementing telemedicine such as teleconsultation and virtual tumour boards were considered invaluable. These innovations could become a new regular practice, leading to expansion of tele-collaboration through collaboration of institutions in the region. 4) "Will virtual conferences continue after the pandemic?" Virtual conferences during the pandemic have opened new doors for knowledge sharing, especially for representatives of low- and middle-income countries in the region, while saving time and costs of travel. 5) "How do we prepare for the next pandemic or international emergency?" Roadmaps for action to improve access to appropriate patient care and research were identified and scrutinised. CONCLUSION: Through addressing these five big questions, focused collaboration among members and with international organisations such as City Cancer Challenge will allow enhanced preparedness for future international emergencies.
.


Asunto(s)
Instituciones Oncológicas/organización & administración , Neoplasias/epidemiología , Telemedicina , Asia/epidemiología , Instituciones Oncológicas/economía , Control de Enfermedades Transmisibles , Congresos como Asunto , Diagnóstico Tardío , Prestación de Atención de Salud , Humanos , Neoplasias/diagnóstico , Neoplasias/patología , Neoplasias/terapia , Comunicación por Videocoferencia
9.
Asian Pac J Cancer Prev ; 22(3): 793-800, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33773543

RESUMEN

BACKGROUND: Cancer treatment during nationwide lockdown due to the COVID-19 pandemic has posed several challenges in the delivery of cancer care and carries tremendous potential sequel of impoverishing the households. This study aims to examine the economic distress faced by breast cancer patients receiving treatment at Tata Memorial Center (TMC) Mumbai, India during the nationwide lockdown initiated in March 2020 following the outbreak of COVID-19. METHODS: A total of 138 non-metastatic breast cancer patients who were accrued in this study at TMC before imposing of lockdown, and their treatment was impacted because of the COVID-19 outbreak, were interviewed. Telephonic interviews were conducted using a structured schedule which contained information on household and demographic characteristics of the patients, knowledge about COVID-19, their daily expenditure for treatment, difficulties faced during lockdown and how they met expenditures. Descriptive statistics and logistic regression were used in the analyses. RESULTS: The average monthly expenditure of cancer patients had increased by 32% during the COVID-19 period while the mean monthly household income was reduced by a quarter. More than two-thirds of the patients had no income during the lockdown. More than half of the patients met their expenditure by borrowing money, 30% of the patients used their savings, 28% got charity and 25% used household income. About 81% of the patients had reported shortage of money, 32%  reported shortage of food and 28% reported shortage of medicine. The distress financing was significantly higher among patients receiving treatment in Mumbai compared to those receiving treatment at their native cities (67% vs. 46%), patients under 40 years of age, illiterate, currently married, Muslim and staying at a rented house. CONCLUSION: The incremental expenditure coupled with reduced or no income due to the closure of economic activities in the country imposed severe financial stress on breast cancer patients.


Asunto(s)
Neoplasias de la Mama/economía , Costo de Enfermedad , Financiación Personal , Gastos en Salud , Adulto , Factores de Edad , Neoplasias de la Mama/terapia , Estudios de Cohortes , Control de Enfermedades Transmisibles , Femenino , Geografía , Humanos , Renta , India , Alfabetización , Estado Civil , Persona de Mediana Edad , Religión
10.
J Environ Manage ; 286: 112236, 2021 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-33684797

RESUMEN

The COVID-19 pandemic has caused unprecedent negative impacts on our society, however, evidences show a reduction of anthropogenic pressures on the environment. Due to the high importance of environmental conditions on human life quality, it is crucial to model the impact of COVID-19 lockdown on environmental conditions. Consequently, the objective of this study was to model the impact of COVID-19 lockdown on the urban surface ecological status (USES). To this end, the Landsat-8 images of Milan for three pre-lockdown dates (Feb 13, 2018 (MD1), April 18, 2018 (MD2) and Feb 3, 2020 (MD3)) and one date over the lockdown (April 14, 2020 (MD4)), and Wuhan for three pre-lockdown dates (Dec 17, 2017 (WD1), March 23, 2018 (WD2) and Dec 7, 2019 (WD3)) and one lockdown date (Feb 9, 2020 (WD4)) were used. First, pressure-state-response (PSR) framework parameters including index-based built-up index (IBI), vegetation cover (VC), vegetation health index (VHI), land surface temperature (LST) and Wetness were calculated. Second, by combining the PSR framework parameters based on comprehensive ecological evaluation index (CEEI), the USES were modeled on different dates. Thirdly, the USES during the COVID-19 lockdown was compared with the USES for pre-lockdown. The mean (standard deviation) of CEEI for Milan on MD1, MD2, MD3 and MD4 were 0.52 (0.12), 0.60 (0.19), 0.57 (0.13) and 0.45 (0.16), respectively. Also, these values for Wuhan on WD1, WD2, WD3 and WD4 were 0.63 (0.14), 0.67 (0.15), 0.60 (0.13) and 0.57 (0.13), respectively. Due to the lockdowns, the mean CEEI of built-up, bare soil and green spaces for Milan and Wuhan decreased by [0.18, 0.02, 0.08], [0.13, 0.06, 0.05], respectively. During the lockdown period, the USES improved substantially due to the reduction of anthropogenic activities in the urban environment.


Asunto(s)
Ciudades , Control de Enfermedades Transmisibles , Monitoreo del Ambiente , Humanos , Pandemias
11.
Mar Pollut Bull ; 165: 112124, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33652256

RESUMEN

Reduction in the impact of human-induced factors is capable of enhancing the environmental health. In view of COVID-19 pandemic, lockdowns were imposed in India. Travel, fishing, tourism and religious activities were halted, while domestic and industrial activities were restricted. Comparison of the pre- and post-lockdown data shows that water parameters such as turbidity, nutrient concentration and microbial levels have come down from pre- to post-lockdown period, and parameters such as dissolved oxygen levels, phytoplankton and fish densities have improved. The concentration of macroplastics has also dropped from the range of 138 ± 4.12 and 616 ± 12.48 items/100 m2 to 63 ± 3.92 and 347 ± 8.06 items/100 m2. Fish density in the reef areas has increased from 406 no. 250 m-2 to 510 no. 250 m-2. The study allows an insight into the benefits of effective enforcement of various eco-protection regulations and proper management of the marine ecosystems to revive their health for biodiversity conservation and sustainable utilization.


Asunto(s)
Pandemias , Animales , Control de Enfermedades Transmisibles , Ecosistema , Monitoreo del Ambiente , Humanos , India
12.
Antimicrob Resist Infect Control ; 10(1): 59, 2021 03 24.
Artículo en Inglés | MEDLINE | ID: mdl-33762000

RESUMEN

Water, sanitation and hygiene, collectively known as WASH, is an enabler of infection prevention and control (IPC), both of which contribute to safe, quality health care and the prevention of spread of antimicrobial resistance (AMR). This discussion paper considers the importance placed on the role of hygiene, including cleaning and those who clean, in health care facilities, within the context of existing data, guidelines and initiatives. Informed by this, the paper presents five areas for consideration that have the potential to strengthen and further demonstrate the value of this important cadre of staff and their role in clean, safe healthcare, particularly in low- and middle-income countries. The considerations centre around actions to overcome the current data gaps, including the paucity of national data on environmental cleaning and the training of cleaners; strengthening the implementation of norms and standards; combining global and national advocacy efforts; revisiting investment; and addressing research gaps on the issue. The need to act, in line with WHO and UNICEF recommendations to address this overlooked and undercompensated workforce and to elevate their status as important contributors to IPC, WASH and AMR is a pressing one.


Asunto(s)
Control de Enfermedades Transmisibles/métodos , Transmisión de Enfermedad Infecciosa/prevención & control , Saneamiento/métodos , Países en Desarrollo , Salud Global , Humanos , Higiene , Purificación del Agua
13.
Antimicrob Resist Infect Control ; 10(1): 61, 2021 03 29.
Artículo en Inglés | MEDLINE | ID: mdl-33781341

RESUMEN

OBJECTIVE: The appropriate use of facemasks, recommended or mandated by authorities, is critical to prevent the spread of COVID-19 in the community. We aim to evaluate frequency and quality of facemask use in general populations. METHODS: A multi-site observational study was carried out from June to July 2020 in the west of France. An observer was positioned at a predetermined place, facing a landmark, and all individual passing between the observer and the landmark were included. The observer collected information on facemask use (type, quality of positioning), location and demographic characteristics. RESULTS: A total of 3354 observations were recorded. A facemask was worn by 56.4% (n = 1892) of individuals, including surgical facemasks (56.8%, n = 1075) and cloth masks (43.2%, n = 817). The facemask was correctly positioned in 75.2% (n = 1422) of cases. The factors independently associated with wearing a facemask were being indoors (adjusted odds ratio [aOR], 2.7; 95% confidence interval [CI] 2.28-3.19), being in a mandatory area (aOR, 6.92; 95% CI 5-9.7), female gender (aOR, 1.75; 95% CI 1.54-2.04), age 41-65 years (aOR, 1.7; 95% CI 1.43-2.02) and age > 65 years (aOR, 2.28; 95% CI 1.83-2.85). The factors independently associated with correct mask position were rural location (aOR, 1.38; 95% CI 1.07-1.79), being in an indoor area (aOR, 1.85; 95% CI 1.49-2.3), use of clothmask (aOR, 1.53; 95% CI 1.23-1.91), and age > 40 years (aOR, 1.75 95%CI 1.37-2.23). CONCLUSIONS: During the initial phase of the COVID-19 pandemic, the frequency and quality of facemask wearing remained low in the community setting. Young people in general, and men in particular, represent the priority targets for information campaigns. Simplifying the rules to require universal mandatory facemasking seemed to be the best approach for health authorities.


Asunto(s)
/prevención & control , Control de Enfermedades Transmisibles/instrumentación , Adhesión a Directriz/estadística & datos numéricos , Conductas Relacionadas con la Salud , Máscaras , Adulto , Anciano , Control de Enfermedades Transmisibles/métodos , Femenino , Francia , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Adulto Joven
18.
Sci Data ; 8(1): 73, 2021 03 04.
Artículo en Inglés | MEDLINE | ID: mdl-33664243

RESUMEN

Brazil has one of the fastest-growing COVID-19 epidemics worldwide. Non-pharmaceutical interventions (NPIs) have been adopted at the municipal level with asynchronous actions taken across 5,568 municipalities and the Federal District. This paper systematises the fragmented information on NPIs reporting on a novel dataset with survey responses from 4,027 mayors, covering 72.3% of all municipalities in the country. This dataset responds to the urgency to track and share findings on fragmented policies during the COVID-19 pandemic. Quantifying NPIs can help to assess the role of interventions in reducing transmission. We offer spatial and temporal details for a range of measures aimed at implementing social distancing and the dates when these measures were relaxed by local governments.


Asunto(s)
/prevención & control , Control de Enfermedades Transmisibles/métodos , Brasil , Ciudades , Humanos , Pandemias
19.
PLoS Comput Biol ; 17(3): e1008776, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33661890

RESUMEN

In an epidemic, individuals can widely differ in the way they spread the infection depending on their age or on the number of days they have been infected for. In the absence of pharmaceutical interventions such as a vaccine or treatment, non-pharmaceutical interventions (e.g. physical or social distancing) are essential to mitigate the pandemic. We develop an original approach to identify the optimal age-stratified control strategy to implement as a function of the time since the onset of the epidemic. This is based on a model with a double continuous structure in terms of host age and time since infection. By applying optimal control theory to this model, we identify a solution that minimizes deaths and costs associated with the implementation of the control strategy itself. We also implement this strategy for three countries with contrasted age distributions (Burkina-Faso, France, and Vietnam). Overall, the optimal strategy varies throughout the epidemic, with a more intense control early on, and depending on host age, with a stronger control for the older population, except in the scenario where the cost associated with the control is low. In the latter scenario, we find strong differences across countries because the control extends to the younger population for France and Vietnam 2 to 3 months after the onset of the epidemic, but not for Burkina Faso. Finally, we show that the optimal control strategy strongly outperforms a constant uniform control exerted over the whole population or over its younger fraction. This improved understanding of the effect of age-based control interventions opens new perspectives for the field, especially for age-based contact tracing.


Asunto(s)
/epidemiología , Modelos Biológicos , Pandemias/prevención & control , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Número Básico de Reproducción/estadística & datos numéricos , Burkina Faso/epidemiología , Niño , Preescolar , Control de Enfermedades Transmisibles/métodos , Control de Enfermedades Transmisibles/estadística & datos numéricos , Biología Computacional , Trazado de Contacto/métodos , Trazado de Contacto/estadística & datos numéricos , Femenino , Francia/epidemiología , Humanos , Lactante , Recién Nacido , Masculino , Conceptos Matemáticos , Persona de Mediana Edad , Modelos Estadísticos , Pandemias/estadística & datos numéricos , Vietnam/epidemiología , Adulto Joven
20.
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
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